Side view of a hospital

Hospital Generalist

The PGY3 Hospital Generalist program equips family physicians who plan on providing routine hospital-based care as part of their comprehensive practice.

For information regarding the Montfort stream visit the bottom of the page.

Goals & Objectives

Goals and objectives

  • Competency with providing general acute and subacute inpatient medical care in any setting (rural/ remote, urban, subspecialty)

  • Cost effective and efficient care in inpatient medicine

  • Preparation for research and/ or education in inpatient medicine 

  • Following CanMEDS-FM goals and objectives to achieve the following competencies:

    • Medical Expert

    • Communicator

    • Collaborator

    • Manager

    • Scholar

    • Health Advocate

    • Professional

  • The resident will be able to recognize and appropriately manage the following conditions (in the acute and chronic phases, knowing when to refer) as outlined in the Society of Hospitalist Medicine Core Competencies (2006, revised 2017):

    • Section 1: Clinical Conditions

  • Abdominal Pain

  • Acute Coronary Syndrome 

  • Acute Kidney Injury

  • Alcohol and Drug Withdrawal

  • Asthma

  • Cardiac Arrhythmia

  • Chronic Obstructive Pulmonary Disease

  • Community Acquired Pneumonia

  • Delirium and Dementia

  • Diabetes Mellitus
  • Gastrointestinal Bleed
     
  • Heart Failure
  • Hospital-Acquired and Healthcare-Associated Pneumonia
  • Hyponatremia
  • Pain Management
  • Perioperative Medicine
  • Sepsis Syndrome
  • Skin and Soft Tissue infections
  • Stroke
  • Syncope
  • Urinary Tract Infection
  • Venous THromboembolism

  • Section 2: Procedures

  • Arthrocentesis

  • Chest Radiograph Interpretation

  • Electrocardiogram Interpretation and Telemetry Monitoring

  • Emergency Procedures – Intubation, Central Line insertion, etc

  • Lumbar Puncture

  • Paracentesis

  • Thoracentesis

  • Vascular Access



     

  • Section 3: Healthcare Systems 

  • Care of the Older Patient 

  • Care of Vulnerable Populations

  • Communication

  • Diagnostic Decision-Making

  • Drug Safety, Pharmacoeconomics, and Pharmacoepidemiology

  • Equitable Allocation of Resources

  • Evidence-Based Medicine

  • Hospitalist as Educator

  • Information Management

  • Leadership

  • Management Practices

  • Medical Consultation and Co-management

  • Nutrition and the Hospitalized Patient

  • Palliative Care

  • Patient Education

  • Patient Hand-off

  • Patient Safety

  • Practice-Based Learning and Improvement

  • Prevention of Healthcare-Associated Infections and Antimicrobial Resistance

  • Professionalism and Medical Ethics

  • Quality Improvement 

  • Risk Management

  • Team Approach and Multidisciplinary Care

  • Transitions of Care
     

  • To equip family physicians who plan on providing routine hospital-based care as part of their comprehensive practice

Proposed Structure & Rotations

Block Rotation

Acute Care 

1

Internal Medicine Consults

2

RACE team

3

TOH Family Medicine inpatient service – Civic and General

4

TOH Family Medicine inpatient service – Civic and General

Rural & Remote

5

Rural – Pembroke or Winchester

6

Rural – Pembroke or Winchester

7

Remote – Nunavut, NWT  (or rural block)

8

Remote – Nunavut, NWT  (or rural block)

Rehabilitation 

9

TOH Neurospinal Rehab + Wound care 

10

Bruyere Stroke Rehab   

11

St. Vincent’s Complex Continuing Care + Wound Care 

12

Rehab selective – Resp, Complex Orthopedic Rehab, Short Term Rehab, Acquired Brain Injury; 

13 

Elective 

ICU, Subspecialty IM, Pediatric Inpatient, MedOnc Hospitalist, Orthopedic Hospitalist, Care of the elderly (Bruyere), Palliative Care  

Continuity

Courses & Qualifications  

Research

Evaluation 

Half day back in family medicine clinic

Optional continuity with OB/ER for rural-focused residents 

ACLS

ECG Interpretation

POCUS

Serious illness conversations

ATLS – optional for rural

QI project

Patient safety and quality of care 

End of rotation evaluations from supervisor

Field notes for procedures

American Hospital Medicine Board Exam (annually in October)