Role and Facility Information

CHILLIWACK GENERAL HOSPITAL

Pediatricians – 3 full-time

These posts include two full time new posts designed to expand the existing community based pediatric practice and one replacement post for a retiring pediatrician. Applications from new graduates would be welcome and mentoring over two years would be provided to those applicants. Job share applications are welcome. The post holders would be based within the existing Chilliwack Pediatric Clinic which operates independently within the Chilliwack Hospital utilizing office space rented from the health authority. The decision to base the clinic in the hospital was made to facilitate more effective and higher quality acute pediatric care to Maternity Services, the Emergency Room and the Pediatric Observation Unit as well as enhance services to family’s attending the clinic.

The current scope of practice of the five pediatricians comprises the following elements:

Acute Services:

Including the new posts there will be a 1 in 5 acute on call rota providing coverage for Maternity and Delivery Suite, Emergency Room consultations, as well as a 7 bed 24hr observation unit for short stay treatment and observation of acutely unwell children. There are urgent acute referrals from family doctors or other local specialists.

Maternity: Pediatricians attend high risk deliveries for which there are designated mandatory referral criteria. Pediatricians also attend unexpected/unplanned pre-term deliveries where mothers cannot be transferred to an appropriate center prior to the delivery. Babies are stabilized including respiratory support and ventilation prior to collection by the Provincial Infant Transport Team. Management of short term infant medical problems where resolution is expected within 48 hours occurs on site. Pediatricians are consulted for post-delivery concerns with infants.

Acute Pediatrics: Pediatricians are consulted by emergency room physicians. Children are seen and assessed in the Emergency Room if they are high acuity needing full monitoring or if less acute are seen on the Pediatric Observation Unit. Acute referrals from local family doctors or other specialists may be seen either in the pediatric observation unit or the emergency room depending on the acuity. The observation unit opened 1 year ago and has dramatically increased the number of referrals and children being seen – over 2000 children seen in the first year of operation.

Children requiring greater than 24 hours care are admitted either to Abbotsford Regional Hospital or to BC Children’s Hospital. Excellent links exist between ourselves, other Fraser Health hospitals and the tertiary center. A centralized transport system exists for children to facilitate transfer.

Community Services:

General Pediatric Services: The pediatric clinic sees children from birth until 19 years with general pediatric medical problems, social and developmental problems, behavior and mental health problems, learning difficulties and school issues. The nature of the population group served is that 50% of the clinic workload encompasses the latter three groups.

Specialist Services: One of the pediatricians does outreach clinics in Hope (50km East of Chilliwack) to serve the large geographical areas served by the hospital. One of the pediatricians does a weekly multidisciplinary child development clinic at the Child Development Centre. Further discussions are currently taking place with local stakeholders to look at expanding multi-agency child health working to for pre-school and school aged children.

Developmental pediatric experience and training would be an advantage. We would be flexible about providing additional training if necessary.

Please submit your curriculum vitae to medicalstaffrecruitment@fraserhealth.ca. Applicants are required to provide three contact referee names. New graduates must provide a letter of reference from their residency program director and fellowship supervisor. CPSBC US certified class of registration acceptable

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