Name:	Marissa Giusti
Title:	Postgraduate Coordinator, Northern Ontario School of Medicine
E-mail:	mgiusti@nosm.ca
Phone:	(705) 662-7106

Document	Mandatory	Optional
Medical school transcript	X
Medical School Performance Record	X
Reference letter Number of letters: 3 Reference letters must be written by clinical teachers and/or faculty who have reasonable knowledge of you, either through close association in clinical training situations. References should provide an assessment of your: medical knowledge; clinical skills; interpersonal skills, ability to communicate effectively; your attitudes toward learning, teaching skills and your suitability for the independence of NOSM’s training program.	X
Personal letter Please outline (maximum 2 pages): the experiences that led to your interest in General Internal Medicine; personal qualities that make you an ideal candidate for practice in Northern and Regional settings; how you anticipate this program will assist you in becoming an excellent specialist in General Internal Medicine; your greatest challenge if you are accepted into this program; additional information about yourself that should be considered by the Selection Panel including experiences in Northern Ontario and interest in teaching and research.	X
Proof of Citizenship	X
Photograph	X
Curriculum Vitae	X

Applicants should have completed three years of core internal medicine training in an accredited medical program prior to starting the GIM program. All applicants must meet the published requirements for eligibility availability on the Provincial Eligibility page. Information regarding licensure requirements is available at the College of Physicians and Surgeons of Ontario website.

Applications submitted after the file review has opened on August 24, 2011 :

- will be considered

References and other supporting documents which arrive after the file review has opened on August 24, 2011

- will be considered

Date(s) of Interview: TBD

Invitation/ Notification Information:

Faculty and current residents will participate in the selection process through file review and interview.

Suitable candidates will be offered interviews with the Program Director and/or faculty of the PGY4 program, as well as current R4 residents.

Strong consideration is given to learners exhibiting particular interest in Northern or Rural General Internal Medicine practice.

The Northern Ontario School of Medicine (NOSM) General Internal Medicine program focuses on preparation for training in northern, regional and rural settings, allowing the option of special certification in areas of resident interest such as endoscopy or stress testing. The fourth year program will be designed to meet the particular interests of applicants and will offer a year based on selections from the following:

• 3-6 blocks Community General Internal Medicine
• 3-6 blocks GI with a focus on endoscopy
• 3-6 blocks Cardiology with a focus on training in Echocardiography and Stress testing
• 3 blocks ICU
• 3 blocks Nephrology with a focus on community dialysis
• 3 blocks research or elective

In addition, residents will be offered the option of ATLS during the fourth year. The anticipated outcome is of a well rounded generalist trained to provide a broad range of services which are in high demand in General Internal Medicine practice. The program has the potential to give residents enhanced procedural and other skill sets depending on resident interest and career goals.

Versatility and flexibility are the hallmarks of true generalists and will be the basis of NOSM’s PGY4 GIM program.

The academic curriculum will focus on preparation for practice, Northern practice and exam preparation as outlined below:

Journal Club and rounds will continue in conjunction with the PGY1-3 residents.

Other Highlights of NOSM Residency Training

• A unique and challenging hands-on learning experience in a range of Northern urban, rural and remote clinical settings.
• Unparalleled preceptor support from physicians committed to practicing in Northern Ontario.
• Early integration as a key member of a health care team dedicated to professionalism, high quality patient care and excellent medical education.
• Commitment to resident learning rather than resident service.
• Self-directed, learner-centered training to meet your career goals.
• Exposure to the culture and social fabric of Francophone and Aboriginal communities.
• Financial support from NOSM for resident travel to and from clinical placements away from the home base and all mandatory educational activities at non home base locations.
• Accommodation support from NOSM for rotations away from primary residence. Opportunity to participate in research under expert guidance.
• Funding available from NOSM for research, professional development and conferences.
• Access to advanced technology and informatics in residency training.
• 24/7 access electronic search engines, electronic indexes as well as an extensive collection of electronic medical/health journals and textbooks.
• Exceptional lifestyle balance with a wide variety of outstanding Northern Ontario recreational opportunities.

Academic Curriculum for PGY4 General Internal Medicine

Aug – Dec: Northern Practice	Jan – April: Exam Preparation	May – June: Practice Preparation
Determinants of Health	Systems Review - Cardiology	Practice Management Part 2
Research options	Systems Review - GI	Billing and scheduling
Health policy	Systems Review - Neuro	Staff selection and hiring
Preparation for transport	Systems review - Resp	Academic career options
ATLS	Systems review - Nephro	Insurance options
CTU management	Systems review - ID	Tax information
Teaching skills update	Systems review - Hematology	Licensure requirements
Epidemiology	Systems review - Geriatrics
Practice Management Part 1	Systems review - Endocrine
Research funding - options	Systems Review - Oncology
Grant writing	Mock orals
Boundary issues	Mock orals
Team based care	Physical exam review

Options will be available to successful candidates in multiple locations in Northern Ontario. Applicants will be asked to select the location(s) of training on acceptance into the program.