Community InformationNamed for its location, 100 miles north of the origin of the Gold Rush Trail, 100 Mile House is proud of its frontier heritage. Originally a stopover for prospectors heading north for gold, the town of 100 Mile House is known for its friendliness and hospitality.
Forestry is the primary driver of the economy, however the community also serves as a commercial supply centre for the area. Located in the Cariboo Chilcotin region of BC, the area experiences warm summers and cold winters with short-term temperatures ranging from 30 degrees to – 40 degrees Celsius.
INDUSTRY:
Forestry, ranching, tourism, service industries, value-added wood manufacturing and government agenciesPopulation
Town Population: 1,886 (BC Stats, 2011 Census)
Catchment area: 14,756 (Local Health Area #25 - 100 Mile House, BC Stats 2009)
Ages of Population:
0-17: 16.3%
18-24: 9.5%
25-64: 53.8%
65+: 20.4%
(BC Stats, 2010 Figures)Health Administrative Information
Health Authority: Interior Health Health Service Delivery Area: Thompson Cariboo Shuswap Regional District: Cariboo Regional District Rural designation: RSA community RRP Designation: A RRP Points: 23.00
Practitioners + Clinic information
General Practitioners: 14 (www.cpsbc.ca) Clinics Exeter Clinic Box 879, 395 Horse Lake Road 100 Mile House, BC, V0K 2E0 P: 250 395-2271 | F: 250 395-2599 Coach House Square Medical Walk-In #6-95 B 97 Highway 100 Mile House, BC, V0K 2E0 P: 250 395-1143 Village Medical Clinic Box 1720, 190 Horse Lake Road 100 Mile House, BC, V0K 2E0 P: 250 395-3000 | F: 250 395-3055 Canim Lake Band - Family Wellness Centre Canim Lake Reserve Box 1030, #1 - House #11 100 Mile House, BC, V0K 2E0 P: 250 397-2502 | F: 250 397-2598 White Feather Family Centre Box 1030 100 Mile House, BC, VOK 2E0 P: 250 397-2717 | F: 250 397-4155 Medical Walk-in Clinic #2-575B Alder Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-4010 Nursing Ambulatory Clinic (at 100 Mile House District General Hospital) 555 Cedar Avenue South 100 Mile House, BC, B0K 2E0 P: 250 395-7676
2012 socio-economic profile of 100 Mile House (Source: BC Government).
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The 100 Mile District General Hospital is housed within the South Cariboo Health Centre, and has the following services:
- 16 beds
- Up to six monitored beds
- Two labour rooms
- Fisher Place extended care residence, single rooms with 24-hour nursing care
- Large care home attached to hospital
- Radiology Technicians
- Laboratory staff
- Digital X-rays
- Dental surgery
Contact Info
Box 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7600 | F: 250 395-7607 www.interiorhealth.ca
Hospital Info
Acute Care Beds: 16 Major Medical Centre: Kamloops, BC (199 km)
Emergency Room
There is a full service ER that is open 24/7 in this community. The ER also provides some obstetric services. No. of Visits Per Year: 10,773 (2009/2010: IHA Stats)Hospital CAEP and CTAS
CAEP Classification Description Level 4
Facility with inpatient beds. May be optional services i.e. obstetrics, definitive for appropriate conditions, stabilization and transfer to another facility as required, open 24/7.
CTAS Level CTAS Level I (Resuscitation) CTAS Level II (Emergent) CTAS Level III (Urgent) CTAS Level IV (Less Urgent) CTAS Level V (Non Urgent)
Anaesthetics
Anaesthetic services are available at this site.
Lab services
100 Mile House District General Hospital Lab Box 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7600 | F: 250 395-7607 Hours: daytime onlyBlood Bank
There is a blood bank in this community.
Imaging services
X-Ray 100 Mile House District General Hospital Imaging Box 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7600 | F: 250 395-7607 Ultrasound There are ultrasound services available in this community. Mammography Mammography services provided by BC Cancer Agency twice a year. See www.bccancer.bc.ca for details.
Referral Centres
Referral Hospital Cariboo Memorial Hospital (Williams Lake for Gyn and Surgery) Tertiary Care Center Referral Site Royal Inland Hospital (Kamloops) and Williams Lake (Gyn and Surgery)
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BC Ambulance
BC Ambulance Services provides coverage in this community, including Air Ambulance service.
Pharmacy
Hospital 100 Mile House District General Hospital Box 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7600 | F: 250 395-7607 In-community Donex Pharmacy Box 40, 145 Birch Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-4004 | F: 250 395-2683 Pharmasave Drugs Box 308, 545 Highway 97 100 Mile House, BC, V0K 2E0 P: 250 395-2921 | F: 250 395-3652 Save-On Foods Pharmacy Box 609, 157 North Cariboo Highway 100 Mile House, BC, V0K 2E0 P: 250 395-2139 | F: 250 395-2031 Safeway Pharmacy 535 S Cariboo Highway 100 Mile House, BC, V0K 2E0 P: 250 395-4952 | F: 250 395-1822
Nurse Practitioner
There is a nurse practitioner in the community.
Nursing Ambulatory Clinic South Cariboo Community Health Centre 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7676
Extended Care
Fischer Place/Mill Site Lodge (94 beds) South Cariboo Community Health Centre Bag 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7696 | F: 250 395-7697
Home Nursing
Prenatal and Nursing Ambulatory Clinic South Cariboo Community Health Centre Box 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 302-5000
Dietetics
There are currently 2 registered dietitians in this community.
Diabetic Nurse Educator
Diabetes Education Program South Cariboo Community Health Centre Box 399, 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7611 White Feather Family Centre Canim Lake Band Box 1030 100 Mile House, BC, V0K 2E0 P: 250 397-2717 | F: 250 397-4155
Physiotherapy
Cariboo Therapy Centre 6681 Perry Road 100 Mile House, BC, V0K 2E3 P: 250-395-2185
Mental Health and Addictions
IH Mental Health and Substance Abuse Services 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7600 Canadian Mental Health Association 555 B Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-4883 | F: 250 395-1183 CYMH 100 Mile House 4-170 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-5633
Social workers
Canim Lake Band - Family Wellness Centre Canim Lake Reserve Box 1030, #1 - House #117 100 Mile House, BC, V0K 2E0 P: 250 397-2502 | F: 250 397-2598 Hrs: Mon-Thurs 8:30-4:30 pm Coach House Square Medical Walk-In Box 879, 120 1st Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-1143 (wheelchair accessible) Exeter Clinic Ltd. Box 879, 395 Horse Lake Road 100 Mile House, BC, V0K 2E0 P: 250 395-2271 | F: 250 395-2599 (wheelchair accessible) Village Medical Clinic Box 1720, 190 Horse Lake Road 100 Mile House, BC, V0K 2E0 P: 250 395-3000 | F: 250 395-3055 (wheelchair accessible)
Interior Health: Street Nursing Outreach Services 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 305-9645 Cariboo Family Connections Pregnancy Outreach Box 2427 100 Mile House, BC, V0K 2E0 P: 250 395-5155 | F: 250 395-1811 Elderly Services (at 100 Mile District General Hospital) Interior Health Authority 555 Cedar Avenue South 100 Mile House, BC, V0K 2E0 P: 250 395-7676 The Canadian Diabetes Asosciation 100 Mile House & District Branch 1589 Sutherland Avenue Kelowna, BC, V1Y 5Y7 P: 250 762-9447 www.diabetes.ca Homeless Outreach (at 100 Mile District General Hospital) 555 Cedar Avenue South 100 Mile House, BC, V0K 2E0 P: 250 706-7599 Crisis Stabilization (at South Cariboo Health Centre) 555 Cedar Avenue 100 Mile House, BC, V0K 2E0 P: 250 395-7623 Family Service Team 486 Birch Avenue S 100 Mile House, BC, V0K 2E0 P: 250 395-5155
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Practice Site Information
Exeter Clinic Box 879, 100 Mile House, BC V0K 2E0 P: (250) 395-2271 | F: (250) 395-2599 Cariboo Mall Medical Clinic Box 2278, 1160 535 Cariboo Hwy 97 N 100 Mile House, BC, V0K2E0 P: (250) 395-4010 | F: 250-395-4020 Physician Site Coordinator(s): Dr. Koen Geerts
Practice Profile
The Exeter Clinic is a group practice with 11 preceptors all of whom are involved in resident training to some degree. The 2 main preceptors opened up the Cariboo Mall Medical Clinic so the resident will work there part time and at the Exeter Clinic the rest of the time.
The office is variable; some days are slow with 10 patients and some are busy with 30 or more. The average pace is around 15 or 20 but is dependent on which doctors are away. The doctors at the Exeter Clinic have opened a walk-in clinic in town, which provides good working opportunities. There is a day off per week and that usually leaves three office days.
There are OR mornings as well in those 3 office days. The emergency room is busy at times but the pace is manageable. The staff back up is great. They give residents plenty of freedom and are readily available. Usually they do paperwork at the clinic during the day while the resident works in the ER so they can be there quickly if needed for Mi’s and multi-traumas.
There is a cell phone that residents can take so they do not have to stay overnight. There are three GP Surgeons in town; two are involved with the resident. They do appys, C-Sections, hernias, colon and sigmoidoscopies. There are two GP Anesthetists who share call for C-sections, airway emergencies etc. Four or five physicians do Obstetrics. There is GP Surgeon and GP Anesthetist backup for C-section. They get around 150 deliveries per year. There is one OR and Thursday morning is the scheduled OR time, although there are scopes done on the other days.
On-Call Schedule
Call is one 24 hour shift or two 12 hour shifts a week and one weekend call day a month.
Training Site Information
Family Practice Resident Site: Yes Medical Resident: UBC Other Professionals: Imaging and Laboratory Service Professionals Mental Health Workers Nurse Practitioners Nursing Physiotherapy Social Workers
Students & Residents Perspectives
On The Experience
“The hospital staff is familiar with the role of a resident and always pleased to see a fresh face”
“You get a lot of autonomy in the emerg and the docs will let you do pretty much whatever you are comfortable with. There was decent pathology. So the ER is good. “
Challenges
“Need to have independent social activities/physical activity.”
“Scheduling can be challenging, so we would appreciate knowing when residents’ holidays are and any special request as soon as possible”
Patient Economics
% Low: 18 % Medium: 80 % High: 2
Patient Load
Practice per day: 20-30 Physician per day: 30 Resident per day: 15 to 20
Office Set-up
Personnel in Office:
Nurses, Registered Nursing Assistants
Will residents have contact with these agencies? Yes
If Yes, in what way?
We work all together and see everyone frequently, we will soon have all services in hospital building
Office Space:
The resident will have two exam rooms, and there is a common lounge/office area to work on charts, discuss cases, eat lunch, and enjoy a coffee/tea.
Does your office have a surgical suite? No
Payment Modality: Fee-for-service
Do you use consistent charting system in your practice? Yes
Is their a problem list on each chart? No
Is there space for the resident to have an office and examing room? Yes
Would you expect the resident to rotate offices on a regular basis? Yes
Technology: Billing, Electronic Medical Records
Educational Opportunities
Hospital Rounds: No CME Teleconferences: No Videoconferences: Yes, there are learning opportunities via videoconference. Conferences: Yes, there are opportunities for conferences. Journal Clubs/Reading: No What other educational opportunities are available to your students and residents (e.g Rounds, CPD)? Seminars, planning of CME events
Preceptor Physicians
Dr. Rod Dickey Dr. Koen Geerts Dr. Leila Klopper Dr. Joanne Lapin Dr. Bruce Nicolson
