Faculty
Dr. Chris Little
Dr. Little is a general internist at Penticton Regional Hospital. He was born and raised in St. John’s, Newfoundland where he completed his B. Sc. Hon and M.D at Memorial University. He then moved to the west coast to complete the Internal Medicine Residency Program and General Internal Medicine Fellowship Program at The University of British Columbia. He also undertook further training at McGill University in cardiac echocardiography at the Jewish General Hospital in Montreal.
Dr. Little is a Clinical Assistant Professor of Medicine at UBC in the Division of Community Internal Medicine and associate member of the Division of Critical Care. He is committed to improving the quality of medical education at Penticton Regional Hospital. He has developed a bedside teaching curriculum for the Family Medicine Residency Training program as well as created learning opportunities through the newly implemented General Medicine Assessment Clinic.
| University or Institution | Degree | Subject Area | Dates |
| Memorial University of Newfoundland and Labrador | B.Sc Hons | Biochemistry | 2003-2007 |
| Memorial University of Newfoundland and Labrador | M.D. | Medicine | 2007-2011 |
| Title of Dissertation | Supervisor |
| Honours Dissertation – Stimulation of monocyte interleukin-10 by the monoclonal antibody 1F7 | Dr. Michael Grant – Department of Immunology Memorial University of Newfoundland and Labrador |
| University or Institution | Rank or Title | Dates |
| University of British Columbia | Internal Medicine Core Resident | 2011-2014 |
| University of British Columbia | General Internal Medicine Fellow | 2014-2016 |
| Jewish General Hospital, McGill University | Echocardiography Fellow | 2015-2016 |
Continuing Medical Education
| University or Institution | Type | Detail | Dates | |
| 1 | Physician Work Hours, Health, and Patient Safety. Harvard Medical School | Patient safety conference | Invited as member of Resident Doctors of British Columbia | 2012 |
| 2 | International Conference on Residency Education | Education conference | Postgraduate medical education conference | 2014 |
| 3 | Canadian Society of Internal Medicine | Conference | 2012,2014 | |
| 4 | Monthly Internal Medicine Rounds. Department of Medicine-Penticton Regional Hospital | Continuing medical education | 2016-present | |
| 5 | Cardiology Rounds – Montreal Jewish General Hospital | Clinical Rounds | Weekly – 2016 | |
| 6 | Montreal Jewish General Hospital – Echocardiography Rounds | Continuing medical education | Biweekly – 2016 | |
| 7 | Annual Symposium on Cardiovascular Imaging – McGill University | Continuing medical education | June 2016 | |
| 8 | Quarterly Echocardiography Rounds – Montreal Jewish General Hospital | Continuing medical education | Presented echo portion of cardiology rounds | 2016-present |
| 9 | Canadian Cardiovascular Congress | Society meeting | 2016,2017,2019 | |
| 10 | Canadian Society of Echo Meeting | Society meeting | 2017 | |
| 11 | Canadian Critical Care Conference | Conference | 2017 | |
| 12 | Airway Intervention and Management in Emergencies Airway Course – St. Paul’s Emergency Medicine Conference | Course | 2018 | |
| 13 | Arrhythmia Update 2019 | CME | 2019 |
Professional Qualifications
| 1 | Licentiate of the Medical Council of Canada (LMCC) – (2012) |
| 2 | Fellow of the Royal College of Physicians of Canada (FRCPC) – Internal Medicine (2015) |
| 3 | Fellow of the Royal College of Physicians of Canada (FRCPC) – Subspecialty of General Internal Medicine (2016) |
| 1. | REFEREED PUBLICATIONS |
| (a) | Journals |
| 1. Tam P, Nijjar AP, Fok M, Little C, Shingina A, Bittman J, Raghavan R, Khan NA. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018 Apr 19;13(4):e0195216. doi: 10.1371/journal.pone.0195216. eCollection 2018.
2. Bittman, J, Tam P, Little C, Khan N. Who to handover: a case-control study of a novel scoring system to prioritise handover of internal medicine inpatients. Postgraduate Medical Journal. 2017 Jun; 93(1100):313-318 3. C. Little, S. Hamilton, J. Shik. Rhabdomyolysis causing acute kidney injury in a patient with multiple risk factors and an underlying inflammatory muscle disease: A Case Report. UBCMJ. 2012. Sept;14(4) 20-21. 4. M.S. Parsons, L. Barrett, C. Little, M.D. Grant. Harnessing CD36 to Rein in Inflammation, Endocrine, Metabolic and Immune Disorders-Drug Targets. 2008 Sept; 8 (3):184-191
|
|
| (b) | Conference Proceedings |
| 1. Are we under-diagnosing heart failure? Presented at University of British Columbia heart failure symposium. Vancouver, British Columbia (2019)
2. Tension Hydrothorax Causing Mediastinal Shift and Pulsus Paradoxus. Presented at the Canadian Society of Internal Medicine Annual Meeting, Calgary, Alberta (2014) 3. Residents Perspectives on Handovers: Results of the Canadian Association of Residents 2013 National Residents Survey. Presented at the Canadian Conference of Medical Education, Ottawa, Ontario (2014) 4. Best Practices in Handover Education. Joint workshop by Canadian Association of Internes and Residents and I-PASS group. Presented at International Conference on Residency Education, Toronto, Ontario (2014) 5. Quality improvement in Handover of General Internal Medicine In-patients. Presented at Resident Research Day, University of British Columbia, Vancouver, British Columbia (2014) |
|
| (c) | Other |
| 1. Stimulation of Monocyte Interleukin-10 by Monoclonal Antibody 1F7. Honours Dissertation on reserve at Queen Elizabeth II Library, Memorial University of Newfoundland and Labrador (2007)
|
|
| 2. | NON-REFEREED PUBLICATIONS |
| (a) | Journals |
| 1. Little C, Brooks E. A letter to the editor to Dr. Mark Elliott’s article “The age of mushroom medicine is upon us.” British Columbia Medical Journal. (Jan 2020)
2. Investigation of B1 B Lymphocyte-mediated Immunosuppression in Chronic Viral Infection. Submitted to Rx&D Foundation and Research and Graduate Studies Office, Memorial University Medical School as part of Rx&D Summer Research Award. (2006) 3. Regulation of Interleukin-10 Production by IgM Signaling Through CD36. Submitted to Research and Graduate Studies Office, Memorial University, Medical School as part of Memorial University Summer Research Award. (2005) |
|
| (b) | Conference Proceedings |
| *Listed in previous sections | |
| 7. | OTHER WORKS |
| Consent agenda video motion @ 2018 Canadian Medical Association Annual General Meeting – Advocating for Naloxone access in public spaces. Available on the Canadian Medical Association website.
|
|
| 9. | WORK IN PROGRESS |
| Rush B, Mooney O, Hertz P, Little C, Blouw M. 90-day hospital readmission in patients with idiopathic pulmonary fibrosis who survive mechanical ventilation: a nationwide linked analysis Awaiting publication. (2019) |
(a) Awards for Teaching (indicate name of award, awarding organizations, date)
| 1 | Honour Roll Clinical Teaching Award 2019 UBC (Top 10%p faculty) – University of British Columbia Department of Medicine (2019) |
| 2 | Nominated for Penticton Regional Hospital resident teaching award (2019) |
(b) Awards for Scholarship (indicate name of award, awarding organizations, date)
| Dr. J. Douglas Eaton Memorial Scholarship – Memorial University of Newfoundland and Labrador (2005) | |
| Rx&D/CIHR Summer Research Award in Medicine – Department of Medicine- Memorial University of Newfoundland and Labrador (2006) | |
| Mookerjea Prize – Memorial University of Newfoundland and Labrador (2007) | |
| Head’s Prize – Department of Biochemistry -Memorial University of Newfoundland and Labrador (2007) | |
| Lou Visentin Award – Memorial University of Newfoundland and Labrador (2007) | |
| Newfoundland and Labrador Rhodes Scholarship Finalist (2008) | |
| Canadian Association of Gastroenterologist Scholars Program – Canadian Gastroenterology Association (2010) | |
| Merck Sharpe & Dohme Award (2011) – Memorial University of Newfoundland and Labrador (2011) |
(c) Awards for Service (indicate name of award, awarding organizations, date)
| 1 | Terry Fox Humanitarian Award (2004) |
| 2 | Dr. John M. Darte Memorial Fund Scholarship – Memorial University of Newfoundland and |
| 3 | St. John Ambulance Community Service Award (2008) |
| 4 | MUNSU 25th Anniversary Scholarship – Memorial University of Newfoundland and Labrador Student Union (2006) |
Areas of special interest and accomplishments
| 1 | I am the first Royal College certified fellow in the subspecialty of general internal medicine in the Okanagan region of British Columbia. |
| 2 | Training on average three General Internal Medicine fellows annually (16 weeks) in Penticton |
| 3 | Promoting rural generalist medicine, a diverse community medicine practice and academic excellent outside of a major teaching hospital |
| 4 | Teaching focused echocardiography skills to PGY-2 residents and General Internal Medicine Fellows |
Continuing Education Activities – Presentations given
| 1 | Chris Little – Update on Cardiomyopathies. Cardiology Rounds. St. Paul’s Hospital. Vancouver, British Columbia. | Feb 2012 |
| 2 | Chris Little, Sasa Fazlagic. Current Guidelines and Evidence in Treating Medullary Thyroid Cancer. Presented at Endocrinology Academic Half Day. Vancouver General Hospital. Vancouver, British Columbia. | May 2012 |
| 3 | Chris Little – Neda Amiri, Brad Biagoni. Management of End Stage Congestive Heart Failure. Presented at Internal Medicine Noon Rounds. St. Paul’s Hospital, Vancouver, British Columbia. | Sept2012 |
| 4 | Chris Little – HIV Associated Vasculitides. Presented at Rheumatology Noon Rounds. University of Alberta Hospital. Edmonton, Alberta. | May 2013 |
| 5 | Chris Little – Practical Antibiotic Guidelines for Internal Medicine Residents. Presented at Infectious Disease Rounds. Royal Columbian Hospital. New West Minister, British Columbia. | Jan 2014 |
| 6 | Chris Little. The Future of Early Goal Directed Therapy and Sepsis Bundles. Internal Medicine Journal Club. St. Paul’s Hospital. Vancouver, British Columbia. | Dec 2014 |
| 7 | Echocardiography for Family Physicians – Penticton Regional Hospital, Penticton British Columbia. | Jun 2017 |
| 8 | Optimization of the Perioperative Patient -Grand Rounds Penticton Regional Hospital.Penticton, British Columbia. | May 2017 |
| 9 | Echocardiography for Family Physicians – South Okanagan General Hospital. Oliver, British Columbia. | Nov 2017 |
| 11 | Recognizing Subclinical Atrial Fibrillation – Penticton, British Columbia. | May 2018 |
| 12 | Novel Anticoagulants for Pulmonary Embolism – Penticton, British Columbia. | Oct 2018 |
| 13 | Recognizing Subclinical Atrial Fibrillation – South Okanagan General Hospital. Oliver, British Columbia. | May 2018 |
| 14 | Novel Anticoagulants for Pulmonary Embolism – White Clinic. Summerland, British Columbia. | Apr 2018 |
| 15 | Sacubitril/Valsartan use in Hospital – Penticton Regional Hospital. Penticton, British Columbia. | Dec 2018 |
| 16 | Strategies for Risk Stratification in Coronary Disease – Penticton Regional Hospital. Penticton, British Columbia. | Jun 2019 |
| 17 | Preventing Heart Failure Re-Hospitalization – Penticton Regional Hospital. Penticton British Columbia. | Dec 2019 |
| 18 | Statin Use in the Elderly: A Debate – Penticton Regional Hospital. Penticton British Columbia. | Mar 2020 |
Visiting Lecturer (indicate university/organization and dates)
| Are We Underdiagnosing Heart Failure? -2019 University of British Columbia Heart Failure Symposium. Vancouver, British Columbia. | Jun 2019 |
Other
| Scheduled Teaching | Dates you did this teaching (years, months) | Calculate Hours Per Year Spent on this item | |
| 1 | Use of contrast echocardiography – a review – Montreal Jewish General Hospital, McGill University | Dec 2015 | 15 |
| 2 | Clinical reasoning for venous thromboembolism patients – St. Paul’s Hospital Internal Medicine Morning Report. University of British Columbia | July 2015 | 8 |
| 3 | Echocardiographic/Imaging modalities to assess endocarditis on percutaneously placed aortic valve -Jewish General Hospital – McGill University | Jan 2016 | 15 |
| 4 | Developed and implemented Sonography Canada certified hands on echocardiography curriculum and training program for Penticton Regional Hospital sonographers | 2017 | 40 |
| 5 | Family medicine Friday beside clinical skills – Penticton Regional Hospital | 2018 | 6 |
| 6 | University of British Columbia General Internal Medicine Fellowship Bootcamp – Point of care echocardiography course. Vancouver General Hospital. | Jun 2018 | 15 |
| 7 | Family medicine Friday beside clinical skills – Penticton Regional Hospital | 2019 | 6 |
| 8 | Family Medicine Academic Half Day – Goal directed medical therapy in heart failure – Penticton Regional Hospital | May 2020 | 4 |
| 9 | Family Medicine Friday beside clinical skills – Penticton Regional Hospital | 2020 | 6 |
| Unscheduled Teaching | Dates | Calculate Hours Per Year Spent on this item | |
| 1 | PGY-2 resident teaching during internal medicine rotation (4 weeks) | 2017 | 10 |
| 2 | R1 family medicine resident teaching during internal medicine rotation (4 weeks) | 2018 | 10 |
| 3 | PGY 2/4 resident Teaching during internal medicine rotation (16 weeks/year) | 2018 | 50 |
| 4 | R1/R2 family medicine resident teaching during internal medicine rotation (4 weeks) | 2019 | 10 |
| 5 | PGY 2/4- resident teaching during internal medicine rotation (16 weeks) | 2019 | 50 |
| 6 | PGY- 4 resident teaching during internal medicine rotation (4 weeks) | 2020 | 12 |