Trail

Welcome Message

Please consider joining us at our site for your clerkship year. Both the community of Trail and the medical and hospital staff have enthusiastically embraced the ICC Program in Trail, and we have developed an exceptional educational experience that will meet all your academic requirements within the context of a rural recreational paradise. Spending your third year here with us in Trail will be a unique and rewarding clerkship for those students interested in coming here. I am a Family Physician currently in active practice in Trail and have practiced here for 25 years. I received my medical degree from The University of Calgary and completed my Residency in Family Medicine at McGill University. I am very committed to the educational philosophy of the ICC program whereby medical learning is distributed to rural sites and where learning is facilitated through the integration of many aspects of medicine over a continuum of patient care both within the acute care and outpatient setting. The Trail Site program is ideally suited for this type of learning experience and students have the opportunity of learning from a wide range of primary care and specialist physicians in a variety of patient care scenarios. Our goal is to expose young physicians to the challenges and rewards of rural practice so that they may consider rural practice in their futures. I am very supportive of motivated students who capitalize on the many learning opportunities available to them in a friendly learning environment where students can develop personal relationships with faculty, and develop their clinical and academic medical knowledge as well as practical skills through direct patient care. The KBRH and medical staff are accustomed to having medical students and have a long history of teaching in affiliation with UBC. There are many seasoned preceptors in the area who are consistently highly rated by the UBC elective students and residents.

The ICC program in Trail will provide a student the opportunity to rotate through all 10 of the major disciplines as well as have dedicated time with a family practice preceptor as well as exposure to outpatient chronic care clinics and mental health services. The student can expect there will be a lot of direct, hands on clinical experience as well as individual mentorship from dedicated physicians who are interested in teaching in both the hospital and outpatient settings. A unique and educationally valuable feature of the ICC is the ability to follow specific patients over the course of the year both in and out of hospital and over the course of their disease presentation. The student can expect to obtain all the educational objectives and academic successes necessary for third year clerkship in a rewarding and enjoyable setting.

Dr. Cheryl Hume
Site Director

Dr. Hume is a General Practitioner at The Kootenay Boundary Regional Hospital in Trail and Clinical Instructor in the Department of Family Practice. She completed her medical degree at The University of Calgary and her Family Medicine residency at the University of McGill. Dr. Hume has been in practice in Trail for 23 years and currently practices at Riverside Family Medicine Clinic.

General Program Overview

The Integrated Community Clerkship (ICC) program in Trail follows a similar clinical and pedagogical model as the program in Vernon. The ICC student support systems in Trail and Vernon are identical.

Family Medicine

  • Each student is based with two Family Practice (FP) preceptors, usually in the same office, for 2 half days per week for the entire year.
  • The FP preceptors act as primary preceptors, providing continuous and consistent supervision and feedback.
  • Students follow patients (including Obstetrics) over the entire year in the FP office. This provides continuity of patient care experiences within the Family Practice setting.
  • Students follow patients across multiple disciplines which maximizes learning. Clinical experience includes: following patients from the FP office/clinic through specialty consultations, community referrals, Emergency Department, hospital admissions and related in-patient care, Operating room, and subsequent FP office follow-up.
  • Ample patient volume and case mix easily ensures that students will see all required clinical encounters (“must-sees”) and perform all required procedures (“must-do’s”) to meet the UBC Year 3 objectives.

Specialty Rotations

  • The student schedule consists of “mini-rotations” (1 to 3 weeks in duration) in all of the core Specialties: Anaesthesia, Emergency Medicine, General Surgery, Internal Medicine, Obstetrics/Gynecology, Ophthalmology, Orthopedics, Pediatrics and Psychiatry.
  • Most of these “mini-rotations” are repeated by the student several times during the year. This step-wise learning allows students to build on past knowledge/experiences and enhances learning and performance.
  • Students are given graduated responsibility over the year.

Multidisciplinary, interprofessional experiences

  • Students benefit by participating in multidisciplinary, interprofessional experiences one half day per week.
  • Students have the opportunity to choose from a menu of multidisciplinary experiences in the community: Trail: Aboriginal health, chronic disease management, drug/addictions programs, industrial/occupational health and residential care. Vernon: Aboriginal health, cancer clinic, chronic disease management, diabetes education, palliative care and travel medicine.
  • Students also have the opportunity during this specified half day, to gain additional experience in areas not generally covered within the core disciplines: primary care obstetrics, pathology/lab medicine, radiology, etc.

Academic Half Days (AHD’s)

  • Students participate in a minimum of one half day of AHD teaching per week.
  • AHD sessions are provided by local faculty, distance education (by videoconference) and directed reading.

Kootenay Boundary Regional Hospital (KBRH) in Trail

  • 75 bed hospital; the largest diagnostic and acute care facility in the region.
  • Major referral centre for health care in the Kootenay Boundary Health Services area, serving a catchment area of 75,000 people.
  • Close-knit medical community with over 50 Specialists representing the following disciplines: Anaesthesia, Emergency, ENT, General Surgery, Internal Medicine, Obstetrics/Gynaecology, Ophthalmology, Orthopaedics, Pathology/Lab Medicine, Paediatrics, Plastic Surgery, Psychiatry, Orthopaedics, Radiology and Urology.
  • 34 active Family Physicians and 11 Hospitalists.
  • For more about KBRH, visit their website

Experience in Medical Education

  • The program welcomes its second group of students in September 2012.
  • KBRH preceptors have a strong track record in medical education. There have been over 80 medical students at KBRH during the past 3 years including UBC students completing their Year 3 Rural Family Practice rotation and Year 4 students doing Family Practice and Speciality electives.
  • Students have given excellent feedback about the quality of their clinical experiences and teaching at KBRH.

Community Profile

  • Transportation: it is recommended that students have their own vehicle for the Trail ICC program in order to facilitate their participation in a variety of ICC learning opportunities in the Trail area, and to enable them to take advantage of numerous local outdoor activities during their time off.
  • The Greater Trail area has a population of 30 000 people centered in five communities, each with its own flavour (www.southkootenay.com). Trail (pop. 10 000) is the economic hub of the region and also boasts wonderful parks and recreation infrastructure (www.trail.ca).
  • There is an aquatic centre, a baseball stadium, two ice arenas, an indoor field house, a curling rink, tennis and squash courts, and several soccer pitches. Sport plays an integral role in Trail as evidenced by the town being named the #1 Sports Town in BC by the Vancouver Province.
  • The Columbia River runs through town so fishing and kayaking are also popular activities. Rossland (pop. 3 500) is known as Canada’s Alpine City (www.rossland.ca) and was named one of North America’s “Top 10 Great Adventure Towns to Live and Play” by National Geographic magazine. In the winter, check out Red Mountain ski resort (www.redresort.com) or Blackjack cross country ski club (www.skiblackjack.ca). Summertime allows hikers and bikers access to the hundreds of kilometres of maintained trails (www.rosslandtrails.ca) around town. Nancy Green Lake is a short drive away if you want to go for a swim or paddle.
  • The area is also home to several art galleries, a performance art theatre, a movie house, a film festival, and numerous community celebrations.
  • There is an airport in Trail (Pacific Coastal Airlines) as well as one in Castlegar 28 km to the east providing several daily flights to Vancouver.

For more info, visit www.smp.med.ubc.ca.