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Dalhousie University

Updated April 13, 2018

Born in 1868, Dalhousie’s Faculty of Medicine helps learners achieve both scientific excellence and humanity in medicine.  We are a school that trains doctors to be accomplished clinicians, compassionate caregivers, good communicators, and balanced individuals.

Dalhousie University offers programs that will lead, upon successful completion of training, to eligibility for certification by the College of Family Physicians of Canada or the Royal College of Physicians and Surgeons of Canada.  For more information about Dalhousie Postgraduate Medical Education, please visit our website at: http://postgraduate.medicine.dal.ca

Hospitals

In most training programs, a portion of your educational experience is provided at affiliated Dalhousie University institutions situated outside of Halifax. All of the hospitals that may be used by Dalhousie University programs are listed below:

The Annapolis Valley Family Medicine Residency site is located in the beautiful Annapolis Valley which lies along the Bay of Fundy, Nova Scotia. The site is comprised of one acute care facility and four rural facilities with our major referral centre, Valley Regional Hospital being located in Kentville, NS. Valley Regional is also the academic teaching centre for Family Medicine residents. The medical community serves approximately 85,000 residents in Kings and Annapolis counties, has approximately 160 hospital and community based physicians, 100 volunteers and employs 1500 staff. It is responsible for a broad range of services including acute, primary, continuing care and health promotion.

Valley Regional Hospital (VRH) located in Kentville has approximately 100 consulting physicians and functions as the regional hospital for the Annapolis Valley providing  internal medicine, general surgery, urology, orthopedics, obstetrics and gynecology, pediatrics, intensive care, emergency, psychiatry, addictions, oncology, cardiology, rehabilitation, diagnostic imaging, endoscopy and palliative care. Valley Regional Hospital is the regional referral center for southwest Nova Scotia for Orthopaedics, Urology, and Vascular surgery.

Soldiers Memorial Hospital (SMH) located in Middleton, is a community hospital offering emergency, inpatient medical and transitional care, long term care for veterans, rehabilitation, mental health and addictions services, and a variety of specialty clinics and community based services. This facility also functions as a hub for district wide seniors programs.

Annapolis Community Health Centre (ACHC) in Annapolis Royal includes a Collaborative Emergency Centre, short stay medical and palliative care beds, as well as community-based care, rehabilitation and visiting specialty clinics.

The Annapolis Valley also has three health centers – Western Kings Memorial Health Centre in Berwick, Eastern Kings Memorial Community Health Centre in Wolfville, and Chipman complex in Kentville and uses a population health approach to plan and deliver services and believes in inter-professional team-based care. We encourage new perspectives, continuous learning and work-life balance.

The scenic Annapolis Valley boasts great community living while being close to the city, including Halifax Stanfield International Airport. The Valley has numerous year-round outdoor activities, abundant farm markets to explore, many historic festivals and events and is becoming known as the heartland of Nova Scotia’s wine industry and Canada’s next can’t-miss wine destination with 11 established wineries/vineyards to visit.

South West Nova Family Medicine Residency site is located in the southern end of the province of Nova Scotia. The Medical community of about 95 physicians in family and specialist care works in partnership with 1400 health care providers. They share in the care of about 58,000 people of French Acadian, English, Black Loyalist and First Nation origin. We have a French Family Practice residency site in Meteghan Centre.  A broad range of services are available in the area from Digby around to Lockeport, including acute, primary, continuing,  and long term care  plus health promotion.

Yarmouth Regional Hospital is the area referral hospital and Academic teaching center for Family Medicine Residents as well as students in nursing, physio, OT, speech pathology, pharmacy, nutrition and respiratory therapy.  In addition to family practice provided  in English and French speaking locations, services are provided in Internal Medicine (including ICU, renal dialysis, respiratory services, GI endoscopy), General  Surgery, Obstetrics and Gynecology, Prenatal and delivery care, Emergency,  Psychiatry (inpatient and clinic), Addictions, Chronic Pain , and Oncology. As well there are extensive services for Geriatrics, Rehabilitation (adult and pediatric), Occupational Therapy, Diagnostic Imaging with CT, Ultrasound, Nuclear Medicine and MRI, Hearing and Speech and Palliative Care.  Dalhousie School of Nursing has a 4 year satellite site, and as well YRH hosts learners in UGME, and other PGME resident electives.

Digby General Hospital, located in Digby, is a community hospital offering emergency, inpatient medical, transitional care and rehabilitation (with a 13 bed restorative care unit). There are a variety of specialty clinics, community based services and mental health services available at the hospital site as well.

Roseway Hospital in Shelburne is a community hospital offering emergency, inpatient medical care and transitional care.  As well, there are outpatient services for mental health, community based clinics, rehabilitation and visiting consultant clinics.

South West Nova is a fully integrated, triple C compliant family medicine centered teaching program.  It is located in a beautiful part of the province with the ocean, rivers and countless lakes. Work life balance is supported – we offer rich outdoor experiences (including sailing, five golf courses, provincial parks, sport fishing, cycling, kayaking, hockey and race running) and multicultural opportunities (Art Gallery, Choirs, Bands and Orchestras, French University courses). We are proud of our education system offering French, French Immersion and English schools. Housing is affordable and often offers water views. Our large French Acadian population is served in 2 multi-doctor clinics in Clare and Pubnico. To find out more, visit www.nshealth.ca

Nova Scotia Health Authority – Eastern Zone, Cape Breton is located on beautiful Cape Breton Island, Nova Scotia.  We are comprised of four acute care facilities and five rural facilities with our major referral center, Cape Breton Regional Hospital, being located in the city of Sydney.   The Cape Breton Regional Hospital serves both as the community hospital for Sydney and surrounding area as well as the regional referral center for the Island.  We are the second busiest healthcare facility in Nova Scotia with over 9,400 acute admissions/year and over 41,000 emergency department visits/year.  Again, only second to the QEII in Halifax, we have the highest patient care mix (degree of patient complexity) in the province.  We have a dedicated staff of more than 3,500 health care providers who work with 270 hospital and community based physicians to provide primary, secondary and tertiary care to approximately 130,000 people.

The IWK Health Centre is the Maritime region’s leading health care and research centre dedicated to the well-being of women, children, youth and families. In addition to providing highly specialized and complex care, the IWK provides certain primary care services and is a strong advocate for the health of families. The IWK is a global leader in research and knowledge sharing, and a partner in educating the next generation of health professionals.

Each year there are approximately 30,578 emergencies handled and 4506 babies delivered at the IWK while Maritime children, women, youth and newborns spent approximately 61648 days as inpatients/residents and made 251085 ambulatory care visits to the Health Centre. With 3196 staff and 750 volunteers, the Health Centre benefits from the generosity of more than 32,000 donors Maritime-wide. There are approximately 60 residents, 323 active medical and dental staff who are experts in a wide range of specialties including pediatrics, surgery, psychiatry, dentistry, laboratory medicine, diagnostic imaging, anesthesia, obstetrics, gynecology and family medicine. This is also the home hospital for the pediatric and obstetrics and gynecology residents. Visit www.iwk.nshealth.ca

 Nova Scotia Health Authority – Central Zone, operates hospitals, health centres and community-based programs throughout Halifax Regional Municipality and the western part of Hants County. This zone contains the QEII Health Sciences Centre, the largest adult academic health sciences centre in Atlantic Canada. The QEII serves the local community as well as being a tertiary and quaternary care centre specializing in areas such as Heart Health, Cancer Care, Neurosurgery and Organ Transplantation. Our facilities are home to renowned programs, services and research and offer a wide range of learning opportunities. Most Halifax based residents will rotate through a variety of adult services at sites in peninsular Halifax such as the Halifax Infirmary, Victoria General, the Abbie J Lane and the Nova Scotia Rehabilitation Centre.

The Queen Elizabeth Hospital (QEH) in Prince Edward Island is the largest acute care site in the province and is a full service referral hospital with the exception of cardiac surgery and Neurosurgery.   The Redevelopment Project now completed at the QEH provided for a new state-of the-art Emergency Department and expansion of the Cancer Treatment Centre; The new QEH Ambulatory Care Centre opened August 2012 and Hemodialysis Unit in September 2012, and the new Day Surgery and Eye Surgery suites opened in 2014. The QEH is located in the province’s capital city of Charlottetown. The facility has 230 beds, approximately 900 deliveries annually and an ED census of over 37,000 visits per year.

The Prince County Hospital (PCH) is the province’s second largest acute care hospital and functions as a referral centre for the western half of the province.  It houses a variety of specialty services and has one of the most advanced minimally-invasive (laproscopic) surgical OR’s in Eastern Canada.  This state-of-the-art facility was built in 2004, and is located in Summerside, 45 minutes west of Charlottetown. PCH has 110 inpatient beds and approximately 470 annual deliveries.  Residents can complete specialty and family medicine rotations at both facilities.

Horizon Health – – Zone 1 is located in Moncton, New Brunswick. Rotations at this general hospital include the Moncton Medical Ed\cation Family Medicine Residency Program welcoming 7 new PGY1 residents yearly.  Elective opportunities available in general surgery, obstetrics and gynecology, anaesthesia, emergency, neurology, and orthopaedics. Including the Family Medicine Residency, PGY1 Surgery Residents who rotate in Moncton spend two months in general surgery; PGY1 Internal Medicine Residents who rotate in Moncton spend one month in CCU, also there are Senior Anaesthesia Residents spending up one – two months in anaesthesia.  The hospital is a 382-bed hospital; during 2016-2017 there were 57,000 ER visits and 1,280 deliveries.

Horizon Health – Zone 2 The Saint John Regional Hospital, located in Saint John, New Brunswick, is the flagship institution of the Saint John Area within the Horizon Health Network.  It is the largest tertiary care hospital in New Brunswick and is the primary health care referral centre for this area and to all New Brunswickers for major trauma and cardiac care. Serving a population of 200,000 in the southern part of the province with 445 beds, 55,000 emergency visits years and 1600 deliveries. More than 200 Royal College and Family Medicine medical trainees and 75 undergraduate trainees participate in core, selective and elective rotations at the Saint John Regional Hospital each year.    An average of 130 undergraduate and post graduate trainees are on site at various facilities in the Saint John Area at any time, with residency training provided within the Departments of Anesthesiology, Diagnostic Radiology, Emergency Medicine, Family Medicine, Geriatric Medicine, Internal Medicine, Neurosurgery, Obstetrics/Gynaecology, Pediatrics, Pathology, Plastic Surgery, Psychiatry, Radiation Oncology, Orthopedic Surgery, General Surgery and Urology. Elective undergraduate and postgraduate rotations are also provided in Otolaryngology, Ophthalmology, and Dermatology. The presence of the medical trainees on-site contributes to the promotion of quality patient care, the assurance of continuing education of staff and the improvement of recruitment initiatives. The Saint John Regional Hospital is home to Dalhousie University’s Saint John Based Family Medicine Residency Training Program, the Integrated Family Medicine Emergency Medicine Residency Training Program, and the New Brunswick based Internal Medicine Residency Training Program.

Horizon Health – Zone 3. Horizon Health operates the Dr. Everett Chalmers Regional Hospital in Fredericton, New Brunswick| as well as 12 other community hospitals and health centres in the region. The Regional Hospital has 400 beds, 54,000 emergency patients and 1,700 deliveries yearly. Fredericton is the home of a Family Medicine Teaching Unit which accepts up to 7 PGY-1s each year. Residents are based in busy community family medicine practices, each of which also has a component of inpatient care. The preceptors have special interests in the areas of Emergency Medicine, Sports Medicine and Care of the Elderly. Residents wishing experience in one of these areas may ask to be placed with a particular preceptor. All of the PGY-1 rotations are completed in Fredericton.

Competency-based Residency Education

Applying competency-based practices to residency education

To contribute to the success of Canadian physicians and the delivery of high-quality patient care, the Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competency-based medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative, called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process.

CBD will use time as a framework rather than the basis for progression. It is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages, and each stage will have a series of milestones based on required competencies. These milestones will create more targeted learning outcomes and involve more frequent, formative assessments within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need.

All programs implementing CBD will continue to undergo the same rigorous accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees in both CBD and traditional programs will include the completion of a Royal College examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones (documented within an electronic portfolio) and the Royal College examination must be successfully completed to achieve certification.

For more information, please contact cbd@royalcollege.ca.

Criteria

At Dalhousie University the first iteration will include two parallel streams for entrance into PGY1 programs through CaRMS.

One stream will be for Canadian Medical School graduates without previous post-MD/clinical training.

Dalhousie offers a second stream in CaRMS that is open to Graduates of Non-LCME/CACMS-Accredited Medical Schools including graduates of US Schools of Osteopathic Medicine (GNLCAMS) without previous Canadian post-MD/clinical training.

You must be a Canadian Citizen or Permanent Resident of Canada to apply to either stream.

University Tuition Fees

Dalhousie University tuition fees for the 2018/2019 academic year were set at $3,072 per annum. Under the Maritime Resident Doctors contract, the resident portion of the tuition is currently capped at $500. The employer pays the difference. This contract is under negotiation.

Salary and Benefits

As of July 1, 2018 the salary schedule is as noted below.  Note that this contract ended June 30, 2018 and currently under negotiation.

PGY1 $62,324
PGY2 $67,371
PGY3 $71,940
PGY4 $76,705
PGY5 $81,869
PGY6 $87,392
PGY7 $92,657
PGY8 $98,923

See also an overview of the current collective agreement contract of the Professional Association of Residents in the Maritime Resident Doctors).  This information will be updated upon the publication of the new Collective Agreement which is currently under negotiation.

Vaccination Immunization Policy

All postgraduate matched candidates are required to show proof of Immunization or immunity for diphtheria, tetanus, pertussis (whooping cough), polio, measles, mumps, rubella, chicken pox, hepatitis B (must include immune status from blood test).  Immunization against influenza is recommended.  A 2-step TB Skin Test must be completed prior to starting residency.  If the 2-step TB test is more than 2 years old a 1-step TB test must be completed.  An immunization status form will be sent to accepted candidates for completion.  If this form is fully completed by a physician or public health facility, documentation/titres are not required.  If the matched candidate completes the form, it must be accompanied by documentation/titres of the immunizations.

ACLS

It is mandatory that all PGY1s complete an ACLS course prior to commencing training. Dalhousie does not provide nor offer this course to incoming trainees; therefore, you must make arrangements to complete one before your arrival as it may be very difficult to find an available course. ACLS is a requirement for hospital credentialing. You may be required to participate in running arrest codes and not having ACLS could inhibit your ability to join assigned rotations.

Program Start Dates

All programs at Dalhousie University commence July 1, 2018, with a required one-day Orientation for trainees’ in Halifax, June 28, 2018.

For those entering through the CaRMS GNLCAMS stream there is a special orientation/introduction to the Canadian Health Care System held the just prior to the June 28, 2018 PGME orientation day, and attendance is required.

Dalhousie University Criteria for Graduates of Non-LCME/CACMS-Accredited Medical Schools including Graduates of US Schools of Osteopathic Medicine (GNLCAMS):

Admission to Dalhousie University Postgraduate Medicine R-1 (PGY1) positions is conducted through the Canadian Resident Matching Service (CaRMS). The first iteration of the CaRMS match will include two parallel streams. You must be a Canadian Citizen or Permanent Resident of Canada at the time of application to apply to either stream. The definition of a Permanent Resident is a Canadian immigrant who has permanent resident status in Canada but is not yet a Canadian citizen.

In the first iteration of the CaRMS match, Dalhousie offers a stream that is open to Graduates of non-LCME/CACMS-Accredited Medical Schools without previous Canadian post-MD/clinical training. These positions are identified as IMG positions on the CaRMS site.  All those matched through the GNLCAMS stream are required to sign a return of service contract with the specific sponsoring Ministry of Health of Nova Scotia, or New Brunswick or Prince Edward Island prior to starting their residency.

Unfilled positions are open to all candidates including graduates of Canadian Medical Schools and GNLCAMS who fulfill the eligibility criteria. Applicants matched in the second iteration to unfilled first iteration GNLCAMS positions are required to sign a return of service contract with the specific sponsoring agency prior to starting their residency.

For 2018 there will be one position for GNLCAMS in each of the following Family Medicine training sites (Halifax, Sydney, Annapolis Valley, and South West Nova, Nova Scotia; Moncton, New Brunswick; and Charlottetown, Prince Edward Island).

The 2018 positions allocated to the CaRMS IMG stream will have an ROS with the following Department of Health.

Nova Scotia Department of Health and Wellness: Family Medicine sites in Halifax, Sydney, Annapolis Valley, and South West Nova.

New Brunswick Department of Health: Family Medicine site in Moncton.

Prince Edward Island Health PEI: Family Medicine Prince Edward Island site.

Dalhousie University Criteria for Graduates of Non-LCME/CACMS-Accredited Medical Schools including Graduates of US Schools of Osteopathic Medicine (GNLCAMS):

The following 7 requirements for Graduates of Non-LCME/CACMS-Accredited Medical Schools must be provided in order to be considered for residency training at Dalhousie University:

Graduates of Non-LCME/CACMS-Accredited Medical Schools who have previous post-graduate training in either Canada or the United States, that is creditable for the Royal College of Physicians and Surgeons of Canada or the College of Family Physicians of Canada certification, are not eligible to participate in CaRMS in the first iteration for Dalhousie University positions.

1. Legal Status

GNLCAMS must be a Canadian citizen or Permanent Resident at the time of application. When applying candidates must submit one of the following verifications:

A photocopy of Birth Certificate issued by an authority in Canada with any photo identification; or
A photocopy of Canadian Passport; or
Notarized/certified photocopy of Canadian citizenship certificate, Record of Landing; or
Notarized/certified photocopy of Permanent Resident Card/Canadian Citizen Card.

2. Proof of MD or DO Degree

GNLCAMS must be a graduate of an acceptable medical school or Graduates of US schools of Osteopathic Medicine and must meet provincial licensing eligibility in Nova Scotia, New Brunswick and Prince Edward Island.

A notarized/certified copy of medical school marks/transcripts and medical degree/diploma must be submitted. Documents that are not in English must be accompanied by a notarized translation.

3. Language

Dalhousie University requires all applicants to be eligible to register for a license in all provinces in which the program requires training.  Both the College of Physicians and Surgeons of Nova Scotia and College of Physicians and Surgeons of Prince Edward Island have specific regulations regarding English language proficiency for physicians from outside of Canada.

Below are links to the policies for each of the colleges and candidates applying for postgraduate training must meet these requirements-

CPSNS Language Requirement [PDF – 162kB]

CPSPEI Language Requirement [PDF – 282kB] 

4. Medical Council of Canada

For all candidates applying through CaRMS, a current pass in the Medical Council of Canada Evaluating Exam (MCCEE) or equivalent is required.  For DO candidates, the COMLEX is an acceptable alternative. For further information regarding Medical Council of Canada examinations you may contact:

Medical Council of Canada
2283, boul St. Laurent Blvd.
Ottawa, ON
K1G 5A2
Phone: (613) 521-6012
Website: www.mcc.ca

Applications for the MCCEE and the MCCQE (part 1) are available from most Canadian Employment and Immigration Commissions outside of Canada. To be eligible to take the Medical Council of Canada Qualifying Examination Part 1, your medical school must be listed in the World Health Organization Directory of Medical Schools.

5. Provincial Licensure Requirements

All applicants must be eligible to register for an educational license with the College of Physicians and Surgeons of Nova Scotia, New Brunswick and Prince Edward Island. For more information on licensing eligibility, please visit the province’s college in which you are applying to.

Once accepted to training, a requirement for the College of Physicians and Surgeons of Nova Scotia is that graduates of non-LCME/CACMS-accredited medical schools must include proof, as part of the completed license application, that verification through the Medical Council of Canada’s “Physicians Apply” has been initiated. For more information on the verification of credentials, please visit the Medical Council of Canada (MCC) Physician Credentials (http://mcc.ca/services/repository/) ; this portal will allow the applicant to share their credentials with the College. You can also visit Physicians Apply (http://physiciansapply.ca/) for additional information.

6. National Assessment Collaboration (NAC- OSCE)

The NAC-OSCE was introduced in Canada specifically to evaluate graduates of Non-LCME/CACMS-Accredited Medical Schools.  The National Assessment Collaboration (NAC) is the group that organizes, manages and runs the exam. The Objective Structured Clinical Exam (OSCE) is the exam itself. Information regarding the NAC can be found at the following site: http://mcc.ca/2013/07/nac-registration-physiciansapply-ca/.

The NAC exam requirement for GNLCAMS will be waived for trainees who are currently enrolled in a Canadian residency program and wish to apply through the CaRMS 2nd iteration.

7. Return of Service Agreement

GNLCAMS must be eligible to enter into a return of service agreement with the specific sponsoring Ministry of Health of Nova Scotia, New Brunswick or Prince Edward Island.

Candidates who have undischarged Return of Service (ROS) obligations may not be eligible to begin Ministry-funded training positions at Dalhousie.  Candidates holding an ROS obligation must disclose pre-existing obligations at the time of their application.  Such individuals must contact each Ministry for further information.

All those matching to positions in the GNLCAMS stream are required to sign a return of service contract with the specific sponsoring Ministry of Health of Nova Scotia, or New Brunswick or Prince Edward Island prior to starting their residency.

Return of Service

In the CaRMS process, a number of residency positions will require Return of Service (ROS) commitments.  All dedicated GNLCAMS positions require a ROS agreement.  These positions are identified as IMG positions on the CaRMS site.  Some programs may also have ROS positions available for graduates of Canadian Medical Schools. Individuals who match in an ROS position are required to sign a return of service contract prior to starting their residency with the agency sponsoring the position.  Sponsors of the positions in the GNLCAMS stream, are the Ministry of Health of Nova Scotia, or New Brunswick or Prince Edward Island.

Unfilled positions after the first iteration of CaRMS are open to all candidates including graduates of Canadian Medical Schools and GNLCAMSs who fulfill the eligibility criteria.  Those individuals who are matched through CaRMS to unfilled residency positions with associated ROS commitments are required to sign a return of service contract with the specific sponsoring agency prior to starting their residency.

Interested candidates are strongly encouraged to contact the relevant individual(s) below to receive a contract template for a specific province, or to discuss terms and conditions of the Return for Service in each of the jurisdictions.

2018 – The Nova Scotia Department of Health & Wellness is supporting positions for Family Medicine sites in Halifax, Sydney, Annapolis Valley, and South West Nova.

Contact:
physician.services@novascotia.ca

2018 – The New Brunswick Department of Health is supporting a position for the Family Medicine site in Moncton.

Contact:
Michelle Anne Duguay
Michelleanne.Duguay@gnb.ca

 2018 – The Prince Edward Island Health PEI is supporting a position for Family Medicine Prince Edward Island site.

Contact:
Dawn MacDougall
rmacdougall@ihis.org

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Faculty of Medicine

Dalhousie University