Queen's University - Department of Family Medicine

Faculty appointment

All teachers of family medicine residents must have an academic appointment in the Faculty of Health Sciences at Queen's University. Family physicians should be Certificants of the college of Family Physicians of Canada; other specialty teachers should be Fellows of the Royal College of Physicians and Surgeons of Canada.

To apply for an Adjunct 1 faculty appointment, please send a letter outlining the nature of your involvement with Queen's, as well as a brief curriculum vita. Please be sure to include your date of birth, SIN number, email address, work address, phone number and fax number.

As a valued faculty member you are also encouraged to apply for promotion, and will be notified annually about the procedure to do so.

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Evaluation of residents

The basis for assessing performance is having and using learning objectives. One key task for you, as a clinical teacher, is to decide what is feasible for you to teach and asses in your setting

Learning objectives for our residents are listed on our objectives/evaluation forms, which are available in our Detailed Program Guide:

Don't be overwhelmed by the breadth and depth of the objectives identified here, or the multiple methods of evaluation, both quantitative and qualitative, that are suggested. In some cases the objectives represent the range of objectives in that discipline that residents should achieve over their two-year program, not necessarily what is feasible in any one rotation. In deciding what to teach and assess in your setting, please make use of the experience of your colleagues already teaching there and

Contact your site leader

or our Residency Program Director, Dr. Willa Henry [email protected] or 613-533-9300, ext. 73004

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Supervision/Direct Observation

Preceptors should give regular feedback to learners in their practice. direct observation is an important tool which gives the most accurate reflection of skill levels. This can be done using videotape, audiotape, webcameras, one way mirrors, or by accompanying the resident to the examining room.

residents require direct observation to be documented. they carry or use web-based logbooks and should take responsibility for having them recorded.

Field notes are helpful in giving direct feedback after an observation and allow you to record and transmit your observations and educational prescription. The resident keep them for their "evaluation portfolios", a copy can be kept for your records. When residents have several supervisors, they can be used as a tool in collating information for evaluation purposes.

With respect to evaluation, please note the requirements:

To discuss the objectives with the resident at the beginning of the rotation (please take advantage of this initial meeting to schedule the time for your mid-rotation and end-of-rotation evaluation sessions witht he residents
For mid-rotation (formative) and final (summative) evaluation sessions with the resident
On family practice rotation, to document episodes of direct observation of the resident and the resulting assessment (an advisable practice on all rotations

for advise about assessment of learners and doing evaluations, available through our Faculty Development web page "Evaluation of Residents by Teachers"

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The resident in difficulty on a rotation

Early identification of residents in difficulty on a rotation is very important. Please make early contact with the Program Director Willa Henry or 613-533-9303 ext. 74004 for assistance. A mid-rotation written evaluation is important in these situations.

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Resident safety

Our safety policy requires direct supervision for first home visits. If the resident feels comfortable, future home visits could be made independently. Home visits are often an excellent opportunity for one on one teaching and we encourage teachers to accompany learners to “off-site” settings. We also caution our residents about the dangers of driving while fatigued. Please reinforce the safety issues with residents and ensure that their safety is not compromised during their rotation with you.

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Physical exam attendants

Attendants at physical examinations, potential for physical abuse of patients, and potential for unwarranted charges against physician should be discussed by residents and their supervisors. Male residents must without exception have an attendant present during the intimate/internal examination of female patients. During other internal/intimate examinations, both the patient and the resident have the right to request that a third party be present. Where such a request is made, an attendant must be made available for part or all of the examination.

In those circumstances where an attendant cannot reasonably be available at the time of the request, the resident must offer to, or, at the patient's request agree to, establish an alternative time with the patient when an attendant can be present.

Preceptors, residents and patients should be aware of the right of any party to decline to partake in or continue with, or refuse to perform any part or whole of the history or physical examination, at any time

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Supervision of Clinical Trainees - Queen’s policy about the mutual responsibilities of teachers and residents with respect to patient care is based on a document of the Council of Ontario Faculties of Medicine, which refers in turn to CPSO and OHIP guidelines.

PAIRO Agreement – Residents’ working conditions are governed by this document which is an agreement between the residents’ association and the teaching hospitals.

OHIP policy on billing

A staff physician may claim for services rendered if the following requirements are met. The responsible physician must be present in the unit at the time and must be identified to the patient at the earliest possible moment. No fees are to be charged for services provided by the resident prior to this notification taking place. The physician responsible must be personally identified to the patient. The staff physician assumes full responsibility for the services rendered.

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Evaluation of your teaching skills

You will be provided with anonymous feedback on your teaching skills, usually on an annual basis. The feedback will based on the teacher and rotation evaluations provided by residents as part of their online evaluation system

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Library resources

All Queen’s faculty are able to benefit from the resources of Queen’s medical library.

Once you have a faculty appointment, contact Nicole Fowler, Faculty Support Coordinator for the Dept of Family Medicine, [email protected], 613-533-9303, ext. 73007 for help in the process to obtain access to the library resources.

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