Class of 2022

Well-being of the Class of 2022 (Updated on January 11, 2022)

Thank you for communicating concerns re: your well-being through your Class Council.   We recognize how difficult the time leading up to that CARMS deadline is for all Year 4 students.  Thank you for providing clear requests and mitigation strategies.

To address your requests through today’s Pandemic and Emergency Preparedness (PEP) Task Force meeting:

  1. The FLEX team is working to extend the FLEX final submission deadline until February 7, to allow the students an extra weekend to finalize their project documents post-CaRMS submission. They will send out a final communication.
  2. Safety plans for the in-person OSCE on January 23, 2022: The OSCE team has taken the following mitigation strategies as presented here:
  • Reduced from 9 to 7 stations (6 clinical encounters and 1 PEP)​
    • Chosen in consultation with faculty, SP, program managers based on OSCE blueprint and SP demographics​
    • Two break stations​
    • Students will be informed of the reduction in stations but not the tasks​
    • Students will be required to pass 4/6 stations​
  • Extra rooms can be used for break rooms​; Will help to ensure physical distancing during breaks and meals​
  • PPE​: We follow public health guidelines in healthcare environments for which medical masks and hand hygiene are deemed appropriate.  See also:

Brooks JT, Beezhold DH, Noti JD, et al. Maximizing Fit for Cloth and Medical Procedure Masks to Improve Performance and Reduce SARS-CoV-2 Transmission and Exposure, 2021. MMWR Morb Mortal Wkly Rep 2021;70:254–257. DOI: http://dx.doi.org/10.15585/mmwr.mm7007e1

Medical masks will be provided and participants may also bring their own medical masks.

  • Self-Assessment​; Participants must complete a self-assessment before arriving to the OSCE. All are encouraged to use Public Health’s self-assessment tool​.  Please isolate / get tested if advised by the tool based on symptoms​
  • This information and other exam details will be reviewed at the OSCE Q&A session with Dr. Kevin Shi scheduled today (January 11th) at noon. The recording will be made on Entrada.
  1. Deferrals for the Year 4 OSCE: The Year 4 OSCE is a stand-alone course (MEDD 451) that is require for graduation, so we do need all Year 4 students to successfully complete it.

If you are sick or have been instructed to isolate, please do not come in on January 23.  A deferral exam is being scheduled tentatively for March 30th, 2022.  We have simplified the unforeseen absence/deferral process for this exam only; please contact your site team as follows if you run into issues for attending:

  • SMP: Contact Kyla Shaw, A&E Administrator. Prior to Sunday, January 23rd, email shaw@interiorhealth.ca. On Jan 23rd, day of exam, text Kyla at 604-724-3479
  • IMP: Contact Elana Richard, A&E Administrator. Prior to Sunday, January 23rd, email elanar@uvic.ca. On Jan 23rd, day of exam, text or call Elana at 250-812-2362
  • NMP: Please contact NMP-Clinical@unbc.ca
  • VFMP: Contact Jennifer Wong, Team Lead, Exam Site Administrator, PLAT. Prior to Sunday, January 23rd,  email wong@ubc.ca On January 23rd, day of exam, text or call Niyati Kasana, Manager, PLAT at 604-725-2839. Note response will be delayed.

As we anticipate that individuals required to isolate on Sunday, January 23 will also likely have their Electives impacted if they are following Public Health Guidelines, they should expect to submit an unforeseen absence form per usual processes for any absence related to their clinical elective, even if an extension of their OSCE absence.

Finally, Student Affairs is there for all students at this challenging time.  Please feel free to reach out to your Site Student Affairs Assistant Dean to discuss challenges and available supports.

Year 4 Summative OSCE (Updated on January 6, 2022)

We received significant feedback from students around the safety of an in-person OSCE. The safety of our students, standardized patients, and staff is extremely important. In response to these concerns,  the UGME PEP Task Force asked the administrative and assessment teams to reconsider alternative dates for the Year 4 summative OSCE to mitigate safety concerns. The full presentation can be found here. Please note that pros/cons reflect delivery from an operational perspective and do not necessarily reflect all of the previously raised student concerns.

The only alternative date that does not interfere with CaRMS, coincide with electives, overlap with assessments from other years or have other operational constraints is April 3, 2022.  Unfortunately, holding the OSCE on this later date would not allow sufficient time for a deferral or supplemental OSCE to occur in time for graduation. This would mean that students who must defer because of illness/extenuating circumstances or who fail the exam would not graduate in May. This would have a significant impact on some students, resulting in a delayed start to residency, as confirmed with the College of Physicians and Surgeons of BC (CPSBC), who require UBC Senate degree conferral prior to July 1st.

We also discussed the merits and logistics of a virtual OSCE. Transitioning to a hybrid/online OSCE poses many challenges including redesign of exam materials, training for faculty/staff and SPs, and organizational aspects of the software (procuring a license and uploading materials) requires months of work. At this stage, it is not an option to transition to virtual OSCEs for this academic year.

As part of our program’s mandate, the Y4 OSCE ensures that there is educational accountability to UBC Senate, CPSBC and the Committee on Accreditation of Medical School (CACMS). It measures a student’s cumulative knowledge over the past 4 years in a relatively low stakes environment and helps ensure the graduation of competent physicians. Furthermore, students in the Class of 2022 have unfortunately not had an in-person OSCE since Year 1.

Given the importance of this exam, we are therefore accepting the risks and consequences of holding the OSCE, as planned, on January 23, 2022

This decision was made after careful deliberation and we recognize that there is no perfect decision in the face of many competing interests. We will continue to work on implementing additional safety measures to mitigate exposure risks and welcome any additional suggestions for creating a safe testing environment. We recognize that there has been significant uncertainty for your class over the past two years and are very grateful to your entire cohort for the patience, diplomacy and resilience that you have continued to demonstrate.

Year 4 Summative OSCE (Updated on January 5, 2022)

Thank you to everyone for sharing your thoughts with us regarding the in-person OSCE. Your class reps on the PEP Task Force have summarized all of your input and kindly presented these at our meeting. The Assessment Team is working with Faculty of Medicine Safety and Risk Services on mitigation strategies to ensure the safe and effective delivery of the OSCE for students, standardized patients  and examiners. At this present moment, students, examiners and standardized patients are encouraged to plan for an in-person OSCE. If there are any changes to the delivery of the OSCE, all stakeholders will be updated accordingly.

Updates to Curriculum and Assessment Delivery – all sites (Updated on December 21, 2021)

The Faculty of Medicine (the Faculty) recognizes that we are entering a period of maximum uncertainty with respect to the evolving pandemic situation. The Faculty is actively engaged in the development of a number of response strategies and plans so that we can continue to deliver high-quality education programs while maintaining the safety, health and well-being of our students, faculty, staff, patients and the communities we serve.

Therefore, following the UBC Broadcast sent yesterday, the Faculty announced implementing a precautionary WT2 blended virtual and in-person approach that will operate until January 24, 2022, for all Faculty of Medicine educational programs – with the exception of postgraduate medical education residency programs, and programs whereby graduate students and postdoctoral trainees work in research laboratories.

This interim arrangement is pedagogically based, with the intention of maintaining academic continuity and student experiences during the rapidly evolving pandemic situation. Ultimately, the goal is to enable the eventual transition back to fully in-person learning and instruction later in WT2.

As per the announcement, both UBC academic campuses will remain open and all libraries, student housing and services will be available.  Research and scholarship activities on UBC campuses continue within current safety plans.  The Faculty will continue to monitor the situation and is committed to providing further updates as new information becomes available in the new year.

What this means for you:

Assessment:  The Year 4 summative OSCE will be still held in-person on Sunday, January 23, provided that all participants and attendees will satisfy all public health requirements including the use of appropriate PPE, medical masks, as well as the PHO Order on mandatory vaccination as the OSCE will take place in care locations as defined by the Order.

The Progress test on January 4, 2022 will remain online.

Vaccination:  Please register for the 3rd (booster) dose of  the COVID-19 vaccine as soon as possible, follow these steps to self-identify as a health care worker:

  1. Have the following information ready: Personal Health Number, date of birth, date of a previous COVID-19 vaccine (either dose 1 or dose 2)
  2. Go to the Get Vaccinated provincial website for COVID-19 boosters 3. Use this Health Authority (employer) validation code: Y6383E!

For more information about the booster shot process, please see our previous key message here.

Travel: Please note that the Public Health Agency of Canada is advising travellers, regardless of their vaccination status, to avoid non-essential travel internationally.  For more information, visit https://travel.gc.ca/travelling/health-safety/travel-health-notices/226

 

 


Click below to view previous key messages:

Welcome to Year 3! (Updated on August 18, 2020)

The following are some important resources that will ensure you have a safe return to clinical duties.

Please view your Welcome presentation which contains a lot of information.

Webside Manner: Prior to your first virtual clinical encounters, please review some basic online etiquette skills.  Here is a link for tips and suggestions which will optimize your webside manner during virtual patient encounters both in the clinic or remotely.

Re: Goggles:  The goggles [provided to C2022] have been tested by Health Canada and are approved for clinical use. Students may wish to purchase their own, in which case, they should adhere to the federal specifications listed here: https://buyandsell.gc.ca/sites/buyandsell.gc.ca/files/specifications_for_eye_protection_2020_04_10_0.pdf

Finally, the COVID-19 information handout is an important reference to keep handy.

Welcome to Year 3 (Updated on June 25, 2020)

Clerkship Schedules are found on Entrada under Program Information:

Responses to your FAQ are found here.

COVID Quick Reference Guide for Students is found here.

Reducing Risk of Communicable Diseases (Updated on December 2, 2021)

Dear students,

Part of the personal measures we utilize to reduce the risk of communicable diseases, including COVID-19, on campus, is to ensure students, faculty and staff do not participate in any activities (educational or otherwise) if they are sick.  As a reminder to the previous key message regarding attendance and absences from October 6, 2021 (excerpt below), students are not to attend in-person sessions when experiencing active respiratory/COVID-like symptoms.  When completing your daily self-assessment, make sure to follow the directions provided, get tested as recommended, and self-isolate until you are no longer sick.  This is an important part of our UBC Campus Rules and the Return to Campus Public Health Guidance.

 Attendance and Absences during the COVID-19 Pandemic (Updated on October 6, 2021)

  • IF a student cannot attend an in-person session due to a requirement to self-isolate due to COVID infection, COVID exposure or presentation of COVID-like symptoms AND is well enough to continue with their studies, mitigation strategies may include permission for students to attend small group sessions virtually. These arrangements would be made in collaboration with your Site Director, see Supplement to Policy 006 Procedure for Unforeseen Absence due to COVID. This document reinforces that there is no expectation for students to attend in-person or virtually if they are unwell.
  • IF a student cannot attend an in-person session due to a requirement to self-isolate due to COVID infection, COVID exposure or presentation of COVID-like symptoms, AND is well enough to continue with their studies but is unable to connect with the respective Site Director to establish an immediate plan, they may reach out to a fellow student and/or their tutor or preceptor to connect to a specific session virtually, using their personal Zoom account. However, this will need to be communicated to the respective Site Director as soon as possible.

COVID-19 Vaccine 3rd (Booster) dose availability (Updated on November 25, 2021)

Students with placements between now and the end of January can choose to register for a COVID-19 vaccination booster dose and select the category that corresponds with their placement setting, by following these instructions:

  • Self-identify as a health care worker for COVID-19 booster dose.  Health care workers in specific settings are a priority for a booster shot, between now and the end of January.
  • In order to receive an invitation for your booster dose when you become eligible, you must be registered in the Get Vaccinated online system and will need to self-identify as a health care worker in one of the five categories.  You will need to select the category based on your current or upcoming placement.  For the Classes of 2024 and 2025, Family Practice visits fall in category 5.  The categories are:
    1. Long term care and assisted living staff, physicians and workers (everyone working on site or entering these facilities for work purposes)
    2. Hospital critical care, emergency department and medicine unit staff, physicians and workers (everyone working on site in the listed care areas)
    3. Other hospital staff, physicians and workers(everyone working in areas of the hospital not covered by category 2, including paramedics, hospital based corrections or mental health staff and corporate/administrative staff working on site)
    4. Health authority community staff, physicians and workers(all staff working in non-hospital areas, including corporate/administrative staff not included in categories 1, 2 or 3)
    5. Other community staff, physicians and workers(all non-Health Authority providers, staff and other workers in the community health sector)
  • As soon as possible, follow these steps to self-identify as a health care worker:
    1. Have the following information ready: Personal Health Number, date of birth, date of a previous COVID-19 vaccine (either dose 1 or dose 2)
    2. Go to theGet Vaccinated provincial website for COVID-19 boosters
    3. Use this Health Authority (employer) validation code:Y6383E!
    4. After entering the information above, you will be redirected to a second page to indicate the category you fall into. You will be asked to certify that the information provided is accurate. If any of the information you enter does not match what is on file, you may be redirected to contact the call centre for assistance and to verify your information.
  • Once you complete these steps, you will be notified when it’s your turn to book an appointment. We ask for your patience and cooperation as booster vaccinations are provided based on eligibility. Drop-ins at clinics or pharmacies are not permitted for booster doses.
  • This self-identification link and access code are intended only for identified health care workers at this time. By choosing to self-identify through this service, you are acknowledging that you have received this code from your employer.
  • This link and code are not transferrable. If the code is misused it will be cancelled and the ability to continue with vaccination through this program may be compromised. Anyone booking an appointment who is not eligible will be turned away at the clinic.
  • If you’re unable to register online, you can call 1-833-838-2323. You can learn more about booster doses on the C. Government website.

Non-Credit (Extracurricular) Clinical Opportunities (Updated on October 28, 2021)

As previously announced,  resumption of Noncredit Clinical Opportunities for Years 3 and 4 students will start December 18, 2021.  The link is now open for you to register your activity.

We would like to emphasize that winter break is meant to provide students with time to decompress and pursue personal activities that they enjoy, in addition to spending quality time with their families. There is absolutely NO expectation that students pursue non-credit clinical opportunities. For example, the re-introduction non-credit clinical opportunities may provide a minority of students with additional opportunities that they may have otherwise missed due to COVID-19. Students are not expected to pursue these experiences, just as students are not expected to pursue shadowing opportunities over the holidays

Please be understanding that the ability for preceptors to accept students for extracurricular non-credit clinical experiences may fluctuate due to demands of the pandemic.   Here is what you need to know:

Make sure that you have reviewed Policy 28 Extracurricular Activities – Registration and Approval

Non-Credit (Extracurricular) Clinical Opportunities

Year 3 or 4 students in good standing may seek approval for extra-curricular non-credit clinical opportunities that meet the following criteria:

2.1. The clinical opportunity must only take place during vacation time:

2.1.1. Between Year 3 and Year 4

2.1.2. During winter breaks in Year 3 and Year 4

2.2. The clinical opportunity must take place at a CACMS-accredited Canadian university (for example, through the AFMC Portal) or the clinical opportunity is through an LCME-accredited university – not available at this time

2.3. The clinical opportunity must be undertaken with a physician who is licensed for independent practice and is in good standing with:

2.3.1. the CPSBC within British Columbia, or

2.3.2. another provincial College, or another physician-registering regulatory body.

2.4. Students may only engage in clinical activities within their scope of practice as set out in Policy 031A – Expectations of Medical Students in Supervised Clinical Settings.

2.5. Students must be supervised by the physician or by a health care professional delegated by the physician, who is operating within their scope of practice.

Social Gatherings (Updated on October 28, 2021)

With the holiday season fast approaching, starting with Halloween, we want to remind everyone that the size of social gatherings remains restricted in some Health Authority regions.

As members of the UBC Faculty of Medicine, it’s important that we continue to follow the public health requirements set out by the Office of the Provincial Health Officer.

For more information on restrictions and requirements for your region, please visit this website.

Thank you for your ongoing commitment to ensuring the safety of our collective community and the communities we serve.

COVID Task Force Chairs, Paul Winwood and Cheryl Holmes

Vaccine Mandate Order for Health Care Workers in BC (Updated on October 26, 2021)

To comply with the Hospital and Community (Health Care and Other Services) COVID-19 Vaccination Status Information and Preventive Measures PHO Order, UBC will be verifying student vaccination status within the Thrive platform, which was used for the rapid testing program.  Please ensure you have completed your vaccination declaration on Thrive and have uploaded a picture of your BC Vaccine Card (the QR code, not the wallet card).

Vaccine Mandate Order for Health Care Workers in BC (Updated on October 21, 2021)

The Hospital and Community (Health Care and Other Services) COVID-19 Vaccination Status Information and Preventive Measures PHO Order was published on October 14, 2021.  While UBC is clarifying some elements of the Order with the Ministry of Health, it is clear that, starting October 26 2021, students “must provide an operator [of a care location] with proof of vaccination, or an exemption, on request from an operator”.  Proof of vaccination is defined as a vaccine card, while care location includes hospital, Provincial mental health, and residential facilities, along with public health clinics, urgent and primary care centres, and community health centres.  Please see the order for full definitions and locations.  Guidelines for requesting an exemption are listed here.

Starting October 26,2021, please be prepared to show proof of vaccination or an exemption when attending a care location as defined in the Order.  If you are not fully vaccinated, this will have a significant impact on your studies and your career going forward. 

Information on how to get vaccinated is here: https://www2.gov.bc.ca/gov/content/covid-19/vaccine/register.

 Helpful Resources

If you have questions or you are feeling hesitant about the vaccine, we encourage you to:

Please do not hesitate to reach out to Student Affairs (md.studentaffairs@ubc.ca) with any questions or concerns.

Process for Obtaining N-95 Mask Alternatives (Updated on October 6, 2021)

The MD Undergraduate Program (MDUP) is working to update the current respiratory protection process for students who are unable to wear typical N-95 masks for various reasons (i.e., unable to shave beard for religious reasons).

The current process for MDUP students who are unable to wear typical N-95 masks

  1. Contact Health & Safety Advisor to advise of inability to wear typical N-95 masks (prior to clerkship – as instructed in respirator safety lecture in TICE)
  2. Remove themselves from any clinical activity that would require the use of a respirator
  3. Remember that their exemption from such training will not affect their academic evaluations
  4. Contact Health & Safety Advisor for assistance if they wish to personally purchase alternative respiratory protective devices such as powered air-purifying respirators (PAPRs), that are effective with full beards

The MDUP is looking to procure PAPR devices for appropriate students to use during their clerkship years.  Shortly, a survey will be distributed to determine the number of PAPRs needed.  If you are not able to wear typical N-95 masks, please indicate so on the survey.

Process for Obtaining N-95 Mask Alternatives (Updated on October 6, 2021)

The MD Undergraduate Program (MDUP) is working to update the current respiratory protection process for students who are unable to wear typical N-95 masks for various reasons (i.e., beards, turbans).  The current process for MDUP students who are unable to wear typical N-95 masks

  1. Contact Health & Safety Advisor to advise of inability to wear typical N-95 masks (prior to clerkship – as instructed in respirator safety lecture in TICE)
  2. Remove themselves from any clinical activity that would require the use of a respirator
  3. Remember that their exemption from such training will not affect their academic evaluations
  4. Contact Health & Safety Advisor for assistance if they wish to personally purchase alternative respiratory protective devices such as powered air-purifying respirators (PAPRs), that are effective with full beards

The MDUP is looking to procure PAPR devices for appropriate students to use during their clerkship years.  Shortly, a survey will be distributed to determine the number of PAPRs needed.  If you are not able to wear typical N-95 masks, please indicate so on the survey.

Guidelines for MDUP Student Shadowing (Years 1 and 2) during the COVID-19 Pandemic (Updated on October 6, 2021)

Shadowing for students in Years 1 and 2 is an observational activity only as per  Policy 028. Students must not actively engage in or perform any clinical activities; however, the following document provides guidance on participation in shadowing experiences that involve patients diagnosed with COVID-19.

Students may observe the clinical care of community members with COVID-19.  However, this excludes observing any situation where a respirator (N95 mask) is required, including Aerosol Generating Medical Procedures (AGMPs) involving COVID-19 suspected or confirmed patients, as students will not yet have not undergone respirator fit testing.

We recommend and acknowledge that:

  • Individual health authorities, hospital sites and department guidelines still apply
  • Personal Protective Equipment (PPE) and appropriate clinical supervision must be available (Students have not received respirator fit testing and so no participation in any activity that requires an N95 mask)
  • The decision lies with the clinical Preceptor/Attending Physician and team
  • Students have the right to refuse unsafe work without fear of academic penalty
  • We recommend students NOT observe on COVID wards or wards under an outbreak
  • Students may be required to disclose their COVID-19 vaccination status in accordance with Provincial Health Orders

Please see our Guidelines for MDUP Student Shadowing (Years 1 and 2) during the COVID-19 Pandemic.

COVID-19 Vaccine - Second Dose Registration Open (Updated on May 12, 2021)

  • All students need to register online at getvaccinated.gov.bc.ca for their second dose of COVID-19 vaccine.
  • The system knows when you received your first dose and will calculate when you are due for your second dose. The system will invite you to book your second dose appointment a few weeks in advance of when you become eligible.
  • Currently, the interval between first and second doses is 16 weeks – this is so the province can maximize the number of people in the community with at least one dose, thereby reducing circulation of the virus and the overall risk for everyone.

If you are due for your second dose within the next two weeks and you have not yet been contacted with instructions on how to book your second dose appointment, please call the provincial immunization centre (1-833-838-2323) and let them know you are a health-care worker who is due for your second dose.

COVID-19 Travel Restrictions (Updated on April 29, 2021)

Students returning home during a break in study are exempt from current provincial travel restrictions.

Student travel for placements is exempt, “returning to a person’s own principal residence” is listed as an essential purpose, and “principal residence” is where students primarily reside when not participating in post-secondary-institutional activities.

For more information, visit the government website: https://www2.gov.bc.ca/gov/content/covid-19/travel/current.

Health and Safety (Updated on April 14, 2021)

As the province has seen an increase in COVID-19 cases and hospitalizations, the UGME COVID-19 Task Force Community would like to acknowledge potential concerns from MDUP students.  New variants of concern (VoC) have proven to be more transmissible, and a younger provincial demographic has been shown to be susceptible to more serious illness.

At this time, there has been no further provincial or federal guidance related to variants of concern (VoC).  The safety measures that are in place, both in academic and clinical settings, are still effective at preventing transmission of both the wild-type virus and all VoC.  We know that robust safety programs, including physical distancing – especially in eating/drinking areas where PPE has been doffed, hand hygiene, daily self-assessments, and appropriate PPE, of which supply is steady, have worked to continually prevent transmission.  Should guidance change, the MDUP will broadly communicate any procedural updates.

Students, regardless of immunization status, are still not to assess or care for patients who have been confirmed communicable for COVID-19.  If necessary and in accordance with their local facility policy, students may enter a COVID ward or area to attend a patient that has not been confirmed as communicable for COVID-19.  We will continue to update you as the pandemic situation evolves.

Students always have the right to refuse work they believe is unsafe.  Please take any safety concerns to your preceptor, local faculty or program member, or Nick Steel, your Health & Safety Advisor.

COVID-19 Vaccinations FAQ (Updated on March 18, 2021)

Q 1: Re: COVID-19 Vaccine - will it become "required" for student placements or otherwise be collected as prerequisite for certain placements in Summer or Fall?

A: At this time, the COVID-19 vaccine is an opportunity, not a requirement. If guidance changes, this will be communicated. The PPE requirements and all other pre-vaccine COVID-19 pandemic guidance remains in place.

Q 2: Are the Health Authorities (HA) requiring Programs to collect/maintain record of students COVID-19 vaccination?

A: There is no requirement at this time for the program to collect COVID-19 vaccine status of students.

Although our program is not required to collect vaccination status, it is almost certain that vaccination status will need to be reported by the student to the AFMC/Health Authorities for out of province electives and/or clerkship. For instance, out-of-province electives may not be offered to students who do not report that they have been vaccinated for COVID-19.

Q 3: Will the group size limits/room occupancies be adjusted back to pre-COVID levels in Fall, 2021?

A: Not at this time, as all of the pre-vaccine COVID-19 pandemic guidance remains in place, including physical distancing, mask use in health facilities, etc. In Dr. Henry’s recent letter to post-secondary institutions, she expressed confidence that physical distancing restrictions will not be necessary for instructional sessions in the fall, which could allow campus room occupancies to be adjusted to pre-COVID levels.

We will continue to follow the guidance and will update capacity accordingly if there are any changes in the months ahead.   See the UBC COVID-19 Campus Rules here.

Non-vaccinated Healthcare Workers:

Provincial guidance on what precautions non-vaccinated healthcare workers will be required to take is expected and can inform our procedures moving forward.

Outbreaks

If there is an outbreak, the Practice Education Guidelines are clear:

In the event of a vaccine preventable communicable disease outbreak in the HCO [health care organization]:

  • Any unvaccinated student or faculty will be required to leave the practice education setting and not return until determined safe by the HCO Occupational Health and Safety / Infection Control staff.
  • Any student or faculty who is unable to provide proof of immunity status when requested will be required to leave the practice education setting until required records are available and immunity status is determined.
  • Collaboratively, the HCO and Faculty will endeavor to seek alternate, appropriate practice placement experiences in unaffected work areas within the organization, to avoid interruption/suspension of the practice experience. These alternate placements cannot be guaranteed.

COVID-19 Vaccinations - Second Dose (Updated on March 8, 2021)

BC is now in Phase 2 of its Immunization Plan, which includes all students in the MDUP.  As distribution of the vaccine differs at each Health Authority, look for local communications with instructions to book 1st dose appointments.  Because the interval between doses of the vaccine has now been extended to 4 months, 2nd dose appointments for students who have already received their 1st dose are no longer available.  Public Health is expected to provide guidance to those waiting for their 2nd dose as the 4-month interval approaches.  Public Health’s statement on the deferral of the 2nd dose can be found here.

For students interested in evidence supporting delayed second dosing of COVID-19 vaccines, the following is an excellent overview from Dr. Danuta Skowronski at the BCCDC, presented on January 2021: key evidence is presented between minutes 36:00 to 43:00.

Eye Protection (Updated on March 8, 2021)

The Public Health Agency of Canada (PHAC), in its latest guidance, recommends for droplet and contact precautions a full face shield that covers the front and sides of the face or well-fitting goggles.  If safety glasses are used, ensure that there are no gaps between the glasses and the face so that you are protected from all splashes and droplet spray.

COVID-19 Vaccinations - Student FAQs (Updated on March 2, 2021)

Q 1: There have also been questions around social media and confidentiality of receiving the vaccine as a UBC Medical Student. Does UBC have a position on this?

A:  There is no policy nor restriction on students’ personal media accounts.  Students are advised to be aware of how their posts may come across to members of the public who may be waiting to receive the vaccine.

Q 2: When will IMP, SMP, NMP students be offered vaccinations?

A:  Distribution of the vaccine differs at each Health Authority.  We are awaiting word from VIHA, IH, and NH to inform us when our students will be eligible in their regions.

The logistics of vaccine distribution are unique in each health authority, as are the amount of people in each priority population within a health authority.  As such, those invited to be vaccinated in Phase 2 will receive their invitation when it is most appropriate, given vaccine scarcity in their area.  It may not be perfectly synchronized, but be rest assured the province public health team is aware that learners in one health authority may receive vaccine invitations ahead of others. 

If you are not at your home site when you receive your offer for vaccination, please let your site Student Affairs office know.

Q 3: How does the delay in Pfizer vaccines impact the rollout process? Additionally, when do you expect the J&J and Novavax vaccines to be approved by Health Canada?

A:  The former delay in the Pfizer vaccine required brief refocus of Public Health on offering second doses for our most vulnerable populations in the province (i.e., long-term care residents).  This delay has now passed.  Moreover, extended time between the first and second doses of either the Moderna or Pfizer vaccine is not expected to impact the efficacy of either vaccine series. Additionally, the AstraZeneca was approved 26 February. We don’t have any information on where the J&J and Novavax vaccines are in the approval process.

Q 4: Are we as medical students able to request to delay our vaccination?

A:  We recognize the personal health choice of each student regarding whether they wish to receive a COVID-19 vaccine. 

Once students are eligible for the vaccine, they are always eligible, which means students can receive the vaccine during Phase 2, 3 or 4 – see the “Moving between phases” section on the BC Immunization Plan site.

Students are not mandated to receive the vaccination.  All current Health & Safety policies and procedures are still in effect regardless of immunization status.  Guidance will be provided for unvaccinated students, which could include the mandatory wearing of PPE at all times in the practice education setting, as well as specific procedures in the case of an outbreak.

As per the Practice Education Guidelines for BC for Immunization, UBC is required to maintain and store records of students’ immunization status for most communicable diseases, including influenza.  Clarity is being sought re: COVID-19 vaccine.

Q 5: How will medical students be notified when it is our turn to get the vaccine?

A:  Vaccination teams in each Health Authority will contact students when they are ready.  Again, students need to notify their site Student Affairs office if you are not at your home site when you receive the offer.  The program can help communicate Health Authority messages if necessary.

Q 6: Can we return to in-person classes in August once we are all vaccinated?

A:  UBC will continue to follow Provincial and local Health Authority guidance on in-person education sessions.  Any changes to the current practices will be broadly communicated.

Q 7: What will travel restrictions on medical students look like in the future?

A:  UBC will continue to follow Federal, Provincial and local Health Authority guidance on travel restrictions.  Any changes to the current practices will be broadly communicated.

Q 8: When booking vaccination appointments, what sites are available for students?

A:  Any clinic that is not designated as “Staff Only”.

Future communications will include information around receiving a second dose, and COVID-19 vaccine tracking update.

COVID-19 Vaccinations (Updated on February 2, 2021)

Public Health is tracking who has received vaccine, the type administered, and when people will be invited to receive their second dose. This information is held in a single provincial database, which allows all health authorities across B.C. to collect consistent data in a timely manner. This data helps inform the province’s COVID-19 planning and forecasting. Individuals can register for Health Gateway to access Proof of Immunization, in addition to paper copies issued at the clinics.

Health Authority vaccine implementation teams are meeting regularly with one another across the province. Further details on booking for a second dose (across health authorities) will be available soon. Additionally, we are continuing to follow the responsibilities in the current Practice Education Guideline on Immunization, whereby it is a student’s responsibility to provide proof of immunity status on request.

We continue to work with Public Health and provincial Health Authorities to facilitate vaccinations to all our students as efficiently as possible and will update you as information becomes available.

Return to Work Guidance Updated (Updated on February 2, 2021)

 The Interim guidance on return to work for health care workers with confirmed or suspected COVID-19 was updated last week.  Please use this guidance document when assessing when you can return to clinical experiences after being sick.

COVID-19 Vaccinations (Updated on January 21, 2021)

We understand the frustration that medical students are feeling with the COVID-19 vaccine roll-out and regret that on occasion students have met with difficulties in attitude.  Medical students are still expected to be part of the second priority vaccination group (including other hospital staff, community Family Physicians and medical specialists), with an expected vaccine delivery from February to March as per Provincial guidance.

Although we are doing our best to prevent exposure of medical students to patients who are communicable with COVID-19 (see guideline), some students across the province are being offered vaccinations presently. These decisions are made locally by clinical department heads and Health Authorities, or as opportunities arise when excess vaccines are available. Students are (of course) able to accept these offers if presented.

For students who receive the vaccine, there is no change to PPE requirements or to the UBC guidelines on which patients students can see.  It is also still important to maintain physical distance and stay home when sick.  Finally, please remember that vaccinated people will become COVID antigen test positive but will stay nucleic acid test negative.  BCCDC COVID-19 vaccine resources can be found here.  If you have received the vaccine, coordination of the second dose will be done by Public Health and not by the MD Undergraduate Program.

Your Year 3 Rep will reach out to you to collect your FAQs about the vaccine and the roll out.

COVID-19 Holiday Note (Updated on December 17, 2020)

We are wishing you all a restful, relaxing and well-deserved holiday season. As you all know during this time of the COVID pandemic it is very important to follow the public health recommendations to keep your families safe. During your holiday time it is also very important to follow the public health recommendations so that when you return to your clinical duties you are able to keep your patients and colleagues safe. As healthcare providers and healthcare leaders we have the added responsibility to demonstrate the importance of following the guidelines and be examples to our families and communities through our behaviour. Please be healthy and safe on your holiday so that you are healthy and safe when you return to your clinical duties.

Best regards,
Dr. Cheryl Holmes, Associate Dean Undergraduate Medical Education
Dr. Sarah Brears, Regional Associate Dean Southern Medical Program
Dr. Bruce Wright, Regional Associate Dean Island Medical Program
Dr. Paul Winwood, Regional Associate Dean Northern Medical Program
Dr. Amil Shah, Regional Associate Dean Vancouver Fraser Medical Program

Virtual Home Office Visit Guidelines (Updated on December 8, 2020)

Due to COVID-19 guidelines, safety plans must be in place for all workspaces including all UBC learning spaces. A clinical preceptor’s home office is unfortunately not considered a UBC learning space at this time. Therefore, students should not be working from a preceptor’s home office to complete virtual patient visits. Students who are having difficulty doing virtual visits remotely with their preceptor are asked to contact the appropriate program assistants for further support.

Update on Active Self-assessment Requirements (Updated on December 1, 2020)

In recent weeks, the BC Provincial Government has introduced a number of Public Health Orders related to reducing COVID-19 transmission.

Faculty, staff and students at UBC Vancouver received a UBC Broadcast on November 10, 2020 with information about the Public Health Orders — as they related to the Vancouver Coastal Health and Fraser Health regions. Faculty, staff and students at UBC Okanagan received a message on November 24, 2020, with further details — once the restrictions became province-wide. UBC has now provided an additional update, which applies to all faculty, staff and students at UBC (regardless of campus location). For more information and FAQs, visit Safety & Risk Services.

Students attending clinics or classes, now need to directly confirm to their preceptor/UBC representative that they have completed a self-assessment for symptoms of COVID-19 before arriving at their class. This confirmation can be verbal and does not require documentation. Please use the BC self-assessment tool at https://bc.thrive.health/. Anyone experiencing symptoms must follow the guidance provided in the self-assessment tool.

Extracurricular Clinical Experiences Update (Updated on September 28, 2021)

We are pleased to announce the resumption of Noncredit Clinical Opportunities for Years 3 and 4 students starting December 15, 2021. 

Please be understanding that the ability for preceptors to accept students for extracurricular clinical experiences may fluctuate due to demands of the pandemic.   Here is what you need to know:

Make sure that you have reviewed Policy 28 Extracurricular Activities - Registration and Approval

Non-Credit (Extracurricular) Clinical Opportunities

Year 3 or 4 students in good standing may seek approval for extra-curricular non-credit clinical opportunities that meet the following criteria:

2.1. The clinical opportunity must only take place during vacation time:

2.1.1. Between Year 3 and Year 4

2.1.2. During winter breaks in Year 3 and Year 4

2.2. The clinical opportunity must take place at a CACMS-accredited Canadian university (for example, through the AFMC Portal) or the clinical opportunity is through an LCME-accredited university - not available at this time

2.3. The clinical opportunity must be undertaken with a physician who is licensed for independent practice and is in good standing with:

2.3.1. the CPSBC within British Columbia, or

2.3.2. another provincial College, or another physician-registering regulatory body.

2.4. Students may only engage in clinical activities within their scope of practice as set out in Policy 031A - Expectations of Medical Students in Supervised Clinical Settings.

2.5. Students must be supervised by the physician or by a health care professional delegated by the physician, who is operating within their scope of practice.

With the exception of non-credit clinical opportunities offered through UBC Faculty of Medicine Global Health or at an LCME-accredited university, non-credit clinical opportunities that take place outside Canada will not be approved. Students engaging in unapproved non-credit clinical opportunities must obtain independent liability insurance.

Further information regarding extracurricular clinical opportunities will be provided prior to December 15, 2021 via the COVID Task Force Key Messages.

Shadowing/ Non-Credit Clinical Activities: (Updated on May 5, 2021)

Shadowing in Years 1 & 2, and Non-Credit Clinical Activities in year 3 & 4 are currently on hold due to the severe situation many hospital and preceptors are facing around the province due to the COVID-19 Pandemic.

This situation has recently been reviewed and we will continue to review it as the circumstances around the Pandemic change.  We next plan to review the possibility re-establishing of Shadowing and Non-Credit Clinical Activities in August 2021.

Students should not engage in self-funded liability insurance for Shadowing or Non-Credit Clinical Activities during their summer vacation as this goes against current UBC policy.  For further clarification, please refer to Policy 028 or contact your Assistant Dean Student Affairs or Assistant Dean Curricular at your site.

Update to Policy 019: Examination Conduct (Updated March 23, 2021)

Policy 019 Exam Conduct has been updated with a COVID-19 related “red box” which states,

Expectation of Students Writing On-line Examinations

Until further notice, on-line written examinations will not be proctored.

In keeping with the professional standards and integrity expected of medical professionals, the Faculty of Medicine’s expectation is that students must not refer to any educational resources during summative written examinations and that students will take these examinations as they would a traditional in-person examination. Policy 019 and its procedures continue to apply, as appropriate, to a virtual setting.

The time allocation for each examination has been carefully considered and is unlikely to allow activities other than answering the examination questions.

Winter Break (Updated on December 14, 2020)

No regular curricular clinical work is being scheduled from December 21, 2020 until January 4, 2021. In addition, no changes have been made to the suspension of extracurricular clinical activities.

Students should not be present at clinical locations over the holiday unless by direct instruction of their site Regional Student Promotions Subcommittees (IMP, NMP, SMP, VFMP) for the purpose of make-up time.

Start of Term 2 after Winter Break (Updated on December 8, 2020)

While the start of classes for many programs at UBC Vancouver and UBC Okanagan will be delayed until January 11, the MD Undergraduate program will start as planned on January 4, 2021.

Assessment FAQ (Updated on December 8, 2020)

Answers to your Assessment FAQ re: MCQ’s can be found here.

Year 4 FLEX (MEDD 449) (Updated on December 1, 2020)

Although your MEDD 449 block is scheduled for December 2021 – January 2022 (one week before your Christmas break, 3 weeks after your Christmas break), we encourage you to start thinking now about what project you would like to work on in MEDD 449.  Your Year 4 schedule is very tight (CARMS application deadlines, OSCE, etc.). In light of these time pressures, it’s best to have finalized your MEDD 449 project plans well before November 2021.

There is also a small but finite possibility that the current COVID-19 situation worsens enough that medical students will be asked to leave their clinical rotations.  Dr. Bonnie Henry, the Health Authorities and the MDUP program are firmly committed to ensuring your clinical training can continue.  But in the interests of contingency planning, we recommend you think now about possible FLEX projects should it become necessary to pause your clinical training, and you switch to working on a MEDD 449 project earlier than planned in 2021. We suggest you consider projects that you can complete remotely, similarly to the adjustments you had to make to your MEDD 429 projects in spring 2020.

Please reach out to your FLEX Site Directors if you have questions about projects.

Assessment

  • Year 2 OSCE previously scheduled for April 5 – cancelled
  • MEDD 422 Lab Exam 2 –May 13, 2020 is low stakes and formative
  • The score on the MCQ exams this year will not be used to make a Pass/Fail decision, however attendance is mandatory.
    • Results on these exams may guide academic advising.
    • In the Assessment package:
      • Formative means: Assessment activities that provide feedback to students and the program with the aim of improving student learning, e.g., formative OSCE, and progress tests. These activities are low or no-stakes; however, completion of some formative assessments is required for advancement and promotion.
      • Summative means Assessment activities that indicate whether a student has achieved course learning outcomes and/or year-level milestones. Successful completion of summative assessments is required for advancement and promotion.
  • The final MEDD422 MCQ Exam 3 on May 11, 2o2o, will have the same format as previous MCQ Exams, but with the option of open book resources.
  • The Lab Exam will be taken in ExamSoft. It will include a mix of MCQs and short-answer questions w/ images. The number of questions per Lab discipline will be proportional to the number of contact hours for each discipline. Assessment will be sending a detailed e-mail to the Class with information on the exam format.

Update to COVID-19 Quick Reference Sheet – Years 3 and 4 Students (Updated on January 12, 2021)

Due to the changing nature of the pandemic and our understanding of the COVID-19 virus, we have updated our guidelines.  We still recommend that students do not participate in the care of patients with known COVID-19.  We added that once the patient is outside of the period of communicability, students may participate.  In addition, previously we recommended that students not participate in the care of patients who are high pretest probability for COVID-19 and the result is pending.  We found that there is considerable heterogeneity about what constitutes "high pretest" and so we have left this decision up to the team which includes the student.

In addition, students may participate in aerosol-generating medical procedures IF COVID-19 is not suspected or the patient is COVID-19 test negative.

All patients should be screened for suitability before students are involved with in-person care. At the discretion of the attending physician and medical team, students are permitted to participate in in-person care of patients in the groups identified by a green check mark provided appropriate PPE is available. Students always have the right to refuse work they feel, from their own perception, is unsafe. Any guidelines specific to a student’s hospital site or Health Authority still apply.

See the Faculty Development Safety page for more information.

COVID-19 Quick Reference Guide (Updated on October 22, 2020)

We have updated this document to reflect the current practice that we are now allowing students to see patients with low-moderate (NOT high) pretest probability of having COVID-19 but test pending or negative.

AFMC Decision Regarding 2022 Resident (R-1) Match (Updated on October 29, 2020)

The AFMC Board has made the following decisions regarding the 2022 Resident (R-1) Match:

  • Interviews will continue to be in a virtual format for all candidates.
  • The match timeline will be:
  • Application MSPR submission/University transcript: No earlier than Jan. 7, 2022
  • The File Review Period: January 31 to February 27, 2022
  • The Virtual Interview Period: February 28 to March 20, 2022
  • Match Day First Iteration: April 12, 2022
  • Match Day Second Iteration: May 12, 2022

Navigating COVID and Absences during Clerkship (Updated September 17, 2020)

Hi everyone,

Hope the second week of clerkship went well! There have been inquiries to the faculty about what to do if you’re missing school. This week I personally also took a day off to get tested for COVID since I had some minor symptoms (don’t worry y’all, this has since resolved, and results were negative). It was previously dogma to go to work no matter what and unlearning this can lead to a lot of internalized stigma and inner turmoil over missing time. I wanted to share that everyone has been incredibly supportive and that the faculty is noticing the work culture shifting to taking time off rather than not. I think it’s important to say all this and hopefully some will find it helpful.

The faculty can imagine that students may have many questions about how to navigate absence and education in the future (I also had some questions myself). Attached is some messaging that the student reps wrote together with the faculty to hopefully provide us with a starting point.

Cheers,

Chris on behalf of Year 3 Student Reps

---------

Scenario: You have met an indication to self-isolate, (i.e. you are experiencing COVID-19 symptoms, or you have been instructed to do so by public health). If you are unsure about the indications, check this quick reference sheet for resources (Found on Entrada > MEDD431 > Course Core Documents)

After you have self-isolated, taken care of yourself, and are feeling well enough:

  1. Student affairs is a great place to start! (This is not required but recommended.) Consider if you wish to self-disclose your own scenario. If you do not wish to self-disclose, contact your student affairs dean. The list of student affairs contacts can be found here.
  2. Read through the Absence Policy and Forms and complete the Absence Form on Entrada, all found under Policy and Forms (on Entrada left panel) > Attendance and Absences here.
    1. These are extensive but helpful to know what to do next.
      1. Start with “Unforeseen Absence COVID” since this will be most relevant. “Policy 006 for absences” has general info on absences.
      2. Follow steps in Attendance & Absence Procedure and Contact List to find out who you need to contact
      3. Fill out the Absence Form accordingly to send in.
        1. A step-by-step guide on filling out the Absence Form is also available in the Yr 3 Help Guide for Students – How to complete the MDUP Student Absence form here.
    2. By the end, you will probably have to contact your preceptor, the rotation admin, and the Site Director. **This will differ depending on your site/circumstance so please double check. Site Directors are listed Entrada>Program Information> Preparing for Year 3 > Year 3 Program Contacts (here)

*** an updated process is underway, and you will receive an email from the Program Managers soon

  1. Medical Education and Making Up Time. As a class, we will likely face many absences in the future. The Site Director, in conjunction with preceptors and other clerkship directors, will come up with a make-up plan as needed. This will also depend on whether the student is feeling well enough to continue.  Here are some suggestions from the faculty to work around these absences:
    1. It may require a couple of business days for the make-up plan to be set into motion, so we are all encouraged to take leadership on our own educational plan now. In the event that we must self-isolate, students are encouraged to enact their own plan while waiting for further educational planning from faculty.
    2. Here are some suggestions, if applicable:
      1. Contact preceptors and ask if any visits can be done online. Consider if any direct observations or other logging can be met online
      2. Continue to attend academic half day lectures and study material on Entrada
      3. Continue any self-directed learning relevant to cases seen so far
      4. Complete virtual cases on Aquifer, Entrada etc.

Lastly, as a message from Dr. Cary Cuncic and her team as well as us, we know that everyone is doing their best to ensure safety for all those around us and ourselves. Keep up the good work by socially distancing, limiting the number of close contacts in our social community bubbles to 5-6, and staying home when experiencing symptoms. Remember that it is our professional responsibility to stay home when any of us are not feeling well and get a COVID-19 test.  We know there is anxiety around missing out on learning, and we hope that the above has reassured you.  The ultimate goal is to contain any infections and to prevent getting others sick.  We do understand that there is sometimes negative role modeling and that these are difficult times.  May we continue to embody kindness and calm for one another during this pandemic.

Sending you best wishes,

Year 3 Student Reps in collaboration with the Faculty

Frequently Asked Questions re: Clerkship (Updated on July 17, 2020)

We did our best to answer your SliDo questions from the July 9 Intro to 6 Week Self-Study Session listed by priority.  Here is the direct link to the FAQ on Entrada.

MEDD 431 Rotation Schedule (Updated on June 11, 2020)

You will notice that we only have the master schedule published for VFMP here.  For the other 3 sites, the caveats apply:

  • The Surgical and Perioperative Care (SPC) block: the schedule is not completely finalized as we are still waiting for confirmation of some rotation capacity (i.e. Orthopedics); if Orthopedics can't be a full two weeks then we may extend a surgical subspecialty or General Surgery by 1 week; this will need to  be confirmed with all stakeholders of SPC. This reflects a similar SPC block model for the Class of 2021.
  • The Ambulatory Block: Rural Family Practice rotations are the same across all the sites (weeks, same start / end dates). Specific details for the IMP, SMP, and NMP are yet to come. The VFMP schedule distinguishes between the first 3 weeks of dedicated EM and the last integrated week of EM/IM/DR/OP. At the distributed sites, Emergency Medicine / Ambulatory Clinics will be a blended model in order to leverage the strengths of each site.
  • Women and Children’s Health (WCH) and Brain and Body (BB) blocks will be the same across all sites.

Please provide your feedback to the Class of 2022 Student Reps here.

Welcome to Clerkship (Updated on June 8, 2020)

Dear Students in class of 2022,

We are so excited that you will be returning to learning and commencing MEDD 431 on July 6th. We understand how challenging these last few months have been for you and are grateful for your patience and flexibility. We ask that you please be patient with your preceptors - they are learning how to teach in the new environment as well.  I want to reassure you that every student across the country is having the same challenges that you are (based on feedback from clerkship directors during my national AFMC clerkship meetings).

As noted above, you will officially start the MEDD 431 on July 6th with 8 weeks of didactic learning that includes 6 weeks of self-study along with a 2-week Bootcamp. Additionally, we are planning a ZOOM session July 6th in order to help you structure and scaffold your independent study for these specific weeks.

For the 6-week independent study portion of MEDD 431, students do not need to be located at their home site. Rather, you just need to have dedicated internet and computer access.

As such, students are expected to arrive at their home site before or on the following dates for Boot camp:

For VFMP, your in-person training will start on August 17th

For IMP, SMP (Kelowna and Kamloops), NMP and ICC, your in-person training will start on August 24th.

Details with the specifics of the Bootcamp schedule for each site will be provide by email and posted on Entrada once they are finalized. Please note that there are portions of Bootcamp that require students to be on-site (i.e. mask fitting, donning and doffing, missed clinical skills, etc.) and due to class size, require the VFMP students to arrive a week earlier.

You will then begin the clinical aspect of MEDD 431 on Aug 31st, after the C2021 has completed theirs, in order to ensure adequate learning opportunities for your class. We will hold a ZOOM session for your class at the start of Bootcamp which will be a “Welcome to Year 3” session and will contain an overview of clinical and academic learning in MEDD 431.

There is still much planning taking place prior to July 6. For example, we are now in the process of finalizing the C2022 master schedules and we will then work on creating the detailed student schedules. We know that some of you chose your MEDD 431 streams based on the timing of certain rotations and now some of those rotations may be shortened.  We can accommodate switches in your stream with classmates and please remember that we maintained all of your elective time for those of you who feel disappointed that a certain rotation is now truncated. Further information on this process will be forthcoming. As well, Student Affairs is always available for advising regarding career planning.

We need to point out that not all of you will be receiving identical learning experiences, but they will be comparable.  We needed to leverage the strengths of each site and rotation.  Please be aware that for rotations on Rural Family Practice or preceptor private clinics, most care providers are wearing scrubs.  Always check ahead of time if possible, but it would be a good idea to be proactive and purchase 2 sets of scrubs for yourself.  Our family practice preceptors recommended two providers: MOBB and Scrub Depot.  Over time we anticipate that this will be cost saving as you will no longer be wearing your own clothes to work on a regular basis.

Once the C2022 master schedules have been finalized, they will be posted to Entrada along with the C2022 Timeline of Important dates document. We will send out a follow-up email once these documents have been approved and posted.

Again, we are grateful to everyone who worked really hard - including yourselves - to designing a revised curriculum for you to commence learning on July 6 and we welcome you back!

Cary Cuncic

Cary Cuncic MD, FRCP(C), FACP, MSc, MMEd. (She, Her, Hers)
Clinical Assistant Professor, Department of Medicine
Associate Director of Curriculum, Years 3 and 4
Workplace Based Assessment Co-Lead (Interim)
Undergraduate Medical Education
University of British Columbia

I gratefully acknowledge that the land on which I live and work is the traditional, unceded, and occupied  territory of the Coast Salish peoples, including the territories of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), Stó:lō and Səl̓ílwətaʔ/Selilwitulh (Tsleil-Waututh) Nations.

Bootcamp and when to be at your site (Updated June 4, 2020)

We expect the class of 2022 to arrive at their home site before or on the following dates.

For VFMP, your in-person training will start on August 17.  Please make arrangements to start in-person training on August 17.

For IMP, SMP (Kelowna and Kamloops), NMP and ICC, your in-person training will start on August 24.  Please make arrangements to start in-person training on August 24.

The Site Leadership Team will provide detailed instruction and schedule by email when they become available.  Thank you for your attention to the matter.

The 6-week period starting July 6th to mid-August, before in-person training, will consist of academic half day material and this is completed online and at students’ own pace. There may be optional live online sessions hosted by rotation-leads to supplement learning during this period of independent study.

Clerkship Frequently Asked Questions (Updated on May 19, 2020)

Your FAQs re Clerkship can be found here.

Clerkship Timeline (Updated May 7, 2020)

Minor revisions to the Class of 2022 timeline were shared today. The updated draft model can be seen here.

This model was developed with the consideration for the need for vacation time between year 3 and 4 while preserving elective time based on student feedback. Thank you to all who have provided the student reps with your input; this will be discussed at a clerkship working group meeting and a document responding to common concerns will be released soon. If these revisions raise new points of feedback, please reach out to any of the student reps (Allyssa Hooper, Billy Zhao, Chris Pang, or Richard Xiang).

Curricular delivery in the form of Academic Half Day material presentations will begin July 6th. Students will not be expected to return to their home sites/ICC sites until bootcamp starts, the timing of which is to be determined. Students will begin clinical clerkship with Block 1 of MEDD 431 starting on Aug 31.

Feedback on Return to Clerkship Timetable (Updated on May 4, 2020)

Comments and concerns raised by the Class of 2021 and 2022 on the Return to Clerkship Timetable were presented to the Task Force this morning and discussed. There was broad recognition of the importance of these concerns, and the Faculty along with student representatives will be working together to find solutions. In particular, the issue of student safety continues to be a top priority, and we are working to address risks and develop safety plans.

Points of clarification for the 2022 start of clerkship timeline: (Updated on May 1, 2020)

  • We are currently planning for a July 6th start date for MEDD 431 curricular content and for August 31st as the start of the first clinical placement.
  • This 8-week period of curricular content will include online academic material and bootcamp. This avoids overlap in MEDD 431 between C2022 and C2021, which clinical staff do not have the capacity to accommodate.
  • The academic material of the curricular content is to be delivered over the 8-week period, will be provided online and consist of lecture recordings and other learning tools from all Academic Half Days scheduled in MEDD 431.
  • Academic Half Days will be preserved during the year where students will have the opportunity to spiral back to the material they have covered in the curricular block.
  • “Bootcamp” will occur for the class of 2022 for a duration of 1-2 weeks within the period between July 6th and Aug 31st. The focus of the bootcamp will be on review of clinical and practical skills, virtual care, and workplace safety.
  • In-person sessions for bootcamp will be placed as close to the beginning of clinical placement (i.e., Aug 31st) as possible to minimize travel for students in both the rotational blocks and ICC/Kamloops streams.
  • The exact date for when students must return to their sites is to be determined, however everyone will be given 4 weeks notice at minimum. It is unlikely that there will be in-person sessions in July.

Other Updates and Important Items on the Task Force radar:

    • The Post Graduate Medical Education Deans (for residency programs) are in active consultation with the MD Undergraduate Deans across Canada to discuss plans moving forward for CaRMS and adapted content to be covered in residency training programs due to COVID-19 changes
    • The CFMS (Canada Federation of Medical Students) Presidents have sent a letter of advocacy on behalf of students to all MD Undergraduate and Postgraduate deans in Canada which can be found here.
    • The faculty is aware of costs associated with housing/travel for ICC/Kamloops students and will make plans accordingly
    • Challenges around rural family practice are kept in mind and all possible contingency plans are being considered

We recognize that the new timeline probably raises many questions. So far, the faculty, staff, and student reps have worked on delivering the entire year 3 curriculum in a compressed timeline and there are still many details to each block that need to be sorted out. These decisions will be influenced by various factors and stakeholders in the coming weeks. The student representatives wanted to express that they feel reassured by the tremendous amount of thought and care put into every decision. We all appreciate your patience through the uncertainty we are facing collectively.

As always, please feel free to reach out to any of the student reps listed below. Here is the Y2 slido: https://app.sli.do/event/iqiscgdd and student reps will be compiling any new questions to be brought up with Dr. Cuncic and Dr. Yee and circulate a FAQ document summarizing answers.

Class of 2022 Student Reps:
Caitlin Blewett, Katie Harding, Allyssa Hooper, Chris Pang, Brynn Walker, Richard Xiang, Rebecca Xu and Billy Zhao

Start of Clerkship (Updated on April 30, 2020)

The Transition to Clerkship Working Group has drafted the following “Principles to Adapt Curricula for C2021 and C2022” Here is a link to the document that outlines the guiding principles which the Working Group will be following.

We are currently planning for a July 6th start date for MEDD 431 curricular content and with August 31st as the first rotational block.  Here is a link to the clerkship model currently under discussion and “Bootcamp” is now incorporated into the Year 3 curriculum for the class of 2022 in the period between July 6th and Aug 31st.  The focus will be on practical skills, virtual care and workplace safety.  Physical distancing will be respected.  In-person sessions for bootcamp will be placed as close to the beginning of clerkship as possible to minimize travel for students in both block and ICC/Kamloops streams.

The proposed timeline was developed in consultation with student reps across all years on the COVID-19 Implementation Task Force and Year 3/4 Curriculum Restructuring Working Group as well as various faculty, staff, program directors, and departments. Decisions were made integrating student feedback, challenges at a local, provincial and national level, and the Faculty’s ability to functionally implement this timeline while delivering a robust clinical education to produce competent physicians.

Clerkship Models (Updated on April 27, 2020)

The curricular timetable is being developed with broad collaboration between the Y1&2 Curriculum Subcommittee, Y3&4 Curriculum Subcommittee, program managers, faculty, clerkship directors, and student representatives. These have been created in accordance with the guiding principles of the COVID-19 task force and the curricular working group, with the acknowledgement that all models are bound to the guidelines of health authorities and of AFMC medical schools and residency programs.
There will be ongoing discussion around the clerkship timetable and its implementation in the upcoming days.
Details of the tentative class of 2021 and class of 2022 timetables will be made available to students when approved.

Transition to Clerkship

See presentation: A Conversation on TICE and Clerkship

Dr. Yee is chairing a Transition to Clerkship for Year 2 Working Group, which includes three student leadership representatives, and is working to propose models for a modified Years 3 depending on the date of return.

What we cannot control:

  • How long COVID will last and when clerkship can start.
  • Clerkship may not start on July 6 and we don’t have enough information to currently predict beyond July 6, 2020.
  • You will have 4 weeks minimum notice before clerkship resumes.
  • Holmes and Dr. McMillan are working nationally with the other AFMC undergraduate Deans to develop a set of principles that will guide how we determine when we will start clerkship.

What we can control:

  • Supporting your transition to clerkship, including elements missed in TICE, potentially with a “bootcamp” prior to starting clinical work.
  • Modify MEDD 431 to meet rotation objectives and Year milestones in a compressed time.
  • Integrate Years 3 and 4 (we are already doing this with the Class of 2021; they have started Year 4 FLEX).
  • Shorten TiPP.

TICE is going ahead as scheduled and will be virtual.

FLEX: See Appendix A

MEDD 422, Clinical Skills - Digital Resource Guide is now accessible on Entrada in the Clinical Skills Community.

Mitigation Strategies for Missed Clinical Learning (Updated on June 17, 2021)

Due to the COVID-19 Global Pandemic, our students have returned to a compressed curriculum.  In addition, students have not had as many in person sessions in years 1 and 2 and therefore may lack confidence and social connections.

We have developed mitigation strategies for students who may need to miss additional clinical learning opportunities in this already condensed curriculum. We have maintained a robust amount of clinical learning time (64 weeks c2022, 70 weeks c2023). We need to anticipate the very real possibility that a given student may spend multiple weeks self-isolating due to potential COVID-19 exposures which includes community exposure. Our goal is to preserve promotion and graduation timelines where possible, without compromising clinical learning.

See our updated Mitigation Strategies document found here.

Mitigation Strategies for Compressed Clinical Curriculum Year 4 (Updated September 8, 2020)

View document here

Mitigation Strategies (Updated on August 27, 2020)

Mitigation Strategies for Compressed Clinical Curriculum for Years 3 and 4 have been identified, and will be implemented as needed. The mitigation strategies document will be available on Entrada.

Students miss major components of MEDD 431

(due to need to self-isolate or a hospital on COVID lockdown and large numbers need to be removed)

  1. As much as possible try to find alternative clinical placements if a clinical setting is shut down.
  2. Complete components of MEDD 431 virtually in real time if possible (only feasible if student is well. Works better if student can for example zoom in on team discussion). See Appendix for MEDD 431 milestones including those that may be able to be completed virtually. This may allow a student to remain on track for their MCQ block examination where possible and on track to complete their Year 3 OSCE. In discussion with RSPS if needed, consider whether student has met competencies of the block.
  3. For a longer period of absence, students may enter into FLEX (e.g. entire hospital shut down and limited placements available elsewhere). This will mean that they delay the start of their electives, but they will get the same # of electives in total.
  4. Students may complete MEDD 431 during their noncurricular time. They have 2 weeks over the winter break and 4 weeks between MEDD 431. In addition, their electives will be all one course for them: 24 weeks of MEDD 441. If a significant portion of their noncurricular time is needed, students could then request a 2 - 4 week absence during MEDD 441 to ensure wellness. The current absence policy states that a 2 week absence from a 4 week elective is permitted and thus a 24 week elective would provide ample opportunities for wellness.

Students miss major components of their elective (MEDD 441)

  1. If students are feeling well, they can be moved into an educational activity that be completed from home, similar to what was done for the class of 2020 when they were removed from clinical learning ½ way through their final elective
  2. Absences of more than two but less than four weeks will be considered on a case-by-case basis, and may require make-up activities, depending on the timing and impact of the absence. This will be decided through faculty consultation and approved by RSPS and SPRB when necessary.

Promotion (Updated on April 23, 2020)

All students in the Class of 2022 will be promoted to Year 3 upon successful completion of the modified Year 2 requirements, see April 6th updates under the 2022 cohort tab on the UGME COVID-19 landing page.

** Passed by Student Promotions and Review Board on April 21, 2020 **

“The Classes of 2022 and 2023 are deemed to have met all academic requirements for promotion provided they have completed all summative and formative assessments (including MCQ, WBA, and Portfolio).  Students in academic difficulty will be offered academic support through usual RSPS and SADS processes”.

** Passed at UGME Committee on April 6, 2020 **

Year 3-4 Risk Register (Updated on May 7, 2020)

The program management team is working with clerkship directors to compile a registry of student activities in the clinical environment. There is ongoing analysis of the likelihood and impact of each risk event paired with consideration of current mitigation strategies and additional strategies that could be implemented. The document is undergoing iterative review by Regional Associate Deans, Assistant Deans, and Administrative Directors. Course leads, Student Affairs, and student representatives will also be providing feedback.

Visiting Electives Update from AFMC (Updated on April 22, 2021)

As reported in the AFMC Learner News yesterday: at the AFMC Board meeting on April 18, 2021, the Board approved the recommendation from the AFMC Committee on Undergraduate Medical Education (UGME) that there be no visiting electives for the Class of 2022.

  1. Any exceptions (where there is no ability to provide a particular clinical experience in the home school) will be considered by the UGME Committee on a case-by-case basis.
  2. This policy does not apply to core rotations which are completed outside of the home schools

The recommendation was the culmination of extensive discussions and careful consideration. Factors that were considered include the ongoing uncertainty as to the evolution of the pandemic; public health measures that vary greatly by province, region and hospital; and the inability of schools at this time and in the foreseeable future to provide reliable estimates of their capacity to offer Visiting Electives in the Fall.

Recognizing that this is a reversal of previous messaging, this decision was not taken lightly, and the education leadership is aware and acknowledges the impact it may have on some students.

We recognize this is disappointing for all students in Canada.  At UBC we would like offer reassurance that:

  • Our electives directors were successful in expanding electives capacity at UBC for the Class of 2021 and continue to do this for the Class of 2022
  • Every CaRMS entry position is represented at UBC
  • The Class of 2021 successfully matched in the first iteration (96% - same as Class of 2020), and
  • The Class of 2021 successfully matched out of province in the first iteration - 45% (compared with 46% for the Class of 2020)

 

Travel to Rotations including Rural Family Practice

Please note that the current Provincial travel restrictions do not apply to your Rural Family Practice and other rotations, which are considered essential travel.

Rural Family Practice (Updated on July 23, 2020)

We recognize that there has been some mixed messaging going out regarding the availability of some Rural Family Practice placements.  We wanted to apologize for any confusion this may have caused and would like to provide some clarification.

The pandemic is a fluid situation and there may be changes in the upcoming months. Because of COVID, we cannot "guarantee" any rotations or electives, we will simply try our best to be transparent and to communicate changes in as timely a manner as we are able. If a rotation needs to be cancelled, affected students will be informed and alternative arrangements will be made.

Students will be informed of the current level of lockdown before they go to communities in different situations than the norm in the Province.  The Haida Nation has sent out a recent directive that medical students will be allowed to attend their rotations in Haida Gwaii but will be asked to self-isolate for 14 days.  Essentially, this means avoiding indoor public areas other than the workplace (while donning PPE) or place of residence.  We understand that groceries would be delivered. If you are going to Haida Gwaii, please read the following directive from Dr. Caroline Walker, Chief of Staff here.

Rural Family Practice Placements (Updated on July 21, 2020)

The safety of the communities we serve has been top of mind during the COVID-19 pandemic. As such, we have made the decision to remove RFP rotations that service vulnerable communities including Haida Gwaii. This is consistent with Dr. Bonnie Henry’s guidelines to our program on travel to Indigenous communities. It is too late to reflect these changes on the One45 lottery, however, please keep in mind that these rotations are subject to be replaced with other placements as you are making your decision.

Registration (Updated on May 19, 2020) 

In preparation for the return to Clinical studies, you are responsible for online registration at http://www.students.ubc.ca/ for the upcoming 2020/21 academic year. Registration must be completed to continue eligibility for Government Student Loans, UBC Bursaries and Awards & Scholarships.

Year 3 is a two-step registration process:

  • SUMMER REGISTRATION - This will start on July 6th, 2020 and is registered in the 20S session. Registration was already completed for the MD Program Year 3 Summer, session 20S for a start date of June 8th, 2020. Because this is a change of dates with no impact on tuition assessment except to defer the due date to July, the Clinical Education Administration Team will work with Enrolment services to adjust your registration directly in SIS.
  • WINTER REGISTRATION - Registration for the MD Program Year 3 Winter, session 20W (Term 1 & 2) will open on July 06, 2020. Details will be provided closer to the date.

Please note: you must submit the $100.00 fee deposit and clear all financial holds before you can register for both summer and winter sessions. If you do not pay the deposit first, you will not be able to register.

Fee Payment

Information on the payment of fees is available online at http://students.ubc.ca/enrolment/finances/tuition/payment.   Tuition is $18 842.12 for the 2020/21 academic year.  Please refer to the enrolment services website for information on payment deferrals for student loan recipients, www.ubc.ca àsearch: tuition fee deferral.

Government Student Loans

A separate email will be sent to you with instructions on the new application process for Government of Canada Student Loans. If you have any questions whilst completing your application, please contact Jennifer Fong, Student Financial Assistance Officer for the Faculty of Medicine, at 604-875-5834, toll free 1-877-875-7800, or jennifer.fong@ubc.ca


Appendix A

The FLEX Activity COVID-19 guidelines have been updated based on principles from the UGME COVID-19 Task Force:

  1. Safety of patients and vulnerable populations
  2. Safety of our students including immunocompromised students and their families
  3. Preservation of promotion and graduation timelines
  4. Compliance with Government of BC and Canada COVID-19 Guidelines.
  5. Alignment with University of British Columbia and Health Authority guidelines

 

  1. Students should work on their projects from home where possible.

Starting March 16, UBC has instructed those faculty, staff and students who are able to work from home should do so, in conjunction with job appropriateness and in discussion with their manager, research lead, or principal investigator.  Please discuss with your Activity Supervisor whether you are able to complete your planned Flex project remotely while working from home.

  1. Students must not enter hospitals or clinical spaces.

Students are not permitted to enter any building where clinical care is taking place in compliance with Health Authority policies and government guidelines around essential workers and services and the principle of maintaining the safety of students. It is also in line with the UBC directive for researchers to work remotely. This applies to FLEX, volunteer, elective and all other activities during the COVID-19 pandemic. Students may enter Health Authority, Public Health and other facilities where there is no healthcare provided, e.g. call centres, with the approval of their supervisor for curricular and approved volunteer activities provided that physical distancing is practiced.

Please be aware that arranging remote access to electronic health records may take time as IT services has to focus on work related to direct patient care.

  1. Travelling outside BC or Canada

The Canadian government strongly advises against all non-essential travel  outside of Canada and between provinces.  The Dean’s office has stated that travelling for FLEX projects and clinical electives is considered non-essential.  Students should also consider the possibility of borders closing, transportation becoming unavailable, and the availability of support should they become ill while they are away from home if they travel.

  1. Please practice physical distancing (formerly called social distancing).   

BC has prohibited gatherings of more than 4 people.

  1. Laboratory based Research Projects

UBC is shutting down its labs effective Tuesday March 24.  Students are not able to work in a research lab at this time either at UBC or other institutions, but they can switch to a literature review, data analysis or other activities that they can do from home.

UBC is shutting down its labs effective Tuesday March 24.  Students are not able to work in a research lab at this time either at UBC or other institutions, but they can switch to a literature review, data analysis or other activities that they can do from home.

flex_03-23-20

  • The revised FLEX schedule permits final activities to be submitted after the revised exam dates.
  • Students can start their 419 and 429 FLEX blocks during the former exam week, to free up a week at the end of the FLEX block to study for their exams.
  • Students are not expected to commit more than 32 hours per week on FLEX projects to allow for 8 hours protected study time.
  • The Class of 2021 has maximum flexibility to complete the 128 hours of FLEX activity between April 8 and June 26.

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