Crest

University of Manitoba - Neurology - Winnipeg

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

Last approved on January 21, 2022

Summary of changes

Approximate Quota:

 2 

Accreditation status : Accredited

Provincial Criteria


Dr. Sean Udow
Neurology  
Section of Neurology, Health Sciences Centre 
Room GF336a, 820 Sherbrook Street
Winnipeg , Manitoba, R3A 1R9
(204) 787-2290

Program Contacts

Marie Field
Program Administrator
mfield@hsc.mb.ca
(204) 787-2290


Important Information

PROGRAM HIGHLIGHTS

The Neurology Residency Program at the University of Manitoba runs over the course of five years and as of July 2020, new residents entering the program will experience the Competency by Design Curriculum (CBD).  The majority of training is completed at Health Sciences Centre (HSC), the largest tertiary care hospital in Manitoba. 

During inpatient neurology rotations at HSC, residents will work on a team with other trainees supervised by a stroke neurologist and a general neurologist on-call.  The stroke neurologist runs the stroke service which includes the diagnosis and management of hyperacute strokes, in-hospital stroke prevention consultations and management of stroke inpatients on the high-observation unit and a neurology ward.  The general neurologist runs the general neurology service which includes a five bed inpatient service and a busy general neurology consultation service.  Due to the large HSC catchment area, residents will be exposed to a wide variety of neurological presentations.    

With an average of three residents per year, there are a total of 15 residents in the program which allows for a collegial and supportive resident environment.  There are 20 faculty neurologists who are dedicated to residency education.  The small size of the section of neurology fosters close, often one-on-one supervision and mentorship between faculty and residents.  Importantly, the section has grown ad continues to grow.  In 2015 there were 10 residents, and six faculty neurologists have been recruited since 2020.  

The residency curriculum s reviewed in detail in the "Program Curriculum" section.   Particular highlights of the curriculum include a longitudinal outpatient clinic for residents in PGY3 and higher, dedicated outpatient clinic time in a variety of subspecialty and general neurology clinics and six blocks of elective time.  Residents enjoy significant flexibility in the scheduling of their rotations, particularly in their senior years.   Highlights of the Academic Curriculum include a new modular-based academic half-day curriculum with regular formative short-answer style exams and three formative practical OSCE exams per year.   

Finally, our residency program prioritizes residents.  Residents are invited to be involved in curriculum development and program quality improvement through positions in the Curriculum Development Committee, Competence Committee and Residency Training Committee.  Resident wellness is valued ad promoted during the academic half day curriculum and with a resident retreat supported by the program.   Our program teaches residents that a neurologist must balance left with right, textbook reading with clinical experience and professional career with a holistic lifestyle. 

 

ADDITIONAL IMPORTANT INFORMATION 

The Postgraduate Medical Education Orientation for all residents, which is MANDATORY, will be held on Wednesday June 29, 2022. 

CASPer test - Computer-Based Assessment for Sampling Personal Characteristics

All applicants to the Neurology 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. 

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. 

Test date for 2nd iteration:  The test date will be scheduled for the first week of March.   Please note this is the only test date available and no additional tests will be scheduled.  Please refer to the following website to confirm the test dates:  https://takecasper.com/test-dates/

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

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

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 it.  

 

Residents entering the Neurology program in July 2020 and beyond 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 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 of 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 and the Royal College examination must be successfully completed to achieve certification.

 

For more information, please contact cbd@royalcollege.ca


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 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

Overall Goal and Objectives of the Program: The main goal of the program is to train skilled neurologists and to foster an interest in academic pursuits and life long learning. The Mission of the Neurology Program is to provide an environment which will assist the resident to become a competent, caring, ethical physician with the ability to think critically.

Medical expert/clinical decision-maker: The Neurology resident becomes an expert and capable of diagnosing and managing the broad range of neurological disorders they will encounter in Neurology practice.

Communicator: The neurology resident learns communication skills required to transmit information about diagnosis, investigations and management to patients, their families and a range of physicians who refer their cases for neurological consultation.

Collaborator: The neurology resident learns skills needed to successfully interact with other medical professionals, medical support personnel and community agencies to promote timely diagnosis, investigation and effective management of neurological conditions.

Manager: The neurology resident learns methods by which allied health care professionals provide a broad range of patient care services and learns to coordinate effective and appropriate utilization of these services within the health care system.  The neurology resident develops an understanding of the limitations of available resources and effective time management skills both for themselves and for other health care professionals by utilizing effective means of prioritizing tasks. 

Health Advocate: The neurology resident practices principles of disease prevention as they are applied to the relevant categories of neurological disease and learns the responsibilities of their profession in working with other health care professionals and services to emphasize disease prevention strategies.

The neurology resident learns to identify the important determinants of health in patients with neurological disorders. As well the resident learns to contribute effectively to improved health of patients through education, treatment, and health promotion, and to recognize and respond to those issues where advocacy is appropriate.

Scholar: The neurology resident is stimulated to learn more about neurological diseases and their management. The neurology resident learns how to conduct personal learning projects and to participate in joint research efforts related to disease diagnosis, investigation and management. All residents must initiate and complete a research project during their neurology training. Resident travel to conferences is financially supported.

Professional: The neurology residents learn to become well-rounded in their perspective on the practice of neurological medicine with an appreciation of the range of professional ethical and moral standards required of a neurologist.

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
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General

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 one of the following:

  • 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
  • Occupational English Test – Medicine (OET-Medicine), with a minimum grade of B in each of the four subsets in the same sitting; or
  • Canadian English Language Proficiency Index Program – General (CELPIP-General) Test, with a minimum score of 9 in each of the four skills in the same sitting

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.

 

Reference documents
Required
Number requested: 3
Additional documents
Required
Custom Résumé / CV 

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

Graduate Transcript (Master/PhD Degree) 

Medical Student Performance Record 

Personal Letter 
Word count
Minimum : None
Maximum : None

The content and length of the personal letter is left to the judgement of the applicant. This should outline the candidate's interest in Neurology and should answer the following questions: - What has attracted you to Neurology - What attracts you to this program specifically - What background / traits do you have that will be an asset to a career in Neurology - What are your long term career goals

CASPer exam 

Conditionally required
Medical School Diploma 

Conditionally required


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 20, 2022
All interviews will take place on Sunday, March 20th, 2022 via zoom.

 

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
After review of all condidates' documents, candidates will be invited for a zoom interview.    The interviews will be conducted by members of the Neurology Postgraduate Committee.


Selection Criteria

The Neurology Postgraduate Committee will select candidates based on:

- Academic achievement

- Communication and interpersonal skills

- Reference letters - 3 letters of reference are required

- Interest in Neurology demonstrated by elective and research experience in Neurology and related fields

- CASPer test results  (Please see info provided under "Important Information"  

Program goals

The Postgraduate Medical Education Program in Neurology in the Rady Faculty of Health Sciences has mandate to promote excellence in training of Neurology residents to become evidence informed practitioners in Neurology, delivering excellence in care with a focus on clinical care, scholarship, and research activities.

Upon completion of training, a resident is expected to be a competent specialist in Neurology, capable of assuming a consultant's role in the specialty.   The resident must acquire a working knowledge of the theoretical basis of the specialty, including its foundations in the basic medical sciences and research.  

During the course of training, the resident must acquire a high degree of clinical competence in the investigation and management of patients with neurological disorders.

Residents are expected to develop skills in medical education, administration, and research while undergoing their education in our program.

The resident must develop the ability to function as a consultant in the inpatient and ambulatory settings as part of a multidisciplinary team.  Expertise in communication, relevant investigative methods, and teaching skills are essential, together with skill in the collection and interpretation of data and decision-making.

Residents must develop and demonstrate the requisite knowledge, skills, and attitudes for effective patient-centered care and service to a diverse population.  In all aspects of specialist practice, the graduate must be able to address issues of gender, sexual orientation, age, culture, ethnicity and ethics in a sensitive and professional manner.

Selection process goals

A successful applicat to the Neurology Residency Training Program at the University of Manitoba should:

1. embody excellence in all the CANMEDS physician roles

2. display a keen desire to study neurology, including theoretical knowledge and research practices

3. have a foundational background in clinical medicine upon which to build clinical skills and a diagnostic acumen

4. be organized, detail-oriented and motivated in order to commit to a self-directed study schedule

5. have experience and success in working in a team-based environment

6. communicate effectively with peers, other health care professionals and patients

7. strive to excel as a medical educator by setting a postivie and stimulating learning climate

8. act at all times as a dedicated professional

File review process

Review team composition : Applicants will be selected for interview by the program director.

Average number of applications received by our program in the last five years : 51 - 200

Average percentage of applicants offered interviews : 76 - 100 %

Evaluation criteria :
File component Criteria
CV Educational, research, employment experience
Electives Clinical exposure to neurology and neurological subspecialties
Examinations Examinations are reviewed including Casper scores.
Extra-curricular Diverse experiences, interests outside of medicine to promote individual wellness, passion for giving
Leadership skills Demonsration of initiative and team leadership
MSPRs Accountability, professionalism, collegiality, enthusiasm, clinical acumen
Personal letters Interest in Neurology. Preliminary career goals. Personal attributes. Strengths that can help improv
Reference documents Accountability, professionalism, collegiality, enthusiasm, clinical acumen
Research/Publications Research experience in neurology
Transcripts Not typically evaluated

Elective criteria

We encourage applicants to have completed at least one elective in our discipline.
We do not require applicants to have done onsite electives.

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 Experience working in a team atmosphere with diverse team members
Collegiality Evidence from interview or letters/CV will be evaluated
Communication skills Interview processes will be used to identify communication strengths or weaknesses
Health advocacy Interview processes will be used to identify strengths in health advocacy
Interest in the discipline Through review of elective rotations, research experiences and in discussion with applicant
Interest in the program History of elective time spent in the discipline at our centre is demonstrative evidence of a potent
Leadership skills Voluntary or assigned duties in leadership as identified in CV, reference letters, or in discussion
Professionalism Timelines for deadlines for submission and acknolwedgement of offer for interview; interview related
Scholarly activities Review of CV for evidence and discussion in interviews

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

OVERALL GOALS AND OBJECTIVES OF THE PROGRAM:  The main goal of the program is to train skilled neurologists and to foster an interest in academic pursuits and life long learning.  The Mission of the Neurology Program is to rpovide an environment which will assist the resident to become a competent, caring, ethical physician with the ability to think critically. 

 

Medical Expert / Clinical Decision Maker:  The Neurology resident becomes an expert and capable of diagnosing and managing the broad range of neurological disorders they will encounter in Neurology practice.   

 

Communicator:  The Neurology resident learns communication skills required to transmit information about diagnosis, investigations and management to patients, their families and a range of physicians who refer their cases for neurological consultation. 

 

Collaborator:  The Neurology resident learns skills needed to successfully interact with other medical professionals, medical support personnel, and community agencies to promote timely diagnosis, investigations, and effective management of neurological conditions. 

 

Manager:  The Neurology resident learns methods by which allied health care professionals provide a broad range of patient care services and learns to coordinate effective and appropriate utilization of these services within the health care system.  The Neurology resident develops an understanding of the limitations of available resources and effective time management skills both for themselves and for other health care professionals by utilizing effective means of prioritizing tasks. 

 

Health Advocate:  The Neurology resident practices principles of disease prevention as they are applied to the relevant categories of neurological disease and learns the responsibilities of their profession in working with other health care professionals and services to emphasize disease prevention strategies.

 

The Neurology resident learns to identify the important determinants of health in patients with neurological disorders.  As well, the resident learns to contirbute effectively to improved health of patients through education, treatment, and health promotion, and to recognize and respond to those issues where advocacy is appropriate.  

 

Scholar:  The Neurology resident is stimulated to learn more about neurological diseases and their management.  The Neurology resident learns how to conduct personal learning projects and to participate in joint reseaerch efforts related to disease diagnosis, investigation, and management.  All residents must initiate and complete a research project during their Neurology training.  Resident travel to conferences is financially supported. 

 

Professional:  The Neurology residents learn to become well-rounded in their perspective on the practice of neurological medicine with an appreciation of the range of professional ethical and moral standards required of a neurologist.   


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.

PROGAM 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.   

Training in Adult Neurology at the University of Manitoba is a 5-year program with entry at the PGY-1 level. This program has full approval of the Royal College of Physicians and Surgeons of Canada.

Competence Based Medical Education residents go through four stages of training.  Promotion through these stages will depend on the competency in various Entrustable Professional Activities.  Transition to Discipline is expected to take on average 3 months, and includes refining clinical and communication skills learned in medical school.   The Foundations Stage lasts 18-21 months and focuses on developing neurology-specific clinical skills and knowledge.  The Core Stage is approximately 24 months in duration and during this time the resident will develop subspecialty-level neurology knowledge and leadership skills.  The Transition to Practice Stage lasts around 6 months, and focuses on how to manage patients and a practice as a neurology consultant.

The rotational curriculum is arranged by residency year, though it is flexible.  Each rotational block is 4 weeks in duration.   

PGY1:   Four blocks of the Neurology inpatient service are spread through PGY1, and early exposure to the Neurology Service introduces the resident to fellow residents and staff, as well as the goals and objective of their "home base" program.  The resident establishes basic skills in neurological history taking and examination.  An introduction to neurological problem solving, investigation and management is also acquired, although it is recognized that at this stage the resident usually needs considerable guidance ad in most instances does not initiate major clinical decisions independently.   At tis year a resident will also have exposure to 3 blocks of Internal Medicine, 2 blocks of Psychiatry, 1 block of Rheumatology, 1 block of Endocrinology and 1 block of Cardiology.  

PGY2:  During this year the resident will have exposure to 4-5 blocks of Adult Neurology.  At this point the resident has completed their basic clinical training and internal medicine subspecialty rotations and has acquired confidence in diagnosing, investigating, and managing major medical problems and is ready for a more in -depth approach to neurological problems and practice.  During this year the resident will have exposure to 1 block of Medical Rehabilitation, 1 block of Neurosurgery, 2 blocks of Intensive Care, 1 block of Neuroradiology and 1 block of Emergency Medicine.   

PGY3, 4 and 5:  At this point, the schedule becomes flexible and residents can request the timing of various rotations.  This phase of training represents an important opportunity to consolidate skills ad integrate knowledge acquired during he previous adult neurology rotations, subspecialty rotations and basic science seminars. 

Senior (PGY3-5) rotations include:   Inpatient Neurology Senior (9 blocks) with he opportunity to lead the Neurology team, Pediatric Neurology (3 blocks), EEG/Epilepsy (3 blocks), EMG/Neuromuscular (3 blocks), Neuropathology (1 block), Research (1 block), General Neurology outpatient clinics (4 blocks), 1 block each of outpatient clinics in the subspecialties of Multiple Sclerosis, Movement Disorders, Stroke Neurology, Neuro-ophthalmology and Cognitive Neurology, 6 blocks of electives (which can be taken out of province in consultation with the Program Director). 

 

RESEARCH

Residents in the residency training program in Neurology are required to carry out a research project, submit a report of the findings to the Resident Training Committee, and present the results at Clinical Neurosciences Rounds and the Annual Department of Internal Medicine Research Day.   

For trainees who intend to pursue an academic career, this is an opportunity to develop research interest.   For those trainees who do not fall into this category, the research process will provide insights into the way scientific projects are produced, improve critical appraisal skills, and enhance the trainee's ability to evaluate the literature.   

 

 

 

 

 

   

Research

Residents in the residency training program in Neurology are required to carry out a research project, submit a report of the findings to the Resident Training Committee, and present the results at Clinical Neurosciences Rounds and the Annual Department of Internal Medicine Research Day.

 

For trainees who intend to pursue an academic career, this is an opportunity to develop research interest. For those trainees who do not fall into this category, the research process will provide insights into the way scientific projects are produced, improve critical appraisal skills, and enhance the trainee's ability to evaluate the literature.




Training Sites

Teaching Sites

The Adult Neurology rotations take place at the Health Sciences Centre (http://www.hsc.mb.ca) and the St. Boniface General Hospital (http://www.sbgh.mb.ca) and include the care of patients admitted under the Neurology service as well as care of patients seen in consultation and in out-patient clinics.


Additional Information

Formal Academic Activities:

Academic half day is held on Friday mornings and includes:

- Neurosurgery or Neurology Case presented by a resident

- Didactic presentation by a faculty member or guest speaker 

- Clinical/basic science didactic lectures by faculty members 

Rotating Rounds:

- Program Director's Hour (focusing on case-based learning and teaching development) 

- EEG Rounds 

- Neuromuscular Rounds 

- Stroke Rounds 

- Neuropathology Rounds 

Other Academic Activities are: 

- Walk (bedside) Rounds Wednesday mornings 

- Neurology Case Rounds, Thursdays at noon

- Movement Disorders Rounds, Thursday mornings (2/month) 

- Journal Club is the first Tuesday of each month 


Summary of changes

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