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Memorial University of Newfoundland - Internal Medicine - St. John's

2018 R-1 Main Residency Match - first iteration
CMG Stream for CMG

Last approved on October 25, 2018

Approximate Quota:

 12 

Accreditation status : Accredited

Provincial Criteria


Dr. David Jones
Discipline of Internal Medicine  
300 Prince Philip Drive
St. John's, NL , Newfoundland and Labrador, A1B 3V6
(709) 864-2892
(709) 777-8031

Program Contacts

Dr. David Jones
Program Director
davidm.jones@easternhealth.ca
709-864-2892

Ms. Sharon Pelley
Program Administrator
spelley@mun.ca
709-864-2892

Ms. Jill Colbourne
Academic Program Assistant
jill.colbourne@med.mun.ca
7029-864-4961


Important Information

The Internal Medicine Program was given status of accredited Program of the Royal College of Physicians and Surgeons with notice of intent to withdraw.  The Residency Program Committee, in conjunction with the Postgraduate Medical Education Office and the Faculty of Medicine are working to make all necessary changes to ensure the program continues to maintain full accreditation status going forward.  Accreditation review will be in 2019.


Return of Service

CMG/USMG:

No return in service (RIS) is required in the first iteration.

 


General Instructions

Program application language: English


Supporting Documentation

Reference documents

Required

Number requested: 3

Three letters are required. If more than three references are submitted, they will not be read. References must be from the University Faculty who have had appropriate contact with the applicant. Applicants are encouraged to have references from the Department of Medicine staff. References from senior residents will not be accepted.</p>

Required

Canadian Citizenship [Document must be notarized/certified]
Submit one of the following documents to verify your citizenship.

• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)

Please note, if accepted, the College of Physicians and Surgeons of Newfoundland and Labrador requires applicants to provide two documents as proof of Canadian citizenship; one of those documents MUST be a notarized/certified copy of their current valid passport. 

Language Proficiency
Submit one of the following documents to verify your language proficiency.

• IELTS

In order to be granted educational registration by the CPSNL, applicants must also provide proof of proficiency in the English language. Applicants are exempt from language proficiency testing if their medical education and patient care experience was in one of the countries that has English as a first language.

The CPSNL recognizes the following countries and dependencies as having English as the first language:

Anguilla

Antigua and Barbuda

Australia

Bahamas

Barbados

Bermuda

Canada

Dominica

Grenada

Ireland

Jamaica

New Zealand

St. Kitts and Nevis

St. Lucia

St. Vincent and the Grenadines

Singapore

South Africa

Trinidad and Tobago

United Kingdom

United States of America

Virgin Islands (United Kingdom)

Virgin Islands (United States)

 

Although the first and native language of Saba is not officially English, the language of undergraduate medical education at Saba University School of Medicine is English and patient care experiences during the clinical portion of the undergraduate curriculum are in English. Thus, graduates of Saba University School of Medicine are exempt from the language testing provisions.

All other applicants must have taken the academic version of the International English Language Testing System (IELTS), within 24 MONTHS PRIOR TO COMMENCING RESIDENCY, and have achieved a minimum score of 7.0 in each of the components.

No exceptions are permitted by PGME at Memorial University.

If an individual completed their medical studies in an international medical school in English, but the first language of that country is not English, they are required to provide satisfactory completion of language proficiency testing. A Deans’ letter, attesting to the language of instruction as being in English, is NOT acceptable to the CPSNL.

Medical School Transcript 

Order from your Registrar, if available.

Personal Letter 

A personal letter is required from each applicant. The letter should outline why the applicant is interested in the program, personal strengths, extra-curricular activities including research and ultimate career goals. The letter should be a maximum of 500 words.

Medical Student Performance Record 

If available.

Photo  [Note: Photograph is used as memory aid only]

Custom Résumé / CV 

Undergraduate Transcript (Bachelor's Degree) 

If available.

Medical School Diploma 

If available.

Memorial Declaration of Interruptions 

Any applicant who has had an interruption of two continuous months or more in education/training/service is required to complete and submit the Declaration of Interruptions form with their application. 

Applicants are advised to only provide the documents requested by the program. No other documents submitted will be reviewed.

Review Process

Applications submitted after file review has opened on November 21, 2017


Supporting documents (excluding letters of reference) that arrive after file review has opened  on  November 21, 2017


Letters of reference that arrive after the unmasking date on November 28, 2017



Interviews

Dates:

  • From January 25, 2019 to January 26, 2019
Interviews will be held on January 25th and 26th, 2019.   No other dates are available. Telephone or video conference interviews are not normally available unless there are extenuating circumstances (i.e. inclement weather). Only applicants who are selected for an interview will be contacted via email. Applicants will schedule their own interviews using an online scheduling system.

Program will only notify applicants who are selected for an interview
Interviews will be approximately 30 minutes in length conducted by either 2 faculty members or a faculty member and a resident. A light lunch will be provided on each interview day. Attendance is not manadory but applicants will be expected to RSVP using the on-line scheduling system. There will be a presentation by the chief residents outlining the program and you will be given the opportunity to ask questions.  The residents in the program organize a social for all interviewees at an offsite location. This is a great opportunity to mingle with the residents in a social setting and gather further information about the program. RSVP is also required for this event.


Selection Criteria

All applications are reviewed by the Selection Subcommittee of the Residency Program Committee for Internal Medicine. The candidates are chosen using the following criteria:

- Acceptable academic record which demonstrates proficiency in areas relating to Internal Medicine.

- A sincere interest in the specialty of Internal Medicine, as well as interest in Memorial University.

- Elective experience in Internal Medicine would be beneficial.  We encourage applicants to have completed electives in Internal Medicine and it would be beneficial to have completed electives within the Province of Newfoundland.

- References attesting to the applicant's clinical abilities, personal qualities and interest in Internal Medicine.

- Demonstration of strong interpersonal skills and committment to a career in Internal Medicine through interview process.

- Personal letter outlining your interest in Internal Medicine and our program specificially.

- Fulfillment of University and Provincial regulations (which are available on CaRMS website). This is mandatory.

Elective criteria

We do not require applicants to have done onsite electives.

Program Highlights

 

Masters in Clinical Epidemiology

Our program offers the ability to complete a Masters in Clinical Epidemiology while working as an Internal Medicine Resident.  The residents are given protected time for lectures.  There is also an option for a Diploma in Clinical Epidemiology.

 

Program Evaluation

The program in Internal Medicine is constantly evaluating and striving to improve residents' educational experience.  Residents play a large role in the ongoing of improvement through regular feedback and evaulation. Feedback sessions with the program director and residents are held during every block to ensure timely, clear communication of resident issues directly to the program director.

Academic Teaching

Regular rounds, academic half day, resident research curriculum and workshops to teach additional skills (i.e. Point-of-Care Ultrasound Training, Simulation).

Quick Facts

- The program is fully accredited by the Royal College of Physicians and Surgeons of Canada with notice of intent to withdraw

- There is opportunity for international electives

- The ratio of faculty to residents is 3:1

- Average patient load is variable - an estimate would be 10-20 patients per resident

- Annual resident well being retreat (normally held in February of each year)

- Annual resident social hosted by the program director


Program Curriculum

This residency program is for 4 year(s)

Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.

Curriculum
 

The Memorial University program in Internal Medicine consists of 3 years of core internal medicine leading to ability for further subspecialty training. Residents enrolled in the program may opt to do a 4th year of general training in internal medicine.  The program's objectives are based on the Royal College training objectives for internal medicine. The majority of resident training occurs at The Health Sciences Centre but residents will do some rotations at St. Clare's Mercy Hospital.  The residents will also do 1 block of Community Internal Medicine and 3 blocks of elective experience consistent with the resident's career goals. One block of electives is offered in each of the three years.

The Internal Medicine program has approximately 36 residents and approximately 100 full-time and part-time faculty. The size of the program lends itself to a collegial relationship with faculty and excellent hands-on experience.

Clinical teaching units (CTUs) consist of a mix of subspecialists and general internists. Generally, each CTU consists of a senior resident, 2 PGY 1s, and 1 or 2 senior medical students.

There is a mandatory community rotation, usually completed in second year. Normally, this rotation is completed in the Province but community hospitals outside the Province may be considered for this rotation. Eastern Health and Memorial University provide funding towards core rotations (i.e. travel and accommodations) within the province.

 

On Call Responsibilities

Call is delivered through a blended model with both traditional call (24 hours) and night float call (15 hour shifts).

PGY 1s will do a mixture of call including the traditional 24 hour call with a maximum of 1:4 while on CTU and medicine rotations, home call on neurology and blended call on CCU.  Junior residents are always supported by senior residents on call.

PGY 2s and 3s will participate in call delivered through the night float call model, totalling 1 block each year.  Residents will also have to do some call shifts while on CTU, CCU and ICU.  This is all in house call.

 
PGY 1
 

- 5 blocks - CTU

- 1 block - emergency

- 1 block - CCU

- 1 block - neurology

- 1 block - ambulatory clinic

- 1 block - elective

- 3 blocks - selective

 
PGY 2
 

- 3 blocks - CTU junior ward resident

- 2 blocks - CCU

- 1 block - elective (in the 2nd six months)

- 1 block - ambulatory general medicine clinics

- 2 blocks - selectives 

- 1 block - night float to be dispersed throughout the year

- 2 blocks - ICU as a junior resident

- 1 block - mandatory community experience (to be done with a St. John's internist doing community based practice or in Gander, Grand Falls-Windsor or Corner Brook - resident will decide where he/she does the rotation and will arrange well in advance). Community hospitals outside Newfoundland may be considered for this rotation, with no reimbursement for travel out of province.

 
PGY 3
 

- 3 blocks - CTU senior ward resident

- 1 block - elective usually pre-CaRMS

- 1 block - night float to be dispersed throughout the year

- 8 blocks- one to two blocks on the different subspecialty services

 
PGY 4
 

The resident will meet with the Program Director during the mid-portion of the PGY 3 year to discuss rotations that will satisfy the requirements of the Royal College and as well will meet the future academic practice needs of the resident. For those residents doing a clinical 4th year, the residents will spend 2 blocks of that year as a junior consultant on a CTU, 1 block critical care, 1 block ambulatory, 1 block community medicine. The other 8 blocks are elective, as planned with the coordinator for the PGY 4 year.

 
Research
 

All residents have mentors and are required to work on research or other scholarly projects (which can be QI/QA or medical education). At the beginning of their training program, the resident will be provided with a mentor (i.e. member of the faculty), who will encourage and help guide the research interest of the resident. Each academic year, there is a Research/Scholarship Day for the internal medicine residents during which time the resident will present their work over the academic year. Further funding may be available should research be accepted at a national/international conference.  Monetary prizes are also awarded.  There is a scholarship curriculum embedded in the medicine half day schedule.

A Master's Degree in Clinical Epidemiology is also available for interested residents. This course is taught by internal medicine faculty affiliated with the Division of Clinical Epidemiology and is also popular with residents from other specialties.

 
Seminars & Academic Teaching
 

Morning Report occurs 4 times weekly at the Health Sciences Centre and EKG Rounds occur weekly at both sites.

There are also daily noon-time rounds which includes subspecialty rounds, medical-pathological rounds, Medical Grand Rounds each Friday at the Health Sciences Centre and each Wednesday at St. Clare's Mercy Hospital.

There is an academic half-day for PGY 1 residents that occurs on Tuesday afternoon from 1400-1700 and runs from July - December.  PGY 2 and PGY 3 residents have academic half-day each Thursday afternoon from 1400 to 1700 hours.  From January - June, all PGY levels attend half day together on Thursdays from 1400-1700.  This is protected time for the internal medicine residents. The rounds cover different subspecialties month-by-month and non-medical expert CanMEDS roles.

A simulation teaching program is firmly established.  These sessions are both low and high.  There are multiple sessions throughout the year and are available for all residents.  There are senior medicine rounds for examination preparation and discussion of cases - protected time for PGY 2, 3 and higher.

Journal Club is held outside the hospital. Residents present evidence-based articles with the aid of a faculty facilitator.

 
Conference Leave
 

Conference leave is permitted on an annual basis. Residents are encouraged to take advantage of conference opportunities. Residents receive $3000 to be used during 3 years of training.  Residents who do a PGY 4 year are entitled to an extra $1000 funding.

 
ASSESSMENT
 

There are a number of assessments used by the Program's Progress and Promotions Committee to determine resident promotion.  All residents agree on a learning contract at the beginning of each rotations and it is reviewed mid way through the rotation.  All rotations will have ITERs to be completed at the end of the rotation and all residents will get midpoint feedback assessments during the rotation.  Other assessment tools include 360 evaluations, witnessed histories and physicals, mini-CEX, field notes and procedure logs.  The Royal College plans to proceed with the introduction of competency by design (CBD), their version of competency based medical education (CBME) in July 2019.  We have started to pilot some CBD processes such as observations/coaching and will be starting a Competency Committee.

All residents are expected to write the ABIM exam and complete 2 OSCEs per year.  Performance on the OSCE exams can be used by the Progress and Promotions Committee in the evaluation process as well as possible remediation where felt appropriate.

 

 


Training Sites

 

Hospitals affiliated with the Memorial University of Newfoundland's Internal Medicine Training Program include:

- The Health Sciences Centre

- St. Clare's Mercy Hospital

- The Leonard A. Miller Centre

- Central Regional Health Care Centre, Grand Falls-Windsor

- James Paton Memorial Hospital, Gander

- Western Regional Memorial Hospital, Corner Brook

Residents can do community medicine rotation at any site approved by the program director that meets the RCPSC and PGME definition for community rotation.  However, if the rotation is outside of the Province, funding for travel and accommodation will not be provided.

 

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Additional Information

Beginning with the 2020 CaRMS residency application cycle, the Medical Council of Canada Qualifying Examination (MCCQE) Part I will replace the Medical Council of Canada Evaluating Examination (MCCEE) as the prerequisite for International Medical Graduates (IMGs) applying for postgraduate medical education in Canada. Please visit the Medical Council of Canada website for additional information.