At the 1996 annual examination for paediatric respiratory medicine in Canada, deficiencies of the residency training programs across the country were discussed.
We realized that all of the institutions were deficient in at least some aspects of respiratory medicine and that we may be able to play a role to improve the situation. The deficiencies were due to a number of factors: a lack of unusual cases in smaller program centres; small numbers of staff physicians (3-6) who may be lacking collective experience in some areas of respiratory medicine; small numbers of residents (1-6) who may not have the opportunity to share each other's opinions; and others.
The idea for a regular Cross Canada video conference educational meeting came forward. This video conference was to link up 3700 kilometres and 3 time zones At the same time Astra (now AstraZeneca) was looking for innovative ways to use its new video conference network, and the Cross Canada Paediatric Respiratory Resident Rounds was launched in September 1997. A key feature to the success of these rounds has been the strong motivation of all programs to actively participate and attend regularly from their inception.
The Cross Canada Rounds operates in this manner: we have expanded our audience to include any interested pediatric respirologist practicing in Canada (approximately 50 in 15 sites across 6 time zones and 7000 km) and each month residents from across the nation present one clinical case and one journal article to approximately 10-15 residents, the 50 respirologists, and other health care professionals. The relatively small numbers of centres leads to discussion that is extremely interactive, lively and interesting. The number of total participants assures that the residents see the various approaches and solutions to a wide variety of problems from different centers, both academic and non-academic. As well, residents have a unique opportunity to present to an audience of national calibre on a regular basis. We feel that both residents and staff from all the programs benefit from these rounds.
As the overall quality of the presentations and research of the literature by the residents has been excellent, we had decided to share out experience with other medical students and experts through the inception of a website. In the first version (September 2000) we present a semi-interactive model. After a lapse of 2 years (2004-2006), we now anticipate continuing this program indefinitely.
We welcome your suggestions to improve upon the objectives below, and in how to achieve them.
Web Site Objectives
- Share the information collected and presented by the residents with others from around the world.
- Provide a topic specific resource for resident education.
- Promote the sharing of approaches to medical problems to all participants.