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�Northern Ontario
School of Medicine

2010-2015 Strategic Plan

Ecole de medecine
du Nord de l'Ontario

P· vn..o' 4,u~t&gt;

Lunpp. A AuJ_;,.A&gt;

I1

�Message from the Board Chair

Vision
Innovative Education and Research for a Healthier North.

This strategic plan marks an important point of transition for the Northern Ontario School of Medicine (NOSM). Since
its official opening in 2005, NOSM has made great strides in establishing itself as a leader in distributed medical and
health professional education. The next evolutionary phase will build on this success, positioning NOSM to be a leader
both nationally and internationally as an innovator in distributed, learner-centred, community-engaged education
and research. With our new Vision, Innovative Education and Research for a Healthier North, NOSM is committing to a
focus not only on its own advances in education and research, but on pushing those advances to improve the broader
population health of the North. We will achieve this by investments in our mandate, collaborations with partners, and
continued engagement of our communities.
In this second strategic plan, NOSM will continue to enhance its mandate of education, strengthen the focus on achieving
research excellence, and further reinforce a sustainable foundation of people, operations and technology from which to
advance and grow. NOSM will continue to work to develop a learning environment that values and supports a life-long
commitment to its learners, faculty, staff and administration. Further, we will strive toward excellence in our relationships
with, and support for, all faculty- full-time, part-time and stipendiary. Staying true to NOSM's social accountability
mandate, we will continue to emphasize a collaborative, community-engaged model that draws on the strengths and
capabilities of all NOSM's partners.
This strategic plan represents the work of a large number of dedicated and enthusiastic NOSM stakeholders who have
invested their time and energy into charting the medical school's future. On behalf of the NOSM Board of Directors,
I extend my deep appreciation to all the individuals and organizations who invested their time to assist us in this
important strategic planning initiative. I especially note the members of the Strategic Planning Steering and the Quality
Monitoring Committees, who provided guidance and support throughout the plan's development, working tirelessly to
ensure that the new strategic plan represents the voice of the entire NOSM community.

Mission
The Northern Ontario School of Medicine (NOSM} is committed to the education of high quality physicians and health
professionals, and to international recognition as a leader in distributed, learning-centred, community-engaged
education and research.

NOSM will accomplish this by:
■
■

•
■

•
•

Being socially accountable to the needs and the diversity of the populations of Northern Ontario
Actively involving Aboriginal, Francophone, remote, rural and underserviced communities
Leading and conducting research activities that positively impact the health of those living in Northern communities
Fostering a positive learning environment for learners, faculty and staff
Achieving an integrated, collaborative approach to education, learning, and programming
Increasing the number of physicians and health professionals with the leadership, knowledge and skills to practice in
Northern Ontario.

I am confident that the vision, mission, values and strategic priorities established by this strategic plan will help to
position NOSM for continued growth and success over the next 3-5 years.

Frederick F. Gilbert, PhD
Board Chair
Board of Directors
Northern Ontario School of Medicine

21

13

�Values

Table of Contents

Innovation
The Northern Ontario School of Medicine (NOSM) encourages ingenuity, creativity, a culture of inquiry and discovery,
and the importance of learning from others in every aspect of the School's education, research, social accountability, and
corporate mandates. NOSM uses innovative approaches to ensure continuous improvement of our distributed model of
education and research.

Social Accountability
NOSM adheres to the World Health Organization's (WHO) definition of the Social Accountability of Medical Schools as "the
obligation to direct their education, research and service activities towards addressing the priority health concerns of the
community, region and the nation that they have a mandate to serve. The priority health concerns are to be identified
jointly by governments, health care organizations, health professionals and the public:' As part of its social accountability
mandate, NOSM has the responsibility to engage stakeholders at all levels of its broad community.

Message from the Board Chair

2

Introduction: Strategic Plan 2010-2015

6

Strategic Plan 2010-2015

8

Strategic Priority A: Enhance NOSM's Education Program

10

Strategic Priority B: Strengthen NOSM's Research Initiatives

11

Strategic Priority C: Develop NOSM's Learning Environment

12

Strategic Priority D: Foster Excellent Faculty Relations

13

Strategic Priority E: Enhance Collaboration and Communication with Our Community Partners

14

Strategic Enablers

15

Collaboration
NOSM pursues education and research goals in close partnership with its host universities. Collaboration and partnership
is also important to NOSM with its teaching hospitals, community physicians, health professional clinical teachers,
health system stakeholders, and communities it serves. NOSM values the insights, contributions, and support of its
many partners that work to improve the health of the people and communities of Northern Ontario. NOSM recognizes
that collaboration is both a process and outcome that engages different perspectives to better understand complex
problems, and leads to the development of integrative solutions that could not be accomplished by any single person or
organization.

Moving Forward

16

Strategic Plan 2010-2015

17

Appendix B: Groups Invited to Contribute to the Development of the Strategic Plan

18

Inclusiveness
NOSM fosters inclusiveness by supporting an environment which embraces differences in staff, faculty and learners and
respectfully creates value from the differences of all members of the NOSM community, in order to leverage talent and
foster both individual and organizational excellence.

Respect
NOSM's faculty, staff, and learners seek to learn and listen to one another respectfully and communicate openly. NOSM's
staff, faculty, and learners treat others and their ideas in a manner that conveys respect as differences are discussed,
fosters an open academic debate, and which respects academic freedom.

4

IS

�Introduction: Strategic Plan 2010-2015
The Northern Ontario School of Medicine (NOSM) serves as the Faculty of Medicine of Lakehead University, Thunder Bay
and Faculty of Medicine of Laurentian University, Sudbury. NOSM has come a long way in a relatively short time. Since its
official opening in 2005, NOSM has: developed and delivered Distributed Community Engaged Learning as its distinctive
model of medical education and health research; achieved accreditation for its MD program, multiple residency
programs, Continuing Education Professional Development (CEPD), and the Northern Ontario Dietetic Internship
Program (NODIP); focused research attention on the health issues in Northern Ontario through annual Northern Health
Research Conferences and the Partnership Opportunities in Research Gathering; graduated emergency physicians, family
physicians and dietitians from its programs; and seen the charter class graduate from the MD program and move on to
residencies in a range of specialties, predominantly northern or rural family medicine. There is a real sense that NOSM is
fulfilling its social accountability mandate to contribute to improving the health of people and communities in Northern
Ontario.
The School was successful in recruiting world-class research scientists to be faculty members in the Medical and Human
Sciences. More than 900 physicians and other healthcare providers have joined NOSM as faculty members in the Clinical
Sciences including physicians who have moved to Northern Ontario to be involved in the School. State-of-the-art medical
school buildings were constructed on time and on budget at both campuses. These buildings feature high technology
smart classrooms, flexible teaching laboratories, health sciences libraries and research laboratories, as well as meeting
rooms and office space.
Developed through a consultative process, the holistic cohesive curriculum for the MD program is grounded in Northern
Ontario and relies heavily on electronic communications to support Distributed Community Engaged Learning. In the
classroom and in clinical settings, learners explore cases from the perspective of physicians in Northern Ontario. Clinical
education takes place in over 70 communities and many different health service settings, so that the learners experience
the diversity of communities and cultures in Northern Ontario. Following a successful accreditation site visit in March
2004, NOSM achieved preliminary accreditation in June 2004. There were subsequent accreditation visits in March and
September 2005, and in the Septembers of 2006, 2007 and 2008. Full Accreditation was confirmed in February 2009 by
the Liaison Committee on Medical Education (LCME) and the Committee on Accreditation of Canadian Medical Schools
(CACMS).

The School's letters patent and by-laws provide a frame of reference and context that govern all of the identified priorities
and strategies. In line with its social accountability mandate, the Strategic Plan 2010-2015 was developed on the premise
that the opinions and thoughts from the greater NOSM community should inform NOSM's future strategic directions. This
approach helps to ensure that NOSM remains true to the needs and requirements of the communities it serves. These
opinions and insights were gathered from a large number of both internal NOSM stakeholders and external stakeholders
across the broad health care and medical education systems. 2
•
•

Internal stakeholders included NOSM learners, faculty, staff, researchers, senior leadership and Board.
External stakeholders included the provincial government, community and municipal representatives, community
physicians, host universities, and other medical schools across Canada.

In addition to the core stakeholder input activities, a key component of this planning initiative was the completion of an
external environmental scan that identified broad trends in medical education and the health care sector, and reviewed
the strategic planning documents from 12 medical schools, both Canadian and international, to identify key strategic
directions and opportunities that other medical schools were acting on. These findings were used to guide strategic
planning discussions with the SPSC and to help evaluate the key priorities for inclusion in NOSM's Strategic plan.
The success of this Strategic Planning Initiative can only be attributed to the enthusiasm and commitment of the entire
NOSM community, as well as our partners at other medical schools who volunteered their time to provide guidance. This
Plan represents a shared outlook for the future of the Northern Ontario School of Medicine, and will be implemented with
the continued support and participation of our broad community.

Graduating its first class of medical students in June 2009, NOSM has achieved significant success during its start-up
phase. All of NOSM's first class of undergraduate medical students were successfully matched to Canadian residency
programs on their first attempt, making NOSM the only Canadian medical school in which all students were matched in
the first round. In addition, the aggregate score of the charter class members in the Medical Council of Canada part one
exam placed NOSM as number six of 17 Canadian medical schools. NOSM intends to build on this success as it transitions
out of the start-up phase toward sustainable, continuing growth and development.
In May 2009, NOSM commenced a Strategic Planning Initiative with the goal of developing a five year strategic plan ("the
Plan") that will help NOSM clearly define its future directions and focus. NOSM will begin implementation of the plan in
July 201 O that will direct NOSM's planning activities through to June 2015. The development of the Plan was overseen by
an appointed Strategic Planning Steering Committee (SPSC) that represented the diverse groups of internal and external
stakeholders that make up the NOSM community. 1 SPSC members devoted significant effort through participation in
meetings and planning activities throughout the year.

1

6

For a complete list of the SPSC membership, refer to Appendix A.

2

For a complete list of the groups that were consulted during this planning initiative, refer to Appendix B.

17

�Strategic Plan 2010-2015
The strategic plan was developed to align and support the new Vision and Mission statements that were identified as
part of this strategic planning initiative, as illustrated in the diagram below. The five vertical pillars represent the Strategic
Priorities that have been identified as part of this planning process and represent NOSM's focus over the next five years.
Across all of our Strategic Priorities, a core set of renewed Values will permeate all of the activities and planning of
NOSM, and will guide how we strive toward innovation and continue to actively engage our communities through our
continued commitment to social accountability. Critical to NOSM's new strategies are its continued relationships with
its host universities, Lakehead University and Laurentian University, which will be strategic partners foundational to the
achievement of this Strategic Plan.
The five Strategic Priorities will enable NOSM to strengthen its distributed, learning-centred, community-engaged
approach to education and research. They are:

A.
B.
C.
D.
E.

Vision

Mission
The Northern Ontario School of Medicine (NOSM) is committed to the
education of high quality physicians and health professionals, and to
international recognition as a leader in distributed, learning-centred,
community-engaged education and research.

1.
2.
3.
4.

Establish a comprehensive human resources plan
Explore, partner, and invest in informatics and technologies
Continuously improve operational processes, infrastructure and systems
Increase and diversify NOSM's revenue streams

The following sections of the strategic plan present the NOSM Strategic Priorities, Strategies, and Strategic Enablers that
have been identified to support our new Vision and Mission. In support of the strategic plan, NOSM is also developing
key measures of success for each strategy, which will be developed as the School embarks on the establishment of a
balanced scorecard to measure ongoing performance and success of the organization.

Enhance NOSM's Education Program
Strengthen NOSM's Research Initiatives
Develop NOSM's Learning Environment
Foster Excellent Faculty Relations
Enhance Collaboration and Communication with Community Partners

Innovative Education and Research for a Healthier North

This Strategic Planning Initiative also identified four key Strategic Enablers that are considered critical success factors
for the achievement of our new Vision, Mission and Strategic Priorities. These Enablers will contribute to ensuring the
ongoing sustainability of the NOSM model, and that NOSM is able to meet the goals associated with its new strategic
plan. The four Strategic Enablers are:

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Values
Innovation, Social Accountability, Collaboration, Inclusiveness, Respect

81

9

�Strategic Priority A: Enhance NOSM's Education Program

Strategic Priority B: Strengthen NOSM's Research Initiatives

Given current health care trends toward lnterprofessional Education (IPE) and Integrated Clinical Learning (ICL), NOSM
will ensure that its curriculum is aligned to support new and innovative approaches to the delivery of classroom and
clinical education. This focus will enable NOSM graduates to easily integrate into community care settings where
interprofessional care models are team-based in fostering collaborative patient-centred approaches.

Stakeholders identified research as a key area of improvement for NOSM, recognizing that research is a critical element
of its academic mandate and future success. NOSM will focus on further developing its research agenda, linked to the
ongoing development of its distributed education model, to continue to broaden the academic experience of its learners,
faculty and staff. Taking into consideration the relative size of NOSM's research infrastructure compared to other faculties
of medicine, a focused approach to research will be adopted. As NOSM's research initiatives are strengthened, research
and planning activities conducted will reflect the need for appropriate ethical consideration, and will respect the unique
cultural attributes of NOSM's Aboriginal, Francophone and other communities.

Overall Goal
Expand NOSM's distributed education and learning model and ensure the ongoing inclusion and balance of Integrated
lnterprofessional Clinical Learning throughout NOSM's undergraduate, post graduate, and health professional programs.

Overall Goal
Define a clear strategic direction for NOSM's research efforts, conduct research aligned to its vision and mission, and
increase the number of learners, staff and full-time, part-time and stipendiary faculty participating in focused research
activities.

Strategy # 1:
Expand the distributed community engaged learning model to all of NOSM's education
programming for health professionals to meet the needs of our learners and communities,
integrating the expertise that Aboriginal and Francophone peoples bring.

Planned Timing
2012/13
Strategy #1:
Define and invest in a core research profile that supports NOSM's Vision and Mission.

Strategy #2:
Increase NOSM's application ofthe Integrated lnterprofessional Clinical Learning model of
education to enable learners to practice in intra- and interprofessional models of education and
care.
Strategy #3:
Augment broader Integrated lnterprofessional Clinical Learning programming resources and
expertise by collaborating with other universities and organizations to educate/train health
professionals outside of NOSM to meet health human resources needs in Northern Ontario.
Strategy #4:
Lead the adoption of new models of education and learning with external accrediting bodies to
increase the focus on community-based learning.

,0 1

Planned Timing
2011/12

Planned Timing
2012/13

Strategy #2:
Foster a research culture among NOSM faculty and learners that promotes excellence and
innovation.

Planned Timing
2014/15

Planned Timing
2011/12

Strategy #3:
Expand infrastructure to assist researchers with grantsmanship, grant review, grants
administration, trainee recruitment, results dissemination and the identification of research
opportunities.
Strategy #4:
Form partnerships to enhance research capacity and support specific research initiatives.

Planned Timing
2013/14

Planned Timing
2012/13

Planned Timing
2012/13

�Strategic Priority C: Develop NOSM's Learning Environment

Strategic Priority D: Foster Excellent Faculty Relations

NOSM places a significant amount of emphasis on creating an inquiring learning environment that is tailored to the
needs and requirements of all of its stakeholders. NOSM learners primarily include undergraduate medical education and
health professional students and postgraduate residents; however, faculty, staff and the senior leadership group can also
be considered learners as they too pursue personal and professional development. All have varying learning needs and
expectations. NOSM will continue to invest in making sure that its learning-centered environment continues to evolve
for the benefit of learners, faculty, staff and the Board.

NOSM's operating model brings with it a set of unique challenges related to the recruitment and retention of qualified
full-time, part-time and stipendiary faculty. Innovative approaches to foster excellent faculty relations will be developed
to ensure the sustainability of the NOSM model.

Overall Goal
Foster a stimulating, rewarding and challenging environment that attracts and retains top talent among full-time, part-

Overall Goal

time and stipendiary faculty.

Align NOSM's organizational structures and human resources to support the School's commitment to being an
organization that values and supports a life-long learning environment among its learners, faculty, staff and the senior
leadership group, who are able to demonstrate clear progress towards personal/professional development.
Strategy #1:

Establish a faculty plan that defines the type and mix of faculty to recruit, retain, succession plan
and develop, and reward and recognize for their valuable contributions across education, research

Planned Timing

2010/11

and administration.
Strategy #1:

Achieve successful recruitment and retention of our learners, staff, senior leadership and faculty.
Strategy #2:

Improve infrastructure and support to enable learners, staff, senior leadership and faculty to be
effective and successful in NOSM's distributed community-engaged model of education and
research.

Planned Timing

2014/15
Planned Timing

Strategy #2:

Create a culture and support mechanisms that foster faculty professional development,
encourage academic endeavors and promote continuing professional education.

Planned Timing

2011/12

2012/13
Strategy #3:

Improve multi-directional communication, information flow and decision-making for all faculty

Planned Timing

2011/12

members.
Strategy #3:

Increase the engagement of learners, faculty, staff, senior leadership and Board members in
planning and activities.
Strategy #4:

Build leadership skills and capacity in learners, faculty, staff, senior leadership and Board members.

12 I

Planned Timing

2013/14

Planned Timing

2014/15

113

�Strategic Enablers

Strategic Priority E: Enhance Collaboration and
Communication with Our Community Partners
NOSM's distributed education model relies heavily on the support and involvement of the communities and key
stakeholder groups. Since its inception, NOSM has been successful in engaging communities and different representative
groups. Insights provided from members of the community suggest that NOSM can improve its current strategy by
taking a more refined, targeted approach that will ensure consistent engagement across all communities, and improve
multi-directional communication and collaboration mechanisms that support the continued development of community
partnerships.

NOSM's distributed educational model brings with it the requirement for ongoing investment in core enablers such
as technology, and a sound and robust infrastructure that would not be found in other traditional medical schools. In
addition, given that NOSM places a significant emphasis on being innovative, it requires additional operating, capital and
research funding to sustain and implement new and creative advancements in medical technology, informatics, research
and program development within its distributed model.

Overall Goal
Ensure NOSM's technology-enabled distributed education model continues to be sustainable, and that the School is well
supported to continue to grow and advance while maintaining its focus on innovation.

Overall Goal
Increase the engagement with distributed teaching communities and the presence of collaboration and communityengaged processes, integrating NOSM into the fabric of every community in Northern Ontario, and empowering local
communities to improve their broader health and capacity for self-care.

Strategic Enabler #1:

Establish a comprehensive human resources plan that enhances leadership and staff recruitment
and retention, succession planning, development, rewards and recognition, and other factors that
contribute to a healthy workplace and learning environment.
Strategy # 1:

Improve community engagement strategies that build on start-up goodwill to ensure support
and momentum is fostered and increased.
Strategy #2:

Enhance mechanisms to actively involve Aboriginal, Francophone, rural and remote communities
in NOSM.
Strategy #3:

Improve multi-directional communication, information flow and decision making for internal and
external community stakeholders.
Strategy #4:

Expand partnerships with government, community and private organizations to support and
encourage graduating health professionals to live and practice in northern communities.

14 I

Planned Timing

2014/15

Planned Timing

2011/12

Planned Timing

2011/12

Planned Timing

2012/13

Strategic Enabler #2:

Explore, partner and invest in informatics and technologies that enable innovation across our
distributed model of education, research, corporate services and social accountability.

Strategic Enabler #3:

Continuously improve operational processes, infrastructure and systems to increase efficiencies
and support the ongoing sustainability and financial viability of NOSM.

Strategic Enabler #4:

Increase and diversify NOSM's revenue streams by exploring opportunities for endowments,
donations, endowed chairs, public-private partnerships, sponsorships, new services and other
operating revenues across its distributed education model.

Planned Timing

2011/12

Planned Timing

2014/15

Planned Timing

2011/12

Planned Timing

2013/14

�Moving Forward
Our new strategic plan is grounded in extensive consultation and robust research and analysis. It builds on the success
realized by NOSM in its formative phase, and pushes the School in new directions to enable us to adapt to the evolving
environment that shapes and impacts the delivery of health education and research. This plan represents a sustainable
and focused approach to strategic planning that enables NOSM to achieve its goals related to its academic, corporate,
and social accountability mandates.
NOSM's strategic plan was developed with a 3-5 year time horizon, taking into consideration the current and forecasted
external and internal strategic landscape that the School exists within. As this strategic landscape evolves, so too will
NOSM's strategic plan. In this light, our new strategic plan is very much a 'living document: one that will require continual
reflection and monitoring, and will be evaluated on an annual basis to ensure that it continues to move NOSM in the
directions that best address evolving strategic challenges and opportunities for the School.
For our new strategic plan to be successful, it is imperative that it is embraced by the NOSM community, and that our
broad community continues to be engaged and empowered as we pursue the priorities and strategies identified. The
priorities identified within this plan should be used by all learners, leadership, faculty, staff, and Board members to guide
decisions, operational and otherwise. In this light, the strategic plan will serve as the common thread that keeps all
NOSM stakeholders living our shared Mission in the most effective, sustainable and fiscally responsible ways possible, and
collectively striving toward achieving our Vision: Innovative Education and Research for a Healthier North.

Strategic Plan 2010-2015
Group

Name

Position

Chair

Roger Strasser

Dean

Board Quality Monitoring
Committee Members

Tracy Buckler

Board Member

Gratien Allaire

Board Member

Academic Council Members

Len Kelly

Associate Clinical Professor, Clinical
Sciences Division

PCTA

Chris McKibbon

Physician

OPSEU Local 677, Unit 1 (Full time
Academic Staff)

Laura Csontos

Senior Learner Affairs Officer

Leslie Sutherland

Part time faculty

lftikharul Haq

Consultant Neurosurgeon

Brian Bigelow

Professor and Psychologist

Peter Pace

Physician

Penny Sutcliffe

Medical Officer of Health and Chief
Executive Officer- SDHU

Sue Berry

Director, Health Sciences and
Interprofessional Education

Danielle Barbeau-Rodrigue

Director, Francophone Affairs

Kim Daynard

Director, Communications

Tyler England

Information Technologist

Frances Mandamin

Program Coordinator, Aboriginal
Affairs

Lori Howrigan

Facilities Project Coordinator

Jim Hanna

West Parry Sound Health Centre
Communications and Public Relations
Officer

Ken Adams

Associate Dean, Administration

Marc Blayney

Associate Dean, Community
Engagement

Wayne Bruce

Associate Dean, CHPE

Gerry Cooper

Associate Dean, Learner Affairs

Joel Lanphear

Associate Dean, UME

Bill Mccready

Associate Dean, Faculty Affairs

Bob Rubeck

Associate Dean, Informatics

Greg Ross

Associate Dean, Research

Maureen Topps

Associate Dean, Postgraduate
Education

Planning &amp; Risk Director

Grace Vita

Planning and Risk Director

Director of Equity &amp; Quality

Kathleen Beatty

Director of Equity &amp; Quality

Committee Support

Lana Norton

Corporate Administration Officer

Faculty Members

Senior Leadership Group

Staff - Non-Management

Local NOSM Group

Associate Deans

16 1

I 17

�Appendix B: Groups Invited to Contribute to the
Development of the Strategic Plan
NOSM Internal Stakeholders:

Government Ministries/Agencies:

Board of Directors
Strategic Planning Steering Committee Members
Academic Council
Executive Group
Learners
Thunder Bay and Sudbury based Faculty/Researchers
Employees

North West Local Health Integration Network
North East Local Health Integration Network
Ministry ofTraining, Colleges and Universities
Ministry of Health and Long-Term Care
Northern Ontario Heritage Fund Corporation
Ontario Ministry of Northern Development, Mines and Forestry

Lakehead University Leadership
Laurentian University Leadership
Lakehead University- Centre for Education and Research on Aging &amp; Health (CERAH)
Lakehead University- School of Nursing
Laurentian University- School of Nursing

Ministry of Research and Innovation
Health Force Ontario
Premier of Ontario
lnterprofessional Blueprint Committee
FedNor
Health Canada
City Council Members - City ofThunder Bay
City Council Members - City of Sudbury

NOSM Community Partners:

Colleges and Universities / Collaboration Partners:

Aboriginal Communities
Francophone Communities
Local NOSM Groups
Comprehensive Community Clerkship (CCC) Communities
Thunder Bay Regional Health Sciences Centre Leadership
Hopital regional de Sudbury Regional Hospital Leadership
Northern Ontario Hospital and Clinic Learner Sites
Northern Teaching Hospital Council
Francophone Reference Group
Aboriginal Reference Group
Regional Cancer Program
CTRI (CancerTreatment Research Initiative)
lnstitut franco-ontarien
Rural Ontario Medical Program (ROMP)
Northern lnterprofessional Collaborative of Health Education (NICHE)

Algoma University
Cambrian College
Canadore College
College Boreal
Confederation College
Nipissing University
Northern College
Ornge
Oshki-Pimache-O-Win (OSHKI)
Sault College
University of British Columbia, Center for Rural Health Research

Host Universities:

Faculties of Medicine:
Dalhousie University
McGill University
McMaster University
University of Ottawa
Universite de Sherbrooke
University ofToronto

18 1

University ofToronto

Regulated Colleges:
College of Physicians and Surgeons of Ontario (CPSO)
College of Family Physicians (CFPC)
Royal College of Physicians and Surgeons of Canada (RCPSC)
Colleges of Nurses of Ontario

Accreditation Bodies:
Liaison Committee on Medical Education (LCME)
Committee on Accreditation of Canadian Medical Schools (CACMS)
Committee on Accreditation of Continuing Medical Education (CACME)
The Association of Faculties of Medicine of Canada
Council of Ontario Faculties of Medicine
Dietitians of Canada

I 19

�Northern Ontario
School of Medicine
Ecole de medecine
du Nord de l'Ontario

P· vn~' &lt;i,u?i&gt;

L " 11 PP· I::.. I::.." J_;,.1::..,

20 1

For an electronic version of the report, please visit

www.nosm.ca/strategicplan

�www.nosm.ca

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                    <text>NORTHERN ONTARIO
SCHOOL OF MEDICINE
COMMUNITY REPORT

2007

Northern Ontario
School of Medicine

��MESSAGE FROM THE CHAIR BOARD OF DIRECTORS
On behalf of the students, staff and faculty of Laurentian University, I would like to extend my
heartiest congratulations to the Northern Ontario School of Medicine.

Greetings, and welcome to this, the
first-ever annual Community Report
of the Northern Ontario School of
Medicine (NOSM).
And how fitting it is that we should
be reporting to you, the community!
No one knows precisely how many
community champions - volunteers,
health professionals, educators,
elected political leaders - have
contributed to the launching of
Canada's first new medical school
in more than thirty years, but the
number would be in the thousands, I
am sure. If it takes a village to raise a
child, then NOSM is living proofthat
it takes a community to give birth to a
new medical school!
And so, in some ways, this Report
is a mirror, reflecting back to the
community the efforts, resources,
generosity and incredible support
of the people of Northern Ontario in
realizing their long cherished dream of
opening a medical school of, by, and
for the people of Northern Ontario.
Many things make NOSM unique, not
only in the realm of Canadian medical
education, but in the greater world,
as well. For example, as I write this,
our superb NOSM team is putting
the finishing touches
the m0st
rigorous Comprehensive Communit y
Clerkship program anywhere in the
worla In the fall of 2007 our third-year
students will embark on a remarkable
adventure, spending the entire
school year living and learning in ten
communities in Northern Ontario. In
these communities our students will
experience first-hand the challenges
and rewards of medical practice in
')
large rural and small urban centres
I

scattered across the vastness of
Northern Ontario. In this one aspect
of NOSM alone, many hundreds of
Northerners have contributed mightily
to ensuring a successful experience
for our students, even before the first
student has arrived.
A word about the organization o
this Report: the timeframe is fro
Janttary 1, 2006 to June 30,200
Hereafter we will endeavour to publish
annually, covering the academic year.
Also, the Report is organized arou d
three principal sections: Acade ic
Accountability, Social AccountabiliW,
and Corporate Accountabilit This
reflects the three overarching
directions approved by the NOSM
Board of Directors in the School's
Strategic Plan.

As chair of the NOSM Board of Directors, I have witnessed significant progress over the past two
years. Since the Charter Class was welcomed in 2005, much has been accomplished: research
activities are now under way, a fundraising campaign has resulted in financial assistance for our
students, and fruitful partnerships have been established with health facilities across the North.
This is a unique school of medicine, with a commitment to social accountability: particular
attention is paid to northern and rural health and the specific needs of Francophone and Aboriginal
communities are addressed. Like Lakehead University in Northwestern Ontario, we are pleased
to host such a faculty of medicine at Laurentian. From the outset, we have attracted outstanding
students and faculty, who are already making a difference to the health and well-being of our
citizens.
As students from the Charter Class set out this fall on placements throughout Northern Ontario, we
should all be proud as we move closer still to training and graduating more physicians in the North,
and for the North.

r~
Dr. Judith Woodsworth

President, Laurentian University and
Chair, Board of Directors of NOSM

I hope you find this Community Report
edifying, informative, and even a bit
entertaining!

MESSAGE FROM THE VICE-CHAIR BOARD OF
DIRECTORS

Sincerely,

On behalf of the Lake head University community, it is my pleasure to congratulate the
Northern Ontario School of Medicine on the progress it has made during 2006 and 2007.

Dr. Roger Strasser
Founding Dean and CEO,
Northern Ontario School of Medicine

Since the inception of the idea of a dual-campus medical school with Laurentian University
- and its realization in 2002 - Lakehead has initiated and supported many new research and
learning opportunities with the School that will benefit our academic communities, foster
economic development in the health-care field, and realize the promise of a medical school
focused on the special health issues and needs of northern and Aboriginal communities.
Many individuals have contributed to these early accomplishments, but the most telling
sign of success is the calibre of the students who have been attracted by the vision of the
new medical school during its first two years of operation. Lakehead's Faculty of Medicine
which is the West Campus of NOSM will continue to develop a meaningful and influential
presence in the communities of Northwestern Ontario.

Dr. Frederick F. Gilbert
President, Lakehead University and
Vice-Chair, Board of Directors of NOSM

2

�THE NORTHERN
ONTARIO SCHOOL
OF MEDICINE
Our Students:
AT A GLANCE

When NOSM welcomed its first
students in September, 2005, the
Northern Ontario School of Medicine
(NOSM) became the first new medical
school in Canada to open its doors
in more than 30 years, and only the
second new medical school in all of
North America during a similar period.

Our Graduates:

Like subsequent classes, the Charter
Class is comprised of 56 students; 32
based at the School's East Campus
at Laurentian University in Sudbury,
Ontario and 24 based at the School's
West Campus at Lakehead University
in Thunder Bay, Ontario.

Our School:

NOSM is unique in many ways. It is
the first Canadian medical school
hosted by two universities, some 1,200
kilometres apart. In addition, NOSM
is the only Canadian medical school
to be established as a stand-alone,
not-for-profit corporation, with its
own Board of Directors and corporate
by-laws.
NOSM is th e first medical school 1
Canada to be opened in the Digit l
Ag Its four-year Undergraduate
Medical Education e-curriculum
emphasizes the use of broadband
technology to bridge the distance
between campuses, and to facilitate
an extensive distributed learning
model that is unique in the annals of
modern medical education. By the
time the MD program is completed,
the average NOSM student will have
spent nearly forty per cent of his or
her time studying in Aboriginal, small
Northern, and larger urban Northern
communities.

4

NOSM will seek out qualified students who have a passion for living in, working in
and serving Northern and rural communities. NOSM will develop physicians able to
practice and engage in research anywhere in the world but who have a particular
understanding of people in Northern and remote settings.

NOSM will graduate resourceful physicians who are successful in distant settings,
have a preference for collaborative care and a greater capacity to serve their
patients and communities with the available resources. While the context of the
School will be northern, the application will be national and international.

NOSM is also the first Canadian
medical school established with
a social accountability mandate.
From its community-based Board
of Directors to its extensive reliance
on Northern communities, large
and small, urban and remote, to act
as hosts for its students, NOSM is
committed to engaging Northerne
in the educational process.
The School's goal is to graduate
medical generalists who are
innovative, resourceful, self-reliant,
culturally and emotionally sensitive,
and who are fully acquainted with
the rigours and rewards of medical
practice in Northern, remote and
culturally diverse settings.

NOSM, while preparing students for the full range of clinical disciplines in medicine,
will focus on training general practitioners of medicine, family doctors and
specialists, who remain generalists across their specialties. The School will foster an
inter-professional approach to medical practice and research. It will value curiosity,
inventiveness, integrity and be accountable in all aspects of its activities.

Our Faculty &amp; Host Universities:
NOSM will become another centre of academic excellence within Lakehead and
Laurentian Universities. The School will be vigilant in the protection of academic
freedom.

Our Employees:
NOSM will treat staff with respect and, in accordance with its academic
commitment, value honesty, integrity and openness in all dealings with
its employees.

Our Communities:
NOSM will pursue a culture of inclusiveness and responsiveness within the
medical communities, the Northern communities, the rural communities,
and the Aboriginal and Francophone communities.

�MD PROGRAM
The NOSM MD program is accredited
by the Committee on Accreditation of
Canadian Medical Schools (CACMS)
and the Liaison Committee on Medical
Education (LCME).
NOSM's four year undergraduate medical
education (UME) program is designed
to prepare students to enter the next
level of medical education, namely
the post graduate medical education
(PGE) program. Both the UME and PGE
programs are grounded in the six key
academic principles adoRted b~ NOSM.
These principles are iflterprofe--Ssionalf
integration, community oriente ,
distributed community engage
learning, generalism and diversit . All six
academic principles are reflected in the
School's social accountability mandate.
Extensive community-based
educational assignments called
Integrated Community Experiences (ICE)
are an integral, and unique, element of
the NOSM curriculum. As such, NOSM
"classrooms" are unique and often nontraditional.
At the end of Year One, students spend
four weeks in one of some two dozen
remote Aboriginal communities across
Northern Ontario. Second-year students
complete two four-week assignments

in small rural or remote Northern
communities at the beginning and end
of term. In this sense, the community
is the classroom. Third-year students
spend the whole academic year off
campus in one of ten host communities
across Northern Ontario completing a
Comprehensive Community Clerkship
(CCC).
(See map on page 29 for details.)
Fourth-year students will undertake
specialty rotations and electives
primarily in the regional hospitals in
Sudbury and Thunder Bay.
Wherever they are in Northern Ontario,
students avail themselves of the latest in
broadband and e-learning technologies
to connect the School's East and West
campuses, and to access educational
materials. Both campuses are equipped
with smart classrooms and state-of-theart technological resources.

Five key themes (courses) are
interwoven throughout the four-year
educational experience of the MD
program:
•
•
•
•
•

Northern and Rural Health
Personal and Professional Aspects of
Medical Practice
Social and Population Health
Foundations of Medicine
Clinical and Communications Skills in
Health Care

The academic staff are organized into
three divisions. Each division contributes
to delivering the NOSM curriculum:
•

•

The Clinical Sciences Division, headed
by Dr. Tim Zmijowskyj, is responsible for
teaching the clinical disciplines.
The Medical Sciences Division, headed
by Dr. Garry Ferroni, provides in-depth
learning in the bio-medical sciences,
ranging from Anatomy to Microbiology.
The Human Sciences Division, led by Dr.
Nancy Lightfoot, encompasses a broad
range of the humanities, social sciences,
community health and public health.

�POSTGRADUATE MEDICAL EDUCATION
In 2006, the College of Family
Physicians of Canada granted "new
program status" to the Northern
Ontario School of Medicine for
esidency training. NOSM's Family
edicine Residents of the Canadian
Shield program (FM RoCS) thereby
became Canada's newest in 33 years.
The first participants in the FM RoCS
program began their residency on Jul
t, 2007, marking a milestone in the
history of Northern Ontario medicine:
for the first time, medical residents are
training in a program developed and
administered in Northern Ontario.
FM RoCS accepts 30 residents per
year in its two-year program. These
Family Medicine residents undertake
clinical learning in Northern Ontario
communities, training that will prepare
them for eventual practice in any
community, but especially in rural and
remote settings. Family residency
community rotation locations can be
seen on the map on page 29.
In addition, NOSM will eventually
offer residency training in eight major
general specialties: anesthesiology,
general surgery, psychiatry, general

internal medicine, orthopedic surgery,
pediatrics, obstetrics/gynecology and
community medicine.
Residency training in Northern
Ontario is not new. Indeed, the NOSM
programs stand on the shoulders
of two successful pioneering
predecessors: the Northwestern
Ontario Medical Program (NOMP),
on behalf of McMaster University and
the Northeastern Ontario Medical
Education Corporation (NOMEC),
associated with Ottawa University.
NOMP's activities were integrated
with NOSM in the fall of 2005, and
NOMEC's in the summer of 2006. The
transfer of programs and activities
previously delivered by these two
highly successful organizations has
allowed for a substantial expansion
in NOSM programming. Programs
such as lnterprofessional Education,
Youth Health Career Awareness and
Health Professional Development and
the Northern Ontario Virtual Library
(NOVL) have sharply increased the
School's ability to offer a wide range
of interprofessional, continuing
education programs in addition o
tne postgraduate medical r:esidency
progra s.

CONTINUING
PROFESSIONAL
EDUCATION
In keeping with its philosophy that the
most effective learning often occurs
outside the traditional classroom, the
Northern Ontario School of Medicine
maintains the largest Continuing
Professional Education (CPE) program
of any medical school in Canada.

learners from both family medicine and
specialty programs. Electives are available
in Family Medicine, Rural Family Medicine,
Emergency Medicine, as well as in many
specialty disciplines.

•
During the 2006-2007 school year,
NOSM conducted 225 CPE sessions
geared to 23 regulated health
professions in the Province of Ontario.
In all, more than 3,500 participants
attended some form of a NOSM CPE
event. The number of sessions more
than doubled from the previous
(inaugural) year, and the number is
expected to double yet again for the
2007-2008 calendar.
CPE at NOSM is clustered in a number
of principal series offerings, including
the monthly NOSM Symposia series,
teacher training series for NOSM
faculty, conferences and workshops
(often in conjunction with partners
in the health field), Clinical Rounds,
the Encounters in Bio-Ethics series,
Francophone and Aboriginal activities,
and the Researcher in the Room series.
NOSM's CPE initiatives are delivered to
learners across Northern Ontario by a
variety of means: via video conference
over the Ontario Telehealth Network
(OTN), via high speed interne hrough
streamed and archived web-casting,
and through e-presence hich allows
for an interactive, on-line learning
,
experience in real time. Each session is
also offered face-to-face at one or both
of the NOSM campuses and the large
majority of the offerings are accredited
by the CME.

As part of its core curricular emphasis on
interdisciplinary education, the Northern
Ontario School of Medicine offers a number
of programs geared to health professionals
both inside and outside its MD and Residency
Programs. All programs are Pan-Northern,
and each is intended to provide Northern
health professionals with an opportunity to
enrich and upgrade their career training.

Among NOSM's current interprofessional
offerings:
•

Northern Ontario Summer Studentship
Program. This program offers summer
employment to Northern Ontario students
engaged in health studies in Southern
Ontario Universities. The program
guarantees four to eight weeks of summer
employment at a variety of community
settings across Northern Ontario.

•

Rehabilitation Studies. This program
provides learners from audiology,
occupational therapy, speech language
pathology and physiotherapy with a wide
range of challenging clinical learning
experiences in equally challenging health
care settings across Northern Ontario.

•

The Northern Ontario Electives
Program. Designed for undergraduate
medical students as well as postgraduate
residents, this program offers a variety
of high quality rural, remote, and small
urban clinical learning opportunities
in Northern Ontario. It is designed for

I

Northern Ontario Dietetic Intern
Program (NODIP). Northern Ontario's
first sustainable Dietetic Internship
program, NODIP will train ten dietetic
interns in centres across the North.
The first students were accepted into
the program in the summer of 2007.
Offered in conjunction with the NODIP
Professional Advisory Committee, NODIP
is intended to alleviate an anticipated
shortage of professional dietitians in the
coming years.

�RESEARCH
''At the Northern Ontario School
of Medicine (NOSMJ, research is
recognized as a critical component
of medical education ... "

Dr. Neelam Khaper
Understanding the cellular and
molecular mechanisms of cardiac
dysfunction in various stress
conditions.

Excerpt from NOSM's official policy on research.

Dr. Zach Suntres
Examining the oxidant and
antioxidant status in the blood of
patients with colon, breast and lung
cancer.
Developing novel drug delivery
systems in improving existing
antibiotic treatments.

Research is an important part
of most medical schools, but
for NOSM, it goes much deeper.
Research is part of the very core
of the School's mandate. It is
embedded in everything NOSM
does.
NOSM's research initiatives are
reflective of the School's mandat
to be socially accountable to
the diverse cultures of Norther
Ontario. he School's unique
program targets areas that have
a direct relevance to Northern
populations. The key theme
of NOSM research is tackling
the questions of importance
to improving the health of the
people of Northern Ontario. For
example, rates of diabetes, heart
disease and some cancers are
much higher in the North than
in the rest of the country. In
addition, many Northerners live in
communities that are often more
than six hours away from primary
services, some even further.

•

The School works in partnership with
universities, private sector organizations,
and health centres to facilitate research
initiatives.
The School's two state-of-the-art research
labs, one at its East Campus at Laurentian
University in Sudbury, and one at its
West Campus at Lakehead University in
Thunder Bay, create the ideal foundation for
conducting research. In December, 2006,
NOSM supported the concept of a clinical
research initiative based in Sault Ste. Marie,
which also services researchers all across
Northern Ontario.

Leading Researchers and
Topics
NOSM students have many

endeavours and since March, 2006,
thirty research grants have been
presented for students to study a
wide range of health issues.

10

Dr. Kristen Jacklin

•

•

Molecular mechanisms of
interactions between pathogenic
bacteria and lung epithelial cells.
lntegrin receptors as novel targets for
therapy of cervical cancer.
Epidemiology of Haemophilus
influenzae type b infection in the
Aboriginal population of Northern
Ontario.

•
•

Examining role of lipid in health and
disease and determining whether
nutritional supplementation with
omega-3 fatty acids can help reduce
symptoms of attention deficit
hyperactivity disorder.
Analyzing human breath to
determine whether biomarkers
derived from lipids and other
chemicals can be used to screen for
various diseases such as lung cancer
and diabetes.

Dr. Garry Ferroni
•

Literature Search, design of a data set
and chart review of patients with a
peritoneal catheter.

NOSM's robust research programs provide
an extremely favourable environment for
NOSM's full-time and more than 600 parttime faculty as well as students to engage
in a full range of research projects. In 2006
NOSM faculty received more than $1 M in
research fundi g.

•

Understanding the formation of new
blood vessels in order to develop
therapeutic approaches to increase
blood vessel formation, to encourage
wound healing or blocking, in order
to starve tumours.
Development of cancer drugs. This
project is focusing on the changes in
cells that lead to the resistance of cell
death.

•

•

Examining how air pollution affects
the immune system in forest fire
fighters, people with diabetes, and
those prone to autoimmune disease.

Dr. Carita Lanner
Protein expression between normal
and cancer cells with a focus on
ovarian cancer. The association of a
novel protein with non-malignancy
indicates that it could be a tumor
suppressor or a potential biomarker
for non -malignancy.

•

Dr. Tom Kovala

Dr. T.C. Tai

•

The frequency and nature of
antibiotic resistance in bacteria.
The screening of biological materials
for antimicrobial activity.
The environmental effects of
the bacterium Acidithiobacillus
ferrooxidans.

•

Dr. Marion Maar
Community-based diabetes care and
prevention research in partnership
with 6 First Nations on Manitoulin
Island.
Research on cultural competent
Aboriginal mental health services.
Ongoing guidelines and best
practices development for ethical
Aboriginal health research in
collaboration with the members of
the Manitoulin Anishinabek Research
Review Committee.

Diabetes Research Project
Development for the Wikwemikong
Unceded Indian Reserve: A pilot
participatory research study to
determine community direction for a
long-term diabetes research initiative
for Wikwemikong.
Aboriginal patient care.

Dr. Bill McCready

Dr. Brian Ross

Dr. Stacey A. Ritz

options to engage in research

Dr. Marina Ulanova

Dr. Patricia M. Smith
•
•

Tobacco cessation.
Chronic disease prevention and
management translational research.

Dr. N ancy Lightfoot
•

•

Understanding the molecular
mechanisms involved in the
development and maintenance of
hypertension.

Dr. Geoffrey Hudson
Social history of medicine, war and
medicine, the history of disability
and the development of socially
accountable medical education.

Dr. David Topps and
Dr. Rachel Ellaway
Collaborating broadly on
PocketSnips micro-video clips and
mobile clinical resources; high
performance networking through
CFI and CANARIE to aid with
ultravideoconferencing, virtual
reality and remote simulators; and is
spearheading the Canadian Virtual
Patient Collaboration.

Dr. David Maclean
•

A better understanding of
cardiovascular physiology as it
pertains to the regulation of blood
flow under conditions of hypoxia,
vascular insufficiency and end stage
disease states such as heart disease.
Protein and amino acid metabolism
under both normal and abnormal
physiological conditions.

A study of mortality and cancer
incidence in Falconbridge's
Timmins-based copper/zinc workers.
Mortality and cancer incidence in
Falcon bridge's Ontario nickel
workers.
A study of mortality and cancer
incidence in lnco's Ontario
nickel workers.

Dr. Roger Strasser

•

•

Rural health workforce, including
recruitment &amp; retention,
education &amp; training, and
sustainability.
Rural health services, including
health service delivery models,
specific clinical services and
sustainability.
Family practice.

�,.

OUR RAISON D'ETRE
OUR STUDENTS

THE NOSM CLASS PROFILE

STUDENT SOCIETY

Charter Class (entering class of 2005)

In its recruitment efforts, the
Northern Ontario School of
Medicine aims to have class
profiles which reflect the
demographics of the population
of Northern Ontario. As such,
the School maximizes the
recruitment of students who are
from Northern Ontario and/or
students who have a strong
interest in and aptitude for
practising medicine in Northern
urban, rural and remote
communities. In addition,
as per the School's social
accountability mandate, NOSM
actively recruits Aboriginal and
Francophone students.

Average weighted GPA:
Average age:
Females:
Males:
Self-identified Aboriginals
Self-identified Francophones

3.68
28.7 years
67%
33%
11 o/o
17%

NOSM Student Awards
and Achievements
16th Annual History of Medicine Days National Conference

•

Best overall audio visual: Linda Bakovic and Carolyn Stark for
their paper "History of Medical Ethics and Military Medicine,
with a focus on the Somalia Affair"

•

Best research: Anne McDonald for her paper "A Missionary in
China: Dr. Jessie McDonald"

•

Best content and presentation: Kareem Chehadi for his paper
"Psychiatric Care in Ontario's Asylums in a Comparative
Context, 1890-1910"

•

Second runner up - Best Rhetoric: Ching Yeung for her
presentation "The Changing Dynamics of the PatientPhysician Relationship: From the 17th Century to the Modern
Electronic Age"

Entering class of 2006

Average weighted GPA:
Average age:
Females:
Males:
Self-identified Aboriginals
Self-identified Francophones

3.72
26.3 years
57%
43%
5%
21%

Students from rural and remote
areas of Northern Ontario or rural and
remote areas of the rest of Canada

50%

Students from Northern Ontario

89%

Jonathan DellaVedova

Adam Moir

Recognized for providing leadership and support to fellow
students and recipients of the Inaugural Year recipients of
the Making a Difference - Student Citizenship Award 2006.

Founding Dean Research Award Recipients

NOSM students come from a
wide range of backgrounds, are
highly motivated individuals,
are self-directed, thrive in a
small group-based, distributed
learning environment, and have
a genuine interest in helping
the School fulfil its mandate to
increase the number of medical
graduates who choose to live
and work in Northern Ontario
after graduation.

Heart and Stroke Foundation of Ontario
Summer Medical Student Awards Recipients

2006

2007

2006

2007

Philip Berardi
Teresa Furtak
Tracy Michano-Stewart
Natalie Moreau
Justin Porter
Tracey Ross
Tara Spicer
Ella Wiebe

Bruce Cook
Brandon Entwistle
Angela Golas
Danielle Hamilton
Andrea Haner
Lana Potts
Matt Strickland
Kimberly Varty

Omodele Ayeni
Nicole Beauvais
Brigitte Carriere
Abdel-Kareem Chehadi
Lyndsay McFadgen
Jeffrey Middaugh
Robert Pastre
Lana Potts
Elaine St. John

Alex Anawati
Abdel-Kareem Chehadi
Lise Mozzon
Marc-Andre Roy
Tracy Michano Stewart
Ching Yeung

�The faculty at NOSM is a vast web
of individuals (numbering more
than 600 in total) who serve in a
wide range of locales, hail from a
variety of backgrounds, and offer a
richly diverse palette of skill sets.
Broadly speaking, NOSM faculty
appointees fall into one of three
categories:
• Full-time, employees
• Cross-appointed, nonstipendiary faculty
• Stipendiary faculty

The Medical Sciences Division
consists mainly of full-time
or jointly-appointed research
scientists who are also engaged
in teaching. Research areas vary
widely, from immunology to
pharmacology. There are sixteen
professors in the Medical Sciences
Division.
The Human Sciences Division
hosts 34 NOSM full and part-time
faculty, plus a dozen librarians.

her PhD in Plant Biology from the
Swedish University of Agricultural
Sciences, Dr. Lanner did postgraduate work at the Indiana
University School of Medicine,
where she eventually became an
Assistant Professor in the School's
Division of Hematology/Oncology.
Dr. Lanner joined the NOSM
faculty in 2004, and is currently
Associate Professor of Molecular
Genetics at the School's East
Campus.
Dr. Nicholas Escott received his
Medical Degree from McMaster
University in Hamilton in 1974.
He was a long-time Family
Practitioner in Northern Ontario
before becoming a pathologist
at what is now the Thunder
Bay Regional Health Sciences
Centre. Dr. Escott is the Section
Leader for Laboratory Medicine
and Pathology at NOSM's West
Campus.

Dr. Lanner and Dr. Escott received NOSM's
Inaugural Year Making a Difference
- Excellence in Teaching Award, an award
that will be given annually to outstanding
members of the NOSM faculty, as selected by
the School's undergraduate student body.

By far the largest faculty grouping
at NOSM, in strictly numerical
terms, is the Clinical Sciences
Division, with well over 500
appointees. The vast majority of
these are the Assistant Professors
and Lecturers who serve as the
backbone of NOSM's teaching
faculty. These faculty members,
most of whom are also practicing
physicians, are located throughout
Northern Ontario, and serve on a
stipendiary basis.

Faculty members share teaching
responsibilities for a broad range
of subjects, but most are related
in some way to Northern and
rural health issues. Research
fields in Human Sciences include
Aboriginal health, the history of
medicine, and population health.
Dr. Carita Lanner and Dr. Nicholas
Escott are typical of the diversity and the distinction - to be found in
the NOSM faculty. After receiving

�A LOCAL VOICE
The Northern Ontario School of
Medicine spans thousands of
kilometres, with two main campuses,
and countless communities that are
linked in some way to the School.
Whether through an affiliation
agreement with a community hospital
or health centre, a local physician/
NOSM, or through a student placement
within a community, NOSM's virtual
walls touch communities in a wide
variety of ways.
The pervasiveness of NOSM across
Northern Ontario necessitates the
provision of a conduit through which
the region's people and communities
can have input into the Medical
School's activities.

A Window on
Northern Ontario
The Northern Ontario School
of Medicine has a mandate to
be socially accountable to the
cultural diversity of the region
it serves including: Aboriginals,
Francophones, remote
communities, small rural towns,
large rural communities, and
urban centres. Evidence of this
mandate can be found in the
School's curriculum, administrative
structure, research program,
student demographics, continuing
education program, and more.
NOSM faculty, staff and students
do not function in a traditional
medical school building. Rather the
School's walls are the boundaries
of Northern Ontario and at any
given time an individual may be
working at one of the School's two

Following the School's inaugural year,
ten Local NOSM Groups were created
to ensure local representation within
the School. The Groups provide a
mechanism for both an individual
community and NOSM to stay
abreast of each other's respective
developments.
Membership of Local NOSM Groups
varies, depending on the need and
desire of the individual community.
Generally, membership includes broad
representation from faculty, community
leaders, individuals, and local healthcare professionals. Groups meet on a
regular basis and discuss such issues
as: recruitment, retention, showcasing
the community, travel, support for
students, linguistic and cultural issues,
and any other issue the Group feels is
of importance to both NOSM and their
community.

Local NOSM
Groups
•

Fort Frances

•

Kenora

•

Sioux Lookout

•

Temiskaming Shores

•

NorthBay

•

Timmins

•

Sault Ste. Marie

•

Huntsville

•

Parry Sound

•

Bracebridge

campuses, or in a remote, rural or
urban community.
NOSM has affiliation agreements
with more than seventy health
centres and hospitals across
Northern Ontario and is working
on additional agreements. These
agreements secure the Medical
School's relationship with hospitals
or health services centres and
allow students, faculty and staff to
become immersed in the culturally
diverse region they are serving.

17

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At the earliest stages, NOSM engaged
the Aboriginal communities of
Northern Ontario in its development.
In 2003, a workshop entitled Follow
Your Dreams was held to provide
Aboriginal people the opportunity
for input into the development of
the new medical school. Participants
identified the need for NOSM to
be an "Aboriginal friendly" medical
school that would:
•

•

•
•

Encourage and nurture
Aboriginal students into and
through medical school.
Acknowledge and respect
Aboriginal history, traditions and
cultures.
Access the expertise and
resources in Aboriginal
communities.
Establish partnerships with
Aboriginal communities.
Incorporate into the curriculum
the challenges and specific
health priorities of the Aboriginal
communities.

In keeping with these
recommendations, NOSM continually

aims to ensure meaningful
collaboration with Aboriginal
communities. In August 2006, a
follow up workshop, Mii Kwen Oaan
-Keeping the Vision was held. Ninetyfive Aboriginal, community and
health-care leaders from all across
Northern Ontario spent three days
discussing opportunities to further
engage Aboriginal communities into
the ongoing development of NOSM.
The Aboriginal Affairs Uni identifies
and implements new initiatives in
support of the School's commitment
to Aboriginal communities.
Members of the unit collaborate with
Aboriginal communities, assist in the
recruitment of Aboriginal students,
recruit Aboriginal host communities
for medical students, and advise the
School's administrative bodies on
Aboriginal affairs and involvement.
The Aboriginal Reference Grou
provides advice on research,
administration and academic issues
that promote excellence in higher
learning and accommodate the
Aboriginal world view.

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�PLEINS FEUX SUR LES FRANCOPHONES
A FRANCOPHONE
FOCUS

Although mandated by the Ontario
government to provide instruction in
the English language, the Northern
Ontario School of Medicine is
committed to being responsive
to the needs of the people and
communities of Northern Ontario,
including Francophones and people
for whom their home language is
French.
The School's Francophone Affairs
Unit and Francophone Reference
Group (FRG) work collaboratively to
liaise with Northern Franco-Ontarian
communities for the purpose of
identifying and responding to
the needs of Francophones in the
ongoing development of the School.

In May, 2005, a milestone symposium
entitled "Francophones and
the Northern Ontario School of
Medicine" was held to provide
Fran cop hones the opportunity for
all Northern Ontarians to learn more
about the School, and to have input
into its Francophone initiatives. The
discussions and recommendations
arising from the Symposium fed
directly into final report which
continues to act as a guide book
for strengthening the School's
partnerships with the Francophone
community.
A follow-up symposium will be held
in Timmins in September, 2007, and
will focus on recruitment efforts for
Francophone students, residents and
communities.

Bien qu'ayant rer;u du
gouvernement de !'Ontario
le mandat de dispenser
l'enseignement en anglais, l'Ecole de
medecine du Nord de !'Ontario s'est
engagee arepondre aux besoins des
habitants et des communautes du
Nord de !'Ontario, notamment des
francophonesetdespe~onnesdont
la langue de travail est le franc;:ais.
L'.Unite des affaires francophones
de l'Ecole et le Groupe temoin
francophone (GTF) travaillent
en collaboration pour assurer la
liaison avec les communautes
franco-ontariennes du Nord
afin de recenser les besoins des
francophones et d'y repondre
dans le developpement continu de
l'Ecole.

En mai 2005, un symposium cle
intitule « Les Francophones et l'Ecole
de medecine du Nord de !'Ontario
» a offert ataus les habitants du
Nord de !'Ontario la possibilite de
se renseigner davantage sur l'Ecole
et de contribuer aux initiatives
francophones. Les discussions et
les recommandations decoulant du
symposium ont ete consignees dans
un rapport final qui sert toujours
de guide pour le renforcement
des partenariats entre l'Ecole et la
communaute francophone.
Un symposium de suivi aura
lieu aTimmins en septembre
2007 et portera sur les efforts
de recrutement d'etudiants, de
residents et de communautes
francophones.francophone du Nord
de !'Ontario.

�A MESSAGE FROM THE CAO OF
THE NORTHERN ONTARIO SCHOOL OF MEDICINE
The Northern Ontario School of Medicine is
nearing the completion of the transition from
being a startup organization to becoming an
established, fully-functioning medical school.
While there have been many challenges,
managing the necessary aggressive growth
has certainly been one of the greatest.
Let me cite just a couple of examples:
• When I joined what was then the Northern
Ontario Medical School, or NOMS, in the fall
of 2002 there was a staff complement of six.
By April, 2006 that number had increased to
161 full and part-time employees, exclusive
of stipendiary faculty! By June, 2007 NOSM
employed 246 full and part-time employees,
not to mention more than 500 clinicians with
stipendiary faculty appointments.
• Budgets have increased from $5 Million to
$36 Million. In 2006-2007 NOSM processed
a staggering number of individual payments
for suppliers, preceptors, and employee
travel reimbursements - 17,500, to be exact
- with a total dollar value of $23.7 million.
That was up 99 % in volume, and an increase
of 148 % in dollar value, from the year before.
• NOSM's facilities have been in expansion
mode from the moment of the School's
birth. Our facilities staff continually rises
to the challenge of meeting the needs of a
growing complement of students who learn
and study across the vastness of Northern
Ontario, an increasing number of staff and
faculty, and the needs of our many partners
whom we value. Technological equipped
classrooms and state of the art clinical
skills and research laboratories support the
distributed education model of the School.
• In April, 2006, NOSM closed its first Bursary
Fund Campaign with a resounding $13
million being raised to support NOSM
students in need of financial aid. A
small group of NOSM staff and a host of
volunteers with sheer determination worked
diligently to exceed the expectations of
many. The leadership of the two volunteer
Campaign Co-Chairs and the support of
the Development staff of the two host
universities working with the School
were critical success factors. Northern
communities demonstrated, through their
generosity, their commitment to the School.

The Ontario government, Northern Ontario
Heritage Fund Corporation, generously
provided matching funds.
With students, faculty and staff distributed
throughout Northern Ontario, effective
technology is fundamental to the
delivery of medical education and the
administrative work that supports all areas
of the School. Staff of our Technology
Unit continues to graciously meet the
demands of ensuring that the appropriate
technology infrastructure is in place so that
medical education, research, community
partnerships, administration and related
School functions can occur anytime,
anywhere.
Many milestones were passed here at NOSM
during the period covered by this report, but
let me mention one other, the incorporation of
the Northwestern Ontario Medical Programme
(NOMP) and the Northeastern Ontario Medical
Education Corporation (NOMEC) into our NOSM
administration. As mentioned elsewhere in
this Report, both of these programs paved the
way for the creation of Northern Ontario's own
Medical School in many, many ways, and it is
inconceivable that our School would be where
it is today without the pioneering efforts of
NOMP and NOME( and their respective staffs,
many of whom are now members of the NOSM
family.
The challenges of a complex organization that
prides itself on numerous collaborations across
a campus that spans thousands of kilometres
can only be tackled by a team of talented staff
who chose to join the journey. Few outside
the School can fully appreciate the passion
and commitment to implementing a Northern
medical school, and how far beyond the call
of duty the employees at NOSM have gone in
order to create "a Medical School like no other."
To each and every one of you - "Bravo!" - And
thank you, from the bottom of my heart.

Dorothy Wright
Chief Administrative Officer

NOSM CAO Named
One of Northern
Ontario's "Influential
Women of the Year"
NOSM CAO Dorothy Wright has
been named as one of Northern
Ontario's most Influential Women
for 2007 by Northern Ontario
Business.
NOSM Founding Dean Roger
Strasser expressed his delight in
Wright's latest accomplishment,
noting that her business acumen
and contract negotiation skills
have profoundly contributed to
the establishment of Canada's
first medical school in over 30
years.
"I am extremely happy to
congratulate Dorothy on
receiving this prestigious
award," said Dr. Strasser. "She
is an inspiring example of a
professional business woman,
and truly deserves to be
recognized for her leadership
role at the Northern Ontario
School of Medicine, and her
outstanding contribution to
Northern Ontario's public sector."
CAO Wright accepted the Award
at a gala luncheon held in
Thunder Bay in June.

Northern Ontario School of Medicine

23

�Support of student financial aid
furthers the goals of NOSM students
and the communities served by the
School. The School's Bursary Fund
provides financial aid to medical
students to help them avoid incurring
debt at the end of their training.
The Northern Ontario School of
Medicine received its first donorfunded award in 2003. The success
of the School's inaugural campaign
was due in large part to the energy
and commitment of Elizabeth Dougall,
Chair of the NOSM Board of
Directors Fundraising Committee,
Gerry Lougheed Jr. and Greg Pilot,
Campaign Co-chairs.

By May 2007, more than 2000
individuals and organizations had
contributed to the School's bursaries
now valued at more than $15 million.
Along with the tremendous support
of individuals and corporations,
NOSM has been fortunate to have key
community groups from across the
North join forces to donate funds for
the student bursaries.
Contributions to the student bursary
funds can live in perpetuity through
the establishment of endowed awards.
Endowments may also be eligible
for matching funds through the
generous assistance of the provincial
government.

Financial support for medical students
is needed for years to come. With an
annual intake of 56 students, by 2008
the School will have 224 students
working towards their MD.
The Northern Ontario Heritage Fund
Corporation (NOHFC) is the largest
single contributor to the School's
student bursary campaign. The
Corporation's $5 million in matching
funds supported the School's
inaugural campaign which raised
$12.9 million for student bursaries, and
included contributions from over 2,000
donors.

2006-290-Z J ij-DGETED SOURCES OF FUNDING

The Northern Ontario School
$1 ,715,000
(4.7%)
$705,000
(1.9%)

of Medicine operates within a
■

THE BENEFITS OF FINANCIAL AID
Bursary Money Awarded
Funds generated from
NOSM investment income

2006

2005

$333,480

$494,594

■
■

Ministry of Training,

Colleges and Universities

balanced budget.

Ministry of Health and
Long-Term Core

Tuition

The 2006-2007 approved budget
expenditures were $36,594,000;
55% of which is allocated to

Other

salaries and benefits, and 45%
Funds from both endowments
and annual awards

$47,790

$74,755

Number of Bursaries Awarded

71

132

to educational, administrative,
and capital expenditures.

Funding received by the Northern

2006-2007, &amp;,~ROVED BUDGET EXPENDITURE

Ontario School of Medicine

■

Administrative
Operating Costs

"Without the NOSM Bursary Fund,
many of our students would
struggle to pay tuition. I know I
would! Every bursary helps and it is
wonderful to have so much support
from the community. One day, I
hope to be in a position to support
future medical students as well."
Ching Yeung.Classof2006

Educational
Operating Costs

■

Capital Expenditures

totalled $36,594,000 in 2006-2007
and is received from the following
sources: Ministry ofTraining,
Colleges and Universities (61%);
Ministry of Health and Long-Term

■

Salaries and Benefits

Care (32.4%); Tuition (4.7%);
and Other (1.9%).

�·r--,~ ~ ;]
- OJ,\) 0-.NJW.:..C -

-co I loboret

Dr. Judith Woodsworth
Chair, Sudbury

Ron Chrysler
Sudbury

Dr. Peter Hutten-Czapski
Haileybury

Elizabeth Moore
Constance Lake First Nation

Dr. Fred Gilbert
Vice Chair, Thunder Bay

Jacqueline Dojack
Sudbury

Goyce Kakegamic
Thunder Bay

Jean Naponse
Naughton

Dr. Roger Strasser
CEO and Secretary,
Thunder Bay and Sudbury

Helen Cromarty
Sioux Lookout

Maureen Lacroix
Sudbury

Michael S. O'Neill
Sault Ste. Marie

Hermann Falter
Sudbury

Jeremie Larouche
Thunder Bay

Tracey Ross
Sudbury

James Gordon
Sudbury

Debbie Lipscombe
Kenora

Lou Turco
Sault Ste. Marie

Sheila Hardy
Sudbury

Neil MacOdrum
Geraldton

Dr. Stephen Viherjoki
Thunder Bay

Fabien Hebert
Hearst

Dr. Neil McLeod
Newmarket

Brian Walmark
Thunder Bay

Arie Hoogenboom
Dryden

Dr. Dermot Mcloughlin
Sioux Lookout

John Whitfield
Thunder Bay

Austin Hunt
Kagawong

Dr. Bill McMullen
Sudbury

Dr. Jean Anawati
Sturgeon Falls
Dr. John Augustine
Thunder Bay
Liliane Beauchamp
Ottawa
Tracy Buckler
Thunder Bay
Dr. Amar Cheema
Sudbury

The staff at NOSM work
collaboratively, sometimes
across lengthy distances, to
2003-04

ensure the success of the

2004-05

School's unique distributed
medical education model.

2005-06

Providing a breadth of
2006-07

proficiencies ranging from
administrative and technical
0

50

100

150

200

250

support to curriculum and
program development,
our staff are located across

Northern Ontario. NOSM began as a small organization with a handful of employees in 2002. Over the last five years,
our staff numbers have increased from 37 employees in 2003-04 to our current compliment of 246 staff in 2006-07.
Representing a range of professional expertise, and geographic, cultural and linguistic diversity, NOSM staff are an
integral and appreciated part of ensuring that NOSM graduates physicians and supports health-care professionals with
an appreciation for the distinctive realities of Northern Ontario.

The NOSM and Board is responsible for the
corporate fiscal governance of the School, and
provides oversight of the institution's Senior
Management.

for Training, Colleges and Universities.
Undergraduate and Postgraduate medical
students and health professionals are also
represented.

The Board consists of 35 distinguished residents
of Northern Ontario who are nominated by
key stakeholder groups, including the host
universities, municipal, Aboriginals, and
Francophone organizations, and the Ministry

The Chair of the Board serves a three-year term.
The position alternates between the Presidents
of Lakehead and Laurentian Universities.
Dr. Fred Gilbert served as Chair from 2002-2005.
Dr. Judith Woodsworth is Chair from 2005-2008.

27

�The Northern Ontario School of
Medicine (NOSM) is committed to
corporate, social and academic
accountability, and this is reflected in
the School's organizational structure.

Academic Council provides the
framework to ensure the involvement
of the school's faculty members in
all aspects of academic governance.
The Board of Directors is responsible
for the corporate governance, fiscal
management, and appointment and
evaluation of the Dean and Chief
Executive Officer.

The Senates of the two universities
provide academic authority to NOSM.
A Joint Senate Committee for the
School has been established to receive
academic proposals from the NOSM
Academic Council. The School's

The Dean is the CEO of the School's
not-for-profit corporation, and as such

has two distinct roles and reporting
responsibilities. The Dean, as an
Academic Dean, is accountable for
NOSM academic activities through
the NOSM Academic Council and the
Joint Senate Committee for NOSM to
the two University Senates. The Dean,
as CEO of the NOSM Corporation, is
accountable to the Board of Directors
for the organization and management
of the School.

♦♦

•

♦
THUNDER BAY

Joint Serwte Comm1tee

for the f'lo,ihern Ontorio

1

School of Medicine

,
Boord Comrnittees

u
::E

-

LU

t,I

J

Acaclemic Council

Ci

&gt;"'-/

•

\

•

&amp;

&lt;(

CEO

~
Undcrgraduato

Medico! Educa1ion
Commit!-

Adma:uons

Re3eorch

Commitlee

Committao

Nom1nal1ons
C&lt;&gt;Mniiltee

Foalty
OM!lopment

Ccmmitwto

I

• ....

8
:::0
-0

0

:::0

~

m

Fawlty P.omotion
ond Tl!fllUf&amp;
Committeo

Hoollh lntormot,on
Resource Ccintre
lhc,r, Committee

Postgrod~e
Mod,c,al Educahan
C&lt;)Rlmineo

Ac:adornc Appoals

Convnilt~

♦

In addition to modules at the
~ Comprehensive Community
Clerkship (CCC):Third-year students
Laurentian and Lakehead
spend the entire year completing a
University Campuses, extensive
Comprehensive Community Clerkship
community-based educational
(CCC) in a host community within
assignments called Integrated
Northern Ontario.
Community Experiences (ICE) are an
integral, and unique, element of the
Family Medicine Residency
NOSM curriculum. As such, NOSM
Community Rotation {FMRC):
"classrooms" are unique and often
NOSM's Family Medicine Residents of
non-traditional.
the Canadian Shield program (RoCS)
accommodates 30 residents per
Aboriginal Community (CBM 106):
year in its two-year program. Family
At the end of Year One, students
Medicine Residents undertake clinical
spend four weeks in an Aboriginal
learning placements in Northern
community within Northern Ontario.
Ontario communities.
Remote/Rural Community
{CBM108/110): Second year students + Local NOSM Group (LNG): Groups
complete two-four week placements
with local members established to
in small rural or remote Northern
ensure local representation within the
communities at the beginning and
School.
end of term.

TORONTO

�Northern Ontario
School of Medicine

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