Paediatric Neurology Education Brochure

17
Department of Paediatrics Paediatric Neurology Brochure includes information on department members with leadership Listing of Clinics and Sub Specialities Emphasis on education programs

description

Paediatric Neurology Education Brochure

Transcript of Paediatric Neurology Education Brochure

Page 1: Paediatric Neurology Education Brochure

Department of Paediatrics

Paediatric Neurology

• Brochure includes information on department members with leadership

• Listing of Clinics and Sub Specialities • Emphasis on education programs

Page 2: Paediatric Neurology Education Brochure

Department of Paediatrics Calgary Zone

The Department has four fundamental activities: • Provision of all levels of clinical services to infants, children and adolescents in Calgary,

throughout Alberta and other Provinces • Training the next generation of healthcare professionals caring for children and their

families, and continued training for current healthcare professionals • Knowledge generation and innovation in clinical care and education through the conduct,

dissemination and translation of research • Provision of leadership throughout clinical and academic health systems.

We have grown to over 300 clinical and academic faculty members in 20 clinical sections and divisions, and 2 academic units. The hub of our clinical services is the 135 bed Alberta Children’s Hospital which last year (2011-12) received over 237,000 outpatient clinic visits, over 65,000 emergency department visits and 7300 admissions. We provide neonatal intensive care unit (NICU) care at the Alberta Children’s Hospital, Foothills Medical Centre, Peter Lougheed Centre and Rockyview General Hospital. Last year, nearly 3000 babies were served in our NICUs. We also provide

paediatric inpatient service at the Peter Lougheed Centre, as well as general paediatric and subspecialty ambulatory clinical services throughout Calgary. We provide palliative and respite care at the Rotary Flames House, located beside ACH. Our physicians travel to provide hundreds of outreach clinics throughout southern Alberta. The population we serve continues to grow. Last year there were over 18,000 births in the Calgary zone. The Government of Alberta estimates that the number of births will continue to increase to nearly 20,000 per year by 2021 and that the number of infants, children and youth aged 19 and under will increase by 20% from 333,530 in 2012 to 399,590 in 2021 (“Alberta Population Projection 2012-2041”). We teach health professionals at all levels throughout the University of Calgary, as well as SAIT and Mount Royal College. There are 12 Royal College of Physicians and Surgeons of Canada Paediatric Residency Training Programs in Calgary (http://medicine.ucalgary.ca/postgrad). In 2011-12, 93 medical residents and fellows were being trained. Department members initiate or participate in biomedical, clinical, health services and population/public health research. Our main research partner is the ACH Research Institute for Child and Maternal Health (ACHRI, www.ucalgary.ca/research4kids/). The Alberta Children’s Hospital Foundation provides generous support to services in the hospital and to research (www.childrenshospital.ab.ca).

Page 3: Paediatric Neurology Education Brochure

Funding of faculty in the Department of Paediatrics is complex. Fee-for-service funding remains the main source of funding. The Paediatric Academic Alternate Relationship Plan (Academic ARP) supports about 100 FTEs. There are separate Clinical ARPs for each of Neonatology and the Paediatric Intensive Care Unit. The Sections of Hospital Paediatrics and Medical Genetics each have an Alternate Payment Plan (APP). Several PhD members of the Department are supported by the ACH Research Institute (ACHRI) and several department members have salary awards from external research agencies. Overall, we are able to provide excellent clinical care to the children and families who we serve. We also make excellent contributions to education, research, advocacy and medical leadership. Our workforce has increased substantially over the last decade. Our main challenges, at the end to 2012, are two-fold. First, the facilities and institutions built to support pediatric services in Calgary and area are strained. The population growth over the last decade far exceeded projections and growth continues, at a time when there are limited opportunities to increase pediatric facilities. Second, the outlook for funding of academic departments in Alberta (through AARPS) is currently very uncertain and the outlook for overall physician services funding in Alberta is unsettled. Our Hospitals and facilities

Alberta Children’s Hospital The Alberta Children’s Hospital opened in Calgary, Alberta in September 2006, becoming the first free-standing pediatric facility to be built in Canada in more than 20 years.

Family centred care is a philosophy celebrated by the Alberta Children’s Hospital, which recognizes the important role families play in the physical, psychological and spiritual well-being of their children. This model of care embraces family members as key partners in a child’s healing team.

This philosophy is most evident in the actual design of the building.

The hospital was designed by the people who use the building the most — kids, families, physicians and staff. The colourful lego-inspired building has become a Calgary landmark and one that is unique in every way. Over 82,000 kids rely on care from the hospital each year and you can help assure the long-term health of our children.

This philosophy is most evident in the actual design of the building.

The hospital was designed by the people who use the building the most — kids, families, physicians and staff. The colourful lego-inspired building has become a Calgary landmark and one that is unique in every way. Over 82,000 kids rely on care from the hospital each year and you can help assure the long-term health of our children.

The Alberta Children’s Hospital is used by patients from birth to age 18 from across Alberta, south-eastern British Columbia and south-western Saskatchewan as multi-disciplinary teams work together to promote healing through family centred care.

Page 4: Paediatric Neurology Education Brochure

A History of the Alberta Children’s Hospital While today, the Alberta Children's Hospital is a world-class pediatric facility, caring for more than 75,000 children and families each year, it has evolved from very humble beginnings. Our first hospital opened in 1922 and was known as the Junior Red Cross Children's Hospital. It was originally a three-storey home at 522 - 18 Avenue SW, had 35 beds, and was run by volunteer physicians. Seven years later, as demands for children's health care increased, the hospital was moved to a renovated apartment house on 20th Avenue SW. It was renamed the Red Cross Crippled Children's Hospital. The former Richmond Road site began taking shape in 1952 when provincial and federal grants resulted in the construction of two wings. Five years later, the Red Cross discontinued sponsorship support of the hospital and the hospital was registered under the Societies Act as a non-profit organization and renamed the Alberta Crippled Children's Hospital. The non-profit organization was named the Alberta Children's Provincial General Hospital Society and eventually became known as the Alberta Children's Hospital Foundation.

By 1960, the hospital took the name it holds today: the Alberta Children's Hospital. In 1972, the provincial government purchased the hospital for $2 million from the Foundation who used the revenue to create an endowment fund. Support from the Foundation to the hospital has continued ever since. In the early years, children with septic tonsils, polio and club foot accounted for most of the hospital admissions. Patients stayed on average from one to two months. Today, the Alberta Children's Hospital provides a complete range of medical, surgical and diagnostic services. Because children heal better at home, specialists make every effort now to minimize the length of hospital stay for patients and provide expert care through the hospital's out-patient clinics.

Page 5: Paediatric Neurology Education Brochure

Rockyview General Hospital (RGH) is a large hospital in Alberta, Canada. It is located in the city of Calgary, on the shores of the Glenmore Reservoir and is administered by Alberta Health Services and formerly by the Calgary Health Region.

The hospital contains over 650 beds and provides medical and surgical services to Calgary and Southern Alberta. The RGH is noted for its comprehensive urology department, and is becoming the leader in Canada for urological care. It includes a 24 hours emergency department, an intensive care unit (ICU), as well as day surgery units. It offers a Maternal Newborn Program, mental health and psychiatric services, as well as senior's health and ambulatory care. Additionally, the Lions Eye Bank, which is a regional centre for recovery of donated eye tissue for corneal transplants, is located at RGH.

The building was designed by Culham Pedersen Valentine, and built at a cost of $90 million. It had a total surface of 69,952 m2 (752,960 sq ft), and an additional 23,000 m2 (250,000 sq ft) were added in 1995. Further expansion in 2004 added another 100 beds.

The hospital is undergoing expansion and upgrades, with two operating theatres to be added to the surgical suite, and vertical expansion of the Highwood Building. In addition, the expansion will include an added 100 inpatient beds, as well as 3 stories added to the hospital's North Tower, and 5 stories to the South side of the hospital.

Clinics

• Breast Feeding • Bronchoscopy • Cast • Cystoscopy • Enterostomal Therapy • Emergency Cast • General Ante-partum • General Cardiology • Hand • Home Visit • Infectious Disease • Medical Geriatric • OBS Gyne • Ophthalmology • Orthopedic • Outreach • Pacemaker • Pain • Pre op Assessment

In addition, ambulatory care includes Medicine, Respiratory, GI/GU, Surgery, Diabetes in Pregnancy, Pulmonary Respiratory Exercise Program, Lithotripsy, Pacemaker Clinic, Paediatric Clinic, Geriatric Outpatient Consultation and Geriatric Mental Health.

Page 6: Paediatric Neurology Education Brochure

Peter Lougheed Centre

(PLC) is a large hospital in Alberta, Canada. It is located in the City of Calgary, and runs under the auspices of Alberta Health Services, formerly the Calgary Health Region, providing medical and surgical services not only to Calgary, but also Southern Alberta. The PLC has a 24 hours emergency department, an intensive care unit (ICU), Level IV trauma centre and offers ambulatory care. It was named after the late Peter Lougheed, who served as premier of Alberta from 1971 to 1985. The hospital opened in 1988 with 500 beds, and today contains over 600 beds. The new East Wing was completed in 2008 and includes 140 inpatient beds, as well as a new intensive care and coronary care unit. It was also designed with a new roof-top helipad for emergency services.

Clinics

• Adult Congenital Heart • Amputee • Asthma/Lung Health • Behavioral Development • Breast Feeding • Bronchoscopy • Cardiology • Cast • Cystoscopy • Diabetes in Pregnancy • Emergency Cast • Enterostomal Therapy • Family Day Medicine • Fetal Assessment • General Surgery • Geriatric Assessment • Gerontology • Hand Plastics • Hematology/Oncology • Home Parenteral Therapy Program • Minor Surgery • Neurology • Obstetrical Assessment • Outpatient Carbogen • Pacemaker • Pediatric and Adult Pre op Assessment • Private Pediatric • Psychiatric Day • Psychiatric Emergency • Psychiatric Forensic Assess • Psychiatric Outpatient Services • Rheumatology • Tracheostomy • Urgent Referral

In addition, ambulatory care includes Cardiac Diagnostics, Medicine, Respiratory, GI, Neurodiagnostics and Gynecology Outpatient services.

Credits: LYLE ASPINALL/CALGARY SUN/QMI AGENCY

Page 7: Paediatric Neurology Education Brochure

Foothills Medical Centre

In addition to a 24-hour emergency room and inpatient care, FMC has 57 outpatient clinics on site. This facility provides comprehensive and specialized medical and surgical services to Calgary and Southern Alberta:

• 26 bed intensive care unit and 24 bed cardiac care unit • Trauma centre for Southern Alberta • 18 operating theatres - including a specially designated trauma operating room • High risk maternity and neonatal intensive care unit • PARTY Program (Prevent Alcohol & Risk Related Trauma in Youth Program for Grade 9

secondary school students) • PADIS (poison & drug information) • Southern Alberta Renal Program • Intraoperative MR - magnetic resonance system (first of its kind in the world, located in the

Seaman's Family MR Research Centre) • Stephenson Cardiac MR Centre - the leading cardiac magnetic resonance facility in

Canada, as measured by number of peer-reviewed articles published, and part of the Libin Cardiovascular Institute of Alberta

• Multiple transplantation such as kidney, pancreas, corneal and tissue transplants. • HOPE Program (Human Organ Procurement and Exchange) • University of Calgary Medical Clinic (UCMC) clinics • The Colon Cancer Screening Centre - providing screening colonoscopies to hundreds of

patients a month.

Foothills Medical Centre (FMC) is the largest hospital in Alberta, Canada and is located in the City of Calgary. It is one of Canada's most recognized medical facilities and is one of the leading hospitals in Alberta, providing advanced healthcare services to over two million people from Calgary, Southern Alberta, south-eastern British Columbia, and southern Saskatchewan. Formerly operated by the Calgary Health Region, it is now under the authority of Alberta Health

Services.

The main building of the hospital was opened in June 1966. It was originally named 'Foothills Provincial General Hospital' and later known simply as Foothills Hospital. With the addition of other medical facilities, it became known by its present name.

Foothills Medical Centre is an accredited tertiary Level 1 trauma centre by the Trauma Association of Canada and is the largest regional trauma centre in Southern Alberta. In addition, FMC is accredited by Accreditation Canada for stroke rehabilitation. FMC works in conjunction with the nearby University of Calgary for the purposes of educating students as well as providing facilities for medical research.

Page 8: Paediatric Neurology Education Brochure

FMC includes the University of Calgary Medical Centre (UCMC) as well as the Special Services Building (where most other medical services are provided) and the Tom Baker Cancer Centre, which was renamed the "Cancer Centre", and is a leading centre in Alberta for cancer treatment and research. The large site also features Grace Women's Health Centre, which specializes in women's health, the Health Sciences Association of Alberta, as well as both the North Tower and South Tower, which offer many outpatient services. The head office of Libin Cardiovascular Institute of Alberta is located on the 8th floor of the Foothills Medical Centre. The TRW Building was also added to the Health Sciences building, which was completed in late 2005. In addition, the new McCaig Tower opened in October 2010 with 93 inpatient beds, 36 bed intensive care unit (only 25 funded by the Government of Alberta), 21 short-stay beds (a total of 150 additional beds), as well as 8 operating rooms. In November 2011, the newly designed Intensive Care Unit (ICU) was awarded the 2012 Design Citation for being "one of the best in the world". The neighbouring Alberta Children's Hospital and west side of the University of Calgary campus are accessible from FMC via West Campus Boulevard.

Apart from these distinctions, FMC boasts the world's first and most powerful movable MRI machine, which was introduced in January 2009. It will help patients at the Foothills Medical Centre (FMC) receive the world’s safest, most accurate surgery possible. In addition, the world's first robotic surgery was also performed on a patient at the FMC for a removal of a brain tumour, which also created a landmark in Canadian medical history. In June 2010, the Calgary Stroke Program, an initiative of the Foothills Medical Centre, was awarded the "Stroke Services Distinction" and is recognized as one of two leading stroke centres in Canada, the other in Toronto, by Accreditation Canada.

South Health Campus

Construction of South Health Campus (SHC) began in August of 2007, and at the end of 2012 and the beginning of 2013 its doors are beginning to open. SHC is modeled on a somewhat different philosophy than the traditional hospital based on four foundational pillars of care. These pillars include Collaborative Practice, Innovation, Patient & Family Centered Care and Wellness. The goal is to deliver services within the community surrounding SHC by integrating leading technology, research and education with the unique healing environments that are facilitated at the site and a progressive, environmental design.

Page 9: Paediatric Neurology Education Brochure

As soon as you walk into the building there is a feeling of a community fostered by its unique design. An in house YMCA with a climbing wall, large open spaces, single bed patient rooms with exterior views, wide corridors, gardens and artwork throughout the building and a retail space made to feel more like a café, is all part of the design created to provide wellness, knowledge and education to all who are there. Other services are also available including health resources and knowledge centers and an interactive and demonstrative wellness kitchen. Collaborative Practice includes ensuring safe and quality care, a focus on patient and family centered care, joint decision making, as well as respecting and valuing the different roles of the patients and all health care providers. A trusting and open communication style along with sharing accountability in a just and equitable way for patient care is also a large component of this pillar of collaborative practice. Innovation can mean a number of things; it can be the ability to make changes that result in a more effective type of patient care or looking at how we are doing things with a new lens and determining how we can improve patient care. It could be incorporating a new idea into a patient’s care or perhaps using an existing idea that is present in the region or even nationally or internationally, but applying it in a new setting. The last of these foundational pillars is Family and Patient Centered Care. This goal is for families to be partners in care in a supportive and respective environment for patients and health care providers. There has been a new approach taken to the communication style between staff as well as between staff and patients. A new method known as NOD has been adopted. NOD stands for Name, Occupation and Duty. When providers arrive at a patient’s door they will tell families who they are, their role and why they are there. A communication white board will also be at every bedside so that families’ questions can be addressed appropriately and to ensure clear communication lines between all those providing care. A Citizen Advisory Team is also going to advise on how to enhance things for patients and families being cared for in the hospital. Dr. Harish Amin is the Medical Site Lead for Paediatrics at the South Health Campus and Department of Paediatrics at the South Health Campus Special Feature has been a leader in facilitating and educating individuals on the role of the Department of Paediatrics at this new site. Paediatric Emergency is housed within the Emergency Department at SHC and opened with all Emergency services on January 14, 2013. In its first three days after opening 30% of all emergency visits have been paediatric patients. It is anticipated that it will get busier but currently Paediatric Emergency physicians offer 12 hours of coverage in the department daily. General and subspecialty clinics will be opening around the end of May 2013 and are all housed on the 7th floor of SHC along with the 16 bed Level II Neonatal Intensive Care Unit (NICU). It is projected that the NICU will open along with labor and delivery services on September 3, 2013. Some clinics that will be offered at SHC include Asthma, Neurology, General Paediatrics, Weight Management and some Nephrology clinics. As more subspecialists come on board with recruitment the hope is to also offer other subspecialty clinics including Allergy and Immunology and Developmental Paediatrics Clinics starting in 2014.

Page 10: Paediatric Neurology Education Brochure

The Rotary Flames House (RFH) is a hospice that serves families from Alberta caring for a child 0-17 years old with a progressive life-threatening or life-limiting condition. The Rotary Flames House is situated in the Northeast corner of the Alberta Children's Hospital grounds, directly across from the helicopter pad. It is modeled after a two-storey home and is designed to be a place of sanctuary for families and children. Care is provided 24 hours a day, 7 days a week by a team of trained healthcare professionals in a supportive, welcoming, and friendly environment. Rotary Flames House is home to the Children's Hospice and Palliative Care Service (CHaPS). CHaPS provides a comprehensive palliative care program for children with life-threatening illness and their families across the continuum of care. These consist of: Palliative Care Consultation Service The palliative care consultation service is comprised of specialized palliative care physicians, nurses, social workers and chaplains who provide a collaborative, comprehensive team approach to confronting the challenging issues around a child's serious illness and possible death.

Grief Support Program The grief support program is available to provide support to all families who have a child who has died. Bereavement support is offered in many ways to fit the unique needs of the family, such as individual, family and/or group counseling, resourcing/education and referrals to community agencies.

Family support provided at Rotary Flames House includes: • Planned and emergency respite • Short term transitional care between hospital and home • Symptom management • Grief and bereavement support • Specialized end of life care that honors the primary role of the family and community.

Page 11: Paediatric Neurology Education Brochure

About Calgary The City of Calgary's 2012 municipal census counted a population of 1,120,225, a 2.7% increase over its 2011 municipal census population of 1,090,936.

The city is among the sunniest in Canada, with 2,405 hours of annual sunshine, on average.

Sports, Recreation & Attractions

In large part due to its proximity to the Rocky Mountains, Calgary has traditionally been a popular destination for winter sports. Since hosting the 1988 Winter Olympics, the city has also been home to a number of major winter sporting facilities such as Canada Olympic Park (bobsleigh, luge, cross-country skiing, ski jumping, downhill skiing, snowboarding, and some summer sports) and the Olympic Oval (speed skating and hockey). These facilities serve as the primary training venues for a number of competitive athletes. Also, Canada Olympic Park serves as a mountain biking trail in the summer months.

In the summer, the Bow River is very popular among fly-fishermen. Golfing is also an extremely popular activity for Calgarians and the region has a large number of courses.

Calgary hosted the 2009 World Water Ski Championship Festival in August, at the Predator Bay Water Ski Club which is situated approximately 40 km (25 mi) south of the city.

As part of the wider Battle of Alberta, the city's sports teams enjoy a popular rivalry with their Edmonton counterparts, most notably the rivalries between the National Hockey League's Calgary Flames and Edmonton Oilers, and the Canadian Football League's Calgary Stampeders and Edmonton Eskimos.

The city also has a large number of urban parks including Fish Creek Provincial Park, Nose Hill Park, Bowness Park, Edworthy Park, the Inglewood Bird Sanctuary, Confederation Park, and Prince's Island Park. Nose Hill Park is the largest municipal park in Canada. Connecting these parks and most of the city's neighbourhoods is one of the most extensive multi-use (walking, bike, rollerblading, etc.) path systems in North America.

Page 12: Paediatric Neurology Education Brochure

Downtown features an eclectic mix of restaurants and bars, cultural venues, public squares (including Olympic Plaza) and shopping. Notable shopping areas include such as The Core Shopping Centre (formerly Calgary Eaton Centre/TD Square), Stephen Avenue and Eau Claire Market. Downtown tourist attractions include the Calgary Zoo, the Telus World of Science, the Telus Convention Centre, the Chinatown district, the Glenbow Museum, the Calgary Tower, the Art Gallery of Calgary (AGC), Military Museum and the EPCOR Centre for the Performing Arts. At 2.5 acres (10,000 m2), the Devonian Gardens is one of the largest urban indoor gardens in the world, and it is located on the 4th floor of The Core Shopping Centre (above the shopping). The downtown region is also home to Prince's Island Park, an urban park located just north of the Eau Claire district. Directly to the south of downtown is Midtown and the Beltline. This area is quickly becoming one of the city's densest and most active mixed use areas. At the district's core is the popular "17 Avenue", which is known for its many bars and nightclubs, restaurants, and shopping venues. During the Calgary Flames' playoff run in 2004, 17 Avenue was frequented by over 50,000 fans and supporters per game night. The concentration of red jersey-wearing fans led to the street's playoff moniker, the "Red Mile." Downtown is easily accessed using the city's C-Train light rail (LRT) transit system.

Attractions on the west side of the city include the Heritage Park Historical Village historical park, depicting life in pre-1914 Alberta and featuring working historic vehicles such as a steam train, paddle steamer and electric streetcar. The village itself comprises a mixture of replica buildings and historic structures relocated from southern Alberta.

Other major city attractions include Canada Olympic Park, which features Canada's Sports Hall of Fame, and Spruce Meadows.

Calgary has a number of multicultural areas. Forest Lawn is among the most diverse areas in the city and as such, the area around 17 Avenue SE within the neighbourhood is also known as International Avenue. The district is home to many ethnic restaurants and stores. Calgary was designated as one of the cultural capitals of Canada in 2012.

Calgary is the site of the Southern Alberta Jubilee Auditorium performing arts, culture and community facility. The auditorium is one of two "twin" facilities in the province, the other located in Edmonton, each being locally known as the "Jube." The 2,538-seat auditorium was opened in 1957 and has been host to hundreds of Broadway musical, theatrical, stage and local productions. The Calgary Jube is the resident home of the Alberta Ballet Company, the Calgary Opera, the Kiwanis Music Festival, and the annual civic Remembrance Day ceremonies. Both auditoriums operate 365 days a year, and are run by the provincial government. Both received major renovations as part of the province's centennial in 2005.

Photo credit: Photo of Railway Prairie Town re-creation, Heritage Park, Calgary, Alberta, Canada – Courtesy of Qyd via Wikimedia Commons

Page 13: Paediatric Neurology Education Brochure

The city is also home to a number of theatre companies; among them are One Yellow Rabbit, which shares the EPCOR Centre for the Performing Arts with the Calgary Philharmonic Orchestra, as well as Theatre Calgary, Alberta Theatre Projects and Theatre Junction Grand, culture house dedicated for the contemporary live arts. Calgary was

also the birthplace of the improvisational theatre games known as Theatresports. The Calgary International Film Festival is also held in the city annually, as well as the International Festival of Animated Objects.

Every three years, Calgary hosts the Honens International Piano Competition (formally known as the Esther Honens International Piano Competition). The finalists of the competition perform piano concerti with the Calgary Philharmonic Orchestra; the laureate is awarded a cash prize (currently $100,000.00 CDN, the largest cash award of any international piano competition), and a three-year career development program. The Honens is an integral component of the classical music scene in Calgary.

Visual and conceptual artists like the art collective United Congress are active in the city. There are a number of art galleries in the downtown, many of them concentrated along the Stephen Avenue and 17 Avenue corridors. The largest of these is the Art Gallery of Calgary (AGC). Calgary is also home to the Alberta College of Art and Design.

Calgary is also home to a vibrant choral music community, including a variety of amateur, community, and semi-professional groups. Some of the mainstays include the Mount Royal Choirs from the Mount Royal University Conservatory, the Calgary Boys' Choir, the Calgary Girls Choir, the Youth Singers of Calgary, the Cantaré Children's Choir, and Spiritus Chamber Choir.

Calgary hosts a number of annual festivals and events. These include the Calgary International Film Festival, the Calgary Folk Music Festival, FunnyFest Calgary Comedy Festival, the Folk Music Festival, the Greek Festival, Carifest, Wordfest: Banff Calgary International Writers Festival, the Lilac Festival, GlobalFest, the Calgary Fringe

Page 14: Paediatric Neurology Education Brochure

Festival, Summerstock, Expo Latino, Calgary Gay Pride, Calgary International Spoken Word Festival, and many other cultural and ethnic festivals. Calgary's best-known event is the Calgary Stampede, which has occurred each July since 1912. It is one of the largest festivals in Canada, with a 2005 attendance of 1,242,928 at the 10-day rodeo and exhibition.

Several museums are located in the city. The Glenbow Museum is the largest in western Canada and includes an art gallery and First Nations gallery. Other major museums include the Chinese Cultural Centre, the largest stand-alone cultural centre in Canada), the Canadian Olympic Hall of Fame and Museum (at Canada Olympic Park), The Military Museums, the Cantos Music Museum and the Aero Space Museum.

Prince of Wales and Lieutenant-Governor Egbert, Calgary, Alberta - Glenbow Archives NB-16-76

Downtown

Downtown can be recognized by its numerous skyscrapers. Some of these structures, such as the Calgary Tower and the Scotiabank Saddledome are unique enough to be symbols of Calgary. Office buildings tend to concentrate within the commercial core, while residential towers occur most frequently within the Downtown West End and the Beltline, south of downtown. These buildings are iconographic of the city's booms and busts, and it is easy to recognize the various phases of development that have shaped the image of downtown. The first skyscraper building boom occurred during the late 1950s and continued through to the 1970s. After 1980, during the recession, many high-rise construction projects were immediately halted.

It was not until the late 1980s and through to the early 1990s that major construction began again, initiated by the 1988 Winter Olympics and stimulated by the growing economy.

To connect many of the downtown office buildings, the city also boasts the world's most extensive skyway network (elevated indoor pedestrian bridges), officially called the +15. The name derives from the fact that the bridges are usually 15 ft (4.6 m) above grade.

In addition to the many shopping areas in the city centre, there are a number of large suburban shopping complexes in the city. Among the largest are Chinook Centre and Southcentre Mall in the south, Westhills and Signal Hill in the southwest, South

Trail Crossing and Deerfoot Meadows in the southeast, Market Mall in the northwest, Sunridge Mall in the northeast, and the newly built CrossIron Mills just north of the Calgary city limits, and south of the City of Airdrie.In nearby Airdrie at the Calgary/Airdrie Airport the Airdrie Regional Air show is held every two years. In 2011 the air show featured the Canadian Snowbirds, a CF-18 demo and a United States Air Force F-16.

Page 15: Paediatric Neurology Education Brochure

Neurology Department Physician/Faculty Listing Dr. Jong M. Rho* - Section Chief Dr. Karen Barlow* Dr. Luis Bello-Espinosa* Dr. Anita Datta* Dr. Laura Flores-Sarnat Dr. Heather Graham#

Dr. Robert Haslam Dr. Alice Ho* Dr. Adam Kirton* Dr. Jean Mah* – PGME Program Director Dr. Aleksandra Mineyko#

Dr. Alison Moore#

Dr. Harvey Sarnat* Dr. Morris Scantlebury* Dr. Kim Smyth# *Paediatric AARP Members #Part-Time or Associate Sectional Members

Clinical Services Provided • Inpatient Consultation and Admitting Services on a 24/7 Basis • Inpatient (ward, NICU, PICU) and emergency department • Long-term video-EEG monitoring • Epilepsy surgery evaluations • Ambulatory Clinics and Services • Clinical Neurophysiology Lab (consisting of EEGs, evoked potentials, EMG/NCV studies and intraoperative monitoring) • Urgent neurology clinics (weekdays) • General neurology clinics • Epilepsy Clinics (including ketogenic diet and vagus nerve stimulation) • Brain Injury Clinics (including Concussion) • Stroke Clinics • Headache Clinics • Neuromuscular Clinic • Brain Malformations Clinic • Neuromotor Clinics (multidisciplinary) • Neurodevelopmental Clinics (multidisciplinary) • Resident Longitudinal Clinics

Education

Program Outline

The program in Paediatric Neurology at the University of Calgary is divided into 2 components:

• During the first 1.5 years, the major emphasis is on General Pediatrics. During this time, Residents complete the following rotations (each block equals 4 weeks):

Page 16: Paediatric Neurology Education Brochure

4 blocks General Pediatrics on the Wards 2 blocks Neonatal Intensive Care Unit 1 block Pediatric Cardiology 2 blocks Medical Genetics 1 block Research Methods Course 2 blocks Critical Care Medicine 1 block Infectious Diseases 1 block Pediatric Neurology 1 block Pediatric Emergency Medicine 1 block Child Psychiatry 1 block Developmental Pediatrics 1 block Metabolic Diseases 1 block Pediatric Oncology

• In the final 3.5 years, the focus is on Adult and Pediatric Neurology. During these years, the Residents complete the following rotations:

18 blocks Pediatric Neurology 6 blocks Adult Neurology 3 blocks Neuroradiology 1 block Pediatric Neurosurgery 2 blocks Neuropathology 1 block Physiatry 3 blocks EEG

• At least 6 blocks are available for electives, which may include additional Neurophysiology training (EEG, EP or EMG), Neuro-ophthalmology, Neuro-oncology, Neuro-metabolic disorders, Epilepsy, Neuromuscular Diseases, enrollment in graduate studies (i.e., Master or PhD program), and/or either basic science or clinical research. Residents who have completed six blocks of EEG may be eligible to sit for the Canadian EEG Board Certifying Exam at the end of their fourth year. • There are four weeks of holiday each year, which can be taken together, or divided into shorter periods and taken during the mandatory rotations to increase the available elective time to 11 blocks in total. • The Pediatric Neurology service has a very active patient consultation service with 120-140 referrals per month. While doing their Pediatric Neurology rotation, Residents participate in a minimum of 2-3 outpatient clinics per week in which a wide range of clinical conditions are seen, including epilepsy, developmental delay, stroke, neurodegenerative conditions, cerebral palsy, headache, movement disorders, and neuromuscular diseases. In addition, there are approximately 10-15 neurological consultations per week through the inpatient service and the Emergency Department. • Beginning in the 1st year of the program, Residents participate in a half day pediatric neurology longitudinal follow-up clinic under the supervision of one of the attending pediatric neurologists. They see patients through this clinic on a weekly basis throughout their training.

Page 17: Paediatric Neurology Education Brochure

Seminars and Rounds The Pediatric Neurology Program at the University of Calgary is education driven. During the first year of the program, Residents attend the weekly Pediatric Grand Rounds and participate in other General Pediatric teaching rounds and Pediatric academic half day seminars one half day per week. During the teaching time, Residents are excused from their clinical duties.

After their first year, Residents participate in the weekly Neurosciences half day seminars with the Adult Neurology residents. Other regularly scheduled teaching rounds include Pediatric Neurology Rounds (weekly), Clinical Neuroscience Grand Rounds (weekly), Pediatric Neurology didactic teaching sessions (weekly), Epilepsy Surgery Conference (twice monthly), Stroke Rounds (monthly), Neuromuscular Rounds (monthly), Neuropathology / brain cutting sessions (weekly), and Journal Clubs (monthly).

Research During the first year, the Residents take part in a 4-week Research methods Course, which enables them to prepare a clinical or basic science research project to be completed within the next two to three years of their training. On-going technical support and mentorship is provided by the assigned Pediatric Neurology Faculty, and funding is available to allow Residents to present their results at a national or international scientific meeting.

Resources Most of the 5-year Pediatric Neurology Residency Training Program is spent at the Alberta Children's Hospital with the exception of the rotations in Neonatal Intensive Care, which take place at the Foothills Medical Centre, and rotations in Adult Neurology, which occur at the Foothills Medical Centre, the Peter Lougheed Centre and the Rockyview General Hospital in Calgary.

The Alberta Children's Hospital is the tertiary care pediatric centre for south-central Alberta, eastern British Columbia and western Saskatchewan with an estimated population of 1.5 million people. All of the pediatric neurologists in the health region work out of this hospital.

Selection Criteria Entrance into the Pediatric Neurology program is through the Canadian Resident Matching Service (CaRMS). In addition to high academic standing, the candidate should have strong communication and team-work skills which are confirmed during the in-person interviews.

Department of Paediatrics