About Us

What we do

Our Services are offered in Saskatoon, along with numerous traveling clinics that are conducted regularly at sites throughout the province. We are dedicated to providing exemplary health care for children, ensuring excellence in training of future pediatrics health care providers, undertaking meritorious research and advocating for the health and well-being of children and youth.

Department Head's Message

As we prepare to move into a new Children's Hospital, it is important that we develop a strategic plan in order to achieve excellence in our clinical and academic missions.

In a joint and shared vision, the Department of Pediatrics is striving to improve the health of children in the best family-centered environment, while focusing on training the next generation of pediatricians and creating groundbreaking research.

Laurentiu Givelichian, MD, FRCPC
Professor and Head, Department of Pediatrics
College of Medicine
University of Saskatchewan
Royal University Hospital

Divisions and Services

Saskatchewan’s pediatric intensive care unit provides innovative and sophisticated life sustaining therapy for all critically ill children in the province. Although situated in the Royal University Hospital in Saskatoon, coordinated systems, a dedicated pediatric transport team and remote robotic technology allow for quick access to critical care expertise regardless of a child’s postal code. In efforts to meet the increasing demands of a growing population, programs continue to develop ensuring that the children of Saskatchewan have access to the highest level of care possible. https://picusaskatchewan.ca


 Programs

1.  Transport Team
Pediatric specialized transport has evolved since it’s inception 20 years ago, and plays an integral role in Saskatchewan’s pediatric critical care delivery. With broader geographic access and advancements in skills and technology, our pediatric specialized transport team is able to extend timely critical care into rural and remote communities.

Through extensive support from Jim Pattison’s children’s hospital foundation, Saskatchewan’s pediatric critical care transport team performs over 500 transports per year. The team safely transports children between provincial facilities, enabling assess to the appropriate level of care. With highly sophisticated ventilators, advanced cardiopulmonary monitoring and portable blood work, the team is able to initiate life sustaining therapy in a timely manner.

To deliver the highest quality care, our research for this program focuses on patient outcome metrics, and scoring systems that assess severity of illness.

2. Remote Presence Telehealth
Universal and timely access to pediatric specialized care is a substantial challenge. Saskatchewan’s geographical range makes provision of medical expertise in remote communities extremely difficult. Utilizing remote presence robotic devices have helped to bridge these challenges, allowing us to directly visualize and examine critically ill patients for a prompt diagnosis and accurate treatment plan. Our recently published studies reflect the safety and feasibility of this innovative technology, and how we are trying to close the access gap that permeates health care.

We currently support 3 northern communities and thanks to the ongoing commitment from the Saskatchewan ministry of health partnered with Jim Pattison Children’s Hospital Foundation, our goal is to service an additional 5 communities during 2018. We will continue expanding until all Saskatchewan children have timely access to our subspecialty support, regardless of their postal code.

3. Neurocritical Care
Nearly 25% of children admitted to PICUs have either a new injury to their brain/spinal cord or a neurologic complication of their illness. Despite the expertise found in children’s hospitals, there remains an unmet need for these very vulnerable patients: the breadth of neurologic injuries is immense but the research supporting clinical practice is poor.

Pediatric neurocritical care has recently emerged as a subspecialty. The Jim Pattison Children’s Hospital had the vision to develop this area, and currently provides innovative care through multidisciplinary expertise from neurology, critical care, neurosurgery, psychiatry and neuroradiology. Newer developments include the utilization of non invasive ultrasound monitoring for traumatic brain imaging (transcranial dopplers and optic nerve sheath diameters), improved access to continuous electroencephalography, quick brain MRI (to minimize CT radiation exposure), early mobilization and delirium screening. Several exciting and novel initiatives are currently in the planning stages.

4. Extracorporeal Therapies
Critically ill pediatric patients may require advanced technologies to support failing organ systems. Over the years, we have developed the following:

  1. Continuous Renal Replacement Therapy (CRRT) is a form of dialysis utilized for serious kidney injuries in some of our sickest patients. The Jim Pattison Children’s Hospital Foundation was integral in supporting the initiation of this program in 2007.
  2. Therapeutic apheresis results in the removal of blood components that are disease or symptom causing. Children with severe infections, neuromuscular diseases, hematologic/thrombotic disorders may be overwhelmed by inflammation and clotting and require plasma exchange. Utilizing the Spectra Optia aphaeresis system (donated by the JPCHF), Saskatchewan’s PICU has performed over a 100 treatments for a variety of disease processes. Recently, leukopheresis has been introduced, to assist children with high white cells in certain cancers.
  3. Extracorporeal Membrane Oxygenation (ECMO) has become an essential tool in the care of children with cardiac and pulmonary failure that has not responded to conventional management. In collaboration with our pediatric cardiologists, surgeons, and perfusionists, ECMO is initiated when necessary.

5. Respiratory Care
Our multidisciplinary team of physicians, respiratory therapists and nurses strive for excellence in respiratory care through the use of standard and emerging therapies. Our expertise includes high flow therapy, non-invasive ventilation and non-conventional therapies such as non-invasive high frequency oscillatory ventilation (nHFOV), invasive high frequency oscillatory ventilation (HFOV) and high frequency jet ventilation (HFJV).

Through innovative technologies we are pushing conventional boundaries to provide unique and individualized respiratory care to meet the needs of our patients. The Jim Pattison Children’s Hospital Foundation has allowed us to become pediatric leaders of electrical impedance tomography (EIT) by equipping our unit with Dräger Pulmovista 500 technology. We also employ other tools including lung ultrasound and quasi-static pressure-volume measurements.

6. Research
Our innovation and desire to advance patient care is deeply rooted in a philosophy of ethical clinical research. Guided by the scientific process, our programs continue to develop and evolve with the goal to optimize patient care. Led by specialized intensive care researchers, important clinical problems or questions are scrutinized, dissected and then studied in a concerted fashion. Our research continues to be well supported by institutional, Jim Pattison Children’s Hospital Foundation, provincial, and national grants.

Sharing our research is critical to the program, as our discoveries may help other critical care providers with their difficult patients or scenarios. We are proud of our published work in peer review journals.

7. The Pediatric Simulation Program
The care of pediatric patients is becoming increasingly complex, and requires skills and knowledge sharing between multiple caregivers. Simulations are scenarios designed to closely approximate real situations - usually for the purposes of training or evaluation. Medical simulation based education and training provides an opportunity for team training without exposing patients to unnecessary harm.

With tremendous support from the Jim Pattison Children’s Hospital Foundation, we use the Laerdal SimJunior patient simulator, which can be operated remotely using a tablet-based device. SimJunior represents a 6-year-old child that simulates a wide range of conditions from a healthy, talking child to an unresponsive, critically ill patient. The Simulation Program supports orientation and skill maintenance for new and existing members of the PICU, Pediatric Inter-facility Transport Team, and pediatric providers on the ward.

PATIENT CARE INFORMATION

These patient care handouts have been peer-reviewed by the division of Pediatric Emergency Medicine, and serve as helpful guides to common pediatric complaints.

PEDIATRIC ENDOCRINOLOGY & DIABETES PROGRAM
The division of Pediatric Endocrinology and Diabetes offers comprehensive inpatient and outpatient consultative & follow-up care for the children of Saskatchewan with all forms of diabetes and numerous hormonal conditions and concerns.

CLINICAL
Our multidisciplinary Pediatric Diabetes team cares for over 500 children in the province of Saskatchewan with Diabetes Mellitus. This team, supported by the LiveWell program, includes: Diabetes Nurse Educators, Diabetes Dietitian Educators and Social Work with referral to Clinical Health Psychology as needed. There are currently 3 physicians providing pediatric diabetes care in Saskatoon, including Dr. Au-Yeung (pediatrics), Dr. Inman (endocrine) and Dr. Nour (endocrine). Our program works closely with diabetes education centres throughout the province in order to provide unified and consistent pediatric diabetes care. This team manages the complex medical and educational needs of children affected by Diabetes Mellitus, including Type 1, Type 2 and others. The team provides teaching, resources and ongoing follow-up for a rapidly evolving host of treatment options in Diabetes including insulin injections, insulin pumps, monitoring devices and other medical therapies. The staff is also involved in the yearly Diabetes Canada Saskatchewan Children’s Camp for children with diabetes.  Additionally, staff provide diabetes related education services to schools.  Clinical resources for patients and families followed by the pediatric diabetes clinic are available online.

Our Endocrinology clinics are provided by Drs. Inman and Nour and are supported by a Pediatric Endocrinology Nurse. This team provides expertise in the diagnosis and treatment of a host of endocrine disorders, including: growth, pituitary, thyroid, pubertal, calcium/bone, adrenal, and hypoglycemic disorders. Functional endocrine testing is conducted by our experienced Endocrine Nurse. Comprehensive endocrine treatment and teaching is provided by the endocrine team.

By the summer of 2017, under the leadership of Dr. Inman, the Pediatric Health and Lifestyle Clinic will offer an interdisciplinary approach to the assessment and follow-up of children affected by obesity in the Saskatoon Health Region. This team will include: physician, nurse, dietitian, exercise therapist, and psychologist. This clinic will be a consultative approach with intermittent follow-up and will help to provide patients and families with further connections within their local community. Additionally, throughout the province, families are encouraged to participate in the free, self-referral MEND (Mind, Exercise, Nutrition, Do-it!) program.

RESEARCH AND EDUCATION
Our division is actively involved in medical teaching and research within the University of Saskatchewan. Current research projects have included both diabetes and endocrine related diseases. Currently, our centre is actively recruiting family members of those affected by Type 1 Diabetes to participate in the multicentre TrialNet pathway to prevention study. Those interested in participating can contact the coordinating research nurse, Joan at 306-844-1224.

HOW TO REFER
Pediatric Endocrine:
Referrals can be sent by a family physician, pediatrician or nurse practitioner. Referrals can be faxed to: 306-844-1536. Our endocrinology administrative assistant is available at 306-655-2048

Pediatric Diabetes:
Non-urgent Referrals can be faxed to: 306-655-6758

Urgent Referrals: **NOTE REFERRALS FOR SUSPECTED NEW ONSET TYPE 1 DIABETES FROM PHYSICIANS SHOULD NOT BE FAXED AND DIRECT PHONE REFERRAL TO THE PEDIATRIC ENDOCRINOLOGIST ON-CALL THROUGH ROYAL UNIVERSITY HOSPITAL SWITCHBOARD IS RECOMMENDED ** RUH Switchboard: 306-655-1000

Our diabetes administrative assistant is available at 306-655-2199

Pediatric Health and Lifestyle Clinic:
Referrals to the Pediatric Health and Lifestyle Clinic can be sent to: 306-655-6758

**Note: At this time, this clinic is only able to accommodate patients within the Saskatoon Health Region.

 

General Pediatrics

The Division of General Pediatrics in Saskatoon is a dynamic group of general pediatricians who are active in the clinical, and academic visions of the Saskatchewan Health Authority and the College of Medicine.  The division aims to provide evidence based, child and family centered care in a team based environment, where clinical care and learning occur together to provide the best care and experience possible for patients and their families.

Saskatoon Pediatric Consultants Members

  • Dr. Mahli Brindamour
  • Dr. Grace Ho
  • Dr. Carla Krochak
  • Dr. Erin Woods
  • Dr. William Quan
  • Dr. Linda Xiao

Pediatric Outpatients, Royal University Hospital

Clinical

Members provide both inpatient care at the Royal University Hospital (RUH), and outpatient care either at RUH or at Saskatoon Pediatric Consultants.  This allows the division to provide a medical home for patients while also provide continuity of care with the same team when patients with complex care needs are admitted to hospital.

  • Inpatient Clinical Care - The division provides inpatient coverage for the two Clinical Teaching Unit (CTU) teams for patients admitted to Acute Care Pediatrics.  These teams provide care for general pediatric patients admitted to hospital and consultative services for patients admitted to medical and surgical specialties as requested.  Education for trainees is provided in a system of graduated responsibility based on the trainee’s level.
  • General Pediatric Outpatient Clinics - The division provides referral based consultative services as requested by other physicians, including follow up of those patients requiring ongoing medical care.
  •  Specialty Clinics/Services - Many members of the division have special interests, and provide specialized clinical care in these areas, in addition to the above services.  These include:
    • Cleft Lip and Palate Clinic (Dr. Linda Xiao)
    • Complex Cardiology Clinic (Dr. Erin Woods)
    • Cystic Fibrosis Clinic (Dr. Janna Brusky)
    • Hemangiomas (Dr. Morgan Hewitt)
    • Northern Health Services (Drs. Mahli Brindamour, Grace Ho, and Linda Xiao)
    • Pediatric Diabetes (Dr. Daniel Au Yeung)
    • Pediatric Gastrointestinal Disorders (Drs. Daniel Au Yeung, Grace Ho, and Linda Xiao
    • Pediatric Pain Clinic
    • REACH-Refugee Engagement and Community Health Clinic
    • SANCTUM 1.5
    • Youth Nourishing Connections-Pediatric Eating Disorders (Dr. Ayisha Kurji)
    • Eating Disorders are the third most common chronic condition in adolescence, and have the highest mortality of any psychiatric illness.  In spite of this, many Eating Disorders go unnoticed, or untreated.  Youth Nourishing Connections (YNC), provides care for pediatric patients with eating disorders in an inter-disciplinary clinic setting.  The clinic consists of a pediatrician, dietician, and counselor.  This team liases with Child and Adolescent Psychiatry as needed.  Clinics are at Royal University Hospital in the Pediatric Outpatient Department, and are referral based.  Inpatient medical care for patients admitted with Eating Disorders is also provided by the pediatrician as needed/requested.
    • Contact: Nancy Groenveld, Administrative Assistant (306) 844-1278

Academic-Teaching

The division is committed to providing excellent pediatric medical education to both Undergraduate and Postgraduate medical trainees.  This is done through large group lectures, small group interactive sessions, and clinical teaching in clinic and on the CTU.  Members also provide education to other Colleges, including the Colleges of Dentistry and Nursing.  For specific areas of interest, see each individual faculty’s profile.

Academic-Research

Members of the Division of General Pediatrics are actively involved in research.  Please see each faculty member’s profile as well as the Department of Pediatrics Research page.

 

For further information or inquiries, please contact:

Dr. Ayisha Kurji

Division Head, General Pediatrics

(306) 844-1278

 

Canadian Pediatric Chronic ITP Registry


Immune thrombocytopenic purpura (ITP) is the most common acquired bleeding disorder in children, with an estimated annual incidence of 4 per 100,000 children.1  It is characterized by destruction of antibody-sensitized platelets by macrophages in a number of organs, especially the spleen.  This condition is defined by presence of thrombocytopenia (platelet count <150 x 109/L) with normal to increased megakaryocytes in the bone marrow, normal blood cell counts excluding thrombocytopenia, absence of splenomegaly, and the absence of other causes of thrombocytopenia.  In the majority of children, ITP is an acute, self-limiting disorder with complete resolution of illness occurring within 6 months.   However, 20 to 30% of children with ITP develop a chronic form of the disease with persistence of thrombocytopenia beyond 6 months.
In May 2004, a working group of the Canadian Pediatric and Thrombosis Network was established.  This group, the Canadian Pediatric Chronic ITP Working Group, embarked on the development of a national Canadian web-based Pediatric Chronic ITP Registry to better understand the natural history, clinical features, and a treatment response of Canadian children with Chronic ITP.
This registry, hosted on a secure website at the University of Saskatchewan, will allow registered users at Canadian Pediatric Hematology/Oncology centres to confidentially enter anonymous patient data for subsequent analysis.

Chronic ITP Database

Passwords are required with the final site database. Access can be obtained by clicking the following link. Once a username and password has been inputted, registered users may log into their reporting centre.

Please contact Dr. Kaiser Ali via email or telephone 306-655-2744 for details.

Rationale

  • To provide a forum to discuss group data as equal partners with other National/International ITP Registries.
  • To update management practices of childhood ITP through collaboration.
  • To promote education and awareness of chronic ITP.

Purpose of the Registry

Phase I

1.1  To study the natural history of chronic ITP based on

  •     age groups
  •     prodroma
  •     clinical features
  •     platelet count at diagnosis

1.2  To assess bleeding manifestations and analyses of their responses to therapies (possible identification of “outliers” with common response to a particular type of treatment, e.g., IVIG, or of unusual responses)

1.3  To examine the initial response to therapy (within first 6 months) as a possible predictor of response to future treatments

1.4  To develop guidelines for management of chronic ITP

1.5  To review splenectomised patients to detect common features that may be predictive of outcome

Phase II

2.1  To assess the impact of disease on quality of life

2.2  To research the role of Helicobacter pylori

2.3  To transition into, and examine commonalities with, adult chronic ITP

Phase III

     To enable & facilitate clinical trials, e.g. innovative therapies

Publications

Belletrutti M, Ali K, Barnard D, Blanchette V, Chan A, David M, Luke B, Price V, Ritchie B, Wu J. Chronic Immune Thrombocytopenic Purpura in Children: A Survey of the Canadian Experience and Review of the Literature. Submitted for publication May 2005.

Members of the Canadian Pediatric Chronic ITP Working Group

  • Kaiser Ali, MBBS (Chair)
  • Dorothy Barnard, MD
  • Mark Belletrutti, MD
  • Victor Blanchette, MD
  • Anthony Chan, MD
  • Michèle David, MD
  • Brian Luke, MD
  • Gregg Parchomchuk, B.A (Hons), B.Comm
  • Bruce Ritchie, MD
  • John Wu, MD

Mailing Address

Canadian Pediatric Chronic ITP Working Group
Kaiser Ali, MBBS (Chair)
University of Saskatchewan
20 Campus Drive
Saskatoon, SK  S7N 4H4

Our division provides the following clinical services:
For inpatients – on-call consultation service for patients admitted with challenging and/or severe infections, as requested by general pediatricians and other subspecialists.

For outpatients – providing follow-up of patients originally seen as inpatients with a wide variety of acute infections, as well as patients with chronic infections such as hepatitis B, hepatitis C, infections occurring in patients with HIV/AIDS or other underlying immunodeficiency disorders. We also assess, and provide care for infections and other medical issues seen in new immigrants, refugees or adoptees.  We provide recommendations for routine or special immunizations for children with a variety of medical disorders or international travel-related needs.

The division is active in pediatric research, including:

  • Collaboration with the Canadian Pediatric AIDS Research Group (CPARG) – surveillance for the effectiveness of perinatal measures to prevent maternal to child transmission of HIV.
  • Immunization Monitoring Program ACTive (IMPACT) – surveillance of hospital admissions with vaccine-preventable diseases (VPD), as well as those with severe or unexpected adverse events following immunization (AEFI).
  • The Special Immunization Clinic (SIC) – assessing children with previous AEFI, providing immunization to those deemed safe to revaccinate, and monitoring for follow-up adverse event(s). Specific immunization studies have also been added to SIC, including the effectiveness of revaccinating after treatment for leukemia. Other projects may also be added.
  • Infectious disease outbreak studies (e.g. trichinellosis in northern Saskatchewan), retrospective outcome studies (e.g. children admitted with respiratory syncytial virus) and others.

There are currently two faculty members in the division:

  • Ben Tan, MD, FRCPC
  • Athena McConnell, MD, MSc, FRCPC

Our division appreciates the support from our administrative assistant, Jennifer as well as the nurses, social worker, pharmacist and other members of the Positive Living Program (PLP, who serve our patients with HIV). We wish to acknowledge the faculty members of the adult infectious diseases division, who also provide on-call services for pediatric patients throughout the years.

Genetic Counsellors


Genetic Services in Saskatchewan

Below is some information on Genetic Services in Saskatchewan in PDF format.  


Royal University Hospital serves as the tertiary referral centre in obstetrics and neonatology for central and northern Saskatchewan, and cares for approximately 12,000 births per year.  The Neonative Intensive Care Unit (NICU) is located at the Royal University Hospital along with all pediatric subspecialties and general pediatrics.  The NICU has 29 beds as well as an 8 bed Pediatric Intensive Care Unit (PICU)--the only one in the province. 

The Division of neonatology includes four GFT neonatologists, one intensivist, research staff, staff dedicated to neonatal transport and neonatal follow-up, as well as administrative personnel.  The faculty demonstrates an unusually strong commitment to the education of residents as well as to a rapidly expanding research program.  The research interests of the neonatologists are diverse but with particular concentration in the area of clinical care, randomized control trials, and basic science.  Research activity is enhanced by laboratory space dedicated to neonatology in Royal University Hospital.


Neonatal Intensive Care Continuity Program
  • Dr. N. Wonko, Director
  • Dr. L. Givelichian

Neonatal Perinatal Medicine Residency Training Program

  • Dr. L. Givelichian

Research Activities

  • Multi-centered, Multinational randomized Control Trials
  • RSV Risk Factors in Neonates of All Gestational Ages
  • Prevention of RSV Infection in Congential Heart Defects
  • Surfactant Research
  • Evidence-based medical Research on Clinical Practice for Quality Improvement

The Pediatric Pulmonary Division at Royal University Hospital provides comprehensive and coordinated healthcare to manage respiratory health concerns for the children of Saskatchewan.

Our service deals with diagnosis and management of most breathing disorders including obstructive airways disorders like asthma or cystic fibrosis, sleeping disorders, premature lung disorders, and congential airway anomalies.  We provide the services of a full pulmonary function lab, sleep monitoring, sweat testing, immune/allergy testing, and examination of the airway with flexible bronchoscopy.

Our Cystic Fibrosis clinic supports more than 40 children and their families.  Our physicians and nurses work with a multidisciplinary team of Respiratory Therapy, Physiotherapy, Dietary and Social Work.  This team manages the intense, complex medical needs and education of these brave children.

Our Division strongly supports education and research.  Dr. Darryl Adamko, Division Head, is an Associate Professor and Clinician Scientist within the University of Saskatchewan.  We have a dedicated staff of nurses and respiratory therapists to help children and their familes understand and manage their illness.  This includes asthma educators, certified through the Lung Association of Saskatchewan Resp Trec-Respiratory Training and Educator course.

No service is able to function optimally without administrative support.  The Pediatric Pulmonary Division is fortunate to have exceptional administrative support to assist our patients and families, and ensure the smooth and efficient management of our clinic.

Referral to our Pulmonary Clinic, or request for Pulmonary Function testing, can be requested by a family physician or pediatrican.  Referrals can be faxed to 306-844-1514.

Request for Asthma Education by a Certified Asthma Educator does not require a physician referral.  Requests may be directed to:

  • Crystal Spehar, RN at 306-655-2265

Programs

The Department of Pediatrics is committed to developing programs that provide the highest standards of education for undergraduate and postgraduate healthcare trainees, as well as for practicing physicians and affiliated pediatric healthcare providers.

Educational programming is provided by members of the Department of Pediatrics in the following categories:

  • Undergraduate Medical Students (Clinical Sciences)
  • Final Year Medical Students - Junior Undergraduate Rotating Students Interns (JURSIs)
  • Pediatric Residents and Residents from other medical disciplines
  • Community Physicians and Nurses through Continuing Medical and Nursing Education Programs

Please contact us if you would like further information about the educational programming that we offer.  In order to send you more information, be sure to provide the following:

  • name
  • title
  • affiliation
  • mailing address
  • telephone number
  • fax number (if applicable)
  • email

Thank you for your interest in the Department of Pediatrics Educational Programming.

Our Pediatric Undergraduate Medical Education (UGME) program is designed to be fun, interesting, challenging and to prepare you with the professional attitudes and skills that will benefit you throughout your career - no matter what area of medicine you choose to practice in. 

Our program is structured around two principal parts of your curriculum: 

  1. the Professional Skills program
  2. the Clinical Clerkship program

We offer body system oriented didactic and small group session instruction to medical students in their pre-clinical years.  Final year medical students (JURSIs) rotate through in-patient and out-patient services during a 6-week rotation.  

Gayla Flores
Elective Coordinator, Canadian & International Students


Professional Skills II

Professional Skills II builds on professional and clinical skills acquired in Phase A to allow students to become increasingly proficient at establishing diagnoses and planning therapeutic interventions. Because of the degree of student / patient interaction during this course, the values and attitudes pertaining to the physician/patient relationship will also be stressed. 

Objectives

  • Demonstrate how to obtain a patient-centered pediatric history including focused questions that would assist in differentiating etiologies (Medical Expert;  Communicator)Demonstrate a complete pediatric physical examination (Medical Expert)
  • Synthesize the information, using data gathered from the history and physical examination, into an assessment of the presenting problem, including the most likely diagnosis and a differential diagnosis (Medical Expert, Communicator)
  • Develop a management plan appropriate for the patient (Medical Expert)
  • Orally present the case, including history, physical examination, diagnosis and management plan, to the team  (Medical Expert, Communicator)
  • Compile a written case report (Medical Expert, Communicator)
  • Collaborate effectively with peer group and the health care team (Collaborator)
  • Demonstrate appropriate professionalism skills including respect for patients and health team personnel, timeliness, dress, honesty, appropriate boundaries, responsibility, integrity and confidentiality (Collaborator, Professional)

Learning methods

The objectives will be achieved using the clinical learning methods listed below:

  • Interaction with patients and pediatricians in clinics and on wards
  • Histories and physical examinations on patients (inpatients / outpatients)
  • Case presentations on histories and physical examinations
  • Participation in small group discussions with regards to:
    1. differential diagnosis formulation with respect to system or symptom based complaints
    2. generation of appropriate initial investigations with respect to system or symptom based complaints
    3. Verification of physical findings at the bedside in small groups

Clinical Clerkship

ROTATION DESCRIPTION

Duration:  6 weeks
Call:  1 in 4
Vacation/Leave:  5 working days and either the weekend before OR the weekend after; cannot be during the last week of the rotation


ROTATION OBJECTIVES

By the end of the rotation, students will be expected to:

  1. Demonstrate competency (perform an appropriate history and physical examination, synthesize data to arrive at a differential diagnosis, use relevant diagnostic tests, participate in patient care) in the management and treatment of patients with the following conditions (Expert, Communicator, Manager):
    • Anemia
    • Respiratory symptom - cough, wheeze, stridor
    • Fever
    • Heart murmur
    • Fluid and electrolyte abnormalities
    • Head and neck symptom - otalgia, pharyngitis
    • Rash
    • GI symptom - vomiting, abdominal pain, diarrhea
    • Acute CNS symptom - altered level of consciousness, seizures, meningitis
    • Acute respiratory distress
    • Sepsis
    • Child with a chronic illness
  2. Identify and practice elements of anticipatory guidance for patients in the following age categories (Expert, Communicator):
    • Newborn/infant/toddler
    • School age/adolescent
  3. Describe the elements of well child care, including (Expert, Communicator):
    • Stages of normal development
    • Nutritional issues including appropriate diet and sequencing of infant nutrition
  4. Recognize and provide theclinical conditions in a patient that result in a differential diagnosis, microbial etiology where related, and provide an initial treatment/management plan when possible, for the following (Expert, Communicator):
    • Failure to thrive
    • Obesity
    • Isolated motor/language/social delay
    • Gross developmental delay
    • CNS headache
    • GU (UTI)
    • Leukemia
    • Purpura
    • Osteomyelitis and septic arthritis
  5. Demonstrate competency in the following procedures and skills (Expert):
    • Otoscopy
    • Interpret a chest radiograph
    • Interpret a complete set of vital signs
    • Perform a complete newborn examination
    • Perform an assessment of hydration status
    • Plot and interpret a growth curve
  6. Discuss advantages and disadvantages of pharmacologic and non-pharmacologic treatment modalities based upon the patient's context and issues (Expert, Communicator)
  7. Identify the elements of informed consent (Expert, Communicator)
  8. Maintain clear, accurate, and appropriate records of clinical encounters (Expert, Communicator)
  9. Communicate in a language easily understood by patients and family members (Communicator)
  10. Demonstrate an awareness of cultural and socio-economic issues that impact patient and population health (Expert, Communicator, Professional)
  11. Demonstrate an understanding of and practice evidence-based medicine (Expert, Scholar, Communicator)
  12. Identify and appropriately use resources to improve knowledge base (Scholar)
  13. Demonstrate insight into one's own limitations and methods to improve (Professional, Scholar)
  14. Demonstrate application of an ethical framework in the clinical decision-making process, including patient confidentiality, privacy and autonomy (Expert, Communicator, Professional)
  15. Participate with a team of allied health professionals, respecting individual roles, in the care and treatment of a patient (Collaborator, Communicator)
  16. Demonstrate appropriate professionalism skills including respect for patients and health team personnel, honesty, integrity, altruism, appropriate boundaries, responsibility, timeliness, and striving for personal balance (Prefessional)
  17. Practice the art of comforting patients and alleviating suffering (Communicator, Professional)
  18. Promptly identify emergency situations and respond appropriately (Expert)

Aims of the Course

This course is designed to give the fourth year students instruction in providing care for the pediatric and adolescent patient and to enable the student to recognize the need for referral, when necessary.

The instructional methods used include: informal bedside teaching, formal lectures, outpatient teaching, experience in doctors’ offices, experience in special clinics, participation in various academic rounds, and taking part in patient care activities under supervision. This will be supplemented by individual reading about important topics in the pediatric core material. While on the wards, students are expected to take responsibility, under supervision, of the day-to-day care of their assigned patients.

The instructional objectives of the rotation include general pediatric objectives with regard to knowledge, skills and attitudes, and specific objectives related to particular topics and organ systems.

The student will develop clinical skills which include: interviewing the parent and the patient, the taking of a complete history, the performance of a proper physical examination, and the completion of medical records in approved style. The student will also be taught to communicate these facts to other members of the health team at the bedside, during seminar hours, or in the classroom and will be taught to correlate the information obtained into a problem list and make appropriate plans for managing them.

The student will be made aware of the value and application of specialized help from other health personnel and community resources. He/she will be encouraged to make use of the reference library, textbooks, journals, tapes and other resources dealing with clinical pediatrics.

Students are expected to read around their cases and to expand their general pediatric knowledge by independent learning to supplement academic half-day, JURSI seminars and clinical teaching.


STRUCTURE OF THE ROTATION

Saskatoon

  • Four-week rotation on one of two pediatric inpatient units (Orange, Purple) at Royal University Hospital
  • Two weeks in Pediatric Outpatient Clinics attending general and subspecialist pediatric clinics as well as Pediatric Emergency shifts and one day in the NICU. Subspecialist pediatric clinics include those that are on-site at the Royal University Hospital, as well as Social Pediatrics and Developmental Pediatrics Clinics. Social Pediatrics are run out of school-based clinics. Developmental Pediatrics clinics are based at the Kinsmen Children’s Centre.

The Department of Pediatrics offers funding for 4 years within our core General Pediatric Residency program.

Residents may choose to do 3 core years, and then go on to pursue a fellowship at an institution elsewhere; or stay on to complete their 4th year at the University of Saskatchewan. The Pediatric Residency Program is fully accredited by the Royal College of Physicians and Surgeons of Canada.

The Department offers accredited subspecialty fellowship training in Neonatal-Perinatal Medicine and Neurology.

Core Pediatric Residency Program:
The program endeavours to ensure that residents, upon completion of their training, are well equipped to provide comprehensive Pediatric care to all patients – from consultative Pediatric services to management of the critically ill patient.  

Quick Facts:

  • We have 26-28 residents within our program
  • Most of the Pediatric subspecialties are represented. For those that are currently not offered, residents may do an away selective in each of years 2-4, in addition to their elective time
  • Our Social Pediatrics division provides trainees with the opportunity to learn about access to care through school-based clinics
  • Dynamic growing Pediatric Faculty dedicated to teaching
  • Childrens Hospital of Saskatchewan is underway

Objectives for the Pediatric Training Program:

  • During the 3 or 4 years of training, residents gain competency through comprehensive exposure to a diverse Pediatric population.
  • At completion of their training, residents are expected to demonstrate competency to practice as a General Pediatric Consultant.
  • Residents must have met the requirements in all of the 7 CanMEDs Roles.
  • Residents must demonstrate professionalism; have good communication skills; understand and demonstrate how to collaboratively work within a health care team; advocate for patients and families at various levels; demonstrate the ability to be a self-directed learner.

Knowledge and skills acquired include:

  • Recognition of normal/variations in normal growth and development of infants, children and youth
  • Recognition and management of a wide range of Pediatric problems and diagnoses; both common presentations of common problems/uncommon presentations of common problems
  • Recognition and management of the acutely ill child
  • Resuscitation of the sick newborn
  • Critical appraisal, research methodology and application of evidence-based medicine
  • Teaching and supervisory skills

Royal College of Physicians and Surgeons of Canada: Applying competency-based practices to residency education

To contribute to the success of Canadian physicians and the delivery of high-quality patient care, the Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competency-based medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative, called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process.

CBD will use time as a framework rather than the basis for progression. It is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages, and each stage will have a series of milestones based on required competencies. These milestones will create more targeted learning outcomes and involve more frequent, formative assessments within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need.

The Royal College anticipates that all specialty and subspecialty programs in Canada will adopt CBD in gradual phases. All disciplines have been divided into seven cohort groups, each of which will adopt CBD at different times. It is anticipated that national implementation of CBD within certain, individual programs could begin as early as July 2017 - with more disciplines to following in subsequent years.

All programs implementing CBD will continue to undergo the same rigorous accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees in both CBD and traditional programs will include the completion of a Royal College examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones (documented within an electronic portfolio) and the Royal College examination must be successfully completed to achieve certification.

For more information, please contact the Royal College.

Training Sites:
Saskatoon:

  • Royal University Hospital - Acute Care, subspecialty training
  • Alvin Buckwold Child Development Center- Developmental Pediatrics
  • General Pediatric Consultant Practice
  • Pediatric School-Based Clinics - Social Pediatrics

Prince Albert

  • Community Pediatrics

Regina:

  • Junior Ward Consultant Pediatrics/Child Maltreatment - Pediatric Teaching Unit
  • Wascana Rehabilitation Center - Developmental Pediatrics
  • Community Pediatric

 

Administrative Office:
PGME Program director Dr. Maryam Mehtar
PGME Co-director Dr. Ayisha Kurji
PGME Program Administrative assistants Colleen Sopatyk
Jenelle Lohneis

Patient and Family Advisory Council

The Patient and Family Advisory Council is chaired by Mrs. Brielle Lepp and works closely with the Department Head of Pediatrics, Dr. Laurence Givelichian.  The Council strives to make positive changes by cultivating respectful empowering partnerships between patients, families, leadership and staff. It  advocates for changes that enhance the delivery of high quality compassionate patient and family centred care.

Goals

• Promote improved relationships between patients, family and staff.
• Provide input into policy and program development, implementation and evaluation.
• Participate in the development and planning of new facilities and facility renovations.
• Channel information, ideas, needs and concerns of patients and families to hospital administration and staff.
• Review issues referred to the council and provide feedback.
• Help to develop or review informational materials for patients or families.
• Participate in education regarding Patient and Family Centered Care throughout the organization.
• Function as a liaison for patients and families serving in a variety of advisory roles. 

Guiding Principles,  Values, and Philosophy 

• Our overriding guiding principles are those at the foundation of patient and family-centred care: respect participation, information-sharing and collaboration. 
• The PFAC will act in congruence with the MCHS Strategic Plan and the SHR Strategic Plan and values: respect, compassion, excellence, stewardship and collaboration. 
• The Council will use collaborative dialogue and decision making processes that balance and respect the knowledge and expertise of the patients/families and the care providers. 
• SHR will encourage participation of physicians and other members of the multidisciplinary care team in activities of the Council. 
• The Council's role is to deal with comprehensive range of issues and ideas regarding family-centred care. While stories of personal or individual experiences with MCHS are welcome as examples, the role of the Council is not to be a support group or to resolve individual issues or concerns. 
• The Council values diversity and promotes understanding and sensitivity towards diverse cultural and lifestyle practices and beliefs. 

Research

SPRING, the Saskatchewan Pediatric Research and Innovation Group, is a consortium comprising a  diverse group of University of Saskatchewan researchers all of whom are engaged in child health research. This group is trans-disciplinary with representation from the Colleges of Medicine, Arts and Science, Veterinary Medicine, Agriculture, Kinesiology, Pharmacy and Nutrition, Nursing, and more. 

The SPRING Administrative Office facilitates research within the Department of Pediatrics and aims to forge transdisciplinary collaborations. The SPRING Administrative Office is based in the Department of Pediatrics, College of Medicine, University of Saskatchewan.


SPRING Vision and Mission

Vision

SPRING's vision is to improve the health and well-being of children now and into their long term futures through collaborative, visionary, translational research

Mission

To advance the intensity and productivity of  Child Health Research in the Department of Pediatrics and the University of Saskatchewan by through multidisciplinary collaboration.


SPRING Services Offered Within the Department of Pediatrics

The primary role of the SPRING Administrative Office within the Department is to assist the faculty with administrative aspects of their research programs, to explore and facilitate transdisciplinary collaborations and to help to secure infrastructure and financial resources.

Development of Research Programs
SPRING invites researchers and trainees to discuss research interests with the office's administrative personnel. The office can help to define specific research questions, assess feasibility, find potential collaborators, and identify resources required to effectively address the research questions.

Identification of Funding Opportunities
We can search for and identify suitable funding options. 

Formation and Editing of Grant Applications
Once an appropriate funding opportunity is identified, the SPRING office can assist preparing funding applications and to assist with the grant preparation process. 

Submission of Grant Applications
Grant submission involves several administrative steps with which the SPRING office can assist including obtaining signatures, requesting and drafting Letters of Support, and delivering the grant package.

Development of Ethics Applications
We can assist in determining to which Research Ethics Board (REB) the application should be submitted and assist with completing and submitting ethics forms. 


SPRING Activities

Introductory Meeting
Our first meeting was held on September 19th, 2013. We had a great turnout and lots of interest in continuing to build the group's identity, form smaller working groups, and identifying potential funding opportunities.

Inaugural Workshop
Our second meeting and first workshop will take place on May 22, 2014. At this meeting we plan to identify common research themes within the group, and then break out into working groups based on these themes. The smaller groups can then begin to discuss potential projects and possibly funding opportunities as well.


Contacts:

The SPRING Office can offer researchers and trainees the services of a committed Research Director and Research Coordinator who share a well-defined vision of success.

Director of Pediatric Research Dr. Darryl Adamko is a clinician (Respirologist) and research scientist. Dr. Adamko has a very strong record of research productivity and is extremely dedicated to translating research findings into useful applications to improve the health of our children.

Research Facilitator  Tova Dybvig is the Research Facilitator for the Department of Pediatrics at the University of Saskatchewan. In this role she supports faculty with their research activities including grant applications, editing, ethics applications, and several other research-related administrative tasks.

The Children's Health Research Trust Fund exists to promote and facilitate the highest standards of scientific research, to ensure the long-term health and well-being of Saskatchewan children. 


Please see below for details on the General Funding Pool, as well as the Special Funds relating to specific pediatric health care concerns.

For more information please contact:                                      
The Children's Health Research Trust Fund
c/o Department of Pediatrics
Royal University Hospital
103 Hospital Drive
Saskatoon SK S7N 0W8 Canada
Phone: 306-844-1229 
FAX: 306-975-3767
Email

The Children's Health Research Trust Fund is generously supported by tax-deductible contributions from:    
• Individual Donors    
• Community Sponsored Fund-Raising Projects    
• Bequests  

Donate to The Children's Health Research Trust Fund


CHRTF Special Funds

The Children's Health Research Trust Fund  manages the following Special Funds:

The Adolf Polisiuk Research Fund

The Adolf Polisiuk Research Fund particularly encourages the submission of research proposals relating to Sudden Infant Death Syndrome, perinatal and neonatal medicine as well as studies for which obstetrical and pediatric collaboration is required.

The Idy Leonoff Research Fund

The Idy Leonoff Research Fund encourages submission of proposals relating to childhood cancer.

The Kiera Goertz Research Fund

The Kiera Goertz Research Fund promotes studies relating to the care and treatment of children with heart disease.  The Fund particularly encourages applications from researchers representing any of the health care disciplines concerned with the welfare of children with heart disease and their families.

The Ludwig, Olga and Constance Kaye Research Fund

The Ludwig, Olga and Constance Kaye Research Fund exists to support and encourage research relating to the effects on children of infectious disease during their mother's pregnancy, particularly diseases which affect eyesight and/or hearing.

The Tamara Esther Avivi Research Fund

The Tamara Esther Avivi Research Fund was established to promote and facilitate research relating to improving the understanding, treatment and prevention of childhood asthma and allergic disorders.

The Richardson Research Fund

The Richardson Research Fund was established to promote research relating to neurologic disorders.  In particular, the Fund encourages research relating to spinocerebellar degeneration and other forms of cerebellar ataxia.  The Fund encourages research that contributes to new insights into these disorders that would lead to new therapies or cures. 

Donate to the CHRTF, and indicate which special fund you wish to donate to in the Comments box.

Interested in pediatric research?
Members of the Department of Pediatrics conduct research studies to improve health and services for patients and families in Saskatchewan.
 
The Permission to Contact Youth for Research Program allows youth and young adults to sign up to learn about future research study opportunities happening in the Department of Pediatrics.
 
Who is eligible?
Youth and young adults age 16-25 years who have accessed pediatric care in the past or may in the future.
 
By choosing to participate, you are not consenting to participate in a research study.  You will receive information on research opportunities. Participation in this program is voluntary. You may withdraw any time without impact on your continuing medical care.
 
Interested in signing up? Visit the REDCap website, or contact us for more information.
Join Johnny as he goes on a journey to learn more about iron deficiency anemia and how to defeat it! Video created by: Sina Sayedinazad Edited by: Roona Sinha, Sarah Tehseen, David Stammers, Craig Eling Voice Actors: Sarah McConnell, Jonah McConnell, Rachel McConnell, Roona Sinha, Sina Sayedinazad Funded by: University of Saskatchewan College of Medicine Dean’s Project

2019 Child Health Research Trainee Day

On Thursday, April 18, 2019 the Department of Pediatrics will be hosting the Child Health Research Trainee Day. Residents, graduate students, undergraduate students, and post-doctoral, who are engaged in child health research, will be presenting their work.

Details:
Thursday April 18th, 2019
Louis Loft
12:00-6:30pm
Lunch and appetizers provided

To RSVP for lunch, and receive further information, please contact Tova Dybvig.

Pediatric Research Newsletter

June 2018

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Partners

The Department of Pediatrics works closely with the following local organizations:
Jim Pattison Children's Hospital Foundation of Saskatchewan (CHFS) - CHFS's mission "is dedicated to raising funds for the enhancement of children's healthcare and the Children's Hospital of Saskatchewan."


Saskatchewan Health Authority (SHA) - SHA's mission is to "improve health through excellence and innovation in service, education and research, building on the strengths of our people, and partnerships.”

The Canadian Diabetes Association (CDA) is focused on its mission - "to lead the fight against diabetes by helping people with diabetes live healthy lives while we work to find a cure.  More than 9 million Canadians are living with diabetes or prediabetes, with 90,000 people in the province of Saskatchewan.  Through the work of thousands of volunteers, CDA helps our diabetes community in the areas of programs and services, research, professional educaiton and advocacy."  For more information, visit www.diabetes.ca

The Lung Association of Saskatchewan's role is "to improve respiratory health and the overall quality of life through progams, education, research, training, treatment, and prevention of lung disease."  With regards to pediatric respirology, the Lung Association supports the children of Saskatchewan in many ways by funding research, providing financial assistance in recruiting a pediatric respirologist, as well as offering training programs for continuing education of healthcare professionals.  For more information, please visit www.sk.lung.ca.

Northern Medical Services is a Division of the Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, and has a vision of healthy northern communities.  The Division's mandates include a spectrum of medical services from primary medical care and health promotion, specialist medical care, public health, and research and education.  Its mission is to work with northern tribal councils, northern health authority boards, communities, health-related organizations and government to improve the health and wellbeing of northern residents.  For more information, please visit www.northerndocs.ca.

The Arthritis Society is Canada's only charitable organization that provides leadership and funding for research, advocacy and solutions to improve the quality of life for Canadians affected by arthritis.  For hundereds of Saskatchewan children, the physical pain and disability of arthritis interferes with everyday activities and isolates them from their friends.  The Arthritis Society supports a year-round network of resources to help families manage symptoms.  For more information, please visit www.arthritis.ca

STC improves the quality of life of First Nations, living on and off reserve, through mutually beneficial partnerships with community organizations and industry. Opportunities for improved living are accessed through second level health, safety, economic development and education programs and services, and community financial investments. Acting as a representative body for seven First Nations, STC employs more than 250 people throughout various locations. More information on the company is available at www.sktc.sk.ca

 
Greater Saskatoon Catholic Schools is Saskatchewan’s largest Catholic school division, with 43 schools in Saskatoon, Biggar and Humboldt and new Catholic schools planned for Martensville and Warman. The school division nurtures faith, encourages excellence in learning and inspires students to serve others, making the world a better place.

This Week in Pediatrics

Event Calendar

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Contact

Department of Pediatrics
University of Saskatchewan
Royal University Hospital
103 Hospital Drive
Saskatoon, SK  S7N 0W8
Canada

T:  306-844-1068
F:  306-975-3767 (administrative)
F:  306-844-1531 (clinical)

Dr. Laurentiu Givelichian,
Unified Head, University of Saskatchewan &
Saskatoon Health Region

306-844-1068
Colleen Sopatyk
Senior Postgraduate Program Administrative Assistant
& Dept. Head Assistant

306-844-1068
Michelle Haley
Undergraduate Program
Administrative Assistant

306-844-1271
Jenelle Lohneis
Postgraduate Program
Administrative Assistant

306-844-1217
Gregg Parchomchuk
Finance and Administrative Manager

306-844-1072