91社区

Moving from the books to the bedside

Dr. Natasha Caminsky, a third-year General Surgery resident and graduate of the MDCM program at 91社区, is now one of the teachers who helps mentor students during the Transition to Clinical Practice surgical skills workshops.

91社区 medical students embark on a four-year undergraduate program designed to prepare them for careers as key members of the medical community, whether in clinical practice, in medical education, in research or as leaders of the health care system. Their training is guided by the core principle, 鈥淧atient at Heart, Science in Hand鈥 which aims to foster compassionate, evidence-based care.

MDCM students spend the first 18 months of their training studying the biological, physical, social and behavioural foundational sciences and methodology that are the pillars of medical knowledge in preparation for their role as a healer. Midway through their second year of training, they start their Transition to Clinical Practice (TCP) component, moving from principally class-based learning to active and self-directed learning in a clinical setting.

Dr. Sebastian Demyttenaere
Dr. Sebastian Demyttenaere
鈥淭his six-month training period is designed to get the students ready to go into the hospitals and clinics in preparation for their third year of medical training, when their clerkship begins,鈥 explains Dr. Sebastian Demyttenaere, Associate Professor (Clinical) General Surgery. 鈥淭hey will be taking what they鈥檝e learned in the classroom and getting ready to apply it.鈥

Getting ready for the operating room

The students develop a range of skills during three eight-week blocks. The Diagnostic and Interventional Medicine block includes four weeks dedicated to surgical training, including one full week of training at the Steinberg Centre for Simulation and Interactive Learning (SCSIL). All of the workshops have been carefully planned to adhere to the current COVID-19 guidelines in order to ensure the safety of the learners while delivering high-quality content that meets their learning objectives.

During their Introduction to the OR听听workshop at the SCSIL,听students practice how to scrub in and don surgical gowns. There is an anesthesia day when they practice airway skills and how to put IV lines in, and a musculoskeletal day to learn how to conduct orthopedic physical exams. Students also have a day to practice essential surgical skills including nasogastric tube insertion, Foley catheter insertion, suturing and knot-tying. At the end of this eight-week rotation, the students return to the SCSIL to practice clinical history-taking skills and patient interactions during simulated scenarios with standardized patient actors.

鈥淭his is all in an effort to get the students ready so when they need to apply these skills on a real person in an OR, they are prepared and confident,鈥 says Dr. Demyttenaere. 鈥淭hese are foundational skills that everyone should know, and simulation is the way to go. Many skills can be practiced in a simulation lab, a low stress environment with surgeons guiding them through these skills. Medical residents also assist with the teaching, which is a nice experience for them. This block is immensely popular due to the excellent teaching at the simulation centre,鈥 he concludes.

Simulation removes a layer of pressure

Dr. Caminsky practicing at the Steinberg Centre
Dr. Natasha Caminsky practicing at the SCSIL
Dr. Natasha Caminsky, a third-year General Surgery resident and graduate of the MDCM program at 91社区, is now one of the teachers who helps mentor students during the TCP surgical skills workshops. 鈥淭his is a safer space to practice or learn without worrying too much. You鈥檙e not performing a procedure on a vulnerable patient, so it removes a layer of pressure and makes you much more confident. With simulation, if it鈥檚 difficult, you can always try again.鈥

Dr. Caminsky reflects that with the current pandemic, these workshops provide a couple of hours of freedom from books and screens. 鈥淚 know that the 鈥榮im centre鈥 is seen as a nice break from sitting in a classroom and lectures. You feel a bit more connected to what you鈥檙e working towards. It鈥檚 nice to see classmates, to work one-on-one or in small groups with staff鈥攚ith people who are where you want to be鈥攁nd to feel like you鈥檙e practicing medicine. Students are usually really happy to do something new, to learn a new skill, and it鈥檚 so nice to contribute to that.鈥

Medical student Maxime Berthout couldn鈥檛 agree more. 鈥淭he last two days have been some of the most fun and educational days I鈥檝e had so far in medical school,鈥 he expressed after his first few days of the surgical skills orientation week. 鈥淚鈥檇 like to thank you, the donors, and everyone that鈥檚 helped coordinate this effort, especially with the constraints imposed by the pandemic.鈥

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