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Wellness Resources

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Please browse below a listing of resources intended to support you during your postgraduate medical training.

Counseling and Referral Services

Counseling/Psychotherapy and Referral Services

The Office of Resident Wellness offers accessible counseling/psychotherapy and referral services for currently training Residents and Fellows, addressing a full range of personal and professional concerns. This confidential service is free of charge to all trainees.

Appointments and information can be gained by contacting the Wellness Coordinator, Diana Nuss: pgwellness@utoronto.ca or (416) 946-3074.

Chris Trevelyan, M.S.W., R.S.W.

I have worked as a counselor/psychotherapist in a variety of settings with a wide range of people, diverse in identity and presenting concerns. I aim to facilitate a process of self-reflection and skill-building for trainees so that they feel better able to navigate and overcome whatever challenges they are facing. I incorporate a number of therapeutic approaches into my work, tailoring these to the individual or couple, including cognitive and behavioural perspectives, relational psychotherapy, and mindfulness.

Christiane Martin, M.S.W., R.S.W.

I have been trained in a variety of approaches to psychotherapy and will select the ones that are most helpful for each resident or fellow. In a supportive and non-judgmental collaboration with clients, I aim to foster clients’ curiosity into their own functioning, to increase their capacity to reflect, and to understand their struggles in greater depth. Together, we can work on finding solutions to problems, gain a sense of freedom, improve affect management, and make better decisions.

Career Resources

Practice Ontario @UofT

Practice Ontario is a new career-planning service for University of Toronto postgraduate medical residents. Make an appointment through practiceontario@healthforceontario.ca today. Learn more about Practice Ontario at University of Toronto.

For more information contact:

P: 1-800-596-4046 ext. 3697
E: practiceontario@healthforceontario.ca

 

Career Centre at U of T Student Services

Free career counseling services to recent U of T graduates within 2 years of graduating.

 

Resident Doctors of Canada (formerly CAIR)

Visit the new Resident Doctors of Canada website for information on:

  • TiPS – Transition Into Practice
  • CAIR provides assistance and advice with employment after residency.

 

Medical Employers

MedicalEmployers.com is a new web portal that has been created for Canadian residents. Over the last year, a team of residents from across Canada have worked with over 300 hospitals/clinics and health regions in Canada to help centralize the physician job opportunities (full-time, part-time, fellowships, locums), and this Web site has just been launched recently. This free web application has been developed to centralize medical job listings in Canada, but also includes medical curriculum-vitae and resume-building templates, world-wide medical conference listings, dozens of career guides, including tips on how to start a medical practice and legal employment contracts (locum, part-time, full time, hospital, private), accounting and banking guides, and much more.

 

American College of Physicians

Visit the Resident Career Counseling website.

 

Mark Franklin, Career Counselor

Mark Franklin offers individual and group career counseling.

About Mark: Mark Franklin, MEd, PEng. Mark is CareerCycles President & Practice Leader; CareerCycles is a well-established career services organization that advises clients with career development, exploration, and clarification. He has helped more than 2000 clients both locally and internationally to optimize their career and personal choices. Costs are applicable.

 

Financial Resources

MD Management

MD Management (MDM) offers full financial planning services in 49 branch offices. Our more than 190 designated MDM advisors will meet with you to explore your financial goals, review your financial picture, assess your risk tolerance, and make recommendations.

 

Investors Group

Investors Group is an organization with a holistic approach to wealth creation, protection, and management. This includes cash management, tax planning, risk management, retirement planning, investment planning, and estate planning.

 

Fatigue Management

Fatigue Management Tools

The Epworth Sleepiness Scale (ESS) is a self-administered questionnaire with 8 questions. It provides a measure of a person’s general level of daytime sleepiness, or their average sleep propensity in daily life. It has become the world standard method for making this assessment.

The Professional Quality of Life Scale (ProQOL) is the most commonly used measure of the negative and positive affects of helping others who experience suffering and trauma.

Performance Enhancement

USA’s Swimming’s Mental Toolbox – Achieving Success through Mental Excellence

This section focuses on the mental aspects of the sport of swimming and gives coaches some tools to work with their athletes in this area. Topics include goal setting, visualization, race preparation and other mental skills required of athletes. Although these skills are said to help coaches train their athletes, the tips you read in this section are unquestionably transferable to resiliency in residency training.

 

Study Strategies and Self-Assessment

Knowing how to study is like knowing how to fish. It’s a set of learning skills that lasts a lifetime and brings many rewards. Just as there are ways to know that you are a competent fisherman, there are also ways to develop study skills competency.

 

Time Management Tools

View 50 Tricks to Get Things Done Faster, Better, and More Easily.

 

Additional Performance Enhancement Tools

Mindfulness in Medical Training

“The term mindfulness refers to a quality of awareness that includes the ability to pay attention in a particular way: on purpose, in the present moment, and nonjudgmentally. Mindfulness includes the capacity for lowering one’s own reactivity to challenging experiences; the ability to notice, observe, and experience bodily sensations, thoughts, and feelings even though they may be unpleasant; acting with awareness and attention (not being on autopilot); and focusing on experience, not on the labels or judgments applied to them”. – M. Krasner et al., 2009.

"Working memory is an important feature of mind-fitness. Not only does it safeguard against distraction and emotional reactivity, but it also provides a mental workspace to ensure quick and considered decisions and action plans." Amishi Jha, Professor, University of Miami

Mindfulness fits well with medicine. As a means of improving well-being and clinical performance, mindfulness has shown great potential in research trials with health-care professionals. As the above quotes suggest, research findings on the effects of mindfulness have demonstrated improvements in attention and working memory, well-being, emotion regulation and empathy.  Research on physician wellness has also linked depression, and burnout with increased rates of perceived medical error. When we combine these two areas of research it becomes possible to draw a line between the practice of mindfulness skills, better physician well-being, and improvements in the quality of care. Basically, a win-win situation for health professions and patients.

The following links lead you to reliable sources for guided meditations, MBSR and MBCT courses, on-line mindfulness programs and sources of research on mindfulness.

Mindfulness Resources

 

Audio Resources for Mindfulness

 

Meditation and Mindfulness Classes

Mindfulness Video Lecture

Professor Mark Williams from Oxford University delivers a lecture to the public about the science of mindfulness.

 

The Mindfulness Clinic

The Mindfulness Clinic has both a class and a one-day retreat, free of charge. The Meet, Eat, Sit is a free lunchtime meditation that is 1.5 hours in length; 45-minutes is devoted to a meditation. For the Meet, Eat, Sit meditation, bring your own lunch. The Clinic also has a free one-day retreat, with guided sitting and walking meditations.

 

The Centre for Mindfulness Studies

The centre for Mindfulness Studies offers Mindfulness courses, workshops, and retreats for both personal and professional development and offer MBCT programs for people who are coping with Depression and Anxiety or are in remission.

 

Online Meditation Sessions

UCLA Semel Institute

The online course can be accessed from anywhere in the world. You can work at your own pace during this 6 week course. The online course is pre-recorded. Participants will have access to audio and video materials as well as the opportunity to participate in a weekly live chat with one of the instructors and other participants.

 

Introduction to Mindfulness Meditation (Insight Meditation Centre)

This introductory course is based on Gil Fronsdal’s six-week Introduction to Mindfulness Meditation class. It’s supplemented with written material, exercises, and reflections for bringing the practice into daily life. Ines Freedman, as the online teacher for the course, provides further teachings.

 

William Kennedy Stress Management Workshops

Shinsei Way unique programs are specifically designed to guide practitioners toward healthy, happy, meaningful, and fulfilling lifestyles. Find yourself more relaxed, more aware and better able to enjoy life to its fullest.

Stress Management Resources

 

Mental Health Online

A comprehensive, online mental health service from Swinburne University of Technology offering information, assessment, online diagnosis, and treatment programs (“eTherapy”) for anxiety disorders.

 

Depression Center (DC)

A 16-session interactive course written by a team of practicing therapists and research scientists. The course is continually updated with feedback from real users. One of the most popular tools is the moderated online discussion board. Trained health educators guide discussions and maintain a helpful, accurate, and supportive environment.  In addition, the Depression Center programs provide a wide range of useful features, including downloadable workbooks; homework and tracking sheets; the Mood Tracker™, which is an interactive tracking tool to monitor symptom improvement over time; weekly check-ins and reviews; a baseline assessment; a progress tracker; and glossaries with easy-to-understand explanations of common terms and medication.

 

Panic Centre

Using a 12-session approach, the Panic Center (PC) is designed to help those suffering from anxiety and panic disorders. Outcome results have demonstrated a “dose-response” relationship, with significant improvement in frequency and severity of anxious episodes after only four sessions. As with the other programs, the moderated online discussion boards provide a supportive and anonymous means of connecting with others. Trained health educators guide discussions and maintain a helpful, accurate, and supportive environment. After the confidential registration is completed, users have access to a wide range of features, including: downloadable workbooks; homework and tracking sheets; weekly check-ins and reviews; moderated online discussion boards, including the web-based instant messenger for private conversations; and glossaries with easy-to-understand explanations of common terms and medications.

 

E-couch

A self-help, interactive program with modules for depression, generalized anxiety and worry, social anxiety, relationship breakdown, and loss and grief. It provides evidence-based information and teaches strategies drawn from cognitive, behavioral, and interpersonal therapies, as well as relaxation and physical activity techniques.

 

Mood Gym

An innovative, interactive web program designed to prevent depression. It consists of five modules, an interactive game, anxiety and depression assessments, downloadable relaxation audio, a workbook, and feedback assessment.

 

Open to Hope Foundation

An online resource helping people find hope after loss. Its mission is to provide information and resources for people who have experienced loss, to provide a forum where such people can learn from and help each other, and to share educational grants and networking support for those whose studies are focused on improving the care of people who grieve.

 

Overcoming Perfectionism

This information package is designed to help you understand what is helpful and unhelpful about being a perfectionist.  The goal is not for you to give up your high standards altogether, but to learn to pursue healthy high standards rather than unrelenting high standards that negatively impact your life. This Infopax is organized into modules that are designed to be worked through in sequence. We recommend that you complete one module before going on to the next. Each module includes information, worksheets, and suggested exercises or activities.

 

CALM

Computer Assisted Learning for the Mind contains podcasts and audio files that can be easily uploaded to mobile devices. The tunes included within this website are geared towards mental resilience, managing stressors, healthy relationships, and meaning in life.

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