McMaster University

Mis à jour le 5 septembre 2017

McMaster University is located in Hamilton, Ontario and serves a population of 2.2 million in the Central West health care region. Certification is obtained either through the Royal College of Physicians & Surgeons of Canada or The College of Family Physicians of Canada. In addition to the affiliated teaching hospitals listed below, McMaster University has wide access to an extensive number of additional training sites, including rural and community settings in both northern and southern Ontario. McMaster University and the Northern Ontario School of Medicine (NOSM) have had a longstanding relationship and are able to facilitate and coordinate training in northern communities if a trainee is interested. Please note that McMaster University welcomes references from community-based physicians.

McMaster University has two regional medical campuses – the Waterloo Regional Campus and the Niagara Regional Campus.

WATERLOO REGIONAL CAMPUS

McMaster’s Waterloo Regional Campus is located in the heart of downtown Kitchener, Ontario as part of the University of Waterloo Health Sciences Campus. This campus includes the Michael G. DeGroote School of Medicine Waterloo Regional Campus, the University of Waterloo School of Pharmacy and the Centre for Family Medicine – a primary care teaching clinic which integrates clinical care and teaching in medicine, pharmacy, optometry, along with interprofessional activities that include Wilfred Laurier students in social work and the School of Health & Life Sciences and Community Services at Conestoga College.

This progressive, innovative campus provides a collaborative and interprofessional working and learning environment for students, heath care professionals and our local community.

Clinical placements take place throughout the Waterloo-Wellington Region. These placements may be conducted within physicians’ offices, community programs or local hospitals (Cambridge Memorial Hospital, Groves Memorial Community Hospital, Guelph General Hospital, Homewood Health Centre, Grand River Hospital, North Wellington Healthcare, St. Joseph’s Health Centre Guelph, St. Mary’s General Hospital)

A postgraduate (PG) Family Medicine program is well established with a current annual match of 21 residents per year including a rural stream. Direct CaRMS matched specialty PG positions in Internal Medicine (3 residents per year), Psychiatry (2 residents per year) and Pediatrics (1 resident per year) are offered.

NIAGARA REGIONAL CAMPUS

McMaster’s Niagara Regional Campus is located at Brock University, St. Catharines, in the Cairns Family Health and Biosciences Research Complex.  This campus includes the Michael G. DeGroote School of Medicine Niagara Regional Campus and collaborative research partnerships with Brock University Department of Health Sciences and the Niagara Health System, through the Interprofessional Education for Quality Improvement Program (I_EQUIP).  The Niagara Regional Campus has been strengthening healthcare throughout the Niagara region in local communities and hospitals since it opened.  It is known for its research support and Quality Improvement initiatives, as well as its focus on providing opportunities for Interprofessional Education in research and clinical settings.

Clinical placements occur in four hospitals in the Niagara region, including Niagara Health System St. Catharines, Greater Niagara General, and Welland sites, and West Lincoln Memorial Hospital in Grimbsy, as well as in physician or community offices.  Including the McMaster Niagara Family Health Centre, and the Welland McMaster Family Health Team. All of these hospitals and teaching centers are located within 30 minutes of St. Catharines, Ontario.

The Niagara Health System, St. Catharines Site, is a state of the art hospital which opened in 2013. This new hospital provides services to Niagara including comprehensive cancer care, cardiac catheterization services, long term mental health services and ongoing development of regional dialysis services. The hospital was built to support medical education, and includes learner lounges, on-call rooms, teaching, simulation, meeting rooms and a large auditorium.

A PG Family Medicine program, featuring a fully integrated first year, has a current match of ten residents per year including a rural stream. One CaRMS matched PG position in General Surgery is offered per year while Internal Medicine, Anesthesia, Orthopedics and Pediatrics are under development.

HAMILTON-WENTWORTH REGION

McMaster’s Hamilton-Wentworth Region is the third largest urban centre in Ontario. The population of this region is expected to reach 565,000 by the year 2021. The age distribution of the population is similar to that of the Province, with approximately one-half of the population in 1991 over the age of 33. By the year 2021, it is projected that 15 – 20% of the population will be 65 years-of-age or older.

Competency Based Medical Education (CBME)

CBME is an outcome-based approach to the design, implementation, assessment and evaluation of a medical education program using an organizing framework of competencies (e.g. CanMEDS 2015).  In a CBME system, a curriculum is organized around the outcomes expected of a Resident and the Resident’s advancement is dependent on having achieved those expected outcomes.

Competence by Design (CBD) is the Royal College of Physicians and Surgeons of Canada’s version of CBME.  It is a transformational change initiative designed to enhance CBME in residency training and specialty practice in Canada.

Triple C is the competency-based curriculum for Family Medicine:  Comprehensive, focused on Continuity of education and patient care and Centred in Family Medicine.   The implementation of Triple C is well underway.

Both CBD and Triple C requires Residents to be active learners.  Both systems look to shifting the role of a Resident supervisor towards that of a Resident coach.

What is CBD?

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 coaching on the skills they need.

Royal College of Physicians and Surgeons of Canada – CBD

http://www.royalcollege.ca/rcsite/cbd/competence-by-design-cbd-e

How will CBD be implemented?

All residency programs across the country, for a specific specialty, will move to CBD at the same time.  For example, all Anesthesiology residency programs across Canada moved to CBD on July 1, 2017.  This change was applied to only the PGY1’s who started their program July 2017; all other years (=>PGY2 remained on the traditional curriculum, some exceptions may apply).  Otolaryngology-Head and Neck Surgery also moved to CBD July 2017.

The implementation of CBD into all specialties / subspecialties will be gradually phased in over a 5 – 7 year period.  The specialties / subspecialties that will move to CBD for 2018 is still to be confirmed.  McMaster University is actively preparing our residency programs for the transition to CBD.

Hospitals

All of the hospitals which may be used by McMaster University programs are listed below.

Hamilton Health Sciences

Hamilton Health Sciences (HHS) is among Canada’s largest teaching hospitals and is comprised of six unique hospitals, a cancer centre, a children’s health centre and an urgent care centre, which serve more than 2.3 million residents of Hamilton, Central South and Central West Ontario.

Our facilities offer a range of acute and specialized services, catering to health care needs from preconception through to aging adults. Each of our hospitals has specific areas of expertise making Hamilton Health Sciences one of the most comprehensive health care systems in Canada. As a tertiary care centre for the region, some of the highly specialized care and services we provide include Burns and Trauma, Cardiac Care, a Neonatal Intensive Care Unit and Acute Care for children.

Through our affiliation with McMaster University’s Faculty of Health Sciences, we are able to offer an academic environment where patients benefit from some of the most innovative treatments and are cared for by some of the most talented medical professionals in the country. The Faculty and University are world-renowned for academic excellence and innovation. Together, with HHS and its five research institutes, it is preparing the next generation of highly skilled caregivers. HHS is committed to clinical and academic excellence and to our values of caring, respect, innovation and accountability.

HHS values the important role that our physicians play in providing safe, quality care for our patients and families. Together with our medical staff, HHS is working to create a more collaborative, partner-based relationship with our physicians to further enhance patient care and experience at our hospitals. We believe that meaningful physician engagement is a best practice, which is why we’ve formalized this commitment under our strategic plan.

Programs and Services

Hamilton Health Sciences provides highly specialized healthcare to the 2.3 million people in Hamilton and the surrounding region. We are the regional referral hospital for such specialties as acute children’s services, trauma, cardiology and cancer care. These programs provide a critical mass of expertise and a home for other core services such as orthopedic surgery, neurosciences, emergency medicine, and rehabilitation to name just a few.

West Lincoln Memorial Hospital: community hospital, obstetrics, palliative care, emergency care, surgical care

St. Peter’s Hospital: senior’s care, aging, dementia, palliative care

Hamilton General Hospital: cardiac and vascular, neurosciences and stroke, trauma and burns, site of region’s only heart investigation unit

Juravinski Hospital and Cancer Centre: cancer, orthopedics, acute medicine, rehabilitation

McMaster University Medical Centre: women’s reproductive health and newborn care, digestive diseases, adult same day surgery and outpatient clinics

McMaster Children’s Hospital: pediatric emergency department, pediatric intensive care, pediatric outpatient clinics which include cardiology, digestive health and orthopedics, home to one of the province’s largest Neonatal Intensive Care Units, regional provider of child and youth mental health inpatient and day treatment programs, regional centre for pediatric trauma treatment.

Ron Joyce Children’s Health Centre: home to the Autism Spectrum Disorder Program, Child and Youth Mental Health Program, Developmental Pediatrics and Rehabilitation Program, and prosthetics and orthotics services for children and adults, this facility is the first of its kind in Canada.

Regional Rehabilitation Centre: provides care to stroke, spinal cord injury, amputee, trauma, neurobehavioural and acquired brain injury patients, home to unique outdoor therapy track.

Main West Urgent Care Centre: urgent and timely treatment of non-life threatening illness or injury.

Programs 

  • Cardiac & Vascular
  • Neurosciences & Trauma
  • Digestive Diseases, Women’s Health
  • Rehabilitation & Orthopedics
  • Children’s Hospital & Children’s Mental Health
  • Oncology Complex Continuing Care

Clinical Services 

  • Diagnostic Imaging
  • Emergency
  • Laboratories
  • Perioperative

Staff at Hamilton Health Sciences share a commitment to providing the best possible care to our patients and their families. Guided by our values of respect, caring, innovation and accountability, Hamilton Health Sciences is focused on uniting the best that health care has to offer and ensuring our patients have access to the type of care they need when they need it most.

The breadth and scope of services offered by HHS, in combination with the hospital’s focus on academics and research, make it an employer of choice for many people. Named one of Canada’s Top 100 Employers, physicians, nurses and clinicians find HHS’ diverse environment an attractive place to work. Non-medical professionals also enjoy bringing their varied talents and skills to a field where priorities are driven by care, not profit.

Hamilton Health Sciences Facts & Figures (2015-2016)

People

  • 13, 273 employees
  • 1,997 physicians
  • 1,200+ volunteers
  • 5,315 student placements

Volumes & Services

  • 187,075 emergency room and urgent care centre visits
  • 30,079 WUCC (included in above)
  • 709,954 ambulatory visits (includes 127,061 family practice visits)
  • 1,940 ambulatory visits/day (avg.)
  • 51,919 inpatient stays
  • 27,697 surgeries
  • 4,176 births

St. Joseph’s Healthcare Hamilton

  • 697 beds including acute (medical, surgical, ICU and obstetric), mental health, continuing care, rehabilitation beds and 53 newborn bassinets.
  • Over 4912 staff and annual operating budget of $470 million

Utilization:

  • 105,000 Emergency visits
  • 24,000 Inpatient separations (discharges and deaths) annually
  • 348,000 annual outpatient visits

Owned and operated by the Sisters of St. Joseph of Hamilton, SJHH is a multi-site teaching facility in the Hamilton-Wentworth region providing a range of comprehensive clinical services.

Expansion at St. Joseph’s Healthcare Hamilton focuses on making room for better patient care, new high profile research programs, and high quality education opportunities for health care professionals. Redevelopment touches all sites: Charlton Campus, West 5th Campus, King Campus as well as the St. Joseph’s Lifecare Centre in Brantford. Opened in September 2011 the new Peri-Operative Surgical Centre is a state-of-the art operating and patient care centre which is one of the largest and most technologically advanced surgical facilities in the country.

Day by day, we are building an innovative and technologically advanced approach to clinical care, academics and diagnostics. St. Joseph’s Healthcare Hamilton is home to the world-renowned Firestone Institute for Respiratory Health, the Centre for Minimal Access Surgery with its new Bariatric Surgery Centre of Excellence, the much respected Father Sean O’Sullivan Research Centre, the Centre for the Evaluation of Medicine, The Brain Body Institute, The McMaster Institute of Urology and the Regional Eye Institute. Locating research facilities inside the hospital’s front doors reflects our drive to integrate basic and clinical research. Bringing research to the bedside also strengthens our partnerships with McMaster University’s Faculty of Health Sciences and Mohawk College.

In 2000, St. Joseph’s Healthcare Hamilton became the regional centre for specialized mental health services with the transfer of Hamilton Psychiatric Hospital (HPH) to the St. Joseph’s family. The former HPH is now a new state of the art facility that opened January 2014.  St. Joseph’s Healthcare Hamilton’s West 5th Campus and St. Joseph’s Mental Health and Addiction Program provides a full continuum of care, locally and regionally. Services cover the spectrum from prevention, primary care, crisis and emergency care to intensive and specialized services for individuals who experience complex and rare mental illnesses.

St. Joseph’s Healthcare Hamilton’s King Campus brings health care into the community with a variety of services and programs from sports medicine and eye care to pain management. The Urgent Care Centre, for non-life threatening emergencies, is the region’s busiest emergency service next to the Emergency Department at the Charlton Campus. The King Campus also offers health education ranging from asthma management to nutrition for diabetes. The Regional Eye Institute provides a broad spectrum of surgical and medical ophthalmology services.

The St. Joseph’s Lifecare Centre in Brantford is a new concept of health care, one that combines Long-Term Care with Brant County’s first Hospice, a Family Practice Unit, Child Daycare Centre, as well as a centre for Research and Academics.

Identified Centres of Excellence include:

Chest

  • Regional clinical and academic leader for respirology and thoracic surgery
  • Major research focus in asthma and COPD
  • HNHB LHIN Regional Thoracic Centre

Orthopedics

  • Regional lead in joint preservation procedures for young and middle aged adults
  • Major research focus for rheumatology and osteoporosis

Kidney and Urinary

  • Regional and international leader in clinical care, education and research of kidney and urinary disease management
  • Regional centre for hemodialysis, nephrology and renal transplantation
  • One of Canada’s largest programs, with the busiest renal laparoscopic surgery centre and one of the country’s top live-organ kidney transplant facilities.

Obstetrics and Gynecology

  • Family-centred birthing area
  • Level II neo-natal intensive care
  • Focus on minimal access gynecological surgery
  • 3500 deliveries per year, CS rate lower than the provincial average

Mental Health

  • Regional leader for mental health services
  • In-patient acute
  • Emergency crisis intervention
  • Community outreach and specialty clinics
  • Psychiatric rehabilitation
  • Regional specialized mental health service provider for Central South Ontario

General Internal Medicine

  • Largest Clinical Teaching Unit in the region
  • Medical Assessment Clinic for polypharmacy

G.I. Diseases

  • Centre for Minimal Access Surgery
  • Bariatric Surgery
  • Gastro-intestinal motility clinic

Cancer Surgery

  • Significant share of region’s cancer surgeries in the areas of Head & Neck, ENT, Thoracic, Urology, Breast, Colorectal, and Hepatobiliary

Diagnostic Imaging

  • 3T multi-nuclear MRI system
  • PET-CT

Ophthalmology

  • Regional centre for the surgical treatment of complex retinal conditions

Basic Clinical Training (BCT)

The BCT program is a unique first year of training that is common to seven different McMaster specialty programs (Anatomical Pathology, Diagnostic Radiology, General Pathology, Medical Microbiology, Neurology, Radiation Oncology and Psychiatry). It conforms to the Royal College of Physicians and Surgeons of Canada requirements that these programs have a general experience in their first year of training to maximize their exposure to many different disciplines. Program Directors from the above training programs have designed their BCT year to consist of specific mandatory and elective rotations relevant to the particular training program. The BCT year provides trainees with the opportunity to broaden their knowledge and gain expertise in many different areas before advancing to specialty training; this broad knowledge base supports the resident’s participation in Part II of the Medical Council of Canada Qualifying Examination (LMCC Part II). The BCT year has been widely regarded by trainees as invaluable for their future training.

The purpose of the BCT half-days is to give trainees academic time away from their particular rotations.  The intent of the academic half days is to cover a broad range of topics and strengthen the residents’ knowledge base as they prepare for the LMCC examinations.  The half-days residents attend with their home-core program are designed to develop their knowledge base within their own specialty and career path and to build relationships with fellow trainees in their core program.

While the BCT program is in some respects freestanding from the specialties, there are close lines of communication between the trainees and their core program during their BCT year. In the course of the year, residents not only learn a lot, but become very close and collegial in their professional collaborations! They not only learn about their own specialty but gain insights into other specialties with which they will work and have professional associations throughout their careers in medicine.

Clinician Investigator Program

The goal of the McMaster Clinician Investigator Program (CI Program or CIP) is to provide structured training for future academic clinicians that plan to do research as a key component of their medical career. The CI Program at McMaster University is one of the largest Clinician Investigator Training Programs in Canada. The Program is supported by a CIP Training Faculty Committee with broad representation from the McMaster Faculty of Health Sciences, Post Graduate Medical Education and its Subspecialty Programs, and the Graduate Programs in Health Sciences (which include the Medical Sciences Program, the Health Research Methodology Program and the Health Sciences Education Program).

CIP training involves a minimum 2 years of intense research, usually with enrollment in a McMaster University graduate degree program (MSc or PhD), that must be coordinated with specialty or subspecialty clinical residency training. CIP training provides individualized mentorship and facilitates the development of research skills and attitudes that are important for future clinician investigators.  CIP academic sessions cover a broad range of topics presented by a large number of role model clinician investigators. Full or partial funding for research training can also be accessed through the CI Program.

Residents training in Royal College of Physician and Surgeons of Canada (RCPSC) specialty or subspecialty programs are eligible to apply. Entry is possible at a number of phases during and after clinical residency training. Eligible trainees are encouraged to contact the CI Program early, and well in advance of their anticipated research years, to ensure optimal guidance and mentorship in integrating their clinical and research training plans. Please consult the Program Handbook and the RCPSC CIP training documents (see Information for Special Programs for additional information about CIP training at McMaster University.) The program received “full approval status” with no weaknesses identified in the 2015 RCPSC external review. For complete details regarding the CIP Program at McMaster, please view our website: http://fhs.mcmaster.ca/cip/

University Registration Fees

University registration fees for 2018 will be $700.00 (rates are subject to change).

Tuition Fees

Currently, there is no tuition fee charged at McMaster for 2017-2018.

Salary & Benefits

See terms of the contract of the Professional Association of Residents of Ontario (PARO).

Canadian Medical Graduates – ACLS/ATLS courses will be provided ONLY through Continuing Medical Education (CME), McMaster University. ACLS/ATLS may be taken prior to the July 1st start or during the first year. This applies to programs that require ACLS or ATLS and is for initial certification only.

International Medical Graduates – ACLS will be provided by Touchstone Institute

Program Start Date

All McMaster programs commence July 1, 2018, unless otherwise negotiated. There is a University / Hospital Orientation held; date TBA. Your program will advise you of the date of your program-specific orientation.

Position Statement for Canadian Residency Matching Service (CaRMS) Selection Process

At McMaster University, we believe the best residents are those who have been able to explore the breadth of the medical profession through suitable electives while enrolled in medical school. We do not preferentially rank applicants who have only pursued electives in one discipline or sub-discipline.

Please read the Ontario Provincial Criteria: