CHARLiE (Child Health Advice in Real Time Electronically)
CHARLiE-Pediatrics is one of the Real-Time Virtual Support (RTVS) pathways for patient care and healthcare collaboration in rural and remote communities in BC.
The CHARLiE team includes pediatricians, pediatric emergency physicians, and pediatric intensivists who are available 24/7 by Zoom to provide urgent specialized pediatric support to rural healthcare providers presented with urgent problems in children and youth. Support includes providing a second opinion, reviewing a case, helping to navigate the healthcare system, and providing collaborative support.
Referrals will continue through current regional referral pathways utilizing the partnerships developed by Child Health BC, with the Tiers of Service guiding referrals and discussion of transfers.
CHARLiE physicians will partner with CompassBC, a program that provides virtual support to providers managing children and youth living with mental health and substance use concerns.
CHARLiE physicians will work with the current Neonatal and Pediatric Critical Care Transport program to support rural healthcare providers.
How to access CHARLiE
Support through CHARLiE is available anytime, 24/7 through Zoom at email@example.com.
If you’re a physician or nurse practitioner in rural BC and don’t have a Zoom for Healthcare account yet, fill out our online form to request a Zoom account, or visit our Zoom page for more information.
Adding CHARLiE to contacts
If you signed up for a Zoom license through RCCbc, all the RTVS contacts (including CHARLiE) will be added to your Zoom contacts automatically. If your Zoom account was provided by your health authority or you signed up for your own account (outside of RCCbc), you will need to add the contacts manually.
Note: It may take up to 24 hours for your contact request to be accepted, so the contact will show as “pending” until then.
If you need assistance, watch the video below. (The video shows how to add RUDi contacts, but the process is the same for CHARLiE.)
Make a video consult
To start a video consultation with a CHARLiE physician, go to Contacts and select CHARLiE. Then, click the Meet button.
If you’re unable to connect to CHARLiE via Zoom or if there is no answer right away, call the backup cell number listed for that account. Note: The backup number changes based on which physician is on call.
Toolkit and Posters
The Real-Time Virtual Support Toolkit for Healthcare Providers is aimed at helping physicians, nurse practitioners, and nurses in rural, remote, and First Nations communities navigate through the RTVS pathways.
It includes a flow chart, details on how to access each pathway, Zoom instructions, frequently asked questions, bios and photos of the physicians in each RTVS team, and posters to put up in your hospital, clinic, or office.
If you just need the posters, download them separately:
Meet the CHARLiE team
Meet the physicians who provide the CHARLiE service.
Amanda Barclay is the Division Head of Pediatric Intensive Care at Victoria General Hospital, where she has worked for the last 17 years. After training in Ontario, she moved to Victoria and was hired as the first pediatric intensivist. When not caring for patients in the five-bed pediatric intensive care unit, Amanda enjoys teaching medical students and residents, leading simulation and PALS courses, and providing procedural sedation for pediatric outpatients throughout the hospital. Outside of work, she enjoys raising two sons, chickens, and bees as well as hiking and biking with her husband.
Allon Beck is a pediatric intensivist in Victoria and has worked there since finishing subspecialty training in 2013. He completed medical school and pediatric residency in the US and then a pediatric intensive care unit fellowship at McGill. Allon continued his clinical training in Australia before arriving in Victoria. He is eager to be involved with CHARLiE to collaborate with providers in lower-resource or lower-specialization settings and to help develop plans and alleviate stress in high-acuity situations. Allon spends much of his time outside the pediatric intensive care unit thinking about food and coffee, or making food and coffee. He’s an avid reader and hiker and is intent on passing those passions on to his two kids.
Jeff Bishop completed medical school at UBC in 2004, followed by a residency in pediatrics and fellowship in pediatric emergency medicine. He worked for several years as a community pediatrician and part-time pediatric emergency physician before returning to complete an additional fellowship in critical care. Jeff is now an associate clinical professor with UBC’s Island Medical Program in Victoria. His clinical work is based in the pediatric intensive care unit and with the pediatric sedation service. Academically, Jeff’s interests include simulation-based education, procedural sedation, and pediatric trauma.
Benetta Chin is a pediatric emergency medicine physician at BC Children’s Hospital. She completed her residency and fellowship training at UBC and has a special interest in quality improvement and patient safety. Outside of medicine, Benetta enjoys spending time with her partner and two young children. She looks forward to serving and supporting healthcare providers who care for children and youth across the province in this new and exciting way!
Arthur Cogswell is a pediatrician, additionally trained in critical care, and has worked at BC Children’s Hospital in the pediatric intensive care unit since 1994. He is also trained in transport/retrieval medicine and is currently well occupied trying to resuscitate BC’s transport system for pediatric patients, as there is a lot of room for improvement in that field. Arthur started his medical career as a family medicine trainee in Tasmania more than 40 years ago and switched to pediatrics after a rotation in a remote mining town proved to him that he needed to learn a lot more about children. Pursuit of training took Arthur all over Australia and New Zealand until he settled in British Columbia.
Amie Dmytryshyn is a general pediatrician with a focus on neonatal care and medical education. She graduated residency in 2012 from UBC. Amie splits her clinical time between BC Children’s and BC Women’s Hospitals and Fairmont Pediatrics. She focuses inpatient care on newborn care and acute general pediatrics as an attending physician on the Clinical Training Unit. As simulation lead, she is responsible for training pediatric residents and medical students on the concepts and skills of neonatal resuscitation. Outside of work, Amie loves skiing, cooking, and travelling as much as her family of six allows.
Meghan Gilley is a full-time pediatric emergency medicine doctor at BC Children’s Hospital and also does the occasional rural, general pediatrics locum. She completed her medical degree and residency at BC Children’s and did a fellowship in pediatric emergency medicine at the Hospital for Sick Children in Toronto. Meg has interests in trauma, transport medicine, and rural pediatric medicine.
Zaneta Lim is a general pediatrician in Terrace. She attended medical school in Kingston, started her pediatric residency in Ottawa, and finished it in Vancouver at BC Children’s Hospital. A city person at heart, Zaneta never imagined she would be working in rural BC. After four years in Terrace, she is inspired by the amazing resilience and dedication of rural physicians and is grateful that she has the opportunity to support her rural colleagues through the RTVS program.
Alysha Mackenzie-Feder is a general pediatrician working and living in Kelowna. She completed medical school at UBC and a pediatric residency at BC Children’s Hospital. Alysha enjoys acute care medicine and has a hospital-based practice. She is a clinical assistant professor with UBC and an active member of the Interior Health simulation team working to bring pediatric simulation to the region. Alysha has two young boys and, in her spare time, enjoys hiking, skiing, and all the Okanagan has to offer!
Tom McLaughlin is a pediatrician at BC Children’s Hospital, where he works primarily on the clinical teaching unit, for which he has been the medical director since 2019. Tom’s academic interests are in pediatric health systems, in particular to ensure that children have access to the healthcare they need, no matter where they live or who they are. In his spare time, Tom enjoys biking, hiking, and spending time with his two cats.
Garth Meckler is a pediatric emergency physician and head of pediatric emergency medicine at BC Children’s Hospital. He worked with Child Health BC to develop the Tiers of Service framework to better understand the needs and resources of BC’s acute care facilities for pediatric emergencies. Garth is excited to connect with rural colleagues providing care to children throughout the province.
Kirsten Miller is a pediatrician in Prince George and Medical Lead for the Child and Youth Health Program at Northern Health. She provides care for patients in the pediatric ward and neonatal ICU at the University Hospital of Northern BC, and in her practice, she sees children and youth with complex medical, developmental, and mental health challenges. Kirsten is one of a small number of BC pediatricians working in child maltreatment and works at the Suspected Child Abuse and Neglect Clinic. Kirsten feels strongly about supporting healthcare providers in rural communities to ensure delivery of excellent care to pediatric patients around the province. She loves northern BC, where she lives with her physician husband and three sons.
Mia Remington is a general pediatrician, primarily based at BC Children’s Hospital, and also works as a locum in rural and remote communities. As one of the program directors of the UBC pediatrics residency program, Mia is keen to continue building ties throughout BC in order to better prepare future pediatricians to practice in community settings. She has a strong interest in quality improvement and is developing a curriculum in patient safety for UBC’s postgraduate medical education program. Outside of work, you can find Mia chasing her 18-month-old son, Wheaton Terrier, and husband around Vancouver, or spending time relaxing at a family cabin in Saskatchewan.
Jenny Retallack is a general pediatrician working at BC Children’s Hospital on the clinical teaching unit and the pediatric intensive care unit. She has also been involved in outreach to Smithers, Hazelton and Whitehorse. Jenny has spent many years taking transport calls and has enjoyed working with physicians to support pediatrics in many different situations.
Carmen Tait is a general pediatrician and pediatric emergency physician in Vancouver. She works as a general pediatrician at Lu’ma Medical Centre, providing culturally integrated pediatric care to Indigenous patients and practices within the Division of Emergency Medicine at BC Children’s Hospital. Carmen also works within an outreach group of pediatricians serving Hazelton and Smithers. She strives for cultural sensitivity within healthcare and is engaged in cultural humility and allyship education within UBC health disciplines. When not practicing medicine, Carmen spends time with her husband and two children.
David Wensley recently retired from the pediatric intensive care unit at BC Children’s Hospital but is still active in pediatric respiratory medicine. He has been involved with pediatric transport in BC for more than 30 years and supported practitioners in the management of sick children in many communities around the province. David also visited some smaller communities when he helped bring the PALS and APLS courses to BC and helped develop the TelePICU project that was supported by Child Health BC to provide various communities in BC with telehealth support for sick children.
We would like to thank the following people who have been instrumental in getting the CHARLiE pathway up and running: Drs. John Pawlovich, Kendall Ho, Arthur Cogswell, Garth Meckler, Tom McLaughlan, Kit Johnson, Kirsten Miller, and David Wensley.