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University of British Columbia - Family Medicine - Rural Fort St. John

2022 R-1 Main Residency Match - first iteration
CMG Stream for CMG

Last approved on November 17, 2021

Summary of changes

Approximate Quota:

 2 

Accreditation status : Accredited

Provincial Criteria


Dr. Mark Mackenzie
Faculty of Medicine – Department of Family Practice 
300-5950 University Boulevard 
Vancouver, British Columbia, V6T 1Z3
UBC CaRMS Website

Program Contacts

Jana Ogdenova
Program Manager
residency@familymed.ubc.ca

Cindy Choi
Education Coordinator
residency@familymed.ubc.ca

Kim Furlong
Site Coordinator
kim.furlong@unbc.ca

Dr. Michael Wright
Site Director
drmwright@pris.ca
(250) 261-9979


Important Information

Prospective residents should refer to the Family Medicine Residency Selection website for ongoing updates, deadlines and detailed information.


General Instructions

Program application language: English

Resident selection for the UBC Family Medicine program is a collaborative process between all of our sites. Logistics and administration of resident selection is managed by our central program office in Vancouver, located at the UBC Point Grey Campus.

As the UBC Family Medicine Program is distributed into unique sites and locations, candidates should apply to each site they are interested in. (The applications should be the same for each site).

While applicants apply and rank  multiple sites, only one interview is conducted - regardless of the number of sites to which a candidate applies.

A variety of virtual information sessions are held to provide prospective residents with the opportunity to learn more about the programs and discuss the training experience with Faculty and current residents. (see website for details).


Supporting Documentation

Applicants are advised to only provide the documents requested by the program. No other documents submitted will be reviewed.
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
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)

Required documents for ALL applicants

Canadian Citizenship

The province of British Columbia will accept one of the following notarized/certified documents as proof of the citizenship/permanent residency and is required for all types of applicants. Photocopies are accepted but, citizenship documents other than what is listed below are not accepted.  Proof of citizenship/permanent residency must be submitted to CaRMS by the File Review deadline.  No allowances for late submission.

  • Canadian Birth Certificate
  • Canadian Passport
  • Canadian Citizenship Certificate
  • Canadian Citizen Card (both sides)
  • Current Canadian Permanent Resident Card (both sides)
Language proficiency
Required
Submit one of the following documents to verify your language proficiency:
• IELTS
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General

CMG / USMG

If you graduated from an English medical school in Canada (including McGill) 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 of the College of Physicians of Surgeons of BC as identified below.   This requirement is the same for IMGs and is required by the start of the Ranking Period.

IMG

The College of Physicians and Surgeons of BC requires applicants to be proficient in the English language.

The Registration Committee may determine that an applicant has demonstrated English language proficiency if the following conditions are met:

  • The primary language of medical education was English, and
  • The primary language of patient care was English.

Applications received by the College of Physicians and Surgeons of BC on or before June 30, 2022, who have not met the above requirements will require one of: IELTS Academic examination, OET Medicine Examination or CELPIP General Examination for licensing (see criteria below).  As such, applicants must submit the proof of English language proficiency to CaRMS by the start of Ranking Period. Photocopies are acceptable.

  • IELTS Academic - Minimum score of 7 in each component.
  • IELTS scores are valid for a period of 2 years from the date taken.
  • OET Medicine Examination - Minimum grade of B in each component.
  • OET results are valid for a period of 2 years from the date taken.
  • CELPIP General Examination - Minimum score of 9 in each component.
  • CELPIP results are valid for a period of two years from the date taken.

Please note that results from these three examinations cannot be mixed. Candidates must meet all of the criteria in either the IELTS, OET or CELPIP examination.

Applicants are advised to review the College of Physicians and Surgeons English Language Proficiency Requirements here: https://www.cpsbc.ca/files/pdf/REG-ELP.pdf

 

Reference documents
Required
Number requested: 3

Three letters of reference are required.

  • Regardless of reference source, reference letters should speak to an interest in Family Medicine and aptitude for the discipline.
  • Using anecdotal narrative if possible, letters should provide evidence of attributes and abilities well suited for a career in Family Medicine.
  • These attributes and abilities are also evaluated in our interview process (see interview criteria and components).
Additional documents
Required
Medical School Transcript 

Order from your Registrar

Medical Student Performance Record 

Order from your Dean's office

Personal Letter 
Word count
Minimum : None
Maximum : None

Provide a biographical letter (max. 750 words) that includes answers to the following questions:

1.       Why do you want to choose Family Medicine as a career? What makes you a good fit for this career choice?

2.       What life skills or experience do you have that demonstrate your suitability for family medicine residency training?

3.       Why UBC? Why British Columbia? Elaborate on any connections you might have with the province of B.C.

      Note:  The same letter must be submitted with each site application.

Optional - will be reviewed
Family Medicine rural addendum/questionnaire 

Optional Rural Questionnaire:

  • This is an optional supporting document which can be included for candidates applying to a rural site.
  • Completion of the rural questionnaire will identify the applicant as someone with a special interest in rural training and practice.
  • If you apply to both urban and rural sites, completion of the rural questionnaire will not prevent applicants from being considered for an urban placement.
  • A score attributed to the questionnaire will be provided to Site directors at rural sites for consideration afterthe interview period. This will be a stand-alone metric and does not contribute to the total file review score.
  • The following sites are considered rural and will use the rural questionnaire score when generating their site rank list:
    • Kootenay Boundary
    • Okanagan South
    • Prince George
    • Northern Rural
    • Northwest - Terrace
    • Northeast - Fort St. John
    • Kelowna Rural
    • Strathcona
    • Note:Training at the Indigenous sites include about 50% rural training, but will not use the rural questionnaire in their ranking

 

Rural Questionnaire:

(Answer the following questions. Please write your responses under each question; 250 words max per question)

  1. Describe your personal rural background and /or rural involvement and experience, both prior to and during medical school.
  2. What has led you to apply for a residency in rural Family Medicine and why would you value a rural residency position?
  3. Describe the type of future rural practice that would fit you best.

 

 

 


Review Process

Applications submitted after file review has opened on January 31, 2022


Supporting documents (excluding letters of reference) that arrive after file review has opened  on  January 31, 2022


Letters of reference that arrive after the unmasking date on January 31, 2022



Interviews

Dates:

  • March 4, 2022
  • March 5, 2022
  • March 11, 2022
  • March 12, 2022
All 2022 R-1 match interviews will be in a virtual format, as per the decision of the Association of Faculties of Medicine of Canada.

The national interview period is February 28-March 20, 2022. UBC interviews will take place on March 04, 05, 11, and 12.

Candidates will be interviewed once, regardless of number of sites you apply to. 

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
All interviews will be conducted in a live, synchronous MMI format. The UBC Family Medicine (FM) program will contact the selected applicants by email to provide program-specific interview details and interview links.

If you wish to add a new program/site to your rank list after your interview, you must update your CaRMS application by March 16 12PM PST.

 

Any additional sites added to your application after this date will not be considered for ranking.


Important: you must also link your documents to any newly ranked site.

Regardless of the number of sites to which you apply, one final score will be generated after the interview.

If you are matched, the program will be unable to facilitate transfer from one site to another.


Selection Criteria

Applicants must submit an application to each site they are interested in and should assign the same set of documents to each site. Selection is based on file review and one set of MMI interviews. Each file is reviewed and given a score. This file review score determines whether a candidate is offered an interview. The file review score is then combined with the interview score to create a total score for each applicant. The file review will contribute to 20% of the overall global score while the interview will contribute 80%. A recommended rank list based on the total score is submitted to each site for consideration. The sites retain discretion to adjust the recommended rank list based on local site selection committee input. 

 

Program goals

  1. To graduate residents who have developed the competencies needed to begin independent family practice in diverse community settings
  2. To deliver an effective academic, clinical and scholarly educational program
  3. To graduate residents who are inspired, resilient, and balanced
  4. To graduate residents who demonstrate evidence-based and reflective practice
  5. To provide working and learning environments that ensure residents, faculty and staff feel respected and supported

Selection process goals

  1. Identify individuals with an aptitude for family medicine who are most likely to thrive in our diverse residency sites and in the unique context of British Columbia communities.
  2. Identify individuals with a demonstrated solid foundation of clinical skills and clinical approach which equips them for Postgraduate Education training.
  3. Identify individuals who have consistent professional behavior; who interact appropriately with patients, colleagues and staff.
  4. Identify mature, motivated individuals with a broad range of life experience which they can draw upon to adapt to the demands of residency training.

File review process

Review team composition : The review team is composed of faculty leadership from across our distributed program, the program director and senior administration.

Average number of applications received by our program in the last five years : 601 +

Average percentage of applicants offered interviews : 76 - 100 %

Evaluation criteria :
File component Criteria
CV We do not evaluate this file component
Electives We do not evaluate this file component; however references from elective experiences may be helpful
Examinations We do not evaluate this file component
Extra-curricular We do not evaluate this file component
Leadership skills Leadership skills are considered in the context of the personal letters and reference letters
MSPRs Taken into consideration only if professionalism issues are identified
Personal letters Demonstrated suitability to Family Medicine and training in BC through experience and life skills
Reference documents Demonstrated suitability through attributes, abilities and interest in the discipline
Research/Publications We do not evaluate this file component
Transcripts We do not evaluate this file component
Other file component(s) Note: The MSPR and transcripts are required supporting documents by CaRMS but are not scored as part of the UBC Family Practice file review process.

Elective criteria

We do not evaluate this component; however reference letters from elective experiences may be helpful (see reference documents required).

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 Yes: with patients and colleagues
Collegiality Yes we evaluate this criteria
Communication skills Yes we evaluate this criteria
Health advocacy Yes we evaluate this criteria
Interest in the discipline Yes we evaluate this criteria
Interest in the program Yes: UBC in general, and in specific programs (rural, under-served populations, inner-city context etc.)
Leadership skills Yes: assessment of leadership of self and others
Professionalism Yes we evaluate this criteria
Scholarly activities We do not evaluate this interview component
Other interview component(s) Ability to handle Ambiguity/Uncertainty
Advocacy/Compassion
Resilience
Patient centeredness

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

Uniquely B.C:  UBC Family Medicine

Family Medicine training in BC presents you with many unique opportunities. We are a fully accredited distributed program with 20 training sites. In an effort to meet the evolving needs of our society, each site provides a solid foundation in the knowledge and clinical skills of Family Medicine so that our graduates are prepared to practice in a variety of settings. While our program offers diversity of training, it is based on common goals, learning objectives, and assessment standards.

All residents are required to do a mandatory 2-month rural rotation in Family Medicine in their second year. Residents in the Coastal, or rural programs in the Okanagan or the North complete longer rural placements. Residents can also apply to participate in Enhanced Rural training for a total of 4-6 months in rural communities.

There is extensive academic and administrative support for the entire residency program. Our central program administrative team is based in Vancouver on UBC campus. At the site level, leadership teams are made up of a Site Director, Site Faculty, Chief Residents and administrators. Lead Program Faculty provide provincial education support in the areas of curriculum, assessment, faculty development, scholarship and behavioral medicine.

The Family Practice Postgraduate Education Committee has representation from all sites to ensure a connected, distributed program that fully meets accreditation standards. Residents are represented at all levels of governance.

A wide range of amazing recreational and cultural opportunities are at your doorstep, as well as a collegial community of residents and physicians with whom you can learn, grow, and play. We want your experience to be in BC to be a positive and enjoyable one.

Training Sites: Overview

Visit the UBC Family Medicine Postgraduate website for a detailed overview of each of the 20 sites and their surrounding communities.  Each site provides opportunities to experience Family Medicine in their unique context, offering special opportunities to gain experience and skills unique to the area where you are training.

The following is a list of our sites and their base community/hospital. Each site serves the surrounding community (see training sites for full details):

 

Greater Vancouver / Lower Mainland

  • Abbotsford-Mission
  • Coastal (North Vancouver, Lion’s Gate Hospital)
  • Chilliwack
  • Indigenous (Greater Vancouver and rural Indigenous communities)
  • St. Paul's (Downtown Vancouver, Inner City)
  • Surrey South Fraser (Surrey Memorial Hospital)
  • Vancouver Fraser (New Westminster, Royal Columbian)

 

Interior Region

  • Kootenay Boundary (Trail, Nelson, Rossland, Castlegar)
  • Kelowna Rural (Kelowna R1 year; rural communities across BC in R2 year)
  • Kelowna Regional
  • Okanagan South (Penticton)
  • Kamloops

 

Vancouver Island

  • Indigenous (Victoria, Duncan, Ladysmith and rural Indigenous communities including Pacheedaht, Penelakut, ‘Namgis)
  • Nanaimo
  • Strathcona (Comox, Campbell River and Courtenay)
  • Victoria

 

Northern

  • Fort St. John (Northeast)
  • Northern Rural (Prince George R1 year; rural communities across BC in R2 year)
  • Prince George
  • Terrace (Rural Northwest)

 

IMG positions are offered at the following sites:

  • Abbotsford-Mission
  • Chilliwack
  • Coastal
  • Fort St. John
  • Kamloops
  • Kootenay Boundary
  • Nanaimo
  • Okanagan South
  • Kelowna Rural
  • Kelowna Regional
  • Prince George
  • Strathcona
  • St. Paul’s
  • Surrey South Fraser
  • Vancouver Fraser
  • Victoria

 

Resident Support

Resident resilience and wellness is our top priority. Important resources have been developed by our program to support our residents throughout the course of the training.

All UBC programs are allocated a fixed amount of funding per resident for Resident Activities.  This funding is used to provide educational support to residents during their 2 years of training. This includes funding for residents to attend program-wide courses and events. Additionally, residents may identify conferences and educational materials that would supplement their training experience. A discretionary, per resident funding will also be allocated to the sites for a similar purpose at the site level.


Program Curriculum

This residency program is for 2 years.

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

Introduction

The North East Health Services Delivery Area (NEHSDA) provides health care to a population of approximately 70,000 in the North East of British Columbia, with the two largest communities of Dawson Creek and Fort St. John accounting for the bulk of the care. The NEHSDA provide per annum 91,000 ER visits, 900 deliveries, 35, 000 inpatient days, and 5000 surgeries. There are over 60 physicians working in the North East providing these services. The residency program is based in the community of Fort St. John for the majority of the time however travel to the other communities in the region (Dawson Creek and Chetwynd) is required for some clinical experiences, so a vehicle is required.

Purpose/Objectives

The vision of the Rural Fort St. John Family Practice Residency Site is to offer high quality medical education in a rural community providing a broad spectrum of general and specialist medical care. The majority of this general and specialist care is provided by family practitioners, thus this site provides the opportunity to learn in a truly generalist, broad-based milieu, grounded in the three principles of the Triple C Curriculum: Comprehensive, focused on Continuity and Centered in Family Medicine.

Our Mission is to provide a community-based postgraduate family practice residency program and undergraduate family medicine education in a regional centre affiliated with UBC, the Northern Medical Program, and the Northern Health Authority.

 Program Objectives

  • The Rural Fort St. John Site will provide a northern BC residency program that is designed as an integrated 24-month competency based curriculum.
  • The learning environment will be focused on family practice problem solving skills and based on principles of effective adult education.
  • The residents will be part of a community network of health care providers and will become skilled at collaborating as team members and team leaders.
  • The graduating residents will have expert knowledge of the wide range of common problems of patients in this community and of the less common but life-threatening and treatable emergencies in patients of all stages of the life cycle.
  • The excellent training will be a cooperative venture between the Department of Family Practice and this community-based training site.
  • Family Medicine will be taught by family physicians whose philosophy and practice are consistent with the aims and aspirations of Family Medicine, as defined by the four principles.

PGY 1 Overview

 This two-year program is designed to train physicians interested in practicing in rural Canada. However, the program also suits physicians interested in acquiring a broad skill set useful in any community. The curriculum has been created to maximize the integration of the hospital, the office and the community work of the doctor. The curriculum will provide longitudinal, integrated learning and is organized into Domains of Care.

The first year curriculum consists of 2 blocks each of OB/GYNE, Emergency Medicine, Internal Medicine, General Surgery and 3 blocks of Family Practice with one block of Palliative Care and one block of Psychiatry. While in the blocks you will still do half a day Family Practice every week or a full day two times a month.

PGY 2 Overview

The second year curriculum consists of 6 blocks for Individual learning plan Electives. Examples for electives include non-mandatory rotations in inpatient pediatrics and ICU as well as a trauma elective in South Africa. The rest of the blocks would be at the Fort St John site spreading across other disciplines as per Individual learning plans with the last 4 months being part of the “Transition into Practice.”

To complement the required Domain experiences, visiting specialty services and local expertise is available with some limitations in ENT, Ophthalmology, Dermatology, Orthopedics, Pediatrics, Family Practice Anesthesia, Cardiology, Geriatrics, Sports Medicine, Women's Health, Palliative Care, Chronic Pain, Methadone Management and Travel Medicine and First Nation community’s clinics.

Academic Days and Research

To complement the clinical experience, residents participate in mandatory academic sessions that includes family practice and specialty seminars, case presentations and workshops. These will be provided both locally in Fort St John and by electronic link between Fort St. John and distant sites as opportunities arise. Residents are also invited to attend all medical staff educational rounds. All residents are funded to attend the ALARM (Advances in Labour and Risk Management) course, ATLS (Advance Trauma Life Support) or equivalent (e.g. CARE: Comprehensive Approach to Rural Emergencies and the Essential Surgical Skills Course coordinated by the Kelowna Rural Program. Local Ultrasound education is provided in Emergency Department and in the Obstetrical and Prenatal ward.

This includes academic teaching which is a mix of clinical case discussions and core topics. Residents are also expected to do presentations.

In the first year, residents will be expected to complete a practice improvement project. Throughout the two years, residents must complete a scholar project and present their work at our local Scholarship Day which allows for the attendance of faculty and community members.

International Electives

Residents can do one month of interprovincial or international electives during their training.

Further Training

Third year training positions are available in the area of Emergency Medicine, Care of The Elderly, Anesthesia, Palliative Medicine, Sports and Exercise Medicine, Clinician Scholars program and a wide range of other category 2 Enhanced Skills programs.


Training Sites

The communities of the northeast of BC offer a range of outdoor activities including cycling, hiking, tennis, golf, climbing, skiing, snowshoeing, cross-country skiing, snowmobiling, horseback riding, hunting, and fishing. Many indoor sports are available: swimming, soccer, gymnastics, archery, ice hockey, speed skating, curling, squash, and martial arts. There are a number of arts groups in the community: choirs, bands, dance, theatre companies, as well as visiting performing artists.  Long-term commitment to the northeast BC rural community lifestyle is an important quality, and we encourage direct contact from interested qualified applicants.

 Resources

The North East Health Services Delivery Area (NEHSDA) provides health care to a population of approximately 70,000 in the northeast of British Columbia. The majority of this care is centered around the two largest communities of Fort St John and Dawson Creek but medical services are also provided in the smaller communities of Chetwynd, Tumbler Ridge, Hudson's Hope and Fort Nelson. Fort St John, Dawson Creek, Fort Nelson and Chetwynd have community hospitals; Hudson's Hope and Tumbler have diagnostic and treatment centers. These facilities provide, per annum 91,000 ER visits, 900 deliveries, 35,000 inpatient days, and 5000 surgeries. There are over 60 physicians working in the northeast of BC providing over 1000 services per day.

The family practice resident will be based in Fort St. John for the majority of their time, but will need to travel to other communities for some experiences which may include family practice exposure, so a vehicle is required.  The program recognizes that winter travel in the north can be challenging, so a strength of the program is that most of the learning can be done while immersed in one community, and travel can be kept to a minimum.


Summary of changes

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