Crest

University of Manitoba - Orthopedic Surgery - Winnipeg

2021 R-1 Main Residency Match - first iteration
CMG Stream for CMG

Last approved on January 19, 2021

Summary of changes

Approximate Quota:

 2 

Accreditation status : Accredited

Provincial Criteria


Dr. Tudor Tufescu
Orthopaedic Surgery 
University of Manitoba 
SMD342, 820 Sherbrook St.
Winnipeg MB R3A 1R9, Manitoba
(204) 787-5728
U of M Orthopaedic Surgery Residency Program

Program Contacts

Karen Lee
Program Administrator
klee9@hsc.mb.ca


Important Information

The Postgraduate Medical Education Orientation, which is mandatory, will be held on Monday, June 29, 2021.

Competency Based  Education

Residents entering the University of Manitoba Orthopedic Surgery residency program will experience competency-based training.

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 CBD programs 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.

The CASPer Test - Computer-Based Assessment for Sampling Personal Characteristic

All applicants to the Orthopedic Surgery Residency Program, at the University of Manitoba are required to complete an online assessment (CASPer), to assist with our selection process. Successful completion of CASPer is mandatory in order to maintain admission eligibility.

CASPer is an online test which assesses for non-cognitive skills and interpersonal characteristics that we believe are important for successful students and graduates of our program, and will complement the other tools that we use for applicant screening. In implementing CASPer, we are trying to further enhance fairness and objectivity in our selection process. 

In order to take CASPer, you will be responsible for securing access to a computer with audio capabilities, a webcam, and a reliable internet connection on your selected test date. CASPer can be taken practically anywhere that you can satisfy the aforementioned requirements. No exceptions will be provided for applicants unable to take CASPer online due to being located at sites where internet is not dependable due to technical or political factors.

Please go to www.takeCASPer.com to sign up and reserve a test using your student identifier and a piece of government-issued photo ID. You will be provided with a limited number of testing dates and times. Please note that these are the only testing dates available for your CASPer test. There will be no additional tests scheduled. Please use an email address that you check regularly; there may be updates to the test schedule.

Please direct any inquiries on the test to support@takecasper.com. Alternatively, you may use the chat bubble in the bottom right hand corner of your screen on the takecasper.com website.

The CASPer test is comprised of 12 sections of video and written scenarios. Following each scenario, you will be required to answer a set of probing questions under a time contract. Each response is graded by a different rater, giving a very robust and reliable view of personal and professional characteristics important to our program. No studying is required for CASPer, although you may want to familiarize yourself with the test structure at takeCASPer.com, and ensure you have a quiet environment to take the test.

CASPer test results are valid for one admissions cycle. Applicants who have already taken the test in previous years will therefore be expected to re-take

The Postgraduate Orthopedic Surgery Orientation for all residents, which is MANDATORY, will be held on Tuesday, June 29, 2021.

All rotation requests, important documents, EPAs and other evaluations are managed through the curriculum management system used by the University of Manitoba called ENTRADA.

MCCEE to be phased out in 2020 - The last MCCEE session was held in November 2018. The MCCQE Part 1 will replace the MCCEE: https://mcc.ca/examinations/mccee/


Return of Service

The following applicants will be required to sign a Return of Service “ROS” contract with the Province of Manitoba. The ROS commitment is commensurate with the length of the training program.

  • All applicants entering the Family Medicine – Northern Remote Stream (including transfers into the program)
  • All IMGs entering all training programs

IMGs already holding a return of service obligation must disclose these obligations at the time of application. IMGs who have undischarged return of service obligations may not be eligible to begin training in a position funded by Manitoba Health.

Such individuals may wish to contact Shared Health at pmao-residents@sharedhealthmb.ca for more information.

 


General Instructions

Program application language: English

Orthopedic Surgery at the University of Manitoba is committed to a fair, equitable, and transparent application process. We maintain the right to choose the applicants we feel are the best candidates for our residency training program.

However, not all applicants whose files meet our minimum criteria will be offered interviews; only the top candidates will be offered an interview.

As per the national standards set by all Universities during the pandemic, there are no visiting elective students.  Doing Orthopedic Surgery electives at your home institution is encouraged but is not required of an applicant and those who are unable to do so will still considered for an interview.

You are required to fulfill ALL of the most current Provincial Criteria for Canadian Medical Graduates for Manitoba

The criteria can be found at:  https://www.carms.ca/match/r-1-main-residency-match/eligibility-criteria/manitoba/


Supporting Documentation

Canadian citizenship
CaRMS partners with third-party organizations to verify your citizenship or permanent resident status. If your status is verified by one of these organizations, you will not need to provide citizenship documents in your application. If your citizenship status is not verified, you must provide one of the documents listed below.
Document must be notarized/certified
Required
Submit one of the following documents to verify your Canadian citizenship:
• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)

 

Language proficiency
Required
Submit one of the following documents to verify your language proficiency:
• IELTS

Language Proficiency
English is the language of study at the Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba. All applicants whose first language is not English must submit proof of English language proficiency to CaRMS by the file review opening date.

CMG/USMG

  • If you graduated from an English medical school in Canada or the US, you are exempt from providing proof of language proficiency.

Candidates who attended medical school in Quebec or the University of Ottawa where the language of instruction or the primary language of patient care was not English, must fulfill the English Language Proficiency requirements.

 

IMG’s

  • IMG applicants must fulfill the English Language Proficiency requirements.

 Candidates are exempted from English language proficiency testing under the following circumstances:

  1. the language of instruction and patient care throughout the entire undergraduate medical education curriculum was in English. A letter of attestation obtained directly from the Dean of the candidate’s medical school confirming that the majority of the language of instruction and patient care was conducted in English is required.
  2. their undergraduate medical education was taken in English in one of the countries that have English as a first and native language (see list below)

All other candidates must have taken the Academic Version of International English Language Testing System (IELTS) with a minimum score of 7 in each component with an overall band score of no less than 7 in the same sitting.  IELTS scores will be considered valid for 2 years from the date taken.

List of countries that have English as a first and native language - Countries: Australia, Bahamas, Bermuda, British Virgin Islands, Canada, Ireland, New Zealand, Singapore, South Africa, United Kingdom, United States of America, US Virgin Islands - Caribbean Islands: Anguilla, Antigua and Barbuda, Barbados, Dominica, Grenada, Grenadines, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent, Trinidad and Tobago

Please note the following:

  • Photocopies are acceptable.
  • Language Proficiency Attestations will not be accepted from the candidate or a third party.
  • Language Proficiency results will not be accepted by fax or e-mail.

Please note, for the 2021 R-1 Match cycle, the IELTS Indicator will be accepted as a substitute for the Academic Version of the IELTS.

Reference documents
Required
Number requested: 3

Three letters of reference are required, from staff or senior resident. Referees must have knowledge of your clinical, patient care and communication skills. References will not be accepted after the CaRMS due date.

Additional documents
Required
Personal Letter 
Word count
Minimum : None
Maximum : None

This letter should address your reasons for desiring a career in orthopedic surgery, your perceived strengths and weaknesses and any other information that you feel to be pertinent.

Custom Résumé / CV 

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

CASPer exam 

“CASPer™ Test – New for 2019 Match 

All applicants must complete a CASPer™ (Computer-Based Assessment for Sampling Personal Characteristics) test. CASPer is an online test which assesses for non-cognitive skills and interpersonal characteristics.

Test dates for 1st Iteration:  A limited number of test dates and times will be available in October. Please note these are the only testing dates available and no additional tests will be scheduled.

To see an example of the test structure and schedule a test, please visit take CASPer.com http://www.takeCASPer.com

Please direct any inquiries on the test to support@takecasper.com<support@takecasper.com

Medical School Transcript 

Order from your Registrar

Medical Student Performance Record 

Order from your Dean's office

Optional - will be reviewed
Abstract/Publications 

Only abstracts will be reviewed. DO NOT send journal articles as they will not be reviewed.


Review Process

Applications submitted after file review has opened on February 8, 2021


Supporting documents (excluding letters of reference) that arrive after file review has opened  on  February 8, 2021


Letters of reference that arrive after the unmasking date on February 8, 2021


All applications are reviewed by the CaRMs selection committee. Multiple reviewers review the applications and the choice of candidates for interview is by consensus. Important criteria include the personal letter, references, electives, rotation evaluations and the Dean's letter/medical student performance report.

 

 

 


Interviews

Dates:

  • March 26, 2021
Candidates will be offered virtual interviews based on the selection criteria. Only interviewed candidates will be considered for ranking. The official CaRMs interview date is Friday, March 26, 2021.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Panel interviews will be conducted by both Faculty and current Orthopedic Surgery Residents. 

There will be an opportunity for candidates to ask questions in a Q & A opportunity. 

 


Selection Criteria

Selection Criteria will include:

  • a strong academic standing as a medical student
  • reference letters that can attest to the applicant's knowledge
  • clinical judgement and moral character
  • personal letter that clearly outlines why the applicant wishes to pursue a career in Orthopedic Surgery
  • All applicants must complete a CASPer™ (Computer-Based Assessment for Sampling Personal Characteristics) test. CASPer is an online test which assesses for non-cognitive skills and interpersonal characteristics.

Only candidates whose completed applications have been received by the CaRMS deadline will be considered for an interview. There is no preference given to school of graduation.

 

 

Program goals

The primary goal of the University of Manitoba Orthopedic Residency Program is to guide all trainees through a comprehensive five year program, whereupon completion, the resident is prepared to practice as a consultant general orthopaedic surgeon, as recognized by the FRCSC designation from the Royal College of Physicians and Surgeons of Canada.

 

The orthopedic residency program maintains a desirable teaching environment through a 2:1, or better, teacher to learner ratio, and exposure to teaching faculty with fellowship training in all subspecialties of orthopedics.

 

The program supports protected time for residents to participate in an organized academic half day, a research half day, and case-based learning sessions every week, and in every orthopedic subspecialty.

 

Upon acceptance to the program, trainees become a part of our orthopedic community, the Manitoba community and beyond.  We support local organizations such as The True North Foundation, and The Winnipeg Jets Athletic Club.  We collaborate with northern Manitoba communities through the provision of musculoskeletal consultation in person, or through the use of communication technology.  We volunteer in developing nations to provide care for patients and training for local care givers.

 

The program provides opportunity for individual development of trainees, and the ability to achieve excellence rather than competence.  Trainees with a research inclination are encouraged to pursue a scholar stream through a one year MSc. degree, and clinically inclined residents are encourage to pursue international fellowships.

 

The policies and guidelines of the University of Manitoba, the Royal College of Physicians and Surgeons of Canada, and the Professional Association of Residents and Interns of Manitoba are honored and upheld by the program.

Selection process goals

Successful candidates for the University of Manitoba Orthopedic Program should demonstrate a strong interest in Orthopedic surgery and an understanding of the challenges commonly faced by orthopedic trainees.

 

Successful candidates for the program should demonstrate a work ethic suitable for the rigors of a five year surgical residency through other accomplishments outlined in their application or interview.

 

Successful candidates for the program should demonstrate un understanding of the Orthopedic community, their colleagues, as well as the  Winnipeg community at large.

File review process

Review team composition : The University of Manitoba CARMs committee for Orthopedics is composed of six faculty, including the Program Director, and six residents, including both senior and junior level residents. The CARMs committee is supported by our Program Administrator throughout the process.

Average number of applications received by our program in the last five years : 0 - 50

Average percentage of applicants offered interviews : 76 - 100 %

Evaluation criteria :
File component Criteria
CV General understanding of the applicant
Electives Interest in the discipline
Examinations
Extra-curricular Commitment to the community and work ethic
Leadership skills Evidence of leadership skills
MSPRs Interpersonal skills
Personal letters Interest in the discipline, work ethic and interpersonal skills
Reference documents Interpersonal skills, professionalism, work ethic
Research/Publications Interest in the discipline
Transcripts Academic performance
Other file component(s) CASPer Score is considered as per the University of Manitoba PGME mandate.

Elective criteria

We do not require applicants to have done onsite electives.

Interview process

Interview format :



We do not re-schedule interviews for applicants after we have completed the scheduling process.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Demonstrates an ability to work in a team.
Collegiality Interpersonal skills.
Communication skills Ability to identify and describe problems
Health advocacy Encompasses direct service to the individual or family
Interest in the discipline Level of exposure to and understanding of the discipline
Interest in the program Understanding of features of the program and of the city of Winnipeg
Leadership skills Notable leadership experience
Professionalism Appropriate communication and behaviour
Scholarly activities Research and education experience
Other interview component(s)  

Information gathered outside of CaRMS application

Specifically, we may consider:







Ranking process

The behavior(s) exhibited below during the interview process may prevent an applicant from being ranked by our program :
   
   
   


Program Highlights

The University of Manitoba Orthopedic Surgery Training Program is a 5-year program comprised of 24 months of core rotations in affiliated specialities and 36 months of orthopaedic surgery.  There is a ratio of 12 residents to 25 Faculty.  The Program is based out of the Health Sciences Centre, Pan Am ClinicConcordia Hospital and Children's Hospital.  We primarily service the City of Winnipeg, but also provide services to the Province of Manitoba, Northwestern Ontario and Nunavut resulting in a catchment population of over 1 million people.

The program includes rotations in adult reconstruction, pediatric orthopaedics, hand surgery, trauma, spine surgery and other subspecialties. There are no mandatory rural rotations.

Four months are devoted to elective opportunities one month of which is an internal elective period to augment training in one of the orthopedic subspecialties.  There are opportunities for interprovincial and international electives.


Program Curriculum

This residency program is for 5 years.

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

Each academic year commences on July 1 and ends on June 30.  The academic year is divided into 13 blocks of training, each block starts on a Wednesday and ends on a Thursday, they are 28 days in length with the exception of block 1 and 13. 

Residents are granted 28 days of vacation (including Saturdays and Sundays), vacation can be taken in 7 day blocks.

Rotations have been established in accordance with the Royal College of Physicians and Surgeons of Canada Specialty Training Requirements in Orthopedic Surgery.

Residents are required to complete 26 blocks of Surgical Foundation training in accordance with the Royal College of Physicians and Surgeons of Canada Specialty Training Requirements in Surgical Foundations.

 

PGY-1 & 2

The first 2 years of the 5 year Orthopedic Surgery Residency consist of CBD Surgical Foundations training.  Rotations are selected jointly by the Orthopedic Surgery Residency Program and the Surgical Foundations Program Directors. 

These rotations, along with the Surgical Foundations Seminar Series, have the resident prepared to pass the Royal College Surgical Foundations Examination and serve as the basis for the future years of Orthopedic Surgery training. 

Current Surgical Foundation Rotations:

PGY 1

2 Blocks - Trauma Surgery

3 Blocks - Adult Trauma Orthopedic Surgery

3 Blocks - Pediatric Orthopedic Surgery

1 Block - Foot and Ankle Surgery

1 Block - Orthopedic Hand Surgery

1 Block - Orthopedic Sports Surgery

1 Block - Emergency Medicine

1 Block - 28 days of vacation

PGY 2

3 Blocks - Adult Trauma Orthopedic Surgery

2 Blocks - Sports Orthopedic Surgery

1 Block - Pediatric Orthopedic Surgery

2 Blocks - Adult Reconstruction Orthopedic Surgery

1 Block - Surgical Intensive Care Unit

1 Block - Medical Intensive Care Unit

1 Block - Vascular Surgery

1 Block - Plastic Hand Surgery

1 Block - 28 days of vacation

PGY-3 to 5

All 3 years are spent in Orthopedic Surgery.  Residents are exposed to all forms of orthopedic surgery and are expected to participate in all surgical procedures with progressively increased levels of responsibility. By the end of the the final year, residents are expected to be able to perform all standard major orthopedic procedures in their entirety, under supervision.

PGY 3

3 Blocks - Adult Trauma Orthopedic Surgery

3 Blocks - Adult Reconstruction Orthopedic Surgery

3 Blocks - Pediatric Orthopedic Surgery

3 Blocks - Orthopedic Spine Surgery

1 Block - 28 days of vacation

PGY 4

1 Block - Adult Trauma Orthopedic Surgery

2 Blocks - Adult Reconstruction Orthopedic Surgery

1 Block - Pediatric Orthopedic Surgery

3 Blocks - Orthopedic Sports Surgery

2 Blocks - Foot and Ankle Surgery

3 Blocks - Internal or External Electives

1 Block - 28 days of vacation

PGY 5

2 Blocks - Adult Trauma Orthopedic Surgery

2 Blocks - Adult Reconstruction Orthopedic Surgery

2 Blocks - Sports Orthopedic Surgery

2 Blocks - Spine Orthopedic Surgery

2 Blocks - Pediatric Orthopedic Surgery

2 Blocks - Exam Preparation

1 Block - 28 days of vacation

 

 

ACADEMIC TIME

The academic and scholarly content of the Orthopaedic Surgery Residency Program complements the resident’s clinical exposure.  Through these scholarly activities, including seminars, rounds, academic day and conferences, the resident acquires an in-depth understanding of basic mechanisms of normal and abnormal conditions and acquires the ability to apply current knowledge to Orthopaedic surgery. Orthopedic Surgery residents in their PGY1 and PGY2 will also participate in the Surgical Foundations Seminar Series.

Academic Day Block Teaching
Interactive with residents and one attending have a didactic session on various orthopedic surgery topics in trauma, spine, sports, arthoplasty, and pediatrics. Often these sessions are followed by an exam based on the block teaching.

Academic Day Research Teaching
Sessions are conducted each week to provide the residents with the necessary tools to assist with completion of specific resident research projects.

Orthopedic Surgery Grand Rounds
These rounds are held each Wednesday of the month except when specific Department of Surgery Grand Rounds are scheduled. Topics are presented by Faculty, Fellows, Residents and Visiting Professors. 

Weekly Rounds
Are attended by both Residents and Faculty:

  • Trauma Rounds
  • Pediatric Orthopedic Rounds
  • Sports Medicine Rounds
  • Fracture Rounds
  • Templating Rounds
  • Spine Rounds
  • Hand Rounds

Morbidity and Mortality Rounds
Complicated cases are presented three times per year by Faculty at each of the teaching sites, Health Sciences Centre (Adult & Children), Concordia Hospital and Pan Am Clinic.  The focus is in recognizing and learning from these cases

Journal Club
Are held in the evening 4 to 5 times per year by each of the orthopedic subspecialities.

Department of Surgery Grand Rounds
These rounds are held once per month.  Topics relevant to all surgical specialities are presented by Faculty, Visiting Professors and Residents. 

College of Medicine Postgraduate Resident Core Curriculum Teaching

The Postgraduate Medical Education Dean's Office at the University of Manitoba provides Core Curriculum ectures and workshops for residents of all specialties, covering the CanMEDS competencies in such areas as: Communication and consultation skills; Teaching skills; Principles and Practice of Quality Assurance / Improvement Biomedical Ethics Medico-legal issues; Practice Management and Administration; Professional Boundaries and Public Speaking.

RESEARCH


All residents are expected to be involved in ongoing clinical research projects and to give a formal presentation on their work at the Orthopedic Surgery Residents Research Day.  

Orthopedic Surgery Research Day is a combined day with the University of Saskatchewan. 

Residents are also expected to submit their research for presentation consideration at the annual Department of Surgery Resident Research Day.

 


Training Sites

Resources

Health Sciences Centre

A newly constructed Emergency Department streamlines care at the Health Sciences Centre, while the cast clinic has been remodeled to improve cast and fracture care. The Orthopaedic offices, located in AD4, include a resource room with a library for residents.

Concordia Hospital

New, state-of-the-art operating rooms with video integration have recently been added to the Arthroplasty Group at Concordia Hospital. Adjacent to the Hospital is the Concordia Hip and Knee Institute, housing research facilities as well as offices for the surgeons and their support staff.

Pan Am Clinic

Expanded four times within the last six years, the Pan Am Clinic is a state-of-the-art Sports Medicine Centre. Enhancements include video integrated operating rooms for arthroscopy and a state-of-the-art conference room. In addition, the Pan Am Foundation Research and Skills Lab floor houses research equipment for biometrics motion analysis, strength testing, and material properties.Its stations for skills training include virtual reality arthroscopy training.

All training sites are video linked to ensure access to all teaching rounds at all sites.

Educational Resouces

  • Library facilities are available at the Medical College, Health Sciences Centre along with the Section of Orthopedic Surgery library
  • Funding is provided to allow attendance at one conference per year
  • Resident's lounge with computers


Additional Information

Winnipeg is a city offering great arts and culture, neighbourhoods, recreational activities for all seasons and spectator sports. 

Winnipeg is located in the centre of Canada and offers great accesibility by air and car.  A less than 5 hour direct flight can take you to the beaches of Mexico!

Winnipeg offers competitive taxes, affordable housing, and low utility rates.

For more information on the City of Winnipeg, Province of Manitoba and Ontario Lake of the Woods please visit the websites provided below:

Toursim Winnipeg 

Travel Manitoba

Moving to Winnipeg

Living in Winnipeg

Moving to Manitoba

The Forks - Winnipeg's Meeting Place

Winnipeg Jets NHL Team

Winnipeg Blue Bombers CFL Team

Winnipeg Goldeyes American Association of Independent Professional Baseball Team

Canada's Royal Winnipeg Ballet

Royal Manitoba Theatre Centre

Winnipeg Symphony Orchestra

Winnipeg Fringe Festival

Winnipeg Jazz Festival

Festival du Voyageur

Beaches of the Southeast Coast of Lake Winnipeg

Ontario Lake of the Woods  

 

 


Summary of changes

SUMMARY ID Section Summary of changes Updated on NOTIFY APPLICANTS SECTION NAME Actions