Departments
The Fraser Health Authority Medical Staff is a region-wide entity and therefore the Departments (and their subordinate Divisions) are “regional” in purview and jurisdiction.

Anaesthesia

AIMS is a specialized form of electronic medical record (EMR) system which assists in the collection, storage and presentation of patient data captured during the intraoperative period by the anaesthesiologists. General Electric (GE) Centricity Perioperative Anaesthesia (CPA) is the product selected for Fraser Health and will be implemented at ARHCC, SMH and JPOCSC in the first phase of implementation. This first phase will include only the intra-operative documentation by anesthesia. Future implementations will include pre-operative assessments and procedures. The following documents are references for the anesthesiologists who are currently using the CPA system.

Emergency

Emergency Department Opioid Overdose Response

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In April 2016, the Province of British Columbia declared overdoses to be a public health emergency. Fraser Health implemented a multi-pronged response to the crisis. In our 12 Emergency Departments, this response included:

  • Implementation of the Take Home Naloxone program
  • Enhanced surveillance data to ensure accurate information was reported
  • Development of an Opioid Overdose Cluster Protocol-ED algorithm
  • Implementation of Opioid Antagonist Therapy (OAT) in ED  

 

Hospital Medicine

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Overview

·     Hospital Medicine programs were first implemented at Fraser Health facilities in 2001 as an effective solution to address the care needs of an increasing number of “unattached” patients (patients who either did not have a family doctor to look after them when hospitalised, or whose family doctors did not have hospital privileges). Since then, the program has continued to expand and is now an essential part of the Fraser Health inpatient care delivery system.

Hospitalist Services Now Provided in 10 Sites

·     Currently, Hospitalists provide services at 10 of 12 acute care hospitals within Fraser Health: ARH, BH, DH, ERH, LMH, MMH, PAH, RMH, RCH and SMH. These sites represent large, tertiary referral centres, medium community hospitals, and smaller acute care facilities. Our programs are among the largest and busiest in Canada.

What We Do

·     Working collaboratively with the rest of the acute care team (including hospital managers, nursing and allied health), hospitalists provide a wide range of inpatient care services including Most Responsible Physician (MRP) care, consultations, and supportive care for some surgical and psychiatric patients. Hospitalists also manage patients on some Rehabilitation and PATH units. Since its inception, the department has evolved into a service that provides most, if not all, of the MRP responsibilities to the medical patients admitted to our 10 sites.

·     Hospitalists manage and coordinate the care of over 1300 patients daily, working closely with other physicians (both primary care providers and facility-based specialists), Nurse Practitioners, nursing and allied health professionals, and hospital management.

Our Commitment to Quality

As Hospitalists, we have a strong commitment to upholding the highest quality standards in patient care.  Hospitalists are actively involved in a range of quality improvement projects (e.g. FH Safety Priorities such as Sepsis, Delirium and Medication Reconciliation), as well as various initiatives to enhance patient flow and increase care efficiency for hospitalised patients. Over 50 department members are actively involved in 8 departmental committees and working groups, in addition to numerous local site-based committees. 

 

Hospital Medicine Job Opportunities

There are job opportunities throughout our sites.  

Fraser Health Hospitalist Practice Opportunities

 

Continuing Professional Development

The Hospitalist department Continuing Medical Education (CME) committee organizes and coordinates various CME events.  These include monthly Grand Rounds that are made available by video conference across all sites, annual one-day hospitalist medical symposiums and journal clubs.

DateEventLocation
UBC Continuing Professional Development (CPD) Events
October 25 - 27 16th Annual Canadian Society of Hospital Medicine Conference

Registration is now OPEN for the CSHM 2018 National Conference

 

Fairmont Chateau Whistler, Whistler BC

Academic and Research Programs

NEW R3 Enhanced Skills in Hospital Medicine Opportunities

University of British Columbia offers 3-6 months of R3 Enhanced Skills in Hospital Medicine training and mentorship in integrated hospitalized complex patient, family and system-centered health care.

For further information contact: Dr Diana Stancu, Hospitalist (RCH) Director, R3 Enhanced Skills Program in Hospital Medicine / Vancouver Fraser

Credentialing vs Privileges

For information on Credentialing, please click here.

Privileges describe the extent of clinical practice of an individual Member based on the member's credentials, competence, performance and professional suitability.

Privileges are based on the needs of the programs and communities supported by FHA and capacity of the Facilities and Programs to support the member's scope of clinical practice.

Privileges describe and define the extent and scope of the permitted clinical practice of a Member in the Facilities and Programs of FHA.

All Hospitalists’ must have in place an executed contract with Fraser Health Authority before any payment is processed.

For more information on Credentialing, please contact

Susy Gill

604-217-4652

Credentials Coordinator, Hospitalists

 

 

For more information on Physician Services, please contact

Silvia Brunner

604 365.2541

Manager, FH Hospitalist Services
Operations (Payroll, Contracts, MSP Billings)

 

Hospital Medicine Orientation

  • Background:  In an effort to improve the appropriate treatment of Urinary Tract Infections, the Department of Hospitalists has deployed an online survey for individual Hospitalists to take. 

    Objective:  The survey provides various clinical scenarios, and then asks the individual to select the most appropriate answer from 5 given choices.  After each question has been answered, the correct answer and supporting rationale is provided to reinforce effective and appropriate treatment options.

Contact Us

Dr. Vandad Yousefi

Regional Department Head - Hospital Medicine / Regional Medical Director - Hospitalist Program

vandad.yousefi@fraserhealth.ca

Savik Sidhu

Director, Physician Contracts and Hospitalist Services

savik.sidhu@fraserhealth.ca

 

Editha Payumo

Administrative Assistant, Physician Contracts and Hospitalist Services

editha.payumo@fraserhealth.ca

 

 

 

 

 

 

Midwifery

Organization

Fraser Health’s Midwifery services are managed by the Maternal, Infant, Child, and Youth (MICY) Program.

Registered Midwives are highly skilled professionals and are considered primary health care providers.

The practice of Midwifery is regulated in BC by the College of Midwives of BC.

Midwives, along with physicians and dentists, are appointed by the FHA Board of Directors as members of the FHA Medical Staff. As independently regulated members of the Medical Staff, midwives are organized into the Regional Division of Midwifery within the Regional Department of Obstetrics and Gynecology.

Referral

Women who wish to use the services of a midwife can self-refer or can be referred directly by their family physician. Referrals can be initiated with a phone call to the midwife’s office. A list of midwives, searchable by community, is available on the Midwives Association of BC website.

Ideal candidates for referral include:

  • Women who want a home birth
  • Women who have a desire for natural childbirth
  • Women who would benefit from extra support and education (e.g. teens, single parent, marginalized populations)

While healthy women are also ideal candidates, Midwifery care is not restricted to healthy low risk women. Midwives will consult and arrange shared care for women with higher risk pregnancies such as complicated obstetrical history, twins, previous C/S, and hypertension.

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Services

Midwives specialize in the care of women throughout pregnancy and birth, and provide care to both mother and newborn for the first six weeks after birth. Clinic appointments are typically 30-60 minutes long. During these visits, women are offered routine health screening, diagnostics investigations and physical assessments with a strong focus on health promotion, education and social support. Midwives have limited prescribing authority to manage minor complications as well as emergencies during labour and birth.

Midwives provide continuous support from the onset of active labour through the birth and the early hours immediately following. When complications arise midwives will consult with family physicians or obstetricians as indicated. Home visits are offered in the first week post birth, and ongoing care continues biweekly until primary care is transferred back to the family physician at 6 weeks postpartum.

Midwives offer choice of birthplace to appropriately screened women.

Most midwifery practices report a 20-30% homebirth rate. There are two midwives at every homebirth. A midwifery homebirth kit includes all necessary emergency medications. List of homebirth supplies

Many low risk women choose to birth in hospital and homebirth is not always recommended for a variety of reasons. In hospital midwives work with perinatal nursing staff who provide the necessary back up.

Midwifery care in BC and in Canada has been evaluated.

Model of Care

The midwifery model of practice is autonomous, community based primary care, and incorporates the principles of continuity of care, client informed choice, choice of birth setting, collaborative care, accountability and evidence-based practice. Together with the Philosophy of Care and the Code of Ethics, these fundamental principles define the midwifery model of practice.

Excerpt from the College of Midwives of BC

Midwifery care is concerned with the promotion of women’s health. It is centred upon an understanding of women as healthy individuals progressing through the life cycle. It is based on a respect for pregnancy as a state of health and childbirth as a normal physiologic process, and a profound event in a woman’s life.

Midwifery is holistic by nature, combining an understanding of the social, emotional, cultural, spiritual, psychological and physical ramifications of a woman’s reproductive health experience.

Midwifery care takes place in partnership with women and is provided in a manner that is flexible, creative, empowering and supportive.

Midwives respect the woman’s right to choose both her caregiver and place of birth in accordance with the Standards of Practice of the College of Midwives.

Excerpts from the College of Midwives of BC

FAQ's

Answer

A Doula provides non-medical support. Doulas are quasi professionals who attend a weekend workshop to learn ways to support women during labour, birth and postpartum. This includes non-pharmacological comfort strategies, and other techniques to help women cope with labour. They provide a continuous supportive presence which has been demonstrated to reduce the use of analgesia and operative birth while increasing maternal satisfaction.

Midwives in BC complete a four year undergraduate degree at the University of British Columbia or one of the five other undergraduate programs in Canada. They are professional health care providers who passed a rigorous national exam, and are registered with their provincial regulator (in BC this is the College of Midwives of BC) as described by the BC Health Profession’s Act. Internationally educated midwives complete a Prior Learning and Experience Assessment (PLEA) Process or one of two Bridging programs - the Multi-Jurisdictional Midwifery Bridging Program or the International Midwifery Pre-registration Program. Midwives provide primary care for both women and newborns from confirmation of pregnancy until baby is six weeks old.

Answer

Midwives’ distinct Model of Care includes offering the choice of a home or hospital birth, ensuring understanding and choice in matters such as blood tests, ultrasound, and other diagnostics.

Their 30-60 minutes prenatal visits enable a close relationship. They attending continuously throughout labour, birth, and immediate aftercare and provide several home visits in the first week, as well as post-partum care for mom and well-baby assessments for the first six weeks.

Midwives work in teams of up to four practitioners, with one of the four on-call at all times. Women have the opportunity to meet this team in advance, so the midwife on-call will be known to them.

Answer

Midwives work in concert with other health care professionals, including physicians, specialists, nurses, and allied health. They accept transfer of primary care from family physicians during pregnancy, and transfer care back to the family physician six weeks after the birth. They may also transfer care to a physician or specialist at any point during the pregnancy or delivery if concerns arise that are beyond their scope of practice. During a hospital birth, the Midwife is the MRP. She is assisted by nursing staff and responsible for managing the care during the hospital stay.

Answer

Midwifery care is covered by the BC Medical Services Plan. If women have provincial health insurance there is no cost to them.

Careers

Midwifery is a rewarding profession and demand for midwifery services continues to grow. We encourage you to consider this exciting career choice!

Midwives practicing in the Fraser Health region are registered with the College of Midwives of BC and credentialed by Fraser Health’s Board of Directors.

The College of Midwives of BC offers registration programs for new graduates, transfers from other Canadian provinces, and a bridging program for internationally educated midwives. More information on education and registration.

To inquire about current vacancies and student placements in Fraser Health, please email the Co-Regional Division Heads for Midwifery.

Tamara Nahhas & Cheryl Mount
Co-Regional Division Heads, Midwifery
Department of Obstetrics & Gynecology