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FM/Emergency Med. Match (R-3)

Program Descriptions

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Updated September 29, 2011

McMaster University

College of Family Physicians of Canada
Emergency Medicine Residency Program CFPC-EM


Ontario logo
Health Canada Emergency Medicine Residency Program (Return of Service Required)
Kitchener-Waterloo

Overview

The Health Canada funded Emergency Medicine Residency Program is a full 12-month program leading to a CFPC Certificate of Special Competence in Emergency Medicine (EM), which focuses on preparing residents to provide services in underserved communities in Ontario. The program is open to both family medicine residents and practising family physicians who wish to complete PGY3 training in EM to enhance their skills. In addition to the curriculum identified in the CFPC EM program, enhanced training to support practice in rural and remote communities will be provided.

The Health Canada positions require a two-year return of service (ROS). As well as matching to a program in a specific faculty/school of medicine, the applicant will be required to sign an ROS contract with the Ministry of Health and Long-Term Care (the ministry) for service in an eligible community in a LHIN designated by the ministry for that faculty/school (see table and note below).

Specific communities and emergency departments (EDs) in the designated LHINs will be identified approximately six months prior to the completion of each PGY3 training year under the program. At that time, location matching will take place and each applicant will be expected to sign a Practice Location Agreement that will identify the specific community in which he or she will return service.

Program

LHINs and Approximate Number
of Eligible EDs*

Approximate Total Number
of Eligible EDs*

U of T

  • Central (1)
  • Central West (1)
  • Erie St. Clair (5)
  • North Simcoe Muskoka (1)
  • North West (5)

13

Queen's

  • Central East (1)
  • Champlain (4)
  • North East (9)

14

Western

  • Erie St. Clair (5)
  • South West (7)

12

McMaster

  • Hamilton Niagara Haldimand Brant (5)
  • South West (7)
  • Waterloo Wellington (2)

14

Ottawa

  • Champlain (4)
  • North East (9)

13

NOSM

  • North East (9)
  • North West (5)

14

NOTE: The approximate number of eligible EDs in this table is preliminary (as of summer 2011) and will be updated annually since eligible EDs may change periodically in response to changing environments. The list of eligible EDs is used as a guideline only. It is based on a methodology developed by a working group with representatives of the ministry, faculties of medicine, ED LHIN Leads, Health Force Ontario Marketing and Recruitment Agency, and other stakeholders. The methodology uses quantitative and qualitative indicators to identify and prioritize EDs in communities that would benefit from services provided by CFPC-EM physicians. In summer 2011, no eligible ED sites were identified in Mississauga Halton, South East, or Toronto Central LHINs.

For further information concerning ROS requirements, please contact:

Program Officer
Physician Planning Unit, Health Human Resources Policy Branch
Ministry of Health and Long-Term Care
Tel: (416) 327-8339 / E-mail: PPUProgramOfficer@Ontario.ca



Program Contact Quota (approx) : 1

Dr. Greg Rutledge
Program Director
Emergency Medicine Residency Program
Hamilton General Hospital
McMaster Clinic, room 260
237 Barton Street East
Hamilton, ON Canada L8L 2X2

Phone: (905) 521-2100, Ext. 73547
Email: rutledge_greg@hotmail.com

 

All successful applicants to the Rural, Urban and ROS streams will be interviewed simultaneously on the same date.


Supporting Documents

  1. Reference Letters
    Three (3) references are required. Of the three reference letters, one must be from your primary Family Medicine preceptor and at least one reference must be from an Emergency Physician.
    Click here to access the "Referee assessment form"

  2. Assessment by Program Director
    The "Family Medicine Program/Site Director's Assessment of Applicant" must be completed by your Program Director or primary Family Medicine preceptor.
    Click here to access the "Family medicine program / site director's assessment of applicant form"

  3. Personal Letter
    A personal statement of your reasons for wanting to do an emergency medicine fellowship year. (2 pages maximum).

Review Process

Applications submitted after File Review has opened:
- will not be considered

References and other supporting documents which arrive after File Review has opened:
- will be considered


Interviews

Date(s) of Interview: Tuesday, November 22

Invitation/ Notification Information:

Candidates will be notified by email advising that they have been selected to interview. Candidates are expected to confirm the invitation by email reply.

Details regarding Interview:

Hamilton General Hospital
McMaster Clinic, room 260
237 Barton Street East
Hamilton, ON Canada L8L 2X2


Program Information

General Information

The Family Medicine/Emergency Medicine Residency program is administered by the Department of Family Medicine. It is designed to provide physicians, who have completed a family medicine residency, with the specific competence to practice Emergency Medicine and the leadership skills to assess, promote, and integrate emergency health services in the community.

An Urban, Rural and ROS stream of training are available depending on the future career goals of physicians. The Rural Ontario Medical Program/ rural funded spots are based in and administered by McMaster University. They consist of a minimum of three months of core rotations in the communities of Barrie, St Catharine's, Brantford, Collingwood, or Kitchener-Waterloo. (There is no return of service contract for ROMP funded spots). Candidates will be interviewed and selected via the regular CaRMS process.

Prerequisites

Applicants must have successfully completed two years of a Family Medicine Residency Program leading to certification by the College of Family Physicians of Canada. In addition, applicants must have written or be eligible to write the College of Family Physicians of Canada certification examination.

Program Description

The successful ROS applicants will be placed in Kitchener-Waterloo.

The length of training is one year with the resident designated as a third year resident in the Family Medicine/Emergency Medicine program. Rotations will be tailored to the resident's prior training and career goals. Rotations may include ICU, CCU, Surgery, Trauma, Orthopedic, Plastic and Emergency Medicine. Over the three years there is a minimum of eight months of training in the Emergency Department with a minimum of four months in the third year. One of the eight months should include significant experience in Emergency Pediatrics. At present, Emergency Pediatrics is obtained at McMaster Children's Hospital. Candidates are urged to make use of their elective time in their first or second year of Family Medicine to enrol in some of the above rotations.

The manner in which the Emergency Medicine resident chooses to undertake his/her training has an obvious effect on the outline of the program. However, certain rotations are considered mandatory and must be completed under any of the training formula.

A "typical" residency year would include:

  • 2 months - Emergency Medicine, Kitchener-Waterloo
  • 2 months - Emergency Medicine, Hamilton
  • 1 month - Emergency Pediatrics
  • 1 month - Community Emergency Medicine
  • 1 month - Trauma, Hamilton
  • 2 months - ICU - Kitchener-Waterloo
  • 1 month - CCU
  • 1 month - Orthopedic, Plastic or General Surgery or Selective
  • 1 month - Anesthesia, Kitchener-Waterloo

(This format could vary if residents have completed rotations in Plastic Surgery, Orthopedic Surgery, General Surgery, Anesthesia or CCU prior to starting their third year). Completing relevant rotations prior to the third year enhances the flexibility of their year. However, all residents must complete 6 months of Emergency Medicine, 2 months of ICU, 1 month of trauma surgery, 1 month of Anesthesia, and 1 month of CCU in their final year.

Selectives

Selectives are completed in a variety of formats, and approval is based on a set of criteria.

Academic Activities

Emergency Medicine core content material is presented at the weekly academic half day. The academic half day takes place on Thursday mornings. Core content topics include radiology, examination preparation, bioethics, and administration.

Half day program includes:

  1. Tintinalli Rounds
  2. Procedural Skills Session
  3. Practice Oral Examination

Residents are required to attend monthly Journal Club.

Research / Rounds

Residents are expected to complete a resident research project on evidence based medicine skills and have the ability to search data bases, critically appraise the articles and present the material at a resident research day. This may take the form of a CQI/QA project, literature search or a formal research design study. It is expected that residents will display competence in preparing, practicing and evaluating evidence based medicine.

Application Requirement

All applicants for the Family Medicine/Emergency Medicine Residency program are required to:

  • Provide three letters of reference and Referee Assessment forms
  • Family Medicine Program Director's Assessment of Applicant form
  • Write a letter to Dr. Greg Rutledge, Program Director, Family Medicine/Emergency Medicine Residency Program stating the applicant's reasons for wishing to join this program.

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