McMaster University, Urban

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

Program Contact Quota (approx): 2
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

Website: divisions/emergency-medicine

Phone: (905) 521-2100, Ext. 73547

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


Date(s) of Interview: Friday, November 21, 2014

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.

The program involves the teaching hospitals of the Hamilton Health Region. The hospitals are organized such that there are regional programs which concentrate specialized facilities at specific locations, for example, Burn/Trauma at the Hamilton General, Pediatric Trauma at McMaster Hospital, Oncology at Henderson, and Emergency Psychiatry at St. Joseph’s. Community based rotations may include, amongst others, St. Catharines General Hospital, The Royal Victoria Hospital, Brantford General Hospital and Grand River Hospital. These institutions offer Emergency Departments with a good patient volume supported by comprehensive Medical and Surgical services. This will expose the resident to a wide range of patient problems, as well as specific focus in different rotations.

Each resident may return to their base Family Practice unit for one half day per week.


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 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 include ICU, CCU, Trauma, 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. 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 enroll 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:

  • 4 blocks – Emergency Medicine
  • 1 block – Emergency Pediatrics
  • 1 block – Community Emergency Medicine
  • 1 block – Trauma
  • 2 blocks – ICU
  • 1 block – CCU
  • 1 block – Selective
  • 1 block – Anesthesia
  • 1 block – Plastics


Selectives are completed in a variety of formats, and approval is based on a set of criteria. Historically, Selectives have included Toxicology in New York City, or an additional block of Trauma, Emergency or Surgery (lumps and bumps). These Selective are tailored towards the resident’s stated objectives.

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.

In addition, there will be four Simulation Sessions with high fidelity simulators through the academic year. Finally, there is a day in the Anatomy Lab practicing procedures on cadavers.

Half day program includes:

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

Residents are required to attend monthly Journal Club.

EMS rideouts will be performed during the Emergency Medicine block, 2 days.

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.

Course in Ultrasound

An Ultrasound Course following the EDE principles is offered in the early fall of the EM year. This course teaches the technical skills and didactic principles of Point of Care US (POCUS). The remainder of the course is spent scanning volunteers to achieve the required number of scans. We have ample faculty available to assist with attaining the required scans for full certification if unable during the US course.