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Off Service Residents

QIM Residents

Welcome! We hope that you are looking forward to your rotations in general medicine and/or our subspecialties. Here, you will find information about where to go on your first day, rotation-specific objectives, schedules, and a variety of other helpful information. If you have any questions, do not hesitate to contact us.

For general inquiries please email our office or the Chief Residents .

Welcome to Internal Medicine

Welcome to the Internal Medicine Program! 

Our goal is to provide residents with fundamental experience in general medicine and/or subspecialty in patient services that will aid you in managing your patients.  

Here are a couple of things that you may find helpful prior to starting your rotation.  Please explore our website.  You will find teaching rounds, call schedules, stipend form, vacation forms and important numbers here.

Here the link to the Internal Medicine Handbook (Survival Guide).

Please refer to the First Day section below to find out where to report on your first day of the block.

Information regarding our teaching sessions can be found under Teaching Schedules, including the weekly rounds and conferences, which is updated weekly.

Please refer to the Time Off (Vacation/call/sick leave) section below for details surrounding these areas. 

We hope that you find your experience while on internal medicine educational. If you require any further assistance during your rotation, please contact the chiefs at queensimcr@gmail.com.  

All the best on your rotation!

Robert Clayden, Kirsten Nesset, Natasha Ovtcharenko, Vincent Poon
Chief Residents
2019-20

Where to go on Your First Day of the Rotation

Please refer to the table below:

Service

Contact

Extension & Email

Where to Report

CTU

Chief Resident

queensimcr@queensu.ca

 

Meet with chief resident at 7:30am at Connell 9 Nursing station. 
Page the "chief in charge" if no-one is there to meet you (https://meds.queensu.ca/central/community/imresidents:schedules/call_schedules)
PLEASE WATCH BEFORE START OF ROTATION:
https://meds.queensu.ca/central/community/imresidents:rotation_information/ctu

CARDIOLOGY CONSULTS

Andrea Mayfield

(613)549-6666 ext.6579

andrea.mayfield@queensu.ca

KGH Kidd 3 AB Conference Room at 7:30 am

CARDIOLOGY WARDS/CSU

Andrea Mayfield

(613)549-6666 ext.6579

andrea.mayfield@queensu.ca

KGH Kidd 3 AB Conference Room at 7:30 am

DERMATOLOGY

Alison Tomney

 (613)544-3400 ext.3415

Alison.Tomney@kingstonhsc.ca

Report to Jean Mance Level 5, HDH at 8:00am on first day. Dr. Asai will confirm schedule for block upon arrival.

ENDOCRINOLOGY

Janine Gilroy

(613)549-6666 ext.1379
 gilroyj@kgh.kari.net

You will receive an introductory email a few days prior to the start of your rotation 

GASTROENTEROLOGY

Brenda DeLonghi

 (613)544-3400 ext.2292/2291

delonghb@hdh.kari.net 

KGH Douglas 1, Endoscopy Unit, or page GI fellow on service via KGH Switchboard.  Clinics are at HDH, go to Johnson 4 or contact Brenda DeLonghi

GERIATRICS

Donna Kearney

(613)548-7222 ext.2208

kearneyd.@providencecare.ca

Providence Care Hospital (PCH), 
752 King Street West at 8:15am. You will receive an email about your orientation

HEMATOLOGY WARDS/CONSULTS

Shelley Cox

613-533-6329

sac2@queensu.ca

Contact Shelley to pick up orientation package from office at Etherington Hall Room 2015. Otherwise, page senior resident on service via switchboard

INFECTIOUS DISEASES

Dori Silver

613-533-6619

silverd@kgh.kari.net

Contact info forwarded prior. If not received, contact Dori.  Otherwise, contact senior resident. Start 8:30am

MEDICAL ONCOLOGY CLINICS

Micheline McDonald

(613) 544-2631 ext 6647

micheline.mcdonald@kingstonhsc.ca

Instructions as per the introductory email

NEPHROLOGY

Michelle Wolfreys

(613) 549-6666 ext. 4320

michelle.wolfreys@queensu.ca

KGH Renal Unit Burr 3 at 8:30 or page senior resident through Switchboard

NEUROLOGY

Michelle Wolfreys

(613) 549-6666 ext. 4320

michelle.wolfreys@queensu.ca

KGH Kidd 7 Nursing Station at 8:00 am

PALLIATIVE CARE

Ruili Fang

(613)549-6666 ext.3223

fangr@kgh.kari.net

Report to 34 Barrie Street at 8:00 am

RESPIROLOGY

Laura Pascoal

(613)549-6666 ext.2300

laura.pascoal@queensu.ca

Richardson House 102 Stuart Street Room 20-211 - Meet Dr. Moran at 08:30 1st day of block unless otherwise notified

RHEUMATOLOGY

Holly Shea

613-533-2971

sheah@queensu.ca

Program Administrator will contact incoming residents with orientation day schedule

Dowload a copy of this chart here.

KGH Main:   613-548-3232
HDH Main:   613-544-3400
SMOL Main: 613-544-5220

Forms and Schedules

Schedules and Forms

SCHEDULES NOTES
   
Call Schedules  
CTU Team Take Schedule  
Teaching Schedules  
Internal Medicine Master Rotation Schedule  
   
Handover   
Handover Form For use to track consults
CTU Admitting Form For use in morning
   
Other Forms  
Call Stipend Forms

Hospitals

 
Kingston General Hospital
76 Stuart St.
Kingston, ON, K7L 3N6
Phone: (613) 549-6666 
www.kgh.on.ca   
Hotel Dieu Hospital
166 Brock St.
Kingston, ON, K7L 5G2
Phone: (613) 544-3400
www.hoteldieu.com
Providence Care
752 King St. West
Kingston, ON, K7L 4X3
Phone: (613) 544-4900
www.providencecare.ca

Policies and Rules

Call Responsibilities Date 
PGY1 Call Responsibilities April, 2015
PGY2/ PGY3 Call Responsibilites  
Resident Role Descriptions May, 2017
Attending Role Descriptions April, 2017
   
CTU Rules  
CTU Admission Rules May, 2017
MSSU Admissions Guidelines March, 2017

Rotation Specific Objectives

Core Internal Medicine Program Goals & Objectives

Royal College of Physicians and Surgeons of Canada - Objectives of Training for Internal Medicine

Royal College of Physicians and Surgeons of Canada - Specialty Training Requirements in Internal Medicine

Time Off (Vacation/Call/Sick leave)

OFF SERVICE RESIDENTS REQUESTING TIME OFF 

The same rules outlined below apply for all residents rotating in medicine.  Your requests will be entered into Resident Calendar via the form linked below:

Off-Service Resident Time-Off Requests

 

In accordance with the PARO –CAHO agreement, “Requests for vacation shall be submitted in writing to the department head at least four (4) weeks before the proposed commencement of the vacation.” It is recommended that all requests be submitted before the 1stday of the block prior to the block with the request (i.e. a leave request for vacation in block 5 is due the day before block 4 begins). This ensures that the call schedule can be made on time.

We make every effort to accommodate everyone’s time off request that falls within this, however, resident are wise to plan early to assure they get the vacation that they wish and that they fulfill the requirements of the training program in Internal Medicine. Please remember that one-week vacation requests do not guarantee so-called “bookend” weekends.

Vacation time cannot be taken until approval of the Internal Medicine Program Office has been obtained. Vacation requests may be refused if professional and/or patient care responsibilities would be compromised.

NOTE: Taking time-off which has not been approved, will be considered a BREACH OF PROFESSIONAL CONDUCT. Residents taking unapproved time-off may be subject to disciplinary action.

Residents are entitled to:

  • 20 working days and 8 weekend days of vacation to be taken in segments of at least one (1) week
  • 7 professional days
  • 1 floating lieu day (see #1 below)
  • Lieu days earned from working a statutory holiday (see #1 below)
  • 5 days off either at Christmas or New Year (Please refer to Important Dates for assigned dates) (see #2 below)

Your home  program keeps track of all of your days off.

(1) Lieu Days:
You are entitled to a lieu day if you worked a statutory holiday. Christmas and New Year's lieu days are already included in the five days you get off at that time. Lieu days must be taken within 90 days of the holiday worked. There is no guarantee you can take the lieu day in the same rotation in which you earned it. The arrangements for a lieu day are done the same as a vacation request (i.e. you should plan in advance).  Please note that lieu days are the only days that can be carried over into the next academic period, subject to the 90-day expiry period.

Lieu day requests relating to a period where the call schedule has already been released require written approval from your attending to the Program Office.

(2) Vacation during the Holiday Period:

Residents are entitled to five (5) consecutive days off during this time period (block 7) and will be asked to choose from a period encompassing either Christmas or New Year. Alternatively, for religious reasons, residents may choose to take their five (5) consecutive days off during a different time, according to their religious observance. In this situation, residents would be required to be on service during both of the two above mentioned holiday periods.


Note: Please be advised that when considering time-off requests Cardiology considers all residents on their service together, combining wards, CSU and consults rotation, in order to avoid compromising patient care responsibilities.

 

PRIORITY FOR VACATION REQUESTS:

Generally vacation requests are approved on a first-come, first-served basis. However, there are a few considerations and exceptions:

  1. Priority will be giving to PGY3 residents in block 9 and 13 for their RC exam.

  2. For the last week of June priority for time off will be given to PGY3 residents leaving the program for fellowships elsewhere. Consequently, no requests will be processed for this time until after the R4 Medicine Subspecialty match.

  3. Housestaff sitting certification for North American examinations may request time to attend the examination over and above the four (4) weeks.

  4. Vacation/Leave request on CTU: The following guidelines will provide a means to foster a balance between education, patient care, and resident well being:

• The Internal Medicine R2 and R3 on a CTU team may not be away at the same time.

• No more than one R1 per CTU team may take vacation at the same time

• Senior resident and R1 may not be away at the same time

• If you have vacation on CTU you will be assigned one weekend off (for PGY2 residents this will be the weekend your team is NOT on take, for PGY3 this will be the weekend your team IS on take). If you need a specific weekend off on CTU and this conflicts with your team's on call schedule (refer to take schedule) you may be able to request a switch of CTU teams BUT this must be reviewed and approved by the program. Forward planning helps avoid disappointment and ensures service requirements are met. 

Vacation and Educational Objectives:

The Assessment, Promotion, and Appeals Policy posted on the Postgraduate Medical Education Office’s website, (http://meds.queensu.ca/education/postgraduate/policies/apa/assessment) includes section 8.0 that states that: “In order to meet pedagogical requirements, a resident should not miss more than 1/4 of a rotation or horizontal learning experience due to illness, leave, holidays etc.”

In light of this policy, residents are asked to submit vacation requests that comprise the last week of one block and the first week of the next in order to accommodate requests for 2-weeks of vacation. This will also ensure that educational and patient care needs are met. Remember, planning early will also provide you with a higher chance of receiving approval for the time period requested.

Residents who wish to request vacation/leave outside of these guidelines are encouraged to speak to the Program Director as early as possible to review options for accommodating the request.

Switching Call:   

Switching calls is discouraged. However if you have to make a call change with another resident, you need to obtain approval from your respective teams (departments) and you must notify the Chief Residents and Claudia Trost, in the Program Office (613 533 6000 ext. 74966, who will inform Switchboard.  Switches on CTU (especially involving primary and secondary take) should be between residents on the same team.

Calling in Sick:

If you need to call in sick you must inform your team and Internal Medicine Program Administration (Claudia Trost) immediately. If you are on call that night you are expected to arrange to switch shifts with another resident during that day and notify your team and one of the Chief Residents who will update switchboard and the relevant wards. It is not enough to just email the chiefs that you are sick. You must make every attempt to find someone to take your call. Remember, if you do not hear from the chiefs, it is possible that we have not seen/received your email as we are on service as well and do not check emails frequently throughout the day. Please additionally page one of us through switchboard to discuss your situation with us in the event you cannot find someone to take your call. 

Please review the Emergency Leave Policy regarding Emergency Absence.

We encourage residents to be familiar with the PARO-CAHO Agreementhttp://www.myparo.ca/your-contract/CAHO_Agreement

Residents are entitled to five (5) consecutive days off during this time period (block 7) and will be asked to choose from a period encompassing either Christmas or New Year. Alternatively, for religious reasons, residents may choose to take their five (5) consecutive days off during a different time, according to their religious observance. In this situation, residents would be required to be on service during both of the two above mentioned holiday periods.

Note that the two (2) days before Christmas and the day between the Christmas and New Year's vacation periods are “handover” days and are not available for time off

Please be advised that when considering time-off requests Cardiology considers residents on CSU and consults rotation together, in order to avoid compromising patient care responsibilities.

Cancellations of time off that has already been approved will be accepted until 4 weeks before the start of the rotation. Time off that is cancelled after this time will not be credited back unless there are extenuating circumstances.

If you are sick and unable to come into work, you must inform ALL of the following people immediately:

  1. Your attending physician and the senior medical resident / fellow on your team
  2. The Chief residents (queensimcr@gmail.com)
  3. Claudia Trost (tc63@queensu.ca)

If you are ON CALL that night, or if you anticipate being unable to complete a future call shift due to illness, you are expected to make every attempt to arrange to a call switch with another resident. Once you have found a resident to cover your call shift, notify your team, one of the Chief Residents and Claudia Trost, who will update switchboard and the relevant wards.

If you do not hear back from one of the Chief residents regarding your absence and/or call shift, it is possible that we have not seen or received your email as we are on service as well and do not check emails frequently throughout the day. In this situation, please page the chief-in-charge for that week (our pager numbers are emailed out with the call schedule).

You need to let the Chief residents and Claudia Trost know when you return to work.

Please see the Emergency Leave Policy regarding Emergency Absence.

 

Switching calls is discouraged. However, if you have to make a call change with another resident, you need to obtain written approval from your respective teams and you must email the Chief Residents (queensimcr@gmail.com) and Claudia Trost (tc63@queensu.ca) with your proposed changes for final approval.

Once your change is approved, Claudia and/or the Chiefs will update the schedule accordingly and inform Switchboard.  Switches on CTU (especially involving primary and secondary take) should be between residents on the same team.

Availability:

Once you get your call schedule, we recommend that you inform your service as soon as possible of the days you will be away.

When you are on an offsite rotation and you are scheduled for call on your last day of your rotation, please ensure to let your upcoming rotation know in advance that you are not available on the first day.