COVID-19 Frequently Asked Questions

 

What is happening with Academic Half Days & Teaching Rounds?


What is happening with out-of-province electives and mandatory rotations?


Is there a plan by PGME for those residents who were planning to write their CFPC/RCPSC exams this year? Many were planning to start working, or have been accepted to fellowship programs and it is extremely uncertain how they will navigate this. 


What if a trainee was/is concerned that they have a medical condition that may potentially impact their ability to care for patients in the current setting? Is there any advice/precautions in place that Shared Health has for these employees? Should we try and keep these trainees away from "high risk settings" like COVID ward and MICU?


What are the rules for a pregnant resident? Should they be removed from clinical service and moved to a non-clinical rotation? 


We have residents preparing for rotations up North. Programs were wondering if Shared Health had any direction with respect to wanting to limit any exposure to the North and protecting the northern population?


What happens if a resident has a trip/vacation planned months in advance, and they decide to travel regardless of the advisory to NOT travel outside of Manitoba? Should this resident get paid? It has been noted PARIM has strongly advocated that residents NOT travel.


What happens if I must self-isolate for 14 days and will be absent for more than 75% of my rotation, will I consequently fail the rotation?


Can residents be seconded to care for patients outside their training stream? If so, who is the supervising physician? Do residents need different licensure/liability if they are seconded to treat patients outside of their training stream?   


Residents are an essential part of the health care system and if residents need to self-isolate or become ill, what will happen to clinical coverage? Is there a contingency plan so that attendings are able to step in, especially if some services experience a shortage?


There has been a call for help by Doctors Manitoba, especially for coverage for testing in clinics and ED. Many residents have indicated their interest in doing this (on evenings and weekends when they are not on call). However, it puts them at risk of getting infected. What should residents do in these cases?


Where do Residents go if they have symptoms or exposure? What if symptoms develop at home? Do they come to the hospital for testing?


What is happening with maintaining the general operations of Programs?


Is the PGME Office operating during this time?


Who do I contact if I have more COVID-19/PGME related questions?



Question: What is happening with Academic Half Days & Teaching Rounds?

Answer: Departments should consider using alternative methods of delivery (SKYPE, ZOOM, TeleHealth) etc.… Please speak to your Department Business Manager and/or Managing Director for more information.


Question: What is happening with out-of-province electives and mandatory rotations?

With recent updates to Public Health Orders, a new exception to the requirement to self-isolate when entering Manitoba from another area within Canada has been established for fully vaccinated individuals.

 

This exception requires the following criteria to be met:

 

Fully vaccinated individuals are those who have received both COVID-19 doses, and for whom a minimum of 14 days have passed since the second dose;

Fully vaccinated individuals are required to access and retain proof of their vaccination status - Manitobans are able to find and print their vaccine records through the Shared Health Online Results Portal https://sharedhealthmb.ca/covid19/test-results/. A new immunization card is available for application at https://immunizationcard.manitoba.ca/.

This exception applies only to individuals entering Manitoba from elsewhere in Canada. Individuals entering Manitoba from outside Canada must following all requirements related to quarantine and self-isolation;

 

Max Rady College of Medicine and Shared Health have discussed the resumption of electives within Canada for all PGME trainees effective July 1, 2021 as long as the following are met:

 

  • PGME trainees should not travel for electives in Canada until at least 14 days have passed from when they received the second dose of COVID-19 vaccine;
  • PGME trainees should access and retain proof of full vaccination prior to travel;
  • Upon return to Manitoba, fully vaccinated PGME trainees must continue to self-screen using existing screening tools;
  • Fully vaccinated PMGE trainees that have travelled within Canada and who are eligible for this exemption must pass self-screening for symptoms and exposures. PGME trainees who meet all of these criteria are not required to contact the Provincial COVID-19 Screening Line for screening prior to returning to work.
  • PGME trainees who have travelled within Canada and who are eligible for this exemption but who do not pass self-screening for symptoms and exposures must continue to contact the Provincial COVID-19 Screening Line to be screened and must be cleared by OESH before returning to work.

 

 

Provincial COVID-19 Screening Line

1-888-203-4066 or (204) 926-1042

Thank you very much in advance for your attention to this important matter. Should you have any questions please contact your PGME office at pgme@umanitoba.ca.

 



Question: Is there a plan by PGME for those residents who were planning to write their CFPC/RCPSC exams this year? Many were planning to start working, or have been accepted to fellowship programs and it is extremely uncertain how they will navigate this. 

Answer: The College of Family Physician of Canada and Royal College of Physicians and Surgeons of Canada have both agreed to allow licensing without supervision on basis of University of Manitoba declaration of completion.


Question: What if a trainee was/is concerned that they have a medical condition that may potentially impact their ability to care for patients in the current setting? Is there any advice/precautions in place that Shared Health has for these employees? Should we try and keep these trainees away from "high risk settings" like COVID ward and MICU? 

Answer:  Program directors are encouraged to have a discussion with residents from their program who are currently being accommodated with non-clinical or limited clinical duties due to immunocompromised or other chronic medical condition about a return to full clinical duties.  Access to appropriate PPE as well as the ability to properly don and doff required PPE is mandatory with any clinical work. Please note, Residents who are immunosuppressed should avoid work on designated COVID units.

Prolonged accommodation from clinical work may have implications on duration of training, meeting required program competencies and ultimately career choice, given the anticipated duration of COVID precautions.

https://sharedhealthmb.ca/files/covid-19-information-for-hcws-with-underlying-medical-conditions.pdf

Residents with concerns about return to clinical work should discuss this with their program directors and ultimately may need to pursue an accommodation via Student Accessibility Services and according to the existing accommodations policy.  Residents are encouraged to connect with PGME Student Affairs and Wellness office if they have ongoing concerns.

http://umanitoba.ca/faculties/health_sciences/medicine/education/pgme/media/Accommodation_PolicyPGME.SENATE.Nov2014.pdf



Question: What are the rules for a pregnant resident? Should they be removed from clinical service and moved to a non-clinical rotation?

Answer:  We have received updates regarding pregnant health care workers during COVID 19. Program directors should have a conversation with pregnant residents about any potential accommodation and clinical duties.  Access to appropriate PPE as well as the ability to properly don and doff required PPE is mandatory with any clinical work.

If a pregnant resident has a concern about participating in clinical duties, this should be discussed with their program director and their regular care provider. The SOGC has provided the following updated statement to assist with accommodation decision making. Please note, Residents who are pregnant should avoid work on designated COVID units. Program Directors may direct questions to Dr. Cliff Yaffe, Associate Dean, PGME.

https://sogc.org/common/Uploaded%20files/SOGC%20Statement%20on%20Pregnant%20WorkersMay%2015_FINAL%20(3).pdf

Residents with concerns about return to clinical work should discuss this with their program directors and ultimately may need to pursue an accommodation via Student Accessibility Services and according to the existing accommodations policy.  Residents are encouraged to connect with PGME Student Affairs and Wellness office if they have ongoing concerns.

http://umanitoba.ca/faculties/health_sciences/medicine/education/pgme/media/Accommodation_PolicyPGME.SENATE.Nov2014.pdf


Question: We have residents preparing for rotations up North. Programs were wondering if Shared Health had any direction with respect to wanting to limit any exposure to the North and protecting the northern population?

Answer: If a resident is a risk to the North, they are an equal risk to patients in Winnipeg.  No limiting from a Shared Health perspective.  Please refer to the most recent Shared Health directives for more information on travel restrictions.


Question: What happens if a resident has a trip/vacation planned months in advance, and they decide to travel regardless of the advisory to NOT travel outside of Manitoba? Should this resident get paid? It has been noted PARIM has strongly advocated that residents NOT travel.


Answer: If a resident decides to travel regardless of current travel advisories, they will not be paid for self isolation and will be responsible for making up lost time before completion of training.

Question: What happens if I must self-isolate for 14 days and will be absent for more than 75% of my rotation, will I consequently fail the rotation?

Answer: Waivers for the 75% ruling will be considered on a case by case basis and may be granted for exceptional circumstances such as the quarantine. Residents could do select readings and other available virtual learning related to the rotation while isolated.


Question: Can residents be seconded to care for patients outside their training stream? If so, who is the supervising physician? Do residents need different licensure/liability if they are seconded to treat patients outside of their training stream?  

Answer: Yes they can be seconded, and the supervising physician would be reflective of the area they are seconded to. There is no difference in licensure and no difference in liability (CMPA), Residents are still considered a resident, and still have a supervisor who is responsible for their actions.

In addition, please note PGME requires notification of any trainees being seconded.  Please send their name and the unit they are being seconded to in an email to pgme@umanitoba.ca


Question: Residents are an essential part of the health care system and if residents need to self-isolate or become ill, what will happen to clinical coverage? Is there a contingency plan so that attendings are able to step in, especially if some services experience a shortage?

Answer: A plan is being developed by Shared Health to ensure there is coverage in place should residents be required to self-isolate and there are clinical coverage shortfalls.


Question: There has been a call for help by Doctors Manitoba, especially for coverage for testing in clinics and ED. Many residents have indicated their interest in doing this (on evenings and weekends when they are not on call). However, it puts them at risk of getting infected. What should residents do in these cases?  

Answer: We are supportive of residents volunteering if they are able to.


Question: Where do Residents go if they have symptoms or exposure? What if symptoms develop at home? Do they come to the hospital for testing?

Answer: Please refer to the most recent Shared Health directives regarding testing locations and who to contact if symptoms or exposure occur.


Question: What is happening with maintaining the general operations of Programs?

Answer: Please speak to your Department’s Business Manager or Managing Director to discuss operations and work arrangements during this time.


Question: Is the PGME Office operating during this time?

Answer: Yes the PGME Office is still operating, however all staff are working remotely.  Please send an email to the applicable person as per our Communication Chart. We are currently encouraging emails over phone calls at this time. Thanks for your understanding.


Question: Who do I contact if I have more questions related to PGME and COVID-19?

Answer: Please send an email to us at PGME with your questions.