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                    <text>Northern Ontario
School of Medicine

�Northern Ontario
School of Medicine
◄

Dr. Roger Strasser
Founding Deon, Northern Ontario School of Medicine

W
0

n May 31st, 2005, Northern Ontario School of Medicine (NOSM)
Founding Dean Dr. Roger Strasser and Associate Dean of Admissions and Student Affairs Dr. Jill Konkin delivered precious cargo
lo Canada Post Mail Carrier Joan Stevens: letters of acceptance
addressed to 56 of the applicants to the School.
Dr. Konkin was in charge of establishing the School's selection and
admissions process. The method chosen, developed by McMaster University, involved a circuit of ten, 10 minute mini-interview stations through
which potential students would rotate. The interviewer at each station was
a community volunteer who had also gone through a selection process!
NOSM's choice of an innovative selection process proved to be successful when one considers that from a field of nearly 2,100 initial applicants, a group of 56 Charter Class students were chosen within a few
short months. Of the Charter Class -- 32 students on the East Campus
'

at Laurentian University in Sudbury, and 24 on the West Campus at
Lakehead University in Thunder Bay, fully 80% have lived in Northern Ontario for ten years or more. Truly, NOSM's Inaugural Year
students are playing a lead role in "breaking new ground for a healthier
Northern Ontario".
In addition, the success of the School's Northern Ontario Bursary Fund has allowed NOSM to live up to its policy that no student
shall be denied admission to a medical school due to a lack of finances. Too often Northern students have been reluctant to apply to
medical schools outside the North because of cost. Thanks to the
Bursary Fund, students like Nicole St. Jacques can pursue their dream of
becoming a physician.
Your contribution to the Bursary Fund will assist other NOSM
students. Please donate now.

'

I deeply and sincerely thank those who hove helped create and ore thinking of donating to the Northern
Ontario School of Medicine Bursary Fund. These generous donations from individuals, companies and
community groups will greatly help to relieve the financial stress that we medical students face. It is not only
financial aid which I would like to thank you for; it is also the support and encouragement it signifies. To hove
the community make such on investment in my future is truly touching and in return I promise to work my hardest
and dedicate myself to serving the people of Northern Ontario throughout my studies as well as in the future. , ,
- Nicole St. Jacques, Charter Closs Student

Be a part of

history. Contribute

to the

future.

The Northern Ontario School of Medicine

Bursary Fund
Northern Ontario
School of Medicine

For further information or to contribute, call 705-675-1151
ext. 3452 or 807-766-731 Oor visit www.normed.ca

hether you're simply reading this
magazine, or attending our Grand
Opening Ceremony, or partaking in
the myriad of other events planned
for the Inaugural Year of the Northern Ontario
School of Medicine (NOSM), all of us here at the
School hope you'll catch the spirit of this oncein-a-lifetime event.
The term "historic" may be overused these
days, but in this case it truly applies. NOSM is
just the sixth medical school in the province of
Ontario, and the seventeenth in all of Canada.
We are the first new medical school in Canada in
a generation; the first to open its doors in more
than 30 years.
After our Grand Opening on Sept. 13th,
2005, we will also become, for a few months at
least, the newest medical school on the planet.
And, as a frequent participant in global conferences devoted to rural health education,
I can tell you that the whole world is watching developments here
in Northern Ontario.
Our social accountability mandate; our reliance upon the North's
far flung communities; our twin campus sites; our use of state-of-theart technology to deliver curriculum; our commitment to the region's
Aboriginal and Francophone communities; and our dedication to
pioneering innovation and research truly make NOSM "a medical
school like no other." My dictionary defines the act of inauguration
as "to begin or initiate under favourable or auspicious circumstances
or with ceremony; to commence or enter upon (esp. something beneficial); to set in motion." Could any other two dozen words better
describe what our School's Inaugural Year means for the people of
Northern Ontario and the province as a whole?
It's my hope that we can be celebratory over the course of this year
without being overly self-congratulatory. Not because the fabulous
team that has moved NOSM from dream to reality over such a short
timeframe doesn't deserve approbation, it most certainly does; but
because the Northern Ontario School of Medicine stands upon the
shoulders of so many other institutions and individuals.
I think especially of McMaster's Northwestern Ontario Medical Programme or NOMP, and the Northeastern Ontario Medical
Education Corporation or NOMEC, affiliated with the University of
Ottawa. These medical education networks enabled NOSM's decentralized curriculum delivery by organizing hundreds of physician
preceptors across Northern Ontario. These doctors, tempered in the

flame of Northern practice and by now
veteran mentors, will prove absolutely
essential to our success in the years to
come.
I think, too, of the two universities
that have hosted NOMP and NOMEC,
Lakehead and Laurentian, respectively.
Their names are ensconced on our
School crest, and without them there
would be no NOSM. Lakehead President Dr. Fred Gilbert and Laurentian
President Dr. Judith Woodsworth have
worked long and hard to make the
School a reality; this is their Year, too. A
special thank you as well to the 35 distinguished Northerners who have agreed
to serve on our Board of Directors.
One names more names with trepidation; the full roster would fill this
entire magazine, much less this page.
But I must single out several of the School's most senior administrators for special mention. Our Vice Dean, Academic Activities,
Dr. Dan Hunt, has brought invaluable experience and wisdom from
his long tenure at Seattle's University of Washington School of Medicine to this start-up project. Dorothy Wright, NOSM's first, and so
far only, Chief Administrative Officer, is the living embodiment of
Ernest Hemingway's dictum that "courage is grace under pressure."
And Dr. Jill Konkin, Associate Dean, Admission and Student Affairs,
and her team performed brilliantly in recruiting the School's first or
Charter Class of incoming students.
Special credit must go, too, to a much maligned species: the
politicians of the Ontario and federal governments. In a profession where a career might last only a few years, the leadership of
all three Ontario political parties has given unwavering support to
an undertaking that will cost more than $200 million and require
a full decade before producing its first practising physician. This
is true foresight and commitment to the public interest.
Finally, I must acknowledge my life partner, Dr. Sarah Strasser,
and our children Rupert.Jeremy, Bridget, Douglas and Felicity for
their willingness to uproot their lives in Australia to allow me to
help make NOSM a reality.
So, let's pause, reflect, celebrate and enjoy the arrival of NOSM's
Inaugural Year. We are now one giant step closer to achieving our
great, overarching collective goal: improving the health care of each and
every resident of this wonderful region we call Northern Ontario. A

�Ma ors' Messa es
Congratulations to the students, faculty, staff and Board of
,,..-&lt;LCITY OF
~ _.,,,--Directors on the occasion of the inaugural year of the Northern
.f. f
f ~
Ontario School of Medicine. On behalf of City Council and the citizens
Superior by Nature
ofThunder Bay, I am pleased to offer a special welcome to the members of the first class.
This is a celebration for all ofThunder Bay and Northern Ontario. In Thunder Bay, we have an expanding
sense of community pride that comes from a series of remarkable achievements including the new hospital,
new Advanced Technology &amp; Academic Centre, new aviation training facility and now, the new Northern
Ontario School of Medicine - Canada's first new School of Medicine in more than 30 years.
Our pride in this new facility and its people is amplified by the fact that the School was developed
in Northern Ontario by Northern Ontario for Northern Ontario. The School resulted from a group
of people from across Northern Ontario corning together in support of a Made in Northern Ontario
solution to physician shortage. Future physicians who work and study in the North are more likely to
choose to live in the North following graduation.
This unique Pan Northern School will reflect the diversity and geography of Northern Ontario.
The school will attract the best and brightest students from Northern Ontario and around the world,
and it will feature advanced technology to keep faculty and students connected, sometimes across
thousands of kilometres.
Health and Education are key economic drivers for Thunder Bay. The new School of Medicine
will enhance this impact, drawing new people to Thunder Bay and creating new research and
development opportunities.
As a community, and as a region, we take great pride in the new Northern Ontario School of
Medicine as you mark your inaugural year.
Congratulations on your success and all the best for continued excellence.
Sincerely,

1WJ.'1.er

3

FOUNDING DEAN'S WELCOME FROM DR. ROGER STRASSER

5

MAYORS' MESSAGES

~e,atu,.t&gt;

@

DAWN OF A NEW ERA
While it may be the world's newest medical school, NOSM has deep roots in the rocky
soil and turbulent politics of Northern Ontario. lnaugural's Mick Lowe chats with
three of the visionaries who helped create the Northern Ontario School of Medicine.

10

LAURENTIAN UNIVERSITY

11

LAKEHEAD UNIVERSITY

12

A MESSAGE FROM THE PREMIER

13

OPENING NEW DOORS
Besides its mandate to improve Northern health care, NOSM should also provide a healthy
dose of economic stimulus in the region. Northern Ontario Business editor Craig Gilbert
produced this overview of what is arguably the North's fastest growing employer.

Northern Ontario
School of Medicine
The Northern Ontario School of Medicine
(NOSM) is a pioneering faculty of medicine
working lo the highest international standards.
Its overall mission is lo educate skilled physicians and undertake health research suited to
community needs. In fulfilling this mission NOSM
will become a cornerstone of community health
care in Northern Ontario.

~e,atu,.t&gt;

~

RESEARCH AT NOSM
Even before opening its doors the Northern Ontario School of Medicine has recruited
researchers from all over the world. Their quest, as Colleen Kleven explains, is to
expand the fund of human knowledge on health issues of special interest to residents
of rural and northern Canada.

18

A MESSAGE FROM THE PRIME MINISTER

19

A MESSAGE FROM THE COMMISSIONER OF OFFICIAL LANGUAGES

~

THE ABC's OF AN MD
Perhaps more than in any other area, it is NOSM's curriculum that will distinguish it
from most existing medical schools. Laura E. Young provides an in-depth look at the
theory and practice of the program that aspires to produce the world's best trained
practitioners in rural and remote medicine.

24

~---~.:s'""Ecole de medecine du Nord
de l'Ontario
L'Ecole de medecine du Nord de !'Ontario
(EMNO) est une pionniere en son genre et
repond aux plus hautes normes internationales. Sa mission generale consiste
former
des medecins qualifies et entreprendre de la
recherche en sante fondee sur les besoins de la
communaute. En s'acquittanl de cette mission,
l'EMNO deviendra une pierre angulaire des
soins de sante communautaire dons le Nord de
!'Ontario.

a

~e,atu,.t&gt;

a

IT TAKES A VILLAGE ...
A compendium of the collaborators - funders, governance bodies, and partners - that
have made NOSM a reality.

26 ...TO TRAIN A HEALER
Northern youth have often faced an insurmountable obstacle to a medical education: the
cost. With your help the NOSM Busary Fund hopes to change all that.

Lynn Peterson

P•'vn.D' &lt;l'U~6&lt;' L"P'P·6 6"d.D·6' bt&gt;r
t&gt;a.•rbU' 9t&gt;r &lt;1.D'PrbU' L"P•P L-&lt;1- '"V'C·b'
r r'·'v•br '. &lt;1 P6·'v 'J' t&gt;a.•rba-·&lt;1' rP•
P.D'&lt;l L·6·C b&lt;1.br-&lt;1 - L"P•P·6a-a-·&lt;1 ' r Q.
96S &lt;1.'6",' 9t&gt;r r .D''.' &lt;t6S &lt;J.D'bU ' r .D &lt;1~·6'
CJ'•9·6a-'. P•'vn.D' L"P•P·6 6"d.D·6'
L·&lt;1 - Ca-b-u'C·b' 9t&gt;r b&lt;1.·'v'C·b' r .D &lt;1~·6'
CJ''9·6a-' P•'vn.D' &lt;1'U~6&lt;'.

Lynn Peterson, Mayor - City of Thunder Bay

,::,:.
.,.I ~!""ter
C
'1-' ) SUuul
1nT

A dream becomes reality!
The Northern Ontario School of Medicine is like no other. Anchored
~
-.... J in two great Northern communities - Greater Sudbury and Thunder Bay
-with links, both fibre optic and human, to scores of other communities
in between - it's a learning and research centre created by Northerners, for Northerners; open to the world.
This joint venture of Laurentian and Lakehead Universities mirrors who we are and where we live in rural, urban and sometimes isolated communities, with significant Francophone and Aboriginal
populations. It addresses our aspirations for the future - career opportunities for our young people;
retaining doctors in our communities; better health care; better health. It reflects our values and our way
of life - the importance we attach to teamwork; our love of community. It showcases our capacity for
innovation - our use of information technology to connect with one another; to connect with the world.
We have many to thank for this new and vital resource - our medical professionals, for seeing a better
way to safeguard our health; our educators and community leaders, for making sure Northerners have
the same benefits and opportunities as those who live in the South; the members of the school's Board
of Directors, for their vision and stewardship; the School's faculty and first students, for leading the way.
Together, these and countless other groups from across our region have worked together to build
an institution that will serve the citizens of Northern Ontario for generations to come. And they've
done so in a manner that's distinctly Northern - with the determination of a frosty winter; with the
clarity of a wilderness lake; with the strength of the Canadian Shield.
On behalf of the citizens of the City of Greater Sudbury, kudos to you and to those who will follow
in your footsteps. Best wishes,
Grand

Dave Courtemanche, Mayor - City of Greater Sudbury
2005 - 2006 • Inaugural

5

�M.L. I would like to start with Dr. Augustine, because I suspect his memory of this
project is the longest. Tell us, what is the
earliest conversation you can remember having about the need for a medical school in
Northern Ontario?

J.A. The very first indication I had was back
in 1968 when they were opening McMaster Medical School. Glenn Sawyer, the well
known secretary of the Ontario Medical Association, contacted the Thunder Bay Medical Society because they were looking around
for a possible sixth medical school, way in

the future, of course. So the then President
of the Thunder Bay Medical Society got in
touch with me and asked me what I thought.
I said: "Well, gee it sounds interesting."
So this filtered around for a while and in
the spring of 1969 we actually held some meetings and wrote some letters and phoned around.
But of course nothing really came of it.

M.L. Can you quickly run forward through
the 1970's and 1980's as to what transpired?

J.A. Out of our three meetings held in the
spring of 1969, we got in touch with John

Evans, the first Dean of McMaster Medical School, whom I happened to know from
my post-graduate training in Toronto in the
1950s. As you may know McMaster Medical
School had a lot of young innovative medical
faculty. They were looking for outlying areas
for their undergraduate students to gain some
real hands on experience.
Out of this arose the Northwestern Ontario
Medical Programme (NOMP). I was appointed
the first chair of this plan, whereby undergraduate medical students and some post-graduate
medical students would come for one month to
two or three months and work in Northwestern

Ontario. It became very, very successful.
Well along came Robert McKendry, in
August 1999, appointed by the then Ontario
Minister of Health, Elizabeth Witmer. He had
37 suggestions on how to improve medical care
in Ontario, one of which was to develop a new
medical school. Of course, that fell on eager
ears in both Sudbury and Thunder Bay and
that is how we came onto the stage.

M.L. Now McKendry, there's a name that
resonates, even for a casual follower of the
news. Though by the time that commission
was appointed, people at Laurentian Univer-

sity in Sudbury had been in this game for
some years, am I right, Geoff?

G.T. Well, picking up the story from John, we
did not have quite the length of history, but in the
early 1990s when the family medicine residencies were established to develop residencies in
Northern Ontario, that led to the development
of the Northeastern Ontario Medical Education
Corporation, NOMEC, through the University
of Ottawa. I sat on the NOMEC board so I saw
a huge growth in interest in medical education
amongst a network of doctors throughout the
North. All of the doctors who were taking stu-

dents got interested in medical education. Historically, doctors have always seen, as part of their
function, to teach as well as to deliver health care,
and I think Northern doctors took that very seriously. I think the success of those early programs
was a tremendously important stimulus.

M.L. Geoff, we should say that at your
initial appearance on the board of NOMEC,
presumably you were a representative of
Laurentian University?

G.T. I was, and it is interesting that in those
early days the connection between the physic on tin ued on o e 8

�continued from poge 7

cian community and the university was not
very close. Doctors are fiercely independent
people and so part of my job was to build a
bridge between the university and NOMEC.
Medical schools are not like any other university programs. They are managed through
the academic setting, but to a large extent,
most medical education takes place outside
of your institutional walls such as in your
clinical context, in community hospitals, or
major hospitals that are outside of the university. I came to understand that the right
relationship between the university and the
medical community was important in building confidence, that we could do this in the
North and we could do it right.
That is a very important point Geoff,
because the attitude in the 1960s and 1970s
in the medical, educational sphere was 'What
could a student possibly learn from a doctor
in Sudbury or Thunder Bay?' The medical
schools were the repository of all knowledge.
It brings to mind that we had a Chief of Surgery at the University of Toronto and at the
Toronto General Hospital in the mid-1960s
who was called upon at a coroner's inquest
and one of his statements was: "Well north
of 401, there really is no competent medicine
performed in Ontario."

J.A.

G.T.

Fighting words!

Which were fighting words indeed!
But the attitude has all changed for the
better today.

J.A.

M.L. Goyce Kakaegamic, you come from
communities very far north of the 401. Tell
us about your initial involvement with the
medical school, and why it is so important
from where you sit?
G.K. First Nation communities in Northwest-

ern Ontario I think are some of the most underserviced citizens in Ontario. In our communities
we have no resident doctors whatsoever. We do
have nursing stations in some areas, but some
of them do not even have a nursing station or
nurses resident. We are struggling with a high
rate of diabetes and high rate of suicides, which
dramatically exceeds national averages. Since
1987, we have lost close to 300 of our young sons
and daughters to suicide.
We believe that access to medical attention in our communities is decreasing. I
believe the shortage of doctors and professional specialists is one of the reasons why

8

Inaugural • 2005 - 2006

that is happening. Our people do not even
have the basics that we take for granted here.
Canada likes to take pride in itself as one of
the best countries to live in and yet if these
same standards, which the United Nations
uses to determine that Canada is one of the
best countries in the world to live in, were
applied to First Nations in Northwestern
Ontario, our country would be more rated
with the Third World countries. The lack of
health care would be one of the key factors.
I do not think it is too strong of a statement to make that many lives in First Nations
in our territory and even in the Northwestern
Ontario communities will depend on the availability of qualified doctors and specialists. That
is one of the reasons why we got involved in it
as the Nishnawbe-Aski Nation (NAN), in the
dream of a medical school in Northwestern
Ontario. We took a proactive role to ensure
that a Northern Medical School becomes a
reality, a real Northwestern Ontario school in
Thunder Bay. We were thrilled that Thunder
Bay became a part of it.

M.L. What would you like us to touch on

Implementation Management Committee
whose task it was to produce a business plan
and at that point we set the wheels in motion
of hiring the first Dean. So in April and May
2002, Roger Strasser was brought on board.
He did not actually get here until August
2002. If you think August 2002 and we are
now in August 2005, that is three years putting a whole new staff, putting a whole new
curriculum together and getting the school
up and running, that is astounding. I think
that all of the people that were involved in
that deserve a great deal of credit.

M.L. Goyce, if I ask you to name some of
the people whom you think deserve recognition in making this dream, as you put it, a
reality, who comes to mind?
G.K. I have to echo Geoff's comment on

Dr. Strasser. I think a lot of credit and acknowledgement has to go to Dr. Strasser
for making this dream a reality through his
leadership. Of course, right now he has excellent staff and we are working with vibrant
board members.

for posterity?
I want to reflect a little on some of the
people I think have been really key. I have
learned a huge amount from physician educators that I have encountered in this process.
First of all, Dr. John Augustine opened up
doors for us that brought a depth of experience to our early work that was extraordinari-

G.T.

I have one thing that I would like to
talk about as someone who is not involved
anymore. I am full of admiration for the
amount of work that has been done since the
early days, and I am looking at my schedule
here. They established in the fall of 2001 the

G.T.

www.normed.ca

ly helpful. For myself personally I learned a we got Roger Strasser in place. He brought a
great deal from a couple of Sudbury doctors, lot of experience of how medical schools opDr. Bill McMullen and Dr. John Mulloy. Dr. erate and was particularly influential in deterMcMullen led to the development of NOMEC mining our governance structure. The School
and was a key figure in driving forward this is the only school in Canada that is established
process through from the Sudbury end at as a distinct legal entity connected academileast in getting a sense that yes; physicians in cally to two universities, but it actually is established as an independent and is funded directly
Sudbury could become a medical faculty.
Miriam Macdonald of NOMEC was a from the government with representation from
huge eye opener to me to see how much could the university and from committee groups on
be done and how proud people become of its board. I think this was as a result of Dr.
making things work. When we actually devel- Aberman's intervention.
oped the proposal for the northern school, we
One more group of people that I would
got some excellent advice from Jim Rourke. like to mention because they don't get talked
Jim was a faculty member at that time at the about very often, and they often get berated,
University of Western Ontario and was a lead- are the civil servants involved. I am thinking
ing figure in the Canadian rural health scene. particularly of George Zegarac, who was at
He was a leading advocate of rural medical that point the Director of the Health and Hueducation. He ran a program out of Western. man Resources branch at Ministry of Health
He influenced us enormously, in fact he wrote and Long-Term Care, Caroline Abrahams,
a lot of the key components of the medical who worked closely with the expert panel
education parts of the proposal we put into and subsequently Kevin Costante, who was
the expert panel. He and Tom Scott were ad- the Deputy Minister of Training Colleges
visers to us, so they put in a lot of work and and Universities who helped the actual birth
gave us, I think, the orientation towards rural of the process. I remember the Deputy Minmedical education that Roger has now taken ister of Northern Development and Mines,
up and that represents his area of expertise.
Cam Clark from Thunder Bay was quietly
Also, I worked very closely with John very helpful in this project.
Whitfield who was my counterpart at Thunder
Bay. And I know that two Chiefs of Staff at the J.A. We also have an outstanding CAO that
hospitals, David Boyle from Sudbury Regional is Dorothy Wright who has come from the
Hospital and Blair
provincial government
Schoales from Thunand has done an exder Bay were enorceptionally good job.
' ' One thing I learned
mously helpful in
I would also laud both
from this process
presidents of Laurenpushing this forward.
Last but not least,
tian and Lakehead
is that working in
there were some politiUniversities because,
solitude will not
cians who did this. You
although it is a great
have to give credit,
feather in their cap
end our isolation.''
whatever your political
perhaps, it is a feather
- Goyce Kakegamic
stripe, to Mike Harris'
that has taken a lot of
government for taking
adjustment and strain
what at the time was a pretty bold step. His gov- to get in place. I would also mention someernment did that and it may have been an is- thing that we call the National Advisory Board
sue close to Mike Harris' heart. His Minister of and that was headed by Dr. John Evans who
Health at the time, Elizabeth Witmer, and her I mentioned earlier was the first Dean at Mcsuccessor, Tony Clement, took a step that not Master University and has a wide attachment
many other jurisdictions have taken of creating to many health issues in Canada. Dr. Robert
a new school in a rural environment. It took McMurtry, he was the immediate past Dean of
some courage to do that.
Medicine at Western and was in the DepartWe got an enormous amount of help from ment of Health or Ministry of Health in OttaArnie Aberman, we might think paradoxically, wa. Locally in Thunder Bay, Ken Boshcoff was
since Arnie was the former Dean of Medicine the mayor of Thunder Bay and very vigorous
at the University of Toronto, the biggest medi- in his support as was the entire Northwestern
cal school in the country and the most urban Ontario Municipal Association.
medical school in the country. Here he is, serving as a consultant dean in the period before G.T. A couple more people have come to

mind. In the later iteration of the business plan,
Jim Gordon, then mayor of Sudbury played an
important role in chairing that committee. The
mayors of Thunder Bay, Timmins, Sault Ste.
Marie, Sudbury and North Bay got together and
went down to meet with Elizabeth Witmer. The
mayors played a pretty important political role
in making sure that this happened. I think they
deserve credit for that. I also would like to mention people who worked very closely with me at
the university who did a huge amount of work
on the proposal. I particularly want to acknowledge the work of Ann Pegoraro, who worked
with me as a developer, who did terrific work in
getting funding in and making sure that a lot of
the proposal was kept together. Ann Moro and
Diane Moncion worked out of my office. We
had a great little team who put a lot of energy
and a lot of heart and soul into it. A number of
them are still with the school, but they did the
leg work and I remember them with affection.

M.l, I want to shift gears a little bit now and
turn back to Goyce. Let's say 10 years from
now, how do you think the Medical School
will have changed your constituency?
G.K. One thing I learned from this process

was the comment working in solitude will not
end our isolation. We missed a lot of opportunities until we came out as Aboriginal people
with our rural neighbours. We were able to
do great things that will benefit all our people
and rural people. My approach to resolving
issues always has been of one informed decision working in a cooperative partnership
mode, not a competition. One thing I learned
from this experience is we can go into other issues. One thing that all First Nations
encounter is the sustainability of our communities' economic base. We have to get away
from this economic dependency and handouts from the government. I have been trying
to pass a resolution by the Chiefs' Assembly
that we need to dialog or have some sort of
protocol of First Nations and their municipality leadership. I think in order to do that we
need the support of our partners. That is what
excites me; I think that it is possible. It is not
a political conflict, it is a conflict of two different cultures and certainly we are not immune
in Canada. Look what is happening in Quebec
and I hope that conflict stays in the political
and legal arena. But you know, I think we are
not immune to that in the North or Northwestern Ontario. We need to work together. It
excites me what we did and that there are
other challenges we can tackle here. A

2005 - 2006 • Inaugural

9

�Laurentian University
Un iversitelaurentienne

C

omptant plus de 8 200 etudiantes et etudiants a temps plein et a temps partiel,
l'Universite Laurentienne est un reflet du
Canada. C'est l'une de deux seules universites bilingues du pays, qui compte aussi une importante population etudiante issue des Premieres
nations, ainsi qu'un nombre croissant d'etudiantes
et etudiants etrangers.
La Laurentienne offre une experience educative personnalisee et marquee par le soutien. Elle
tire aussi profit des elements uniques lies a son
emplacement geographique, mise sur Jes aspects
uniques de ses gens, et cette experience est manifeste dans son devouement envers l'apprentissage.
Nos programmes (plus de 90 de premier cycle,
18 de maitrise et 4 de doctoral) et nos travaux de
recherche refletent la diversite de notre population etudiante et de notre personnel enseignant.
La Laurentienne offre diverses occasions uniques
d'enrichissement personnel et professionnel et
d'epanouissement communautaire par l'entremise
de la decouverte et de la transmission du savoir.
La mise sur pied de la premiere ecole de medecine depuis 30 ans au Canada, fruit d'un partenariat unique entre la Laurentienne et l'Universite
Lakehead, est un bel exemple de notre engagement
al'egard des questions relatives ala same en region
nordique et rurale et de notre volonte acollaborer
avec nos partenaires devoues.
A l'Universite Laurentienne, on bouge. L'augmentation du nombre de nos programmes, de nos
inscriptions et de nos activites de recherche, de
la construction sur le campus, de nos partenariats
et des dons temoigne de nos progres importants
et continus. A

Apprendre, naturellement.
Learning. It's in our Nature.
ith more than 8,200 full-time and part-time students, Laurentian
University is a mirror of Canada itself. Laurentian is only one of
two bilingual universities in the country, with a significant First Nations
student population and a growing number of international students.
At Laurentian, we offer an educational experience that is personalized and
supportive. It also capitalizes on the unique aspects of our geography, our people
and is reflected in our dedication to learning.
Our programs (more than 90 undergraduate, 18 master's and four doctoral)
nd research reflect the diversity of our students and faculty. Laurentian also
offers a variety of unique opportunities for enriching personal, professional and
community growth through the discovery and transmission of knowledge.
Developing Canada's first new Medical School in more than 30 years, in a
unique partnership with Lakehead University, is a solid example of our dedication
to northern and rural health issues and of our willingness to work collaboratively
with dedicated partners.
Laurentian University is on the move. Our growth in programs, enrolment,
research activity, on-campus construction, partnerships and donations attest to
our continuing and significant progress. A

W

10

Inaugural• 2005 - 2006

www.normed.ca

--

--

Ranked Canada's
- - -

--

ongratulations to all those who have
contributed their expertise, time, effort, money, support, and influence
to the establishment of the Northern
Ontario School of Medicine. This is an historic
moment in the annals of Northern Ontario,
and a truly remarkable feat that honours the
commitment and perseverance of the people
of this region. Lakehead University is proud to
be home to the west campus of the Northern
Ontario School of Medicine. There will be 24
students of the School on Lakehead's campus
starting in August 2005. During their time here,
these students will be a part of Lakehead University's vibrant campus.
Lakehead is one of Canada's more exciting
comprehensive universities with enrollments of
under 10,000. It has been ranked by Maclean's
as Canada's #l in Value-Added for three years.
Known for its strong leadership and commitment to students' needs, Lakehead has earned
a reputation for innovative programs and enriched learning opportunities.

C

Unique Student Experience
With a campus backyard that includes the
Canadian Shield and the world's largest freshwater lake, many programs in Environmental
Studies, Anthropology, Biology, Forestry, Geography, Geology, Kinesiology, and Outdoor
Recreation, Parks &amp; Tourism utilize this natural laboratory. Northern socio-economic problems are addressed in Lakehead's Gerontology,
Sociology, Business Administration, Social
Work, Nursing, Psychology, Indigenous Learning, and Teacher Education programs.

# 1 Value-Added Universi!l
The Thunderwolves hockey team plays regularly in front of thousands of fans at the Fort
William Gardens, while other varsity programs
compete at the CJ. Sanders "Thunderdome"
on campus. In early 2005, the Hangar, a new
$6-million athletics facility, was opened.

Economic Impact on Northwestern
Ontario
In 2003-2004, Lakehead had an economic
impact of $215.1 million on the City of Thunder Bay. With 1,600 employees, Lakehead
University is one of the largest employers in
the region. It makes a significant contribution to the region in the form of technology
transfer through its many research centres.
Lakehead researchers working in collabora-

tion with the staff, faculty, and students of
the Northern Ontario School of Medicine
will create further opportunities for economic, social, and cultural growth.

Meeting the Needs of Aboriginal
Students
Northern and Native issues are on the research agenda of many professors at Lakehead, and these issues form the nucleus of
some undergraduate and graduate programs.
Lakehead offers specific academic programs
designed to meet the needs of Aboriginal
learners. Aboriginal Cultural and Support
Services help to ensure that students learn
within a culturally sensitive and welcoming
climate on campus. A

LAKEHEAD UNIVERSITY· 955 Oliver Road A Thunder Bay, ON P7B 5E1
Tel: (807) 766 7300 A www.lakeheadu.ca

�Ontario

Premier of Ontario- Premier ministre de !'Ontario

T

he people of Northern Ontario
So far NOSM has acquired $6 milare not the only ones who stand lion from the federal government to
to be healthier once the North- help build the School's research caern Ontario School of Medi- pacity. This money has gone into the
cine (NOSM) gets down to work. The purchase of specialized equipment for
North's economy will receive a healthy both sites, an investment that will aldose of economic stimulus as well, low NOSM researchers to engage in
through the design, construction, and specialized work, and to attract even
ongoing operation of Canada's newest more research dollars to the North.
medical school.
Dr. Greg Ross, NOSM's Associate
The School has received a total of Dean, Research, would be very pleased
$95.3 million in start-up funding from to attract $4 million in research grants
the provincial government. About between the two campuses. "That's am$32.9 million went toward the con- bitious, but I think we can get there."
struction of the campuses in Thunder
Some of the work to be performed at
Bay and Sudbury, creating dozens of NOSM could have significant economic
jobs in both cities for the duration of impact if it can be commercialized, acthe project, according to NOSM CAO cording to Dr. Ross. Bio-prospecting, or
Dorothy Wright. That left $62.4 mil- the search for new therapeutic agents,
lion for start-up operational expenses.
for example, holds significant promise.
"When we finish our start-up monDr. Ross plans to use technology to
ey, we will have ongoing funding of screen and cross-reference vast librararound $21 million per year, in addi- ies of compounds, literally hundreds of
tion to what funds may be coming in thousands of them, in the search for new
from research and from other specific medicines for maladies such as hyperteninitiatives," Wright explains.
sion, or cancer treatment.
As of Aug. 1, the School had around
"It's modern drug discovery," he says.
100 academic and administrative full- "It's what pharmaceutical companies
time staff. When the School is going have been doing. It (the libraries that
full-bore it will employ in the neighbour- researchers create) could be a great
hood of 500 to 600 people. But as Wright spin-off from an economic development
points out, the economic benefits to the point-of-view."
North do not stop there. Research, and
Gary Polano, NOSM's Project Managresearch money, is a significant part of a er, Research and Innovation, was the genmedical school. "Its economic impact is eral manager of the committee that wrote
not to be underestimated."
the original business plan for NOSM.

On behalf of the Government of Ontario, I am delighted to congratulate the
students, faculty, staff, volunteers and Board of Directors on the opening of
the new Northern Ontario School of Medicine (NOSM).
Our government recognizes that health care professionals do tremendous
work every day and are essential to maintaining a healthy and strong
society. Their dedication to the well-being of others is second to none - and
making sure they have the most current and comprehensive education and
training is a priority for our government.
The opening of NOSM - ajoint initiative between Lakehead and Laurentian
Universities - is a huge step in building a stronger health care system in Northern Ontario. By investing in the education and training of the next generation
of doctors, we are increasing access to care, shortening wait times and helping
prevent illness by promoting healthy living. I am confident that NOSM will
distinguish itself as a leading faculty of medicine and will become a cornerstone of community health care for the North.
Our government is proud to have been a partner in this important project.
We are helping to ensure that Ontario families have access to a doctor of
their own, when they need one, close to home. We recognize that, in the
vast North, this is especially crucial. NOSM will mean more doctors and
better access to health care for people across the province and, especially,
in Northern Ontario.
To the students, faculty, staff, volunteers and Board of Directors of the
Northern Ontario School of Medicine: please accept my sincere best wishes
for much success in your inaugural year - and in the years to come.

~u~

Premier

12

Inaugural • 2005 - 2006

www.normed.ca

From that came a project aimed at exploring the potential for growth in the health
research sector in Northern Ontario in
terms of economic development.
A year ago, former Sudbury mayor
and current NOSM board member Jim
Gordon took the reins of a sub-committee charged with exploring the job
creation potential of these research and
innovation activities. A final report is
expected near the end of September.
It will offer recommendations on how
to build on the existing health research
sector in smaller communities and larger centres across Northern Ontario.
The sector is ripe for the picking, according to Polano. "It is growing across
Canada and the federal government is
going to invest in that sector. We want
to take advantage of that."
The School is a greatjumping off point
for such initiatives and activities, he says.
He adds that though he can't divulge the
contents of the report, he can say it contains good forecasts and solid models in
terms of the impact of the School.
The School has generated an incredible sense of optimism, according to Dr.
Fred Gilbert, President of Lakehead
University. "It's not just about health
care in the long term, it's about a linkage with economic development."
As Dr. Gilbert concludes, the wonderful thing about NOSM is that it will to pay
dividends for decades to come. It truly is
an investment in the North's future. A

�T

esting the breath for pre-disposition to cancer, eliminating cancer cells at the molecu lar level, removing resistance to drug treatments and guided tours inside the brain; these
are just some of the cutting edge projects being
undertaken by researchers at the Northern Ontario School of Medicine.
Scientists from all over the world have made
their way to NOSM, and it is fully expected that
their efforts will soon establish Northern Ontario
as a centre ofworld-dass medical research. Canada's newest Medical School intends to instill an
atmosphere of support and respect for research
activities, and to support these efforts with the latest in technology.
NOSM researchers are already utilizing the
breathtaking benefits of the Virtual Reality Laboratory (VRL) at MIRARCO. Located in the Willet
Green Miller Building at Laurentian University in
Sudbury, the VRL has a 22-foot wide, 12-foot high
concave screen providing 3-dimensional stereographic imaging linked to a data sensing, monitoring, database storage and processing facility.
Previously utilized solely by the mining industry
for engineering purposes, medical researchers at
NOSM have recently discovered another use for
this $1 million data visualization facility.

Dr. Gregory Ross, Associate Dean of Research at NOSM, explains how medicine and
mining are able to share technologies. "Min ers use virtual reality to look at a mine shaft in
3-dimension. Medical researchers can use this
technology to look at blood vessels in a brain in
order to conduct stroke research. This is spacial
data . Researchers use their own software for
their specific applications. Mining and medi cine can share the hardware at MIRARCO."
Campuses at Laurentian University in Sudbury and Lakehead University in Thunder Bay
also offer NOSM researchers valuable data
analysis resources through access to the "super
computers" at the two universities.

Help has Arrived
There is a palpable level of excitement among
NOSM researchers. These fifty highly respected faculty researchers come from all over the
United States and Europe. Many of the Medical
School's researchers are repatriated Northerners who are thrilled that NOSM has provided
this opportunity for them to pursue their ca reers in Northern Ontario.
Dr. Tom Kovala, Associate Professor of Bio chemistry at the school's East Campus, spent nine
years in the United States after completing his
schooling in southern Ontario. His enthusiasm at
being back in the North is evident. "There is a lot
of research going on here, and it is great to be
able to get involved in that. I grew up here. I have
family here. I love the area. It's not very often you
have the opportunity of being in on the ground
floor at the beginning of a new school. In most
institutions you are filling in a slot. Here you can
really feel like you are doing something to make a
direct contribution to the North."

�to health care. It frequently triggers an
Every medical school values research, how- increase in depression symptoms while
ever the decision to integrate research into affecting self-esteem and quality of life.
Dr. Michel Bedard is Associate Professor
its curriculum is one of many reasons the
Northern Ontario School of Medicine is in the Human Sciences Division at NOSM's West
unique. In choosing to deliver a four year, Campus. He is also Canada Research Chair in
eight month program rather than the alter- Aging and Health at Lakehead University. Dr.
native three year, twelve month course of Bedard's research into driving cessation is spestudy, NOSM will also provide students with cifically designed to help understand the cognithe option to work in research laboratories tive mechanisms that support safe driving and
in the summer.
to look at potential interventions to minimize
Research is woven into the very fabric of these issues. Dr. Bedard emphasizes the importhe institution; it can be found in the School's tance of the research being done here. "In some
vision and mission statement and in its guid- types of research it doesn't matter where it's being principles. Dr. Roger Strasser, Found- ing done, but many issues in the North are quite
ing Dean of NOSM, explains: "The pri- different. For rural residents, loss of driving camary reason for having the school is to help pacity often necessitates an unwanted move to a
improve the health of people in Northern larger urban centre. By doing the research here
Ontario. The way to do that is to look at the we make it relevant to issues of the North."
factors for improving their health. The way
In some instances, conducting research
to do that is through research - quality re- in a Northern setting greatly assists the posearch that addresses questions regarding tential volume of data collection. Such is
the health of people in Northern Ontario. the case for Dr. Gregory Ross. His work as
This is why we're here."
a physiologist in the area of neurodegeneraDr. Gregory Ross agrees. "Research is tive disease has led him to research aimed at
one of the more exciting aspects of all of our identifying environmental factors that may
jobs. We will be encouraging and fostering contribute to Parkinson's, Alzheimer's and
an attitude of inquiry that involves research. ALS disease. The NOSM Associate Dean
Our medical educators will always be asking for Research is exploring the link between
the question, 'Is there a better way that I can metal ions in water and the formation of sedo this?' Don't just assume. Get evidence nile plaques, which are found in the brains of
to support your theory/ belief. This way of Alzheimer's patients. He samples fish from a
thinking will foster a research attitude. This substantial number of Sudbury area lakes to
is an attitude we will encourage."
study the pathology of their brains. Thanks
to the wealth of historical data that has been
Focused on the North
Researchers at NOSM are focused on collected in Greater Sudbury because of the
asking questions that directly affect North- mining and smelting activity in the area, Dr.
erners. In rural communities the effect Gregory Ross can frequently determine what
health has on lifestyle is obvious when a metal ions (copper, zinc or aluminium) each
Northern senior can no longer drive safely. fish has been exposed to over its lifespan.
Driving cessation affects mobility and access Many of these fish are 20 years old. By cor-

Attitude of Inquiry

relating this data with information collected
regarding senile plaques, he can in effect
conduct a 20 year study. This would be impossible to do elsewhere.
In Thunder Bay, Dr. Brian Ross, Associate Professor of Pharmacology in the Medical Sciences Division of NOSM, is turning
the simple act of exhaling into a fascinating
study with potential implications for cancer
patients. This interest in breath research
stems from the many benefits of breath
analysis in screening for diseases. Breath
analysis can detect high ketone levels in an
undiagnosed diabetic, and high isoprene levels in a patient whose liver is producing too
much cholesterol.
Breath research has major implications for
patients with undiagnosed lung cancer, as Dr.
Brian Ross explains. "One thing definitely in
your breath is all the chemicals from your
lungs. What we have noticed over the years
is that lung cancer tumours in cell cultures
in the lab give off odd gases that can be detected. You don't generally see cells giving off
these gases."
West Campus will soon have a highly advanced machine called Selected Ion Flow Tube
Mass Spectrometry (SIFT-MS). This machine
detects gases at the low levels necessary for study.
It will do this in approximately one minute as
opposed to the 45 minutes the previous technology needed to analyse one breath sample.

..

According to Dr. Brian Ross, "SIFT-MS is
holding out the promise that this will become
a much more utilitarian technique. I will study
samples taken from patients with diagnosed
lung cancer in various stages (before and after
their treatments) to see what chemicals are at
higher levels. These can be used as a marker.
The machine data will be computer analysed
to scan for new markers we can detect and look

ecule, it must be held in place through electrostatic interactions and hydrogen bond. By
using the virtual reality visualization facilities
(VRL) at MIRARCO, we can see how well the
key fits and holds."
In order to fully implement all potential
resources, the Northern Ontario School
of Medicine has also formed strategic collaborations involving several local health
and educational institutions including the
Sudbury Regional Hospital (HRSRH) and
the Northeastern Ontario Regional Cancer
Centre (NEORCC). This seamless collaboration has resulted in the creation of joint appointments for a number of their valued
medical researchers including Dr. Amadeo Parissenti. At the NEORCC, he is Chair in Canfor in at-risk patients. The ultimate goal is to cer Research for the Regional Cancer Program
of the Sudbury Regional Hospital. At NOSM's
stop people from dying oflung cancer."
East Campus he is a Professor in the Medical
Sciences Division and Co-ordinator of the BaWorking together Works
At NOSM's East Campus, Dr. Tom Kovala, sic Sciences curriculum.
Dr. Parissenti's research work includes
Associate Professor of Biochemistry, is undertaking cell biology studies involving the the study of drug resistance in cancer cells
MAP Kinase Cascade (the signal pathway a and the study of Protein Kinase C in cancer
healthy cell must follow in order to develop induction. Research to identify agents able
normally). MAP Kinase is a regulator of cell to circumvent drug resistance received approliferation and growth that is found within proximately $450,000 in funding from the
all healthy cells. When MAP Kinase is turned Ontario Cancer Research Network. His ef"on" all the time, in the case of cancer, the forts in understanding how cancer is initiated
normal response of apoptosis (programmed through the activation of certain members of
cell death) is not working. The unhealthy the Protein Kinase C family have received
two grants of approximately $250,000 from
cancer cells are left to multiply unchecked.
Dr. Kovola is concentrating on Extra Cel- the Canadian Institute of Health Research.
lular Signaling Regulated Kinase (ERK) inThinking Ahead
hibitors that will turn "off" the MAP Kinase.
Collaboration is one thing, duplication
"We are looking at a small molecular compound (a drug) that specifically inhibits MAP is another. As Dr. Gregory Ross points out,
Kinase in breast cancer cells. If we can block "There is also an enormous amount of high
that pathway, the cells from our preliminary technology that goes into research testing.
research indicate that they are sensitized to We, as a medical school are a kilometre down
apoptosis. It's a long road before this can be the street from the cancer centre. It would be
used to treat patients but it's got a lot of po- foolish for both institutions to make a major
purchase without discussion. Before we invest
tential application."
in any piece of equipment, we seriously look
In conjunction with this work, Dr. Greg at whether or not we need to own it or if we
Ross and Dr. Gerardo Ulibarri, Assistant can share it. We are in constant communicaProfessor in Medicinal Chemistry at the De- tion with the NEORCC."
There is truth in the statement that
partment of Chemistry and Biochemistry at
Laurentian University, are working to test po- "institutions don't do research, researchers
tential drugs for selectivity (to eliminate side do research." Through its focus on research,
effects) and potency (the strength of interac- and its relentless search for the best researchers in the field, the Northern Ontario School
tion with the molecule's protein).
A drug must fit into an "active site" through of Medicine provides the infrastructure
molecular interaction in order to trigger the to allow Northern Ontario to expand its repnecessary effect. As Dr. Ulibarri explains, "I utation for doing world-class research. These
make the drugs and Dr. Gregory Ross tests are exciting times for medical education
them. It's like fitting a key in a lock. If the in Northern Ontario, and it is all strictly
drug is introduced and absorbed by the mo!- non-fiction. ~

..

�The Commissioner of Official Languages
Commissioner of
Official Languages

I would like to offer my most sincere congratulations to the number of people who helped
bring about this important moment in the history of Northern Ontario.
Because it was conceived by people from the region, the new Medical School takes into
account regional realities. It makes full use of innovative information technologies to support a
network of contributors spread out across the vast territory of Northern Ontario.
This school belongs to everyone who lives in the North, whether they live in urban, rural or
remote areas, and whether they are Anglophone, Francophone or Aboriginal. In this spirit, as
Commissioner of Official Languages, I am particularly pleased about the measures that were taken
to support future health care professionals who wish to practise in the two official languages, and
about the fact that the distinctive characteristics of the Franco-Ontarian community were taken
into consideration from both the education and research standpoints.
I have no doubt that the Northern Ontario School of Medicine will prove to be an invaluable
contribution to the development of the region. Reducing the shortage of health care professionals, developing methods of health care delivery that are adapted to the realities of Northern
Ontario, and helping to diversify the economy of the region are all challenges that you will be
quite capable of meeting.
Who knows, perhaps today you are laying the foundations of an institution that will become an
inspiring example for other regions grappling with similar issues.

•

CANADA

PRIME:

MINISTER· F&gt;REMIER MINISTRE

I am delighted to extend my heartfelt greetings and congratulations to
the faculty, students and staff of the Northern Ontario School of Medicine
at the beginning of this inaugural year for your establishment.
The opening of Canada's newest Medical School is the end result of a vision
by a group of highly dedicated people from across Northern Ontario
who were committed to a unique pan-Northern approach to the teaching
and training of our future medical experts. As an excellent mosaic of the
many features that define Northern Ontario, your school represents the
remarkable diversity of culture in this great land - a cornerstone of our
nation's success and prosperity. Moreover, as an outstanding international
centre for excellence, the noble work carried out by this School will help
improve the quality of life of our entire nation by putting health care on
a truly sustainable footing.

J'aimerais offrir mes plus sinceres felicitations au grand nombre de personnes devouees qui ont
contribue ala realisation de ce grand moment dans l'histoire du Nord de !'Ontario.
Paree qu'elle a ete conc;ue par des gens de la region, la nouvelle ecole de medecine prend bien
compte des realites regionales. Elle fait pleinement usage de technologies de !'information
innovatrices pour soutenir un reseau de collaborateurs s'etendant sur !'ensemble du vaste territoire nord-ontarien.
Cette ecole est celle de tous ceux et celles qui habitent le Nord, qu'ils habitent en ville, en
milieu rural ou en en region eloignee, qu'ils soient anglophones, francophones ou autochtones.
Dans cet esprit, et atitre de commissaire aux langues officielles, je me rejouis particulierement des
mesures qui ont ete prises pour appuyer les futurs professionnels de la sante qui desirent pratiquer
dans les deux langues officielles et du fait que l'on prenne en consideration les caracteristiques
particulieres de la communaute franco-ontarienne, tant du cote de l'enseignement que celui de la
recherche.
Je n'ai aucun doute que l'l:cole de medecine du Nord de !'Ontario saura apporter une
contribution inestimable au developpement de la region. Reduire la penurie de professionnels de
la sante, developper des modes de prestation des soins de sante adaptes aux realites du Nord de
!'Ontario et aider diversifier l'economie regionale sont tous des defis que vous saurez relever.
Qui sait, peut-etre jetez-vous aujourd'hui les bases d'une institution qui deviendra un exemple
inspirant pour d'autres regions aux prises avec des defis semblables.

Indeed, I am certain that the academic experience gained from this
establishment will provide our future medical experts with the tools
and knowledge necessary to make confident decisions and to meet
future challenges with great competence and enthusiasm. I join with all
those present in wishing the faculty, students and staff all the best in this
inaugural year.
Please accept my warmest regards and best wishes for a most memorable
celebration.

a

Paul Martin
Prime Minister

18

Inaugural • 2005 - 2006

•

Commissaire aux
langues officielles

Dyane Adam
Commissioner of Official Languages/ Commissaire aux langues officielles

www.normed.ca

�NOSM

•
urr1cu u
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Bylaura E. Young

3

' ' It takes a village
to train a doctor.''

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- Dr. Dan Hunt

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20 Inaugural • 2005 - 2006

www.normed.ca

hen Kirkland Lake's
Dr. Richard Denton
talks about helping
the Northern Ontario
School of Medicine
write ground-breaking curriculum that
will create a new breed of innovative, self.
reliant medical generalists, you get the
sense he knows what he is talking about.
Denton has experience in anesthetics, obstetrics, trauma, and intensive
care, as well as family medicine; has
run two nursing homes; has served as
coroner of Kirkland Lake; has spent
six years on city council; and has
served a term as mayor (from 1997 to
2000). He has spoken out on issues
such as the now-scrapped scheme to
ship Toronto's garbage to Kirkland
Lake's abandoned Adams Mine site,
and he has served on numerous boards
and committees at the provincial and
national levels.
Dr. Denton's latest challenge: serving as Chair of the Northern and
Rural Health Team Committee at
NOSM, a position intended to ensure
that the School's curriculum is unique
and meets the health care demands of
Northern and rural Canada.
The Kirkland Lake physician has
come full circle from the day when, as
a graduate of McMaster University's
School of Medicine, he opted to work
in an underserviced area. "I felt I didn't
need to go off to Africa to do that."
And now, Denton is hoping to create
a new breed of generalists: physicians

who can handle a variety of health
concerns in the culture and context of
Northern Canada, doctors who can do
anything from removing a gall bladder,
to setting bones, to performing a C-section, and practising internal medicine.
As well, they will advocate for their community on larger questions of public
health and preventative medicine, while
at the same time working effectively on
health care teams with midwives, nurse
practitioners, social workers, and other
health care providers.
His own political activism notwithstanding, Dr. Denton insists the medical profession is not returning to the
days when a small-town doctor did
everything in his or her community.
"The government, with family health
networks and teams, is completely
changing the image of the small town
family doctor. The type of family doctor who did everything is definitely
changing. What the doctors of the future will need to know will be where to
find the knowledge, sift through it and
to whom to refer their patients."
And the pedagogical foundation
for imparting those skill sets is being
laid this fall when NOSM's Charter
Class begins its medical education.

T
On the one hand, NOSM, like the
other 16 medical schools in Canada,
will graduate skilled physicians ready
to pursue residency and to practise anywhere in Canada or the world, says Dr.
Roger Strasser, Founding Dean of the
2005 - 2006 • Inaugural

21

�Northern Ontario School of Medicine. The Un- a community placement
dergraduate Medical Education program meets for a month long imall North American standards for accreditation.
mersion in Northern
Although the focus of the curriculum is on pri- Aboriginal communities.
mary care or generalist practice, NOSM's gradu- ''As far as I'm aware, that
ates will have the opportunity to choose whatever (placement) doesn't hapspecialty they desire. "We're not just training pen anywhere else in the
family doctors. That's an important distinction," world," notes Dr. Strasser.
stresses Dr. Joel Lanphear, NOSM's Associate
In second year, the
Dean of Undergraduate Medical Education.
students will be disOn the other hand, NOSM's curriculum is patched for clinical
unique because it addresses specific Northern placements in rural
needs, including the shortage of family physi- and remote towns.
cians. From first year, students are immersed in "They're really getting
the study of general practice in the hope that they into those communities
will become family doctors who will choose to and health problems
practise in the North. And while NOSM's curricu- and learning clinical
!um is a river of five themes that courses through skills in community set- Vice Dean, Academic
all four years, the Northern and Rural Health tings. It's really about
NOSM
theme is not found in any other Canadian medi- community based medical school curriculum, according to Dr. Strasser. cal education where the students don't just
Northern and Rural Health is part ofNOSM's so- learn but actually experience the diversity
cial accountability mandate, adds Dr. Lanphear. of cultures and the different health services
"It's to improve the quality oflife by improving the delivery models in Northern Ontario," says
health of the people living in the North, particu- Dr. Strasser.
larly Aboriginals and Francophones."
In third year, the students will spend 30
The highly integrated curriculum is based on weeks "abroad in the North" performing a
complex real life scenarios grounded in North- comprehensive community clerkship in one of
em Ontario. "They are actually using real data 10 or so Northern communities. They will be
from real Northern Ontario communities so it's based in family practice, learning surgery, injust like being a physician in one of those commu- ternal medicine, and obstetrics-gynecology, the
nities. The students get to know the socio-demo- core clinical disciplines.
graphics, the health profile, who the people are
While this may sound like training in a more
in the community," explains
conventional medical school,
Dr. Strasser.
"in those programs, the tradiAs well, the cases are roottional ways are to do it in boxes
ed in what Dr. Denton calls
(rotations)," Dr. Strasser says.
cultural competency. "We will
"Ours is parallel community
be placing students in the con-f
clerkship where they're learntext of different cultures," with
ing all the clinical disciplines
an emphasis on First Nations
in parallel based in family
and Francophone communipractice and living in commuties. Traditionally, medicine
nities long enough that they
has looked at the patient as
become part of the commuan individual. About a generanity. We hope they'll feel at
tion ago, the context of the pahome enough in that commutient's family was added to the
nity that they'll entertain the
scenario. Now a patient's cul- --;,,..--::::....,,.;.=::;:;.......,,....,.
idea of returning once they've
ture and how that is defined
I
h
finished their training."
is factored into medicine, says
Dr. Joe Lanp ear
The vast majority of health
Dr. Denton. "Therefore a docAssociate Dean, Undergraduate
care happens outside major
tor needs to be aware of [a
Medical Education
medicalcentresandawayfrom
patient's] culture. What things are important to hospitals, emphasizes Dr. Lanphear. NOSM's
them from a health point of view?"
goal is to teach doctors to think outside the box:
In order to start learning answers to those ques- to look at a medical case, and to diagnose and
tions, Year l NOSM students will attend two clini- treat the patient using all their skill combined
cal sessions per week interviewing and examining with available technology. Basically, the students
standardized patients, individuals who are trained become highly skilled, self-reliant problem solvers
- like actors - to simulate an illness. (See sidebar.) able to regard a patient in the context of his or
At the end of Year l students will be assigned to her family, community and culture.

22

Inaugural • 2005 - 2006

Themes and Threads

Dr. Richard Denton
Chair, Northern and Rural Health,
NOSM
"They absolutely have to be able to listen
because hearing is only part of listening. To
do so they have to understand the community
and culture they're in," Dr. Lanphear maintains. The traditional medical school model
has been to learn in teaching hospitals or
health centres "which actually have a very limited range of clinical problems that are seen."
NOSM leans heavily on the Internet as a
teaching tool. The curriculum will teach the
students how to access knowledge, says Dr. Denton. "The whole curriculum is designed around
the use of the Internet."
"For us the technology is a bit like oxygen. It's
all around you. You know you need it to sustain
you but you're not really aware of it," adds Dr.
Strasser. "The high level use of electronic communications will allow students to continue their
case-based learning even when they're dispersed.
"We're really providing a high quality medical education that is similar to any other medical school but is actually much more diverse.
The students (are) learning in a different range
of health service settings. It's not just acute
hospitals, but also mental health services, long
term care facilities, nursing stations out in the
communities and so on."
Rural practitioners provide a wider range
of services and carry a higher level of clinical
responsibility in relative professional isolation, Dr. Strasser notes. "That's true whether
you're talking of family physicians or specialists in medicine, nurses, pharmacists or any
kind of health professional, really. It's about
the context, about the whole community."
Most of what NOSM is doing is already going
on in bits and pieces around the world. "But this
particular packaging is the first time certainly in
Canada," Dr. Strasser concludes. And it will place
Northern Ontario in the forefront of the world in
rural medical education. A

Activities

www.normed.ca

To imagine something as complex as a
medical school curriculum, best look down
at the carpet on the floor.
Dr. Joel Lanphear, Associate Dean, Undergraduate Medical Education, imagines the
Northern Ontario School of Medicine curriculum as a tightly woven, multi-coloured rug.
As the threads move in one direction, the
themes move across the other way, securing
a curriculum designed to hold fast the health
care needs of Northern and rural Canadians.
The five broad themes are like the warp of a
carpet, he says, as they run through the four
years of the curriculum.
The five themes of the NOSM curriculum:
Northern and Rural Health: part of the
social accountability mandate and the raison
d'etre for NOSM. This thread entails understanding life in Northern and rural Ontario
and what made life, as Northerners know it
today- particularly for First Nations and Francophones. Part of doing that involves placements, with three over two years. It's hoped
students will become advocates for the needs
of the North, Dr. Lamphear says: "Physicians
need to take a leadership role for the way life
is in a community. It's a huge job."
Personal and Professional Aspects of
Medical Practice: Basically, it's the ethics of
medical practice in a diverse community.
How do physicians communicate with their
patients and what are the responsibilities? As
well, they must learn to understand and appraise research, use technology and embrace
the idea of being a lifelong learner, something that is a curriculum-wide notion, Dr.
Lanphear says.
Social and Population Health: The focus
in this thread is research and how to analyse
data. For example, is a project designed correctly? Are its findings consistent with the
population? It's all about understanding how
health is determined; how the North is similar
to, yet different than, the rest of Ontario, when
factoring in issues like alcoholism, substance
abuse, cancer rates and environmental factors.
Foundations of Medicine: "The good old
basic medical science. The "ologies," explains
Dr. Lanphear. The anatomy, pathology, biology of "classic medicine." While these sciences
explain what is happening in the body, doctors
need to understand how science explains what
they are seeing. "You don't have to be a scientist first to be a doctor. You have to understand
how the sciences you are learning relate to the
patient you're taking care of."
Clinical Skills In Health Care: Commu-

nication 101. This critical component involves
taking patient history, conducting physical exams and communicating with the person in the
doctor's office. It's all about communicating in
a patient-centred model of care.
The threads are the woof of the NOSM
curriculum fabric and cover a host of subjects ranging from Aboriginal Health to
Workplace Safety Insurance Board issues
and Patient Safety.
Some highlights:
Inter-professional Education and Work:
Here students spend several sessions a week in

health care settings visiting nurses, labs, and
nurse practitioners. It's an opportunity to explore the community and see that medicine "is
not just physicians. Health care is much broader
than that," Dr. Lanphear notes.
Health Effects of Social Problems:
Students will learn about the health effects of
various societal problems, such as diet, or a
child born with an addiction.
"There are lots more," Dr. Lanphear
notes in closing. ''I'm contacted often by
organizations that want an emphasis on what
they do." A

Remember the line in
It's difficult for the students
the old TV commercial
because they know the perwhere the actor in a white
son is in pain, that there
lab coat looks earnestly into
are other issues. It makes
the camera and says, ''I'm
it hard for them to take the
not really a doctor, but I play
time they need to learn."
one on TV?" Canada's newInstead, the volunteer paest Medical School is using
tients will come to NOSM's
a variation on that theme as
classrooms and help the
a critical component of its
medical students learn in a
new curriculum.
less intimidating environThe Standardized Patient
ment where the students will
and Volunteer Patient Profeel free to make mistakes
gram is the best way to teach
and take their time. The
medicine and skills in clinical
"patients" will then have the
thinking, according to Dr.
chance to constructively criJudy Baird, NOSM's Theme 5
,
tique their "doctors."
Course Chair (Clinical Skills -----D
- r.....J_
u_d_y_B_a_i_r_d___ While there is a sense
in Health Care).
Theme 5 Course Choir
of simulation, using stanThe program involves
(Clinical Skills in Health Care)
dardized patients does
two types of "patients": acprevent gaps in learning,
tors posing as patients who
Baird says. In the past, a
can often fool tutors; and people who actu- student doctor saw only what the preceptor
ally have a disease. Dr. Baird appears to happened to see that day. This way all the
wince as she recalls how medical students students will see all types of cases.
of her generation learned to interview paWhat's more, the patient cases will
tients. They went on clinical rounds with reflect the reality and medical problems
their preceptor, speaking with whomever most common in Northern Ontario, such as
the preceptor was visiting that day. That heart disease, diabetes, and obesity. "There
learning process was far from ideal, and it will be (volunteer patients) with occupahasn't improved over time either.
tional injuries; people with the same kind
"Patients are sicker these days than when I of cultural influences as the people of
trained. We are getting people out of hospital Northern Ontario."
faster. We're not admitting people that aren't
Another unique aspect of this program is
as sick. They're managing at home. When you the sheer distance involved, with the classes
go into the hospital, the acuteness of illness is distributed over campuses in Thunder Bay
higher than it used to be."
and Sudbury. "We have the extra challenge
Patients who are even more ill are in a of making sure our students in Thunder Bay
difficult position to help train medical stu- have the same experiences as our students in
dents. There are more patient needs with Sudbury. I think the program is well designed
fewer people around to help, she says.
so that we can do that. With a little bit of
"Patients don't want to be used in that way. travel for me," she laughs. A

2005 - 2006 • Inaugural

23

�The seed money for the School was the investment of $95.3
million from the Ontario Ministries of Training Colleges and
Universities and Health and Long-term Care. Of that total,
$62.4 million was designated as start-up funding to be disbursed over three years (2003-2005). The money was used to
support the hiring of faculty and staff, build the medical library,
develop curriculum and to build information technology and
telecommunications infrastructure, upon which NOSM will
rely so heavily. The balance of the funding, $32.9 million, was
earmarked for capital spending supporting the construction of
the new NOSM buildings in Sudbury and Thunder Bay.

The Northern Ontario School of Medicine is a not-for-profit corporation with its own budget, administration, and Board
of Directors. The Board has 35 directors from across Northern Ontario. The Board is in charge of overall governance
and defines long-term policies. The Board of Directors reflects the geographic, cultural, linguistic and racial diversity
of Northern Ontario. The Board includes appointees from, or
by, Laurentian and Lakehead Universities, the City Councils
of Thunder Bay and Greater Sudbury, the Ontario Minister of
Training, Colleges and Universities, the Northwestern Ontario Municipal Association, the Federation of Northern Ontario Municipalities, the Nishnawbe Aski Nation, Grand Council
Treaty 3 and the Union of Ontario Indians. Five seats on the
Board have been designated for individuals of Aboriginal descent and three seats have been reserved for Franco-Ontarians. Two medical students, two post-graduate medical students and two faculty members will also serve on the Board.
Dr. Fred Gilbert, President of Lakehead University, is the first
Chair of the Board, and Dr. Judith Woodsworth, President of
Laurentian University, is the first Vice-Chair. The positions
will be exchanged at the end of three years and will continue
to rotate in perpetuity.

Links to the Aboriginal community are key to NOSM. An
Aboriginal Reference Group was established in 2005 as a primary resource for the School in order to fulfill its mandate in
Aboriginal initiatives, including research, administration and
education. Represented on the Aboriginal Reference Group
are: the Nishnawbe Aski Nation, the Union of Ontario Indians,
Grand Council Treaty 3, Ontario Metis Aboriginal Association,
Ontario Federation of Indian Friendship Centres, Ontario Native Women's Association, Independent First Nations, Metis
First Nations of Ontario, and an Aboriginal student from each
of the two campuses, and an Aboriginal youth delegate.

FedNor, the federal government's economic development initiative for Northern Ontario, announced a $6-million grant to
NOSM in March 2005. The funds cover construction costs for
labs at Lakehead and Laurentian Universities, and support for the
state- of- the- art technical systems used to keep NOSM connected
with the rest of Northern Ontario. In addition, FedNor has funded several smaller projects: $340,000 to support the joint project
team that developed the strategic plan for NOSM; $150,000 for
the curriculum development workshop, held in Sault Ste. Marie
in January, 2003; and $85,000 for a health research and innovation study.

The Northern Ontario School of Medicine (NOSM) owes a great
deal to The Northwestern Ontario Medical Program (NOMP) and
the Northeastern Ontario Medical Education Corporation (NOMEC). NOMP, affiliated with the MacMaster University School of
Medicine, and NOMEC, an extension of the University of Ottawa
Faculty of Medicine, are operated from the campuses of Lakehead
and Laurentian Universities, respectively. These well-established
residency programs have developed preceptor networks of practising clinicians across Northern Ontario. These physicians will
bring invaluable pedagogical and practical experience to NOSM
and its students. The NOMP and NOMEC residency programs
will eventually become integral parts of NOSM.
The Medical School's academic affairs are governed by an
Academic Council which answers to the Senates of the partner
universities.

The Francophone Reference Group: The Francophone population of Northern Ontario plays a key role at
the School. NOSM has encouraged Franco-Ontarian admissions and is working with the French-language medical schools at the Universities of Ottawa and Sherbrooke
in Quebec. Franco-Ontarians have three seats on the
NOSM Board.

NORTH Network is a dynamic telemedicine provider that
uses two-way video technology to provide clinical consultations
and educational offerings to health care professionals across
Northern Ontario. One of the world's leading telemedicine
networks, NORTH will play a vital role in delivering NOSM's
curriculum to rural and remote sites across the North.

Board Members

Northern Ontario
School of Medicine
The Ontario government's Northern Ontario Heritage Fund
Corporation has offered to match donations to the Northern
Ontario School of Medicine Bursary Fund up to a total of $5
million. As well, the fund paid for a $375,000 study on health
resources infrastructure.
NOSM's Executive Group, which includes the Founding
Dean, two Vice Deans and the Chief Administrative Officer
manages NOSM's day-to-day affairs. The Founding Dean
reports directly to the Board and is responsible for all aspects
of the School's direction except for those assigned to the
Board itself.

Seated (L to R): Debbie Lipscombe, Leona Nohwegohbow, Roger Strasser, Judith Woodsworth, Fred Gilbert, Maureen Lacroix, Sheila Hardy.
Standing (L to R): Mariette Carrier-Fraser, Donald V.Genier, Helen Cromorty, Ion Young, Geraldine Govender, Hermann Falter, Soroh Willio~s, .Jomes Gordon, Adorn Spencer,. Brion Wolmork,
Peter Hutten-Czapski, John Augustine, Carl White, John Whitfield, Liliane Beauchamp, Gerry Lougheed Jr., Seppa Paivalainen, Jeon Anowat1, B111 McMullen, Dermot Mcloughlin, Ron Chrysler,
Neil Mcleod, Goyce Kakegamic
Missing: Richard Adams, Elizabeth Dougall, Kenji Miyata, Ron Nelson, Lynn Peterson

• Inaugural • 2005 - 2006

www.normed.ca

2005 2006 • Inaugural

�M

edical students face many
challenges on the path to
becoming full physicians.
There are the academic
pressures, the clinical and research
work, and the constant need to remain
balanced and focused on the tasks
at hand.
Unfortunately another one of the
very real challenges all students face
is the financial one. Medical education is expensive, and financial stresses can add to the already heavy load
carried by NOSM students. The Northern Ontario School
of Medicine Bursary Fund is an essential service to help
NOSM's students alleviate some of these stresses.
The Bursary Fund Campaign is being led by two eminent
Northern Ontarians: Greg Pilot in the Northwest and Gerry
Lougheed Jr. in the Northeast. Both say the response from
Northerners has been excellent.
"The campaign is going really well," said Pilot. "The support and enthusiasm for NOSM is simply tremendous, and we
are really starting to see people come on board with pledges,
donations and long-term commitments to the fund. It's a
thrill to see this level of enthusiasm from these donors."
Lougheed echoed these remarks. "I have never seen such an
overwhelming response to a fundraising effort. We are more
than 112 way to our goal and I have yet to have anyone say 'no'
when asked to donate."
The goal for the Bursary Fund Campaign is $5 million
from the private sector, a level both Pilot and Lougheed expect to meet and even exceed. The Ontario government has
committed to match each dollar raised, up to a total of $5
million, thereby doubling the impact of each donation.
"We have a lot of talented Northern students who will
end up moving south to attend some of the other medical
schools if we can't find ways to support them here," said Pilot. "A medical education could cost students up to $100,000
or more. A strong bursary fund is our way of helping Northern medical students stay in the North."
In fact, Lougheed, who also sits on the NOSM Board of
Directors, said the School has gone even further. "The Board
has made it a policy that finances will not be a barrier for any
qualified student," he explained. "We want to ensure every
student accepted into NOSM will get the financial support
they need. A stong endowment fund will do just that."

26

Inaugural • 2005 - 2006

The Northern Ontario School of
Medicine Bursary Fund is a collaborative effort between Lakehead and
Laurentian Universities, the School of
Medicine, and donors. Donations to
NOSM medical student bursaries are
received by Lakehead and Laurentian
Universities to benefit students of the
School of Medicine.
There are a number of different
types of donor-funded awards. These
include:
Non-Endowed Bursary
The creation of a non-endowed bursary requires a yearly
minimum donation of $500 for four years. The award value
may be increased at any time during the funding period.
Non-endowed bursaries are totally distributed and do not
live on in perpetuity.
General Bursary Fund
Contributions of any size are graciously welcomed and
will be combined to create a general endowment account.
This fund is designated for medical students in the most
pressing financial need.
Endowed Bursary
Endowed bursaries are established with a minimum investment of $10,000. A donor may choose to pledge the $10,000 required for endowment over five years until the total is reached.
Endowed bursaries are awarded one year after the minimum
contribution is reached, as interest earned on the capital will be
used to pay out the annual award in perpetuity. _..

P

eople are encouraged to visit the Northern Ontario
School of Medicine website at www.normed.ca.
Go to the "Support Us" section for more information,
or contact the Development Offices at:
Office of Development
Lakehead University
(807)343-8300
email: development@lakeheadu.ca

icine

m rs, cu ty, sta , supdents on the opening of
Ontario School of
M}.

Northern Ontario Business is proud to
be a part of this historical inaugural
year,..celeoration,· as project managers
of the Grand Opening events in
Sudbury and Thunder Bay, and publishers of this commemorative souvenir
magazine.
Thank you to the many exceptional
people who shared their talents and
experiences, including: Oryst Sawchuck
for the artwork of the east and west
campuses, members of the NOSM
Events Planning Group, and Lakeside
Communications for coordinating the
magazine's editorial and photographic
contents.

Biiiiiiiss

Office of Development
Laurentian University
(705) 675-1151 ext. 3443
email: development@laurentian.ca

ESTABLISHED

www.normed.ca

1980

�West Campus
955 Oliver Road A Thun
East Campus Laurentian University
935 Ramsey Lake Road T Sudbury, ON P3E 2C6 T Tel: (705) 675 4883 Fax: (705) 675 4858

Northern Ontario
School of Medicine

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