Brett Schrewe

MDCM, MA, PhD

Investigator, BC Children's Hospital

I am a consultant general pediatrician and health professions education scientist based in Victoria, and my research sits at the intersection of those two worlds. My work examines how the medical education practices we take for granted have come to be as they are, and in turn, how they shape who people can be and become as physicians, and what they can do in a liberal, democratic context. My approach to knowledge production is qualitative; I draw on critical, historical, and language-based methods to examine whether, how, and to what degree education, policies, and practices align with the equitable distribution of the social right to health care in Canada. These kinds of approaches and analyses provide useful vantage points on how our current contexts came to be, helping us avoid unintentionally repeating past errors, providing empiric evidence for effective practices, and positioning us to revise educational approaches and policies to ensure that they remain responsive to evolving contemporary pediatric health care needs.

My areas of interest are diverse. They include: (1) pediatric workforce sustainability, with a focus on aligning education practices with societal health care needs; (2) hospitality, with a focus on creating more welcoming clinical care and training environments; (3) professional identity, with a focus on equipping pediatricians as systems-level health advocates and engaged citizens that work to deliver the public good of health care in an equitable fashion; and (4) cultural safety, with an eye to understanding how clinical care practices and tools can be best purposed to provide appropriate care to historically and systemically marginalized pediatric populations.

Academic Affiliations

  • Assistant Professor, Island Medical Program, Department of Pediatrics, Faculty of Medicine, University of British Columbia
  • Research Theme: Evidence to Innovation

Contact Information

Location

324-9882 Ring Road, Victoria, BC, Canada, V8P 5C4

Bridging residency and practice: a final-year pediatric curriculum

Canadian Medical Education Journal

Brett Schrewe and Michaela Remington

DOI: 10.36834/mmarkx31

07 / 2026

Centered on learning, but is it learner centered?: Paediatric resident perspectives on competency-based medical education

Medical Education

Anzinger, H. and Schrewe, B.

DOI: 10.1111/medu.70081

Educating physicians to meet societal needs?: a genealogy of Canadian medical education

Advances in Health Sciences Education

Schrewe, B. and Martimianakis, M.A.T. and Ruitenberg, C.W.

DOI: 10.1007/s10459-026-10519-x

Community-based consultant pediatrician perspectives on child and youth mental health in British Columbia

British Columbia Medical Journal

Schrewe, B. and Tsai, S. and Evoy, B.

Towards a healthier Canada: Transforming the community-based consultant paediatric workforce

Paediatrics and Child Health Canada

Schrewe, B.

DOI: 10.1093/pch/pxaf134

Pillars of purpose in teaching

Medical Teacher

Pratt, D.D. and Schrewe, B. and Pusic, M.V.

DOI: 10.1080/0142159X.2025.2558907

Simple act, complex effects: how ascribing identities leads to structural violence in health care

Canadian Journal of Anesthesia

Lorello, G.R. and Shillcutt, S.K. and Schrewe, B.

DOI: 10.1007/s12630-025-02945-z

What Is Taught Versus What Is Learned: Health Advocacy in Specialist Graduate Medical Education

Academic Medicine

Ying, Y. and Martimianakis, M.A.T. and Schrewe, B.

DOI: 10.1097/ACM.0000000000006074

Unmasking imposter syndrome: individual responsibility or repercussions of systemic oppression?

British Journal of Anaesthesia

Lorello, G.R. and Schrewe, B.

DOI: 10.1016/j.bja.2023.11.011

On the hyphen

CMAJ Canadian Medical Association Journal

Schrewe, B.

DOI: 10.1503/cmaj.231826

Educating future physicians for francophone official language minority communities in Canada: a case study

Canadian Medical Education Journal

Brett Schrewe and Tatiana Yeuchyk and Melanie El Hafid and Joyce Nyhof-Young

DOI: 10.36834/cmej.75300

06 / 2023

Academic Productivity of Equity-Deserving Physician Scholars during COVID-19: A Scoping Review

Academic Medicine

Soklaridis, S. and Black, G. and LeBlanc, C. and MacKinnon, K.R. and Holroyd-Leduc, J. and Clement, F. and Schrewe, B. and Ross, H.J. and Calleja, S. and Stergiopoulos, V. and Taylor, V.H. and Kuper, A.

DOI: 10.1097/ACM.0000000000004971

Re-thinking Identity in medical education: genealogy and the possibilities of being and becoming

Advances in Health Sciences Education

Schrewe, B. and Martimianakis, M.A.

DOI: 10.1007/s10459-022-10095-w

Recognizing and renaming in obstetrics: How do we take better care with language?

Obstetric Medicine

MacKinnon, K.R. and Lefkowitz, A. and Lorello, G.R. and Schrewe, B. and Soklaridis, S. and Kuper, A.

DOI: 10.1177/1753495X211060191

Offering welcome in the kingdom of the sick: A physician guide to hospitality

Journal of Evaluation in Clinical Practice

Schrewe, B. and Ruitenberg, C.W.

DOI: 10.1111/jep.13410

How discourses of gender equity during COVID-19 become exclusionary: Lessons from parenthood

Journal of Evaluation in Clinical Practice

Lorello, G.R. and Kuper, A. and Soklaridis, S. and Schrewe, B.

DOI: 10.1111/jep.13509

Contextual Competence: How residents develop competent performance in new settings

Medical Education

Teunissen, P.W. and Watling, C.J. and Schrewe, B. and Asgarova, S. and Ellaway, R. and Myers, K. and Topps, M. and Bates, J.

DOI: 10.1111/medu.14517

Connected from coast to coast to coast: Toward equitable high-speed Internet access for all

Paediatrics and Child Health Canada

Schrewe, B.

DOI: 10.1093/pch/pxaa129

Who matters?

Paediatrics and Child Health Canada

Schrewe, B.

DOI: 10.1093/pch/pxz170

Growth curves: The experiences of Canadian paediatricians in their first 5 years of independent practice

Paediatrics and Child Health Canada

Schrewe, B. and Patel, R. and Rowan-Legg, A.

DOI: 10.1093/pch/pxz014

On metabolism: Ensuring our health care system remains ready-to-hand

Journal of Evaluation in Clinical Practice

Schrewe, B.

DOI: 10.1111/jep.13478

Bye to burnout: intergenerational narratives break barriers

Medical Education

Yoo, J. and Matos, M. and Bota, M. and Schrewe, B. and Armstrong, L.

DOI: 10.1111/medu.13850

The line

CMAJ Canadian Medical Association Journal Journal De L Association Medicale Canadienne

Schrewe, B.

DOI: 10.1503/cmaj.190570

Embracing standardisation and contextualisation in medical education

Medical Education

Bates, J. and Schrewe, B. and Ellaway, R.H. and Teunissen, P.W. and Watling, C.

DOI: 10.1111/medu.13740

Pedagogical validity: The key to understanding different forms of good teaching

Medical Teacher

Pratt, D.D. and Schrewe, B. and Pusic, M.V.

DOI: 10.1080/0142159X.2018.1533242

The contextual curriculum: Learning in the matrix, learning from the matrix

Academic Medicine

Schrewe, B. and Ellaway, R.H. and Watling, C. and Bates, J.

DOI: 10.1097/ACM.0000000000002345

Little things

CMAJ

Schrewe, B.

DOI: 10.1503/cmaj.180114

Thrown into the world of independent practice: from unexpected uncertainty to new identities

Advances in Health Sciences Education

Schrewe, B.

DOI: 10.1007/s10459-018-9815-4

The Big D(eal): professional identity through discursive constructions of patient

Medical Education

Schrewe, B. and Bates, J. and Pratt, D. and Ruitenberg, C.W. and McKellin, W.H.

DOI: 10.1111/medu.13299

Novel 3q27.2-qter deletion in a patient with Diamond"Blackfan anemia and immunodeficiency: Case report and review of literature

American Journal of Medical Genetics Part A

Alkhunaizi, E. and Schrewe, B. and Alizadehfar, R. and V{\'e}zina, C. and Stewart, G.S. and Braverman, N.

DOI: 10.1002/ajmg.a.38208

The Cross-Canada Quintet presents variations on music: movements in the keys of H, P and E

Medical Education

Schrewe, B. and Bates, J. and Watling, C. and Ellaway, R.H. and Pratt, D.

DOI: 10.1111/medu.13093

When I say... culture

Medical Education

Pratt, D. and Schrewe, B.

DOI: 10.1111/medu.12932

Navigating the unchartable: paths to promotion and tenure in health professions education

Perspectives on Medical Education

Bates, J. and Schrewe, B.

DOI: 10.1007/s40037-016-0306-0

Integrating Theory Into Qualitative Medical Education Research

Journal of Graduate Medical Education

Nimmon, L. and Paradis, E. and Schrewe, B. and Mylopoulos, M.

DOI: 10.4300/JGME-D-16-00206.1

Adapting the forms of yesterday to the functions of today and the needs of tomorrow: a genealogical case study of clinical teaching units in Canada

Advances in Health Sciences Education

Schrewe, B. and Pratt, D.D. and McKellin, W.H.

DOI: 10.1007/s10459-015-9608-y

Update on transcobalamin deficiency: Clinical presentation, treatment and outcome

Journal of Inherited Metabolic Disease

Trakadis, Y.J. and Alfares, A. and Bodamer, O.A. and Buyukavci, M. and Christodoulou, J. and Connor, P. and Glamuzina, E. and Gonzalez-Fernandez, F. and Bibi, H. and Echenne, B. and Manoli, I. and Mitchell, J. and Nordwall, M. and Prasad, C. and Scaglia, F. and Schiff, M. and Schrewe, B. and Touati, G. and Tchan, M.C. and Varet, B. and Venditti, C.P. and Zafeiriou, D. and Rupar, C.A. and Rosenblatt, D.S. and Watkins, D. and Braverman, N.

DOI: 10.1007/s10545-013-9664-5

From history to myth: Productive engagement with the Flexnerian metanarrative in medical education

Advances in Health Sciences Education

Schrewe, B.

DOI: 10.1007/s10459-012-9438-0

Finding potential in balance: Navigating the competing discourses of diversity and standardization

Academic Medicine

Schrewe, B. and Frost, H.

DOI: 10.1097/ACM.0b013e31826d56ca

On aphorisms and the maintenance of biomedicine

Medical Education

Schrewe, B.

DOI: 10.1111/j.1365-2923.2011.04179.x

Life-threatening event during skin-to-skin contact in the delivery room

BMJ Case Reports

Schrewe, B. and Janvier, A. and Barrington, K.

DOI: 10.1136/bcr.11.2010.3475

Aligning Training and Practice, Supporting Providers, Ensuring the Future: Steps Towards a Sustainable Community-Based Paediatric Workforce

Community-based consultant paediatricians (CBCPs) play a key role in providing the care Canada’s children need. Yet evidence suggests this workforce is navigating several existential challenges, including: a shortage and inequitable distribution of providers; mismatches between how CBCPs are trained and their practice scope; potential difficulties for non-Canadian paediatricians to adapt to the Canadian context; and decreasing interest in paediatric careers from learners.

This research draws on workforce models that conceptualize effective health human resources planning as contingent on adequate supply, appropriate education, and responsiveness to changing population healthcare needs, and uses three linked case studies situated in British Columbia and Ontario. It first interviews current Canadian-trained CBCPs about their practice scope, the degree to which residency prepared them for it, to what degree this scope aligns with their communities’ healthcare needs, and how needs have changed over time. It then interviews CBCPs who trained and/or previously practiced in a non-Canadian context to understand how they adapted their skills and generated professional/social supports enabling them to serve their adopted communities. Finally, it interviews final-year medical students and paediatric residents about career-decision making around community-based paediatric practice.

Welcome (to Your New) Home: Fostering Learner Belonging in Longitudinal Integrated Clerkships

The growth of distributed medical education has been explosive over the last twenty years, including here in Canada. More learners than ever before now train in a range of clinical settings outside of urban academic health science centres, including undergraduate students participating in community-based longitudinal integrated clerkships (LICs). To date, LIC scholarship has focused on topics that include workforce outcomes, equivalence of academic performance, and the potential benefits to learners of integration and continuity of clinical care and training experiences. However, learners will only fully avail themselves of these benefits if they feel as though they belong within the LIC. We know from prior research, primarily with learners, that relationships are key to fostering belonging in LICs, particularly as these sites frequently exist at a distance from the regional/central campus. Yet we do not yet understand whether these relationships occur as an effect of strategic intentional design or serendipity.

This project employs a qualitative instrumental single case study, a research design that focuses on an in-depth, detailed examination of a single individual, group or program, in order to provide a detailed examination of LICs in one faculty of medicine in Canada, with the goal of providing insight into a broader phenomenon that transcends provincial and national boundaries. Drawing on conceptual frames of professional identity and educational hospitality, this study uses semistructured interviews with LIC site directors, site administrators, and lead preceptors to explore their assumptions and values with respect to belonging, and in turn, how these beliefs shape their practices around helping learners feel at home in these contexts. We intend to analyze results using reflexive, inductive thematic analysis.

Deconstructing Development: Towards Culturally Safe and Specific Developmental Screening Tools

Ensuring that children can achieve their full potential as adults is a key task for Canadian child health providers, including family physicians and pediatricians. To do so, these healthcare professionals rely, in part, on widespread developmental screening and surveillance tools that track children’s development over time through expected milestones in realms including gross motor abilities (e.g., sitting, walking, running), fine motor skills (e.g., grasping, manipulating, and using objects), communication (e.g., understanding/following directions as well as expressing one’s self through language), personal-social skills (e.g., self-help activities like dressing one’s self, interactions with others), and problem-solving abilities (e.g., thinking and learning). These tools support healthcare professionals in these efforts, complement their clinical judgement, and provide grounds for further investigations and therapeutic interventions if a child is not meeting expected development milestones. However, the utility of these tools is contingent on whether and to what degree the norms that they rely upon appropriately screen the populations with which they are used. After all, what is considered “normal” or “typical” in one social and cultural context may be very different in another context, particularly when it comes to mainstream Westernized developmental tools being applied to Indigenous children living in what is now called Canada. If these screening practices are misaligned with these populations, Indigenous children are at risk for both over and under-recognition of developmental concerns, resulting in inefficient use of healthcare services, caregiver anxiety and/or false reassurance, missed opportunities for timely interventions, and unintentional undermining of Indigenous communities’ cultural goals for the development of their next generations.

This course of research is centered on generating knowledge that supports the eventual creation of Indigenous-led frameworks that offer valid developmental screens and surveillance for Indigenous children and are delivered in a culturally safe way by all healthcare providers across the country. It draws on four linked projects, including:
(1) a critical-historical examination of the normative foundations of global developmental screening and surveillance tools for children aged 0–6 years, with a specific focus on how these define “normal development”, whose development is represented, whether they are descriptive or prescriptive, and whether and to what degree the samples on which they were based drew from Indigenous populations;
(2) a scoping review of research and policy guidelines to document whether and how these tools have been used with Indigenous populations in what is now called Canada;
(3) an environmental scan of the curricula of the 19 Canadian faculties of medicine to understand how their undergraduate medical programs, family physician residency programs, and paediatric residency programs deliver content on development to their learners;
(4) a synthesis of findings from the first three projects presented for review to Indigenous caregivers, national organization leaders, Elders, clinicians, and community partners through focus groups and interviews in order to: explore and interpret findings; understand where mismatches and misalignments exist between existing tools, current training models, and Indigenous worldviews; and identify priorities to help support culturally-safe delivery of appropriate and valid developmental surveillance and screening in Indigenous contexts.

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