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NOSM University - Pediatrics - West (Thunder Bay & Sault Ste. Marie)

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

Last approved on December 11, 2020

Summary of changes

Approximate Quota:

 1 

Accreditation status : Accredited

Provincial Criteria


Dr. Linda Bakovic
c/o Program Coordinator 
Postgraduate Education 
935 Ramsey Lake Road
Sudbury, ON P3E 2C6, Ontario
(705) 662-7106
(705) 662-7143
Northern Ontario School of Medicine
NOSM Pediatrics Residency Program - FAQ YouTube Video

Program Contacts

Catherine Duchesne
Postgraduate Coordinator
cduchesne@nosm.ca
(705) 662-7106


Important Information

NOSM Pediatric Program Promotion Event

Date:   Monday, November 30th

Time:  7pm – 8pm

Duration: 1 hour

Brief Description of event: This presentation is focused on providing medical students interested in pediatrics an overview of the NOSM Pediatric program.  There will be a short didactic introduction to the program which will be delivered by the Program Director and chief resident(s).  Participants will then have the opportunity to break into smaller groups to chat with current residents and the Program Director.

Connect to the Event via WebEx

Link: https://nosm.webex.com/nosm/j.php?MTID=m5a86576a07b024c6d409cbb5f412c377

 Meeting number: 171 301 0862  Password: 2222


General Instructions

Program application language: English


Supporting Documentation / Information

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
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)

IMPORTANT NOTICE: As per the Ontario Provincial Eligibility Criteria, if you are submitting a Canadian Birth Certificate or Act of Birth, or Confirmation of Permanent Residence in Canada document, you MUST submit a government issued photo I.D. to accompany your citizenship documentation.

Reference documents
Required
Number requested: 3

Three letters of reference are required. Reference letters must be written by clinical teachers and/or faculty who have reasonable knowledge of you, either through close association in clinical training situations or as your faculty advisor. References should provide an assessment of your medical knowledge, clinical skills, interpersonal skills, ability to communicate effectively, your attitudes toward learning, commitment to Pediatrics, and personal suitability.

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

Medical School Transcript 

Order from your registrar.

Medical Student Performance Record 

Order from your Dean's office.

Custom Résumé / CV 

Personal Letter 
Word count
Minimum : None
Maximum : None

The program requires the following three questions be individually addressed by all candidates.  Each answer should be a maximum of 250 words.

  1. Tell us why we should choose you for the NOSM pediatric program. Please tell us about the attributes that make you a good candidate for this program specifically, not just pediatrics in general. Where do you see your career taking you in 10 years?
  2. Describe a time when you were faced with a difficult or challenging situation and discuss how you dealt with the situation and what you learned from the experience.
  3. Tell us about the achievement you are most proud of, how it influenced your decision to do pediatrics.

If your transcript/CV indicates academic difficulty, failure(s), repeat of a year or any gaps in your education or work history please attach a supplementary statement to the END of your Personal Letter entitled "Transcript/CV Addendum" explaining the above.

Optional - will be reviewed
Abstract/Publications 


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


Once all of the files have been reviewed, applicants being offered an interview will be contacted to confirm the date and interview details. Only those applicants being offered interviews will be contacted.

An email notification will be sent at 12:00 p.m. noon ET on Monday, March 1st, 2021.


Interviews

Dates:

  • March 25, 2021
  • March 26, 2021
Interviews will be held virtually on the following date(s):

Thursday, March 25th, 2021
Friday, March 26th, 2021

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Interviews will be conducted by Pediatric Faculty and current residents in the Pediatric program.

Community information will be available and there will be opportunities for virtual discussion with current residents.


Selection Criteria

  • Candidates for the Pediatric Residency Program at NOSM are selected on the basis of: a demonstrated interest in Pediatrics, desire to train in a variety of clinical settings including both northern Ontario and Ottawa, demonstrated interest in advocacy and social pediatrics, strong interpersonal skills, and a commitment to self-directed learning. The program is looking for candidates who are hardworking, adaptable and enjoy change.


  • The NOSM Pediatrics Program promotes equal opportunity to all eligible candidates applying to the program, regardless of where they have completed their MD training. We encourage all applicants, and accept residents into the program with or without prior exposure to northern Ontario or medical training in the north. Therefore, candidates from the North and/or those who have trained in the North are not given exclusive consideration in the selection process.
  • All clinical experiences, including mandatory rotations and electives, will be considered in the application/assessment process.

Program goals

Our vision is to train residents who have the skills and attitudes necessary to deliver excellent, culturally respectful health care in any setting, including northern Ontario and other rural communities. Our program strives to meet the social accountability mandate of NOSM through our social pediatric curriculum which provides hands on training in advocacy as well as mandating an advocacy project. 

We strive to deliver a comprehensive curriculum that provides exposure to clinical learning experiences in both Northern Ontario and world-class tertiary care/subspecialty training in Ottawa. Our program aims to provide a supportive learning environment that allows our residents to focus on their individual career objectives, and develop into highly skilled, knowledgeable, and professional pediatricians. Our graduates are well prepared to practice as general pediatricians in any setting, but are also well-positioned to pursue pediatric subspecialty training if that better meets their career goals.

Selection process goals

Through our selection process, the program aims to identify candidates who have a strong academic history with demonstrated competence and interest in pediatrics (e.g. pediatrics rotations, electives, scholarly activities, conference involvement and other related work or life experiences). We are seeking candidates who are interested in health advocacy and are able to think creatively about ways to address the social determinants of health. Candidates should possess superior clinical communication skills and have the ability to relate to patients, their families, and caregivers with compassion, empathy, sensitivity and humility.

We are looking for candidates who possess the ability and willingness to work collaboratively (within and across professional domains) and exemplify the highest standards of professional behavior -- inclusive of responsibility, respect, and self-awareness.

We are also looking to identify candidates who would be a good fit for our program. Candidates best suited to the NOSM Pediatrics program are those who can adapt and thrive in a hands-on, distributed residency program that requires flexibility and travel away from their primary residence. We believe that candidates who are resilient, committed to self-directed learning and can prioritize their personal well-being are well suited to the program. Through our selection process we aim to identify and successfully match candidates who possess these attributes.

File review process

Review team composition : Each application is reviewed and scored independently by two faculty members and the Program Director. Members of our file review team are the Program Director and Site Directors.

Average number of applications received by our program in the last five years : 51 - 200
We average approximately a combined total of 70 applications between both streams.

Average percentage of applicants offered interviews : 51 - 75 %
We typically interview an average of 45-50 candidates.

Evaluation criteria :
File component Criteria
CV Academic & work background/experiences, personal/academic/professional accomplishments
Electives *See below
Examinations We do not evaluate this file component.
Extra-curricular Personal interests, volunteerism, previous job experience
Leadership skills Any leadership roles held throughout training should be outlined in the CV
MSPRs Pediatrics rotation competencies, any academic/personal/professionalism concerns
Personal letters Suitability to program
Reference documents Performance, knowledge/clinical skills, character, attitude towards learning, suitability
Research/Publications Past research experiences, achievements, interest in participating in future scholarly activity
Transcripts Strength of academic record, academic failures, any red flags or other concerns
Other file component(s) We recognize that the COVID-19 pandemic has impacted candidates’ opportunities to arrange and complete electives and would like to reassure you that a lack of elective activity this year will not negatively impact your application to our program.

*Electives: Pediatrics elective(s), diverse range of electives relevant to the program (FM, Psych), rural and/or northern an asset

Transcript/CV Addendum:
If any part of your application indicates academic difficulty, failure(s), repeat of a year or any gaps in your education or work history, a supplementary statement at the END of your Personal Letter is required. Please entitle your statement as "Transcript/CV Addendum", explaining the above.

Elective criteria

We are looking for and rewarding applicants who have completed a broad range of electives including in our discipline.
We do not require applicants to have done onsite electives.

We recognize that the COVID-19 pandemic has impacted candidates’ opportunities to arrange and complete electives and would like to reassure you that a lack of elective activity this year will not negatively impact your application to our program.

Interview process

Interview format :



We may accommodate requests to re-schedule interviews for applicants due to weather, technology failure, or unforeseen circumstances.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Demonstrated ability to work well in a team setting/multidisciplinary environment
Collegiality Personable, respectful towards others, values the importance of a supportive/collegial atmosphere
Communication skills Able to reflect and communicate responses clearly and concisely, can communicate well with others
Health advocacy Interest in previous pediatric advocacy work
Interest in the discipline Genuine passion for Pediatrics and future practice goals
Interest in the program Knowledgeable about our program, training sites, northern Ontario patient populations and challenges
Leadership skills *See below
Professionalism Conducts themselves in a professional manner, self-aware, unbiased, morally/ethically responsible
Scholarly activities We do not formally evaluate this component during the interview
Other interview component(s) *Leadership skills: Qualities such as: proactive/takes initiative, accountable, innovative, motivated and goal-oriented, resilient and flexible

Problem-Solving Skills: Overcoming challenges, conflict resolution, ability to rationalize and take appropriate action.

Personal Attributes: Personal characteristics and interests, experiences, learning style/attitude towards learning.

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

This four year residency program improves upon the traditional tertiary center-based training model by providing residents with extensive training opportunities in northern urban centers under the supervision of general pediatric consultants. In addition to world- class subspecialty and acute care rotations at the Children's Hospital of Eastern Ontario (CHEO), the northern rotations provide the learner with extensive opportunities to develop the skills necessary to fulfill all of the CanMEDS roles. By honing their clinical and problem-solving abilities in a preceptor supervised environment, distant from extensive subspecialty support, residents have the opportunity to develop into confident, practical, skilled clinicians. A full exposure to tertiary subspecialty and acute care rotations is maintained throughout the residency.

Although the philosophy of training in this program has been developed from the practice of general consultant pediatricians, upon completion of the program, residents will be well positioned to pursue subspecialty training if they choose or embark upon a career in general consulting pediatrics.

Residents are required to provide their own vehicle.    It is strongly recommended that residents have a laptop computer.

Distance learning in the northern centers is enabled by state-of-the-art telemedicine facilities. Resources and opportunities for additional learning, including electives and conferences, will also be made available.

The following represent the highlights of our program:

  • A unique and challenging hands-­on learning experience.

  • Unparalleled preceptor support from physicians committed to practicing in Northern Ontario. Early integration as a key member of an integrated health care team dedicated to professionalism, high quality patient care and excellent medical education.

  • Commitment to resident learning.

  • Commitment to the NOSM social accountability mandate with hands on teaching in social advocacy

  • Self-­directed, learner-­centered training to meet your career goals.

  • Financial support for resident travel to and from core clinical placements away from the home base and all mandatory educational activities at non home base locations.

  • Housing support for core rotations away from primary residence.

  • Opportunity to participate in research under expert guidance.

  • Funding available for research, professional development and conferences.

  • Access to advanced technology and informatics in residency training.

  • 24/7 access to electronic search engines, electronic indexes as well as an extensive collection of electronic medical/health journals and textbooks.

  • Exceptional lifestyle balance with a wide variety of outstanding Northern Ontario recreational opportunities.

 

For residents beginning in July 2021, the Competence By Design (CBD) curriculum will be officially launched. The 4 stages of CBD are mapped over 4 years, after which residents can choose to apply to a subspecialty. The program has been piloting CBD for over two years now, and has gained much experience in the new design.


Program Curriculum

This residency program is for 4 years.

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

NOSM Pediatric Program PGY1

 

Rotation

Duration

Northern Ontario Pediatrics

6 blocks

Perinates (Ottawa)

2 blocks

Pediatric Tertiary Care Ward (Ottawa)

1 block

Pediatric ER (Ottawa)

1 block

Sub-specialty (Ottawa)

2 blocks

Elective

1 block

 

NOSM Pediatric Program PGY2

 

Rotation

Duration

Northern Ontario Pediatrics

6 blocks

NICU (Ottawa)

1 block

Sub-specialty (Ottawa)

1 blocks

Night float/Surgical sub-specialty or Research (Ottawa)

1 block

Elective

1 block

General Surgery (Ottawa)

1 block

PICU (Ottawa)

2 blocks

 

NOSM Pediatric Program PGY3

 

Northern Ontario Pediatrics

5 blocks

Sioux Lookout

1 block

Perinates (Ottawa)

1 block

Tertiary Care Ward Senior (Ottawa)

1 block

Pediatric ER Senior (Ottawa)

1 block

Night Float/Selective or Research (Ottawa)

1 block

Sub-specialty (Ottawa)

3 blocks

 

NOSM Pediatric Program PGY4

 

Rotation

Duration

Northern Ontario Pediatrics

7 blocks

Selective/Elective (in Ottawa or other location)

3 blocks

Selective/Election (must be in Ottawa)

2 blocks

Night Float/Selective (Ottawa)

1 block

 
 

Seminars and Rounds

 

Residents will have a half day per week protected time for academic teaching sessions. These sessions are all delivered by video conference/web-based technology and mostly consist of small group learning sessions with one didactic lecture per block.   Three to five times per year, residents will gather in one of the northern centres  for face to face learning sessions, simulation sessions, OSCEs and social  events.

Protected time to attend Grand Rounds broadcast by the Children's Hospital of Eastern Ontario by videoconference will be available. Residents will participate actively in the departmental academic and morbidity and mortality (M&M) rounds at northern locations. Residents attend a northern based morning report and noon rounds, with all the northern sites, while in the north.

 

Research

 

All residents in the program are expected to complete a scholarly project prior to the completion of training. NOSM has resources available to support resident research in addition to those available in Ottawa. Several opportunities for practical research meaningful to the local communities and under expert guidance are available.

 


Training Sites

Northern teaching sites include Thunder Bay, Sault Ste. Marie, North Bay and Sudbury. A rotation in Sioux Lookout is part of the core program. Subspecialty, PICU, ER, and NICU rotations will be completed in Ottawa.

Housing options are available for residents who must reside in communities outside their “home base” during mandatory rotations.

Please note that applicants who match to the Pediatrics West stream will be required to select either Thunder Bay or Sault Ste. Marie as their home-base/location of primary residence.


Sudbury

  • Sudbury is centrally located in northeastern Ontario, with the city of Greater Sudbury being the largest city in Northern Ontario with a population of approximately 161,000.

  • Health Sciences North (HSN) is a 454-bed facility, one-site acute care hospital, which boasts state-of-the-art equipment. As a large tertiary care provider for Northern Ontario, HSN is the regional referral centre serving over 600,000 people in northeastern Ontario.

  • Programs and services offered at HSN include: Medical Imaging, Medicine and Rehabilitation, Critical Care, Emergency and Ambulatory Care, Family and Child, Mental Health and Addictions, Northeast Cancer Centre, Surgical Services, Corporate Services, and Research.

  • HSN also established a Simulation Center, helping to advance its academic mission, in addition to the creation of the Advanced Medical Research Institute of Canada (AMRIC). 

North Bay

  • North Bay is conveniently located in the Nipissing District, in northeastern Ontario, with a population of 70,000. North Bay is a short 1.5-hour drive to one of two NOSM host university sites, at Laurentian University in Sudbury.

  • Comprehensive medical services in North Bay are provided by a fully-accredited medical hospital, the North Bay Regional Health Centre, which is a 401-bed facility that offers numerous outpatient and outreach services in North Bay and throughout the northeast region. It provides acute care services to North Bay and its surrounding communities, and it is the district referral centre, providing specialist services for smaller communities in the area, and it is the specialized mental health service provider serving all of northeast Ontario. 

Thunder Bay

  • Thunder Bay is situated on Lake Superior, in northwestern Ontario. The city has a population of approximately 121,000 and serves as a regional referral centre for northwestern Ontario and many rural and remote Indigenous communities.

  • The high-volume tertiary care hospital, Thunder Bay Regional Health Sciences Centre (TBRHSC), is a 395-bed tertiary care academic & research centre offering a comprehensive range of services in state-of-the-art healthcare facilities.


Sault Ste. Marie

  • Sault Ste. Marie (also know as the Sault or the Soo) is a city located on the St. Mary’s River in Ontario, in the Algoma District. With a population of approximately 78,000, Sault Ste. Marie is the third largest city in Northern Ontario.

  • Sault Area Hospital (SAH) is a 291 bed state-of-the-art facility that opened in March 2011. SAH provides emergency, primary, secondary, selected tertiary and long-term care healthcare services to the city and the District of Algoma with a catchment population of approximately 120,000.


Ottawa (CHEO)

  • Children's Hospital of Eastern Ontario (CHEO) is a 167 bed tertiary care children's hospital that provides the only pediatric inpatient services in the Ottawa-Carleton region and serves a referral population of over 1,500,000. CHEO is a medium-sized hospital which provides a work environment that is friendly and supportive. World class specialists and subspecialists come together to provide excellent care, research and education to the pediatric population of the region.


Additional Information

 
Overall program
 

The program outlined above may be modified or taken in an alternative sequence based upon discussions between the resident and the program director. Any changes MUST allow the resident to complete the appropriate curriculum to meet accreditation standards and spend the appropriate amount of time in the Northern locations.

 

To learn more about northern Ontario, please visit the "Wider Campus of the Northern Ontario School of Medicine" webpage.


Summary of changes

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