Compassion can be taught, but the comprehensiveness of such teaching is currently limited.

That’s one of the key findings of Dr. Shane Sinclair, Associate Professor in the Faculty of Nursing and director of the Compassion Research Lab at the University of Calgary, and co-investigator Dr. Amanda Roze des Ordons, Clinical Associate Professor with the Southern Medical Program based at UBC Okanagan.

“Compassion is such an important part of health care, and how best to integrate this teaching into health-professions education has been approached in many different ways,” says Roze des Ordons. “By mapping previous approaches to the compassion model framework, we were able to identify several key gaps.”

The research team used an empirical model of compassion to create a benchmark for what encompasses compassion and assess the comprehensiveness of the teaching content of the training programs reviewed. They found considerable limitations related to how existing programs assessed and reported the impact of training, as most of the programs relied on learner assessments and their perceived improvements in providing compassion to patients.

“We need to mature in our training programs to move beyond simply nurturing feelings of compassion to actually providing health-care practitioners with the tangible, evidence-based clinical skills and behaviours to provide compassion to patients in a more meaningful, robust and sustainable way,” says Sinclair.

The study results suggest that the effectiveness of compassion training needs to primarily be evaluated through patient assessment or patient-reported measures, as they are the ultimate target of compassion training in health care.

“We hope this will help provide evidence-based guidance to educators and practitioners who are seeking ways of advancing how compassion is integrated into the curriculum and patient care,” adds Roze des Ordons.

While Sinclair is encouraged by the emergence of compassion training in universities, he stresses the importance of integrating the training within the health-care system and supporting ongoing education to ensure a lasting impact on health care learners.

The review was recently published in Academic Medicine. An original version of this story is posted on the University of Calgary website.

Congratulations to the Southern Medical Program Class of 2021 who recently celebrated their CaRMS Match Day! Hear from some our soon-to-be MD graduates on where they’re headed next for residency training.

Name: Taiysa Rouault
Residency program: Family Medicine, UBC (Kamloops)

Why did you choose this field of medicine?
I chose family medicine because I love caring for all age groups and the broad scope of medicine you get to encounter in a day. I love the diversity of the field and the lifelong learning you embark on as a family doctor. I look forward to learning and growing with my patients as I support them throughout their lives.

What are you most excited about for the future?
I am excited that I get to continue practicing a broad scope of medicine and the opportunity to train with the amazing doctors in Kamloops again! I am also grateful for the privilege to give back to the community that supported and helped me achieve this milestone.

Name: Derek Dionne
Residency program: Anesthesiology, Queen’s University

Why did you choose this field of medicine?
For me anesthesia is the perfect split of high skill hands-on procedures and applied medicine. The real time data interpreting in the OR definitely satiates my nerdy side and having grown up playing soccer the team approach anesthesiologists take to perioperative care really resonates with me. The cherry on top that we get to take patients’ pain away and that always feels awesome!

What are you most excited about for the future?
I’m definitely excited for the adventure of moving across Canada with my partner for my next step in training. Exploring the East coast, making new friends, surviving a true Canadian winter and buying a house!

Name:  Bhavan Panghali
Residency program: Pediatrics, University of Toronto

Why did you choose this field of medicine?
I was in Mr. Finch’s grade 7 class and he asked everyone to pass around a paper with a classmates’ name at the top and write down one career we think that person would be well suited for. I got my list back and it unanimously said, ‘baby doctor,’ ‘kid doctor’ and ‘doctor that works with kids and babies.’ Over time, I kept finding myself gravitate back to pediatrics. I love the patient population, the people in the field, the medicine and the sense of gratitude.

What are you most excited about for the future?
It’s going to be an adventure to jump into a new medical community and new city and I look forward to the new friends and experiences I’ll experience. More importantly, I’m excited I get to embark on my career of spending days with chubby babies and awkward teenagers.

Name: Blake Birnie
Residency program: Anesthesiology, UBC

Why did you choose this field of medicine?
Anesthesiology provides the perfect combination of acute, cognitively demanding medicine requiring a broad knowledge of physiology, with a strong procedural component that I had been seeking! (may or may not have pasted this from my personal letter)

What are you most excited about for the future?
Moving to Vancouver with my partner after four years of long distance!

Name: Daria Hutchinson
Residency program: Emergency Medicine, UBC (Interior)

Why did you choose this field of medicine?
I love the excitement and variability in EM, and never knowing what you are going to see next! You get to be part of a team and work with so many fantastic healthcare workers, from nurses to paramedics to ED staff and consulting physicians.

What are you most excited about for the future?
Moving back to Kelowna (most of my electives were in Van), starting residency in an area of medicine I love, and getting to know my fellow PGY1s!

An audience of over 120 students, adjudicators, volunteers, and participants attended the virtual 2021 UBC Okanagan Interdisciplinary Student Health Conference on March 9, 2021.

The event was kicked off by an inspiring keynote presentation from Dr. Daryl Wile, Centre for Chronic Disease Prevention and Management followed by a full evening of engaging posters and presentations from UBC Okanagan students.

Congratulations to all student presenters, and to the following students on their award-winning posters:

Category: Biomedicine, Drugs and Computational Research
Alexis Genereaux-Guidi, Applied Science
Development of an algorithm to process device-based physical activity and location data to characterize physical activity behaviours

Category: Child and Public Heatlh
Aashka Jani and Larissa Steidle, Medicine
Patient Factors that Influence Breast and Cervical Cancer Screening Participation 

Category: Community Health
Rachel Shim, Science
Mediterranean Diet compliance in patients with ulcerative colitis

Category: Rural, Clinical, and Emergency Care
Carley Paterson, Arts and Social Sciences
Being there: Understanding the support systems of adults 50 years and older with mental health concerns who live in a rural community in BC

Category: Student and Social Health
Rebekah Underhill, Health and Social Development; Lucas Standing, Arts and Social Sciences; Thomas Pool, Health and Social Development
Okanagan Overdose Response Project

Category: Virtual and Digital Health
Sarah Park, Medicine
TeleRehabilitation with Aims to Improve Lower extremity recovery post-stroke (TRAIL): Study Protocol

For full posters details, view the 2021 conference program.

On March 11, 2021, Canadian Women in Medicine, a non-profit organization that connects and supports women physicians, invites everyone to celebrate the first ever Canadian Women Physicians’ Day. March 11th was chosen to honour Dr. Jennie Trout, the first woman licensed to practice medicine in Canada.

Meet Dr. Hilary Baikie, an obstetrician-gynecologist based at Royal Inland Hospital in Kamloops.

Tell us a bit about your practice:

I am a general OB-GYN in Kamloops, BC. Native Labradorian lured to BC by progressive moves across the country to enjoy the outdoors! A busy practice keeps me motivated and moving—working closely with a small group of medical students keeps me on my toes!

Words of advice for future women physicians:

Love what you do!

On March 11, 2021, Canadian Women in Medicine, a non-profit organization that connects and supports women physicians, invites everyone to celebrate the first ever Canadian Women Physicians’ Day. March 11th was chosen to honour Dr. Jennie Trout, the first woman licensed to practice medicine in Canada.

Meet Dr. Carmen Larsen, a family physician and Site Director for the Southern Medical Program’s Integrated Community Clerkship in Vernon.

Tell us a bit about your practice:

I am a family doctor with a varied practice of locums, OR assist, corrections medicine, virtual medicine and end-of-life care. As the Site Director in Vernon, I try to not only foster the medical skills and education of the Year 3 students, but also offer an example of creating your own path in medicine that is sustainable and impactful for individuals and families.

Words of advice for future women physicians:

It took me too long to recognize the irreplaceable delight of female mentors and colleagues for laughter, collaboration and even promotion. Do not undervalue the importance of social networks of women to make change and push for equity. Finally, be gentle to yourself for the ups and downs of life, in work and at home. None of us gets it perfect: if you see someone you think is making it look easy, ask her to go for tea or coffee and then get the real story.

Name:  Dr. Travis Thompson, SMP Class of 2016

Tell us about your current practice:

I’m currently working in Oliver and Penticton and spending the majority of my time working in the General Practitioner in Oncology (GPO) role at the Penticton oncology clinic. The rest of my time is spent doing family practice locums in Oliver. I also spend some time providing surgical assistance in the operating room in Penticton.

Fondest memory with the SMP:

All of the people involved with the SMP made the whole experience fantastic. I especially had a great time with the rest of my group from the class of 2016. There are too many good memories to share.

Best words of advice you received during your training:

Spend time actively listening to your patient as this will enhance their overall care.

Dr. Tara Gill has been appointed the new Site Director for the Trail Integrated Community Clerkship (ICC) for the Southern Medical Program (SMP). As part of the leadership transition, Dr. Gill will work alongside the current Site Director Dr. Libby McCoid for the next six months. Dr. Gill is an emergency physician at Kootenay Boundary Regional Hospital (KBRH) and a Clinical Instructor with the UBC Faculty of Medicine.

Dr. Gill completed her medical degree at the University of Toronto and residency training at UBC and Queen’s University. Since the launch of the Trail ICC in 2011, Dr. Gill has taught extensively with students training at KBRH. She has also served as the Emergency Medicine Rotation Lead for the ICC program and a past Medical Director for the Interior Health Rural Mobile Simulation program. In her new leadership role, Dr. Gill will oversee the education and training of ICC students training at KBRH and within the Greater Trail region. She will also work collaboratively with ICC Site Directors in Vernon and across the province to support the delivery of the ICC program.

The SMP would like to acknowledge Dr. McCoid for her contributions to the SMP over the past ten years. Dr. McCoid served as a key faculty lead in the creation of the Trail ICC and the Site Director for the past four and a half years. In 2019, Dr. McCoid was awarded the UBC Clinical Faculty Award for Excellence in Community Practice Teaching.

Dr. Daryl Wile has been appointed Clinical Investigator with the Centre for Chronic Disease Prevention and Management (CCDPM) based at the Southern Medical Program (SMP). Dr. Wile is a Kelowna-based neurologist and Clinical Assistant Professor with the UBC Department of Medicine’s Division of Neurology. He most recently served as the Clinical Education Leader for Neurology for the SMP and affiliate investigator with the CCDPM.

Dr. Wile completed his medical degree and neurology residency training at the University of Calgary. He then completed a Clinical Movement Disorders Fellowship at the Pacific Parkinson’s Research Centre in Vancouver. In 2015, Dr. Wile relocated to Kelowna to open the Okanagan Movement Disorders Clinic which focuses on providing clinical care and improved services for people with Parkinson’s and other movement disorders throughout the IH region. During his time with UBC, Dr. Wile has served as a provincial lecturer, FLEX course supervisor, OSCE examiner, and an excellent preceptor for students and residents training at Kelowna General Hospital.

Dr. Wile’s research interests focus on clinical trials in Parkinson’s disease and related disorders, the integration of information technology and telemedicine, and collaborative projects with UBC Okanagan scientists. He is also a Principal Investigator for ParkinSMART, a study of symptom monitoring and activity recording technology in Parkinson’s disease. In his new role as Clinical Investigator, Dr. Wile will work collaboratively with CCDPM scientists to develop and support patient/population-health research programs that focus on chronic disease prevention and management.

Name: Dr. Joshua Nero, SMP 2015

Tell us about your current practice:

I currently have a busy gastroenterology practice in Kamloops, BC. I see a wide range of patients, ranging from those with chronic liver disease and cirrhosis to those with inflammatory bowel disease or functional GI disorders. I also respond to emergencies in the hospital on call including acute GI bleeds and removal of foreign bodies.

Fondest memory with the SMP:

Singing and doing a skit in our Halloween costumes at the Kelowna Medical Society party, and then seeing my family medicine preceptor play in a rock band right after us.

Best words of advice you received during your training:

If you always put the patient first, it is difficult to be in the wrong.

SMP Student Janine Olsen

Student Name: Janine Olsen, SMP Class of 2021

Supervisor Name: Dr. Christine Voss, investigator, Centre for Chronic Disease Prevention and Management

Funder: Southern Medical Program

Tell us about your research project:

The overall project aims to determine the quality of current pediatric diabetes care in the Interior Health region by evaluating key indicators in patient data, characterizing the volume and distribution of pediatric type 1 diabetes patients in the IH catchment area in addition to addressing the patient experience and satisfaction. This is a collaborative project undertaken by Interior Health, Child Health BC (CHBC), and the Centre for Chronic Disease Prevention and Management through its Clinical Research and Quality Improvement Incubator. The project is utilizing the CHBC Diabetes Tiers of Service report as a foundation for the project goals. During my funding period, I conducted a literature search and wrote a background literature review to provide an overview of the evidence around the multi-factoral determinants of well-managed type 1 diabetes in children and youth. The purpose of my literature review was to inform the next steps of the larger project. I also recently had the opportunity to present my literature review, as well as the larger project goals at the virtual Vancouver Diabetes Research Day. As the larger project enters its next phase, I will be working closely with the IH research department to lead an extensive chart review over the course of the next few months.

What are the results and potential impact?

There is a complex interplay between clinical, environmental, psychosocial, and behavioural factors and their influence on glycemic control. My literature review helped identify how some of these factors relate to each other and affect glycemic control in. In our study, we are specifically planning to evaluate the effects of geography and clinic structures in the IH region on glycemic control and overall disease management by collecting data on specific metrics for diabetes management related to glycemic control, comorbidities, and complications of diabetes. We plan to analyze this data in relation to distance to care, and the various clinic models. The details of this study will contribute to how diabetes care in the IH regon and help identify areas that may need to be enhanced to provide optimal care. This project will inform further provincial work through CHBC regarding the development of quality measures for children with diabetes.