Where did you complete your practicum, and what drew you to that placement?
I took a bit of a more unconventional path to my practicum, and aimed to get as much exposure to different areas of the health system while leveraging my MHSc class learnings and my collaborative specialization in Global Health. I decided to complete two practicums: one internationally in Nairobi, Kenya through Dalla Lana’s Junior Faculty Development Program, working with Moi University and having the opportunity to develop materials for the Ministry of Health. My second practicum was here in Toronto, at Unity Health Toronto in the Anti-Racism, Equity & Social Accountability Office. I was drawn to both of these placements to challenge myself in leading projects outside my usual wheelhouse and learn leadership skills in different environments.
What was your role, and on what kinds of projects or initiatives did you work?
My ongoing practicum at Unity Health within the Anti-Racism, Equity & Social Accountability (ARESA) Office, working directly with the Director, has allowed me to manage an equity-focused quality improvement initiative focused on perinatal experiences and birthing outcomes across St Michaels and St Joseph’s healthcare. Through identifying disparities across indicators such as pre-eclampsia, hypertensive disorders, low-risk C-sections, and breastfeeding outcomes in provincial BORN data, I am leading the process of prioritizing equitable access and care for racialized patients along these indicators. I designed and facilitated community engagement sessions with past patients, worked with clinical leaders in Women & Children’s programs and clinical partners, and continue to support the translation of equity findings into operationally feasible quality improvement strategies. I have also had the opportunity to contribute to other initiatives including the organization strategic plan, attend SLT meetings and sociodemographic data governance work.
For my practicum in Kenya, I spent one month in Nairobi supporting two initiatives that sat at the intersection of implementation science, digital health, and health systems strengthening. The main project I supported was as an evaluation researcher for the EMMPAWTAC study, which focused on integrating an mHealth adolescent mental health self-screening tool into clinic workflows across six urban facilities for young mothers living with HIV. My role involved supporting implementation planning using the RE-AIM framework, refining workflow integration strategies, and contributing to data capture processes through ODK and REDCap. Beyond the technical components, I worked closely with clinical teams to understand how introducing a digital screening intervention would affect provider workload, patient flow, and acceptability. This required thinking beyond the technology itself and into the behavioural, operational, and leadership dimensions of implementation, as the MHSc program encourages us to do as leaders.
Across both placements, my role consistently involved bridging evidence to implementation: whether integrating a digital tool into clinic workflows in Nairobi or translating stratified perinatal data into equity-informed quality improvement efforts in Toronto.
How did your practicum connect theory to practice in the MHSc program?
Coming from a background in consulting and before that research, I really hoped to stretch and embed myself within health systems and the practicum gave me this opportunity. The MHSc program encourages us to lead with an agile mindset, and stay adaptable in how we get there. Across my practicums, that translated into learning to adjust quickly as context shifted, priorities evolved, and new constraints surfaced. It also strengthened my future thinking: looking beyond the immediate task to anticipate implementation barriers, and what teams would need for an initiative to actually sustain over time.
Most importantly, I experienced the program’s emphasis on the intersection of policy, finance, leadership, and change management in practice. Finally, the practicum made me more comfortable leading through uncertainty, a key emphasis in the program: making progress without perfect information, communicating clearly to various audiences, and choosing the next best step while staying responsive to what emerged.