Royal College of Physicians and Surgeons of Canada: Applying Competency Based Practices to Residency Education
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 milestone 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.
The Royal College anticipates that all specialty and subspecialty programs in Canada will adopt CBD in gradual phases. Obstetrics & Gynecology Programs in Canada have met with the Royal College and created the curriculum that we currently have adopted.
All programs implementing CBD will 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 the 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 refer to http://www.royalcollege.ca/rcsite/cbd/competence-by-design-cbd.ca
We transitioned to CBD with our incoming residents in 2019. The change brings extra emphasis on OBGYN CORE and some minor modifications in PGY2-5. We have an engaged Competency Committee, Faculty, Residency Training Committee, Program Director and Program Administrator, to help support the evolution in residency training.
Program application language: English
Candidates will be short-listed based on selection criteria (see below), and then offered an interview date/time by the middle of February. Our Program abides by the APOG dates set for interviews in Obstetrics and Gynecology. With the APOG schedule, the Western Obstetrics and Gynaecology programs have three days for interviews in order not to conflict with the Central and Eastern programs.
Please note that due to the COVID-19 pandemic, interviews for 2022 will be conducted in March virtually over Zoom.
IELTS, OET or CELPIP is required by CPSA for candidates from medical schools in Quebec except for candidates from McGill and for IMG candidates. Please check CPSA https://cpsa.ca/ for ELP updates.
Maximum of 3 letters.
Maximum of 750 words.Medical Student Performance Record Undergraduate Transcript (Bachelor's Degree) Medical School Transcript Photo
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
Personal Letter maximum word count 750.
Selection Criteria: A Selection Committee (comprising the Program Director, Faculty Members and Residents/Fellows) will review all applications and a short-list is developed based on a review of the quality of an applicant's CaRMS file including:
1. A strong academic record
2. An individualized and well written personal letter
3. A relevant and complete Curriculum Vitae with an emphasis on interests outside of medicine, as well as research/achievements of a candidate
4. Three (more is not better!) reference letters that specifically address the aptitudes and skills outlined by CaRMS, particularly as they pertain to the candidate's suitability for a career in Obstetrics and Gynecology. In this regard, at least one letter from an Obstetrician and Gynecologist is helpful but not required. Referees may be contacted by telephone regarding their letters.
Elective experiences were severely limited due to the COVID-19 pandemic, we will not be considering electives in file review to ensure file review is fair and equitable for all candidates.
Upon completion of training, the resident is expected to be a competent specialist in Obstetrics & Gynecology, capable of assuming a consultant's role in the specialty. The resident must acquire a working knowledge of the theoretical basis of the specialty, includings its foundations in basic medical sciences and research.
Residents must demonstrate the requisite knowledge, skills and attitudes for effective patient-centred care and service to diverse populations, In all aspects of specialist practice, the graduate must be able to address ethical issues and issues of gender, sexual orientation, age, culture, beliefs and ethnicity in a professional manner.
We are looking for enthusiastic, hard working residents that work best as part of a team. We do not expect brilliant surgeons and capable obstetricians when you enter our program. We hope applicants are coachable and have a love of learning. We also hope you have passions outside of medicine; balanced individuals make the best physicians!
Applicants should be on time for interview, be confident and well presented.
Review team composition : Residency Program Committee
Average number of applications received by our program in the last five years : 51 - 200
Average percentage of applicants offered interviews : 51 - 75 %
|CV||Relevant and complete CV|
|Electives||Elective experiences were severely limited due to the COVID-19 pandemic, we will not be considering electives in file review to ensure file review is fair and equitable to all candidates.|
|Examinations||We do not evaluate this file component.|
|Extra-curricular||Interests outside of medicine|
|Leadership skills||Leadership undertaken|
|MSPRs||Personal and academic attributes|
|Personal letters||Individualized and well written|
|Reference documents||3 references required|
|Research/Publications||Interests in research and achievements in medicine|
|Transcripts||Strong academic record|
|Other file component(s)||
Referees may be contacted by telephone regarding their reference support letters.
Candidate files are scored with a standard template evaluating personal and reference letters and the curriculum vitae. Each file is reviewed by a number of people, including staff, resident reviewers and the Program Director. The scores are collated and a preliminary rank list is completed, which is then approved at the Residency Program Committee meeting. We usually offer between sixty and seventy interviews.
Interview format :
We do not re-schedule interviews for applicants after we have completed the scheduling process.
|Collaboration skills||Yes. Teamwork, ability to liaise with peers, faculty, multi-disciplinary teams.|
|Collegiality||Yes. Be able to 'fit in' to Calgary's program and work as a team.|
|Communication skills||Yes. Oral and written communication, ability to write clear, concise notes.|
|Interest in the discipline||Yes. Why are you interested in Obstetrics & Gynecology as a career?|
|Interest in the program||Yes. Why do you want to come to Calgary?|
|Leadership skills||Yes. Ability to lead, teach and mentor.|
|Professionalism||Yes. Ability to interact in person and online in a professional manner.|
|Scholarly activities||We do not evaluate this interview component|
This is a great program in a great city! We have friendly and supportive Residents, Staff, and Administration, who are genuinely invested in every Resident's training, professional success, and personal well-being
What distinguishes Calgary from other cities?
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.
This is a 5 year residency program. The curriculum is outlined below: this may be modified to allow a good learning experience for all residents.
Program Organization PGY1
The PGY1 year is intended to provide a broad background in clinical medicine. The residents will rotate through Obstetrics & Gynecology, Internal Medicine, Surgery, Emergency and a dedicated block to learn Ultrasound. Rotations are intended to help prepare the resident for Part II of the Medical Council of Canada Qualifying Examination.
PGY1 / Surgical Foundations:
4 blocks CORE Obstetrics & Gynecology
2 blocks General Surgery
2 blocks Obstetrics & Gynecology Elective
1 block Junior Gynecology
1 block Internal Medicine - Consultative
1 block Internal Medicine
1 block Emergency
1 block Ultrasound related to Obstetrics & Gynecology
The PGY1 Program combines OB/GYN residents with PGY1's from different specialties. This program allows PGY1's to gain experience as residents in a supportive environment where staff physicians are accustomed to working with junior residents.
Program Organization PGY2, 3, 4, 5
The training program is structured to expose the junior resident to a wide range of general obstetrics & gynecology by spending approximately six months in each of the areas of core obstetrics & gynecology. The third and fourth years of the program are designed to allow the resident to be involved in each of the four major subspecialty areas and focuses on consolidating surgical skills in preparation for more autonomous, but supervised, functioning as Chief Resident. Elective time is available to allow the resident to pursue a clinical or research interest; or to provide opportunities for possible sub-specialty training. The final year of the program includes rotations as Chief Resident with its attendant responsibilities. In general, elective rotations outside the specialty and off-site rotations will be reviewed on a case by case basis, with no off-site rotations granted in the summer blocks, or Chief Resident study blocks.
1 block NICU - Consultative
1 block Maternal Mental Health and Transgender Medicine
2 blocks Junior Gynecology (RGH)
3 blocks Maternal Fetal Medicine
2 blocks Junior Obstetrics (FMC)
1 block Junior Gynecology (SHC) or Junior Gynecologic Oncology (TBCC)
3 blocks Junior Obstetrics (PLC)
3 blocks Reproductive Endocrinology and Infertility (ambulatory clinics and OR, with clinics in Pediatric and Adolescent Gynecology and Endocrinology – FMC site)
2 blocks Junior Gynecology (ambulatory clinics at PLC)
2 blocks Rural Community Gynecology (OR and Community OB which may be in Lethbridge, Medicine Hat or Whitehorse)
1 block Elective
1 block Selective (within Calgary, site assigned)
1 block ICU (assigned to either FMC, PLC or RGH)
3 blocks Senior Gyne-Oncology (FMC)
3 blocks Senior Gynecology (PLC)
2 blocks Urogynecology (FMC)
1 blocks Senior OB (FMC); may be done in PGY5
4 blocks Chief Resident (FMC, PLC or RGH if no Snr OB)
3 to 6 blocks Chief Resident (Chief General O&G Clinic, Chief Colposcopy Clinic, and Chief OR), for a total of 6 to 7 blocks of Chief Resident in total over PGY4 and PGY5
Administrative Senior Chief responsibility (Site Chief, Site teaching of Junior learners, mentorship, with daily/weekly/monthly site specific scheduling of duties)
Elective Content of Training (PGY3, 4 & 5)
Electives may include further time in clinical obstetrics and gynecology. All residents are encouraged to consider further rotations spent at a senior level on both of these services. Other related areas of clinical activity include internal medicine, critical care medicine, surgery, urology, ultrasonography, pathology, and/or neonatology.
The residents are encouraged to consider at least two months in an elective rotation in an individual area of interest related to the specialty. This may be within the University of Calgary or at a Royal College approved outside facility (nationally or internationally). Each resident may take up to six blocks to pursue an area of clinical or basic research collaboration, within their Elective/Selective time, with an identified preceptor and objectives that have been approved by the Program Director and/or Residency Program Committee.
Global Health Initiative Electives are considered on a case by case basis and approved by the Program Director/Residency Training Committee, based on their perceived educational merit as it pertains to Obstetrics & Gynecology training, in addition to safety, supervision and appropriate assessment of the Resident as outlined by Program, PGME and RCPSC guidelines.
Combined elective time taken outside the University of Calgary is not to exceed 4 blocks over a 5 year residency training program.
Callback to Obstetrics and Gynecology Academic Sessions
All residents (PGY1 to PGY5) attend the Departmental Grand Rounds from September to June on Friday mornings, followed by faculty-taught academic half day sessions. There is a two year rota for the topics covered to incorporate all the Royal College Objectives of Training. Simulation sessions are embedded with the academic half days and occur monthly.
In the summer months, the Senior Residents prepare topics that are specifically geared towards helping Junior Residents become more comfortable with commonly encountered issues and emergencies in OB/GYN (e.g. management of post-partum hemorrhage). There are also introductory orientation sessions (electronic patient charting system etc.) and Principles of Surgery sessions geared towards Junior Residents.
Tuesday Morning Rounds
On Tuesday mornings (September to June), OB/GYN residents provide short presentations on topics in OB/GYN to their fellow residents and faculty members of the department. These sessions provide a unique opportunity early in residency to gain experience with preparing and presenting topics to large groups. Each resident (including PGY1s) is responsible for one presentation in each academic year.
Departmental Grand Rounds
All residents are responsible for presenting at least one Grand Round (usually in PGY5). You may be asked to participate in Quality Improvement or Morbidity and Mortality Rounds. Departmental Rounds occur every Friday morning from September to June.
All rounds are Telehealth linked from FMC to each of the community sites.
Attendance Rounds/Half Day
The resident is expected to attend all Grand Rounds unless they are away (vacation/conference/LOA) and Friday morning Academic Half Day sessions unless they are post-call, away or are a Chief Resident granted a special 'pass' to participate in a clinical case (maximum 3 passes in PGY5). The resident will also attend Research Day, the Residency Program Retreat in June and sit the annual APOG and OSCE examinations. Attendance is mandatory for all educational events where extender coverage is provided (Simulations, Research Day, OSCE and Resident Retreat).
It is expected that each resident will be involved in at least one research project during residency and have presented at the annual Research Day once. It is strongly encouraged that a research project is written in entirety and submitted for publication. The project may take the form of a chart audit review, a case report and review of the literature, a clinical trial and/or a bench research project. Presentation at a national or international meeting is also encouraged and appropriate funding is available to support such endeavors.
Call is graded according to year with PGY5's doing the least and PGY1's and PGY2's doing the most. All call requirements however, follow PARA guidelines. The Program has developed a modified restricted resident duty hour call model which allows junior residents to not have to work more than 16 hours consecutively within a 24 hour period (midnight to midnight). This innovative modification has particularly allowed more Junior Residents the flexibility of having time away from labour and delivery, for the afternoons before they start call. This time can be spent away in any way that the resident wishes, allowing time for overall perception of improved resident well-being.
FOOTHILLS MEDICAL CENTRE (FMC)
1403 29th Street NW
Calgary, AB T2N 2T9
PETER LOUGHEED CENTRE (PLC)
3500 26th Avenue NE
Calgary, AB T1Y 6J4
ROCKYVIEW GENERAL HOSPITAL (RGH)
7007 14th Street SW
Calgary, AB T2V 1P9
SOUTH HEALTH CAMPUS (SHC)
4448 Front Street SE
Calgary, AB T3M 1M4
FOR ROTATIONS IN PGY3/4
CHINOOK REGIONAL HOSPITAL
MEDICINE HAT REGIONAL HOSPITAL
WHITEHORSE GENERAL HOSPITAL
What to Read and When
It is important to develop good study habits early in your residency training. Time should be set aside each week and goals carefully outlined. During the first two years of clinical training you should select a few good basic textbooks - examples of which are listed below. It will be confusing to you if you immediately launch into the journals, thus getting involved in controversy before a basic foundation of knowledge has been established. Remember to review the CREOG objectives and Basic Science Booklets as well as the rotation specific Goals and Objectives Booklet we provide.
Reviews and journals will play a more important part in your education in the last two years of training.
Suggested textbooks are listed below, but check with senior residents, as these can change from year to year.
Textbooks - Obstetrics Recommended Resident Year
-Gabbe - Obstetrics-Normal & Abnormal Pregnancies PGY1 - PGY5
-Clinical Obstetrics & Gynecology (Clinics) PGY3 - PGY5
-Essential Management of Obstetrical Emergencies - Baskett PGY1 - PGY5
-Human Labor - Oxorm PGY1 - PGY2
-Williams Obstetrics PGY1 - PGY5
-Maternal Fetal Medicine - Creasy and Resnik PGY3 - PGY5
-Medical Disorders in Pregnancy - Burrows PGY3 - PGY5
-Obstetric Ultrasound - How Why and When - PGY3
Textbooks - Gynecology
-Novaks Textbook of Gynecology PGY1 - PGY5
-Gynecology: Princples & Practice - Kistner PGY1 - PGY5
-Principles and Practices of Clinical Gynecology-Kase & Weingold PGY1 - PGY5
-Operative Gynecology - Telinde PGY2 - PGY5
-Novaks Pathology - Reference PGY3 - PGY4
-Clinical Gynecologic Oncology - Disaia & Creasman PGY4 - PGY5
-Clinical Gyn Endocrinology & Infertility - Speroff PGY4 - PGY5
All residents should become junior members of the American College of Obstetricians and Gynecologists (ACOG) and the Society of Obstetricians and Gynecologists of Canada (SOGC) and thereby receive the monthly Obstetrics and Gynecology Journals and SOGC Journal. Other journals that should be reviewed are the American Journal of Obstetrics and Gynecology and the British Journal of Obstetrics and Gynecology. Clinics of North America (Saunders) and Clinical Obstetrics and Gynecology (Lippincott) contain very useful and current review articles, and are published four times per year. It is advisable to become familiar with these journals and clinical reviews, and develop a regular system of reading at least one periodical.
PLEASE NOTE THAT THE FOLLOWING LIFE SUPPORT COURSES MUST BE COMPLETED PRIOR TO THE COMMENCEMENT OF RESIDENCY
ATLS (must be completed within the first year of residency - Surgical Foundations requirement)
The cost of the courses will be reimbursed by Alberta Health Services after commencement of residency.
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