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McMaster University - Family Medicine - Rural Simcoe

2022 R-1 Main Residency Match - first iteration
CMG Stream including MOTP/MMTP for CMG

Last approved on December 13, 2021

Summary of changes

Approximate Quota:

 1 

Accreditation status : Accredited

Provincial Criteria


Dr. Sarah Kinzie
Family Medicine 
David Braley Health Sciences Centre 
100 Main Street West, 2nd Floor
Hamilton , Ontario, L8P 1H6
(905) 525-9140 ext 21659
Department of Family Medicine

Program Contacts

Dr. Sarah Kinzie
Postgraduate Program Director
carms@fammedmcmaster.ca
905-525-9140 ext 21659

Dr. Wade Mitchell
Rural Stream Director
carms@fammedmcmaster.ca
(905) 525-9140 ext 20496


Important Information

Please refer to the CaRMS website for provincial eligibility information CaRMS Ontario Provincial Criteria.  It is important to review the requirements carefully.

Regarding the application and interview process:

  • McMaster Family Medicine has a centralized admissions process. This means that only one application package is required regardless of the number of sites to which you apply (Brampton, Grand Erie Six Nations, Halton, Hamilton, Kitchener-Waterloo, Niagara or Rural).  The same package should be uploaded for each site.
  • You will participate in only one interview virtually.

For CaRMS 2022 (this cycle) Family Medicine Programs have adopted the Family Medicine Structured Reference Letter (SRL). Any FM program requesting a reference will require the SRL. Traditional narrative letters will NOT be accepted. Should your referee submit a traditional letter it will not be reviewed and your application may be deemed incomplete. Please direct your referees to the SRL on the CaRMS website.

FMProC- New requirement for 2022

The McMaster University Family Medicine Program is very excited to be one of 6 participating Family Medicine Residency Programs to use the FM-ProC (Family Medicine Professional Choices), which is a Family Medicine context-specific Situational Judgement Test. You will be required to write this Situational Judgement Test for your application to be deemed complete.  More details and information about FMProC can be found here.

To register for FMProC please visit  https://fmproc.com as of December 13th, 12:00pm noon EST.

Regarding the program:

  • Our program seeks out the best educational opportunities for residents necessitating local travel within your site.  It is essential that all residents have access to a car.
  • All residents will be scheduled for home call during their family medicine rotations; therefore, it is strongly recommended that residents live within 30 minutes of their home base.

To learn more about the program, upcoming informational events and the McMaster PGME community please visit: https://pgme.mcmaster.ca/carms_r1_match_program_information/


General Instructions

Program application language: English

Don't forget:

You will need to register and complete FM-ProC during the test-window in January.  FMProC Registration will open at 12:00pm noon (ET) on December 13th, 2021.  To register for FMProC please visit  https://fmproc.com.

 For more information about FMProC, click here.


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)
• Canadian Citizenship Card (both sides of card)

Proof of valid current citizenship or permanent resident status must be provided by submitting one of the following verifications to CaRMS by the File Review Opening deadline. Failure to provide valid proof will result in your application being removed. No other forms of verification are acceptable:

  1. Notarized/certified photocopy of Birth Certificate/Act of Birth issued by an authority in Canada accompanied by photo ID (must be valid Canadian government-issued photo ID).
  2. Documents must be notarized/certified photocopies. Notarized/certified copies must not be older than two years from the application submission deadline; otherwise, a new notarized/certified copy is required.
  3. Confirmation of permanent residence must be accompanied by a photo ID (must be a valid Canadian government-issued photo ID).
Reference documents
Required
Number requested: 3

Three Family Medicine Structured Reference Letters (SRL) are to be sent to the Program through CaRMS. The three letters should be from health care professionals who can speak to the clinical and professional capabilities of the applicant, and suitability for Family Medicine. Please use the same three SRLs for all sites to which you apply.

 

Additional documents
Required
Custom Résumé / CV 

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

Personal Letter 

Personal Letter

Our program is enriched by a diverse resident body, bringing a range of experiences and backgrounds.  We invite you to share the unique contributions you would offer. 

Please answer the following questions, with a numbered paragraph of up to 250 words for each. Please assign the same personal reflection to all McMaster FM sites to which you are applying.  

  1. How do you envision your future as a family doctor? How have your clinical and non-clinical experiences contributed to this vision?
  2. Why do you feel McMaster Family Medicine is the right choice for you?
  3. Clinical curiosity, social accountability, and advocacy are critical to the future of family medicine. Share an example when you demonstrated one of these qualities in a clinical or non-clinical setting.
  4. Optional: We recognize that some applicants have taken non-traditional routes toward a career in Family Medicine, or have experienced life circumstances that may appear as gaps in their resumes. Both non-traditional routes and life-circumstances should not disadvantage excellent candidates. If relevant, you are invited to discuss any gaps in training, program extensions, or other areas of your application you feel deserve further explanation.  If not applicable, please simply indicate N/A, for which you will not be disadvantaged.

Medical Student Performance Record 

Order from your Dean's Office

Medical School Transcript 

Medical school transcripts that are sent directly from the applicant's university to CaRMS do not need to be notarized/certified. Medical school transcripts submitted by the applicant do not need to be notarized/certified; however, documents that are not in English must be accompanied by a notarized translation.

Family Medicine rural addendum/questionnaire 

If applying to a Rural Program, you MUST complete a Rural Addendum.  Only one rural addendum is required regardless of the number of rural sites to which you apply.  The rural addendum document (maximum of 500 words and in paragraph format) must answer each of the following questions:

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

Rural addendums are scored separately and failure to submit will have a negative impact on your overall rural file review score.

Medical School Diploma 

Please note: Required if Medical school has been completed.

Family Medicine Professional Choices Assessment 

FMProC Score

When you receive your FMProC result letter, even though this will be after the CaRMS Document upload deadline, please remember to upload this document into your CaRMS account to ensure your application package is complete.


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


Should you wish to add a new stream/site to your rank list, please update your CaRMS application online no later than 11:59 pm EST on Monday, February 28th, 2022.  Any additions submitted after this time will not be considered for ranking.


Interviews

All interviews for first iteration will be held virtually, on the following dates/times (EST):

Friday March 4               1-4pm

Saturday March 5           9am-12pm

Saturday March 5           1-4pm    

Monday March 7             6-9pm

Wednesday March 9        9am-12pm

Thursday March 10         6-9pm

In addition to the interview, we will be hosting virtual Information Sessions.  Confirmed details can be found here: https://pgme.mcmaster.ca/carms_r1_match_program_information/

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Short-listed candidates will be sent an interview invitation by Thursday, February 17th, 2022 . McMaster Family Medicine has a centralized admissions process. You will have only one virtual interview regardless of which site(s) you apply to (Hamilton, Kitchener-Waterloo, Brampton, Grand Erie Six Nations, Niagara, Halton or Rural).


Selection Criteria

The McMaster Family Medicine residency program has 6 urban and 6 rural sites, each listed as a distinct program on CaRMS.  Applicants should assign the same set of documents to each site to which they apply. Rural applicants should also assign the rural addendum to each rural site. 

Selection is based on a centralized file review and interview process, as outlined below.  This same process applies whether you apply to a single site or multiple.  You may add additional sites to your McMaster FM application at any time, up to the last day of McMaster FM interviews.  This will not influence the selection process.

The file review score determines those candidates who are offered an interview.  The file review score is then equally weighted with the interview score to generate a total score for each applicant.  This establishes the recommended rank list which is shared across all sites.  Individual sites have the discretion to adjust the recommended rank list based on local selection committee factors, which may include community needs and programmatic variations.   

Program goals

Informed by the Department’s mission of service, teaching and discovery, the primary goals of the McMaster University Family Medicine Residency Training Program are to:

  • Guide and prepare residents competent for independent practice as comprehensive family physicians in diverse practice settings
  • Model and support comprehensive practice, responsive to the needs of our graduates’ communities

This will be evidenced by the following program outcomes:

  • Graduates demonstrate a variety of FM skills and clinical practice styles that meet the needs of diverse Ontario communities, including rural and underserved populations
  • Graduates demonstrate scholarship as teachers, researchers, and leaders
  • Graduates demonstrate lifelong learning skills, evidence-based and reflective practice and life skills for sustainable long-term practice

Our Department’s Core Values of Respect, Honour, Creativity and Generosity describe a commitment to the culture experienced by all staff, learners and faculty. 

Selection process goals

Family physicians, working together, provide a system of front-line health care that is accessible, high-quality, comprehensive and continuous. Given that this is achieved through relational continuity and a commitment to a broad scope of practice, our program welcomes and encourages a diversity of elective experiences during undergraduate training that are FM relevant or generalist experiences; on-site electives not expected.

 To support our residents’ development of a variety of FM skills and clinical practice styles that meet the needs of diverse Ontario communities, including rural and underserved populations, our program seeks residents who:

  • Recognize the importance and value of primary care
  • Are self-directed learners
  • Have demonstrated strong clinical performance to date
  • Are skilled at self-assessment
  • Have strong interpersonal skills
  • Give and receive constructive feedback
  • Have developed life skills for personal and professional resilience
  • Reflect the diversity of Canada

To support our residents’ development of scholarship as teachers, researchers and leaders, our program seeks residents who demonstrate:

  • Clinical curiosity
  • Social accountability
  • Advocacy

 Successful applicants will embody and contribute to our core DFM values of:

Respect, Honour, Creativity and Generosity.  

File review process

Review team composition : Our file review team consists of the Program Director, Site Directors and other family medicine faculty who are, or have been, Primary Preceptors in our program. All have a strong understanding of the program and participate in mandatory file review training.

Files are sorted by school, then randomly assigned to reviewers, with approximately 12 files assigned per reviewer.

File review follows a structured rubric with each file reviewed by two separate reviewers to ensure rater and scoring reliability. In the case of discordance, a third reviewer will be used.

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

Average percentage of applicants offered interviews : 51 - 75 %
We offer interviews to ~600 residents each year, which represents ~70% of the applicants to our program.

Evaluation criteria :
File component Criteria
CV Significant achievements, FM relevant activities, employment
Electives Range of FM relevant or generalist experiences; on-site electives not expected
Examinations Not evaluated
Extra-curricular Community volunteerism, advocacy, teaching, mentorship, teamwork, work-life balance
Leadership skills Roles in student government, university committees, clubs, community organizations, etc
MSPRs Academic and clinical performance, professionalism, other contributions
Personal letters Self-reflection, unique contributions, understanding of FM and McMaster’s program/regions
Reference documents Clinical performance, communication, professionalism, fit with FM
Research/Publications Evidence of scholarship, emphasis on transferable skill set to FM
Transcripts Academic and clinical performance, professionalism
Other file component(s) Rural addendum: Demonstrated interest and experience in rural settings
Situational Judgement Test (SJT)

Elective criteria

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

Interview process

Interview format :



We routinely accommodate requests to re-schedule interviews for applicants.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Appreciation for team, and individual role within it
Collegiality Warmth, authenticity, compassion
Communication skills Clarity of communication, ability to build rapport
Health advocacy Demonstrated understanding of the importance of health advocacy in FM
Interest in the discipline Convincing interest in, and understanding of, Family Medicine
Interest in the program Familiarity with program/sites
Leadership skills Demonstrated capacity for leadership
Professionalism Respectful interactions, language, attire
Scholarly activities We do not evaluate this interview component
Other interview component(s) Resiliency, demonstrated ability to learn and reflect

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 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.

The McMaster Family Medicine Residency Program is designed to provide flexible postgraduate training to meet the individual needs of each resident, recognizing the varying patterns of practice in different family practice settings.

The Family Medicine program is dedicated to the development of competent family physicians providing comprehensive, continuous care. We are actively working towards a curriculum that is centred in Family Medicine optimizing the strengths and opportunities of each of our program sites.

In your first year, you will complete the following rotations:

  • 4 blocks of Family Medicine
  • 2 blocks of Care of the Hospitalized Adult
  • 2 blocks of Emergency Medicine
  • 2 blocks of Women's Health and Obstetrics
  • 2 blocks of Care of Children
  • 1 block of Family Medicine/Academic Programming (Block 7)
  • Academic Programming throughout the year

 In your second year, you will complete the following rotations:

  • 4 blocks of Family Medicine
  • 2 blocks of rural Family Medicine (or remote Family Medicine)
  • 2 blocks of core Medicine/Surgery (options available)
  • 1 block of Care of the Elderly
  • 3 blocks of Elective
  • 1 block of Family Medicine/Academic Programming (Block 7)
  • Academic Programming throughout the year

There is a spectrum of "horizontal integration" to "traditional block rotation" at each site.

Each resident has a home base that serves as a foundation for their entire residency. Within this unit/practice, residents are assigned a family physician supervisor who functions as their primary clinical teacher and advisor throughout the two-year program.

General Information:

Applicants are encouraged to consider the importance of obsetrical and emergency care provision in rural settings as they plan their rural residency and future careers.  Inpatient care is a daily part of a rural medicine life and this will be reflected in your residency training. The Rural Stream program will do everything possible to ensure excellent training for residents committed to comprehensive care provision.

Residents are urged to consider living in the community to which they match for the best experience of rural medicine and lifeystyle.  It is a program requirement that residents live in this community for the blocks of their family medicine rotations for each of the two years.

The McMaster Rural Stream Sites work collaboratively with both the McMaster's Community and Rural Education Program (MacCare) and the Rural Ontario Medical Program (ROMP).

Rural Stream Program Design

The program is designed to prepare residents for rural practice by providing a combination of core and elective postgraduate training to meet the individual needs of each resident with a recognition of the varying patterns of practice in different rural family practice settings.  Residency training is structured around core educational objectives with emphasis placed firmly on organized self-learning with appropriate faculty assistance for guidance and supervision.  Sites within the program are of varying size with varying local resources.  This provides residents with the ability to choose a site and develop appropriate skills for the type of community for which they wish to provide care in the future.

Residents are strongly encouraged to utilize their two-block rural rotation in their second year to experience remote medicine.

For additional information on our program design, please go to https://apply.fammedmcmaster.ca/prospective-residents/our-program/program-design/.


 

Academic Programming

Regardless of the site, all residents participate in a common curriculum that includes:

  • Academic Half-Day
  • Mental Health and Behavioural Science
  • InQuiry
  • Residency Practice Based Small Group (PBSG) learning program
  • Practice Management
  • Procedural Skills

For additional information on our academic programming, please go to https://apply.fammedmcmaster.ca/prospective-residents/our-program/academic-programming/.


Training Sites

Simcoe

Simcoe residents join the Grand Erie Six Nations residents for academic sessions which take place at the Brantford General Hospital.

For additional information on the Simcoe site, please go to https://apply.fammedmcmaster.ca/prospective-residents/teachingsites/Simcoe/.


Additional Information

Please visit our website at www.fammedmcmaster.ca for more information on our sites and program updates.

Our residents are happy to hear from you.  If you would like to speak with one of our chief residents, please contact us at carms@fammedmcmaster.ca.


Summary of changes

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