Hanover Medical Clinic

SITE FACULTY

Tim Heerema
Dr. Nicholas Abell
Dr. Diana Boughan
Dr. Susan Batten (palliative)
Dr. Rochelle Dworkin (dermatology)
Dr. Kellen Kieffer (General Surgery)
Dr. David Kuipers (ER)
Dr. Marc Labelle
Dr. Randy Montag
Dr. Cheryl White

 

INTERESTS OF FACULTY

  • Emergency Medicine
  • Obstetrical Care (prenatal, intrapartum, postpartum)
  • In-office procedures
  • Palliative care

TRAINING SITE/PRACTICE DESCRIPTION

The Town of Hanover, population ~8000, is located in the heart of the spectacular Georgian Lakelands on the boundary of Bruce and Grey Counties. Hanover is a short drive on excellent roads to the Lake Huron shoreline (famous for its miles of natural, sand beaches and summer amusements), and a 40-minute drive to Owen Sound. Hanover is a great place to live, work and play. In addition to being convenient to schools, recreation facilities, playgrounds, parks and shopping, our pleasant neighbourhoods are an excellent place to raise a family. Hanover's location offers its residents a large variety of interesting and exciting recreational opportunities. The Saugeen River runs through Hanover and offers some of the best canoeing and fishing in the province.

The residency program is closely involved with the Hanover Family Health Team (HFHT). The HFHT is a group of specialized health care professionals working together to coordinate the highest level of patient care possible. Our dedicated team includes physicians and other allied health professionals, including a nurse practitioner, registered nurse, social worker, registered dietitian, addictions and mental health counsellor, psychologist, and pharmacist working together in an interdisciplinary setting. The HFHT is located on the campus of the Hanover and District Hospital.

The Hanover and District Hospital is a 24-bed hospital with an annual emergency room volume around 22,000. It is primarily staffed by local family physicians, has two local general surgeons and has onsite radiology. It has a number of visiting specialists including urology, pediatrics and endocrinology. Other local services are a dialysus unit, cardiac rehab, diabetic education, kinesiology, physiotherapy, and in patient pharmacist support. The family physicians are actively involved in all aspects of patient care and are a very collegial group who work and learn together.

Our goal for the Hanover Rural Family Medicine program is to produce competent and confident rural generalist physicians. Our record is a successful one, with the majority (80 per cent) of physicians who have graduated from our program working in rural areas of Canada.

PRACTICE EXPERIENCE

Rural Ontario - a wide variety of ages and educational levels. Clinical work will occur in the family medicine clinic, the hospital inpatient and obstetrical wards, the local emergency department, the community long-term care facilities and patient homes (palliative visits). We also have regularly scheduled opportunities for participation in dermatology, anesthesia, general surgery and palliative care.

RESEARCH ACTIVITIES

  • All residents participate in Quality Improvement (QI) projects with support from Western University

EDUCATIONAL OPPORTUNITIES

  • Wednesday morning teaching from local faculty on a variety of clinical topics
  • Resident lead teaching on the CCFP Core Topics of Family Medicine
  • NRP and Behavioural Medicine requirements provided locally

RESOURCES ON-SITE

  • Fully furnished, modern 2 unit duplex which has a fully equipped kitchen, washer/dryer, all appliances, internet access and a large back yard. All maintenance and cleaning provided
  • Hanover medical clinic is equipped with full internet access and electronic medical records
  • Hanover and District Hospital has 24 active beds, including 3 obstetrical beds, 2 palliative care suites, 3 ICU and 2 restorative care beds
  • Cardiac Rehap Program
  • Dialysis
  • Visiting specialists
  • Family Health Team

TYPICAL WEEK FOR RESIDENT

In PGY1, a typical day will consist of inpatient work in the morning, followed by office into the afternoon. There will be attendance at an OB clinic staffed by local family physicians once a week. Emergency room shifts will depend on the schedule of the preceptors – usually 1-2 shifts per week.

In PGY2, the typical week is described above in the curriculum section with immense flexibility.

Monday Tuesday Wednesday Thursday Friday
08:00 - 09:30 Hospital Rounds Hospital Rounds Hospital Rounds Hospital Rounds Hospital Rounds
09:30 - 11:30 Clinic Clinic Academic ER Call
7:00 – 19:00		 Clinic
12:00-13:30 Lunch Lunch & meeting Lunch Lunch
13:30 -16:30 Clinic Academic Half Day Clinic
Eve Emergency shifts are 12 hr shifts.
No clinic after nightshift (postcall).
* Home, nursing home and palliative care visits are integrated throughout. *
* 1 Monday per month (full day) in the OB clinic + on-call for OB an average of one week per month *

 

OTHER INFORMATION FOR RESIDENTS

Regularly scheduled shifts in the local ER and on-call responsibilities for low risk intrapartum obstetrics.