Memorial University of Newfoundland - Diagnostic Radiology - St. John's

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

Last approved on January 28, 2022

Summary of changes

Approximate Quota:


Accreditation status : Accredited

Provincial Criteria

Dr. Lisa Smyth
Diagnostic Radiology 
Health Science Centre 
300 Prince Philip Drive
St. John's, Newfoundland and Labrador, A1B 3V6
(709) 864-3683
(709) 864-3628

Program Contacts

Dr. L. Smyth
Program Director
(709) 864-3630
(709) 864-3683

Jennifer Collins
Academic Program Administrator
(709) 864-3683
(709) 864-3630

Important Information

Our program received full Royal College of Physicians and Surgeons of Canada accreditation in March 2017.

Please review Memorial University's Provincial Criteria and admission requirements for postgraduate medical education. 



As of September 2021, Memorial University requires COVID-19 vaccines for all students, faculty and staff, and masks are required on all Memorial campuses in indoor spaces. Please refer to the University's COVID-19 website for up-to-date information.


CASPER TEST (Admissions assessments of non-cognitive skills)

All applicants applying to the diagnostic radiology residency program at Memorial University are required to complete the Casper test (Altus Suite), to assist with our selection process for the 2022 application cycle.  

How to Complete Casper 

In order to take the Casper test, you will be responsible for securing access to a laptop or desktop computer with webcam and audio capabilities. You will require the following for both account creation and completing Casper:  

  • Government-issued photo ID
  • Valid email address (the same one you will use to submit your application)
  • Working webcam
  • Working microphone
  • Reliable high-speed internet connection  

Please go to to sign up for Altus Suite for Canadian Postgraduate Medical Education (CSP-20201 – Canadian Postgraduate Medical Education) after selecting Canada as the country which the school you are applying to resides in.

  • Register using your CaRMS ID and a piece of government-issued photo ID.  
  • Select a Casper test date. 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 and that you have used for your application; there may be updates to the test schedule. 
  • Important: To account for identity verification and payment processing timeline, ensure that you register for your test at least 3 days before your preferred test date and time. Last-minute bookings are not recommended. 
  • Ensure you have selected CaRMS for distribution before the posted Distribution Deadline. Likely, there will be no additional tests scheduled, but the most up to date information can be found by browsing the Test Dates and Times  on
  • Please direct any inquiries on Altus Suite to Alternatively, you may use the chat bubble in the bottom right hand corner of your screen on the website. 


If you require testing accommodations for the Casper test you will need to submit the Accommodations Request Form signed by you and your qualified professional three weeks in advance of your desired test date. More information regarding accommodations can be found here. 

More About Casper 

The Casper test comprises 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. The test typically takes between 75-90 minutes to complete. 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, and ensure you have a quiet environment to take the test. We strongly urge you to take advantage of the 12-section practice test, which will not only immerse you in the test environment but will also ensure you meet the technical requirements to access and complete 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.  

For a more detailed look at the Casper test, please see this video

Return of Service


No return of service (RoS) is required for CMG seats.


General Instructions

Program application language: English

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
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)
• Canadian Citizenship Card (both sides of card)
Language proficiency
Submit one of the following documents to verify your language proficiency:
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General

Exemption to English language proficiency testing

IMGs that are currently practicing in Canada as a family physician or Royal College specialist (must have CCFP, FRCPC or FRCSC designation), and are providing the majority of their patient care in English, may be exempt from providing up-to-date language proficiency testing. Any applicant in this situation should write to in advance of the application deadline, to determine if you meet this criteria for exemption. Applicants currently in a clinical fellowship program are not exempted.

If you graduated from a medical school in Canada or the United States, where English is the language of instruction, you are exempt from providing proof of language proficiency.

Who is required to provide English Language Proficiency?

If you graduated from a medical school in Canada or the United States, where the language of instruction is not in English (e.g. French), PGME requires proof of proficiency in the English language. It is important to note that this requirement extends to all such applicants, regardless of whether other secondary/post-secondary education took place in English and regardless of citizenship.

If you graduated from a medical school in Canada or the United States, which provides training in multiple language streams, please self-identify which stream you graduated from (e.g. English-Stream, French-Stream, Spanish-Stream, etc.) by indicating your stream in the 'Degree Obtained' box in your CaRMS Online application under Medical Education (e.g. MD, University of Ottawa – French Stream).

Canadians who complete undergraduate medical education outside of Canada and the United States are considered IMGs; therefore, if you complete undergraduate medical education (in part or in full) in a country not recognized as having English as the first language, you must provide proof of proficiency in the English language. Note that elective rotations/experiences – regardless of length or location (including Canada) – will not satisfy the language proficiency requirements.

Requirements for educational registration with the CPSNL differ slightly in that PGME will only exempt IMGs from language proficiency testing if both their basic medical education and patient care experience was in one of the countries that is recognized as having English as a first language: 

  • Anguilla

  • Antigua and Barbuda

  • Australia

  • Bahamas

  • Barbados

  • Bermuda

  • Canada

  • Dominica

  • Grenada

  • Ireland

  • Jamaica

  • New Zealand

  • St. Kitts and Nevis

  • St. Lucia

  • St. Vincent and the Grenadines

  • Singapore

  • South Africa

  • Trinidad and Tobago

  • United Kingdom

  • United States of America

  • Virgin Islands (United Kingdom)

  • Virgin Islands (United States) 

All other applicants, including those who have completed any other non-medical schooling in English, must have taken one of the following:

  • International English Language Testing System - Academic (IELTS-Academic), within 24 months of the residency start date (July 1), with a minimum score of 7 in each of the components in the same sitting;
  • Occupational English Test - Medicine (OET-Medicine), with a minimum grade of B in each of the four subsets in the same sitting;
  • Canadian English Language Proficiency Index Program Test - General (CELPIP-General), with a minimum score of 9 in each of the four skills in the same sitting.

Results must be available by the CaRMS document review deadline.

Reference documents
Number requested: 3

Three reference letters are required. No more than three reference letters will be reviewed.

Additional documents
Personal Letter 
Word count
Minimum : None
Maximum : None

A personal letter, with a maximum of 500 words, from each applicant is required. This letter should address why the candidate is applying to the diagnostic radiology program at Memorial University of Newfoundland. The letter should also address why the candidate is a quality applicant to our discipline. Please address any previous relevant leadership experiences, scholarly and teaching experience, research experience, radiology experiences.

Custom Résumé / CV 

Memorial Declaration for Interruptions 

ALL applicants must submit the Declaration of Interruptions form with their application.

Consent for disclosure 

ALL applicants must submit the Consent to Disclose form with their application.  

CASPer exam 

All applicants applying to the Diagnostic Radiology residency program at Memorial University are required to complete the CASPer test (Altus Suite), to assist with our selection process for the 2022 application cycle. Please refer to the "Important Information" section for additional details.

Medical School Transcript 

Medical Student Performance Record 

[Note: Photograph is used as memory aid only]

Conditionally required
Medical School Diploma 

Order from your Registrar's Office, if available. 

Optional - will be reviewed
MCCQE Part I - Statement of Results 

If applicable. 

MCCQE Part I - Supplemental Information Report 

If applicable.

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

All eligible applications received by the deadline are reviewed. Candidates will be short-listed by our selection committee and those successful will be contacted to schedule an interview. Once notified by CaRMS online, please allow five business days for us to contact you to propose a time and date of your interview.  Candidates will be requested to confirm the time and date of their interview via email.



  • February 28, 2022
  • March 1, 2022
Interviews will be done virtually and instructions will be forwarded once confirmation of the interview date and time is received.

Memorial's interviews will take place on February 28 and March 1, 2022.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
All eligible applications received by the deadline are reviewed. Candidates will be short-listed by our selection committee and those successful will be contacted to schedule an interview. Once notified by CaRMS online, please allow five business days for us to contact you to propose a time and date of your interview. Candidates will be requested to confirm the time and date of their interview via email.

Interviewers include residents, the program director, and other faculty members. The interview is an important factor in the eventual determination of rank ordering for CaRMS.  


Selection Criteria

Candidates must be CaRMS eligible and should have an acceptable academic background with above average performance in medical school. A personal letter from each applicant is required. Research experience is not mandatory but is very beneficial. A summary of any research experience would be appreciated. Applicants from all geographic areas are welcome. We are looking for hardworking, self-motivated residents who would contribute to, and collaborate with, our current residents and enjoy the lifestyle Newfoundland has to offer.

Program goals

On completion of our residency program, graduates will be competent as a consultant in diagnostic radiology.  They will have the ability to supervise, advise and perform imaging procedures competently across a range of medical practices, and will be able to function as a consultant to family physicians and specialists. Communication skills, knowledge and technical skills are the three pillars on which a radiological career is built. Residents must demonstrate the knowledge, skills and attitudes relating to gender, culture and ethnicity pertinent to diagnostic radiology and research methodology, data presentation and analysis.

At the completion of training, the resident will have acquired the competence of functioning as a medical expert and clinical decision maker.

Selection process goals

The successful applicant will demonstrate their ability to be a strong team player, have leadership initiative, and is a mature organized applicant. The application should demonstrate strong willingness to learn all aspects of radiology. The successful applicant will need to demonstrate the ability to learn and subsequently advise, as well as perform procedures across all areas of radiology. Evidence of good communication skills, interest in research, data presentation and analysis will also be sought during the interview process. Successful applicants will be willing to learn skills and attitudes relating to gender, culture and ethnicity pertinent to diagnostic radiology.


File review process

Review team composition : Our review team consists of staff radiologists from various specialty areas. We also include resident(s) representatives in the file review and interview process.

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

Average percentage of applicants offered interviews : 51 - 75 %

Evaluation criteria :
File component Criteria
CV Education, work experience, research experience, hobbies, scholarships and awards
Electives Previous elective experience in radiology is encouraged but not mandatory
Examinations If applicable
Extra-curricular Hobbies, interests outside and inside medical field
Leadership skills Committee memberships, interest group member, research affiliations
MSPRs All aspects of correspondence
Personal letters Why applicant wants to come to our program, specifically; leadership experiences, how they will embrace program
Reference documents Previous skills, knowledge, collaboration, education, professionalism, work ethic
Research/Publications Areas of interest in previous research, any publications, presentations, conference contributions
Transcripts Scores in medical school
Other file component(s) Applicants are encouraged to submit only those documents required by CaRMS and the specific program description. Additional non-required documentation will not be reviewed as part of the file review or interview process.

Elective criteria

We encourage applicants to have completed at least one elective in our discipline.

Interview process

Interview format :

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

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Evidence of teamwork during medical school, group work for example.
Collegiality Examples of interactions with other members of health care team during clerkship experiences.
Communication skills How well the applicant interacts with the the interviewer(s). Eye contact and overall engagement.
Health advocacy Importance of health advocacy.
Interest in the discipline Evidence of interest in our discipline. What does the applicant know about our specific discipline.
Interest in the program Has the applicant sought information specific to our program, website.
Leadership skills Administrative roles, leadership responsibilities within medical school (personal or professional).
Professionalism Evidence of recognition of confidentiality, patient/family interaction, work ethic, organization.
Scholarly activities Awards, research, any other scholarly achievements.
Other interview component(s) Scenarios are provided to each applicant, in addition to open ended questions. Our interviewers agree on a standardized set of questions to ask each interviewee, which vary from year to year.

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

Faculty of Medicine - Discipline of Radiology 

Our residents have abundant access to the clinical teaching load and receive early hands-on experience with radiologic procedures. The average patient load depends on the rotation.

There is a wide variety of pathology, with absolutely no shortage of cases. There are three mandatory out of town rotations for which travel may be required.
The first is a rotation in PGY 1 in obstetrics-gynecology which is done in Clarenville, NL.
The second rotation is a four-week course at the American Institute of Radiologic Pathology (AIRP) located in Silver Springs, Maryland, USA, during the core blocks. Recently, this has been done virtually. There is some funding allocated to this course should travel be required.
The third out of town rotation is a four-week rural radiology rotation which occurs in PGY 4 or PGY 5. Travel expenses for this rotation are reimbursed to the resident. Rural rotations may be available in New Brunswick. Such requests will have to be approved by the program, as with any rotation. This is mandatory and a requirement of the Royal College of Physicians and Surgeons of Canada.  There are several options for this rotation, but most often residents travel to Western Memorial Regional Hospital in Corner Brook, NL. Other university affiliated hospitals can be considered.

There is ample resident evaluation. This allows multiple opportunities for the resident to gauge their learning and concentrate on areas to improve. This includes daily card submission contributing to monthly rotation evaluations by staff. There are monthly end rotation examinations for most rotations, and some rotations also have practice exam questions. There are annual ACR examinations and biannual orals/OSCEs (delivered in a Royal College style format). PGY 5 residents are given individual mock oral exams to help prepare for the Royal College exams. On call assessment cards are also used to assess resident performance, with biannual feedback. 
Our residents also have 360 degree feedback in the form of evaluation forms from technologists and nursing staff in the department. Residents have the ability, via anonymous feedback cards, to regularly evaluate faculty on both formal and internal teaching/mentorship.

Memorial's diagnostic radiology program is proud to incorporate simulation learning into the teaching curriculum. Currently, we have a variety of in-situ learning, as well as simulation labs, that are held in the state of the art Clinical Learning and Simulation Center in Memorial's medical school. These Diagnostic SIMagingTM labs cover a variety of topics from procedural skills, interpretation skills, communication skills as well as the management of uncommon but potentially life-threatening events one may encounter in the radiology department.  

Our residents experience early hands-on radiology with close one-on-one supervision. Our former residents are now practicing in every region of the country. Our program is a relatively small one allowing for a friendly atmosphere among faculty, staff and residents. It is also a very strong program with a good balance of academic pursuits and social activities. We believe we offer an excellent residency training program in diagnostic radiology.


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.


The residency training program consists of four years following PGY 1. All of the Royal College requirements are met. The program usually alternates to accept 3-4 new residents per year. There are 39 teaching faculty. Rotations include GI/GU radiology, cardiothoracic radiology, MSK radiology, neuro-ENT radiology, interventional radiology, nuclear medicine, body imaging (CT, MRI, U/S) pediatric and obstetrical radiology, breast imaging, emergency radiology, ultrasound, and elective time in PGY 4 and PGY 5.

All residents have rotation schedules over the four years that reflect Royal College requirements. Due to the small size of the program, all residents have excellent access to clinical teaching cases and receive extensive hands-on experience doing image guided procedures.  There is plenty of opportunity to take cases during teaching rounds, allowing continuous Royal College preparation. 

Residents who entered the diagnostic radiology program prior to July 1, 2022, will follow the traditional five-year diagnostic radiology training program according to the Royal College of Physician and Surgeons of Canada's Standard Training Requirements for diagnostic radiology.

Residents entering the diagnostic radiology program on or after July 1, 2022, will follow the Competence by Design (CBD) pathway.


Competence by Design (CBD) Curriculum: Diagnostic Radiology 

  • Shift from time-based model to competence-based medical education
    • Time is a resource, not a requirement
  • Progression occurs when competence is attained
  • Training focuses on skills required of a radiologist for successful entry into practice
  • Progression requires demonstration of relevant competencies
  • Most residents will require 5 years to complete the relevant competencies and training experiences.


CBD has four stages of training:

  1. Transition to Discipline
    • 8-13 blocks
  1. Foundation of Discipline
    • 6-10 blocks
  1. Core of Discipline
    • 42-45 blocks
  1. Transition to Practice
    • 6 blocks

As we transition to the CBD education model, our current curriculum plan will be shifting to ensure we provide a robust framework to support the CBD curriculum and required educational training experiences. Specific requirements for each stage will follow the Royal College of Physician and Surgeons of Canada Diagnostic Radiology Training Experience Document. 

The anticipated framework we will be using to guide schedule planning will be as follows:









- All must be completed

Adult Emergency Medicine

One Block


General Surgery

One Block


Internal Medicine: Inpatient Ward

One Block


Pediatrics Ward and/or Emergency Medicine

One Block



One Block


Critical Care Medicine

One Block maximum

- Select three of the following

Medical Oncology

One Block maximum


Radiation Oncology

One Block maximum



One Block maximum



One Block maximum



One Block maximum


Other surgical specialty

Two Block maximum


Other medical subspecialty

Two Block maximum



 6-10 BLOCKS



Diagnostic Techniques

One Block

Emergency Medicine

One Block minimum

Body (Abdom/Pelvis) CT

One Block minimum


One Block


One Block

Neuro CT

One Block minimum


One Block minimum


           STAGE: CORE  1     




BODY: Abdomen and pelvis

- 2/1: CT/MR

3 Blocks

Emergency Medicine

1 Block

Breast Imaging

2 Blocks


- 1:2: Cardiac/Chest

3 Blocks


2 Blocks


- 1:1:1: CT:ENT:MR

3 Blocks

Nuclear Medicine


1 Block

Obstestrics/Gynecology Ultrasound


1 Block


2 Blocks


2 Blocks

Interventional Radiology

2 Blocks

Elective 1

1 Block Optional*

*Must complete EITHER in Core 1 or Core 2


                          STAGE: CORE  2  




BODY: Abdomen and pelvis

- 1/1/1: CT/MR/US

3 Blocks

Breast Imaging

2 Blocks


- Chest

2 Blocks


1 Block


3 Blocks


1:2 CT:MR

3 Blocks

Nuclear Medicine

1 Block

Obstetrics/Gynecology Ultrasound

1 Block


2 Blocks

Interventional Radiology

1 Blocks


- Set funding provided

1 Block

Elective 1

1 Block Optional*

*Must complete EITHER in Core 1 or Core 2

Elective 2

1 Block






Junior Staff*

- Based on career planning approved by PD


*Not more than 3 blocks during the TTP stage, in any one domain of diagnostic radiology practice within the duration of training.

- ABR Requirements: 2 blocks of nuclear medicine longitudinal learning can be incorporated into the Junior Staff schedule.


The CBD residency training program consists of four stages of training, each requiring specific competences to be demonstrated and assessed by the Competence Committee prior to moving on to the next stage. While training no longer uses time as an endpoint to residency completion, this training is expected to take five years.  The program alternates to accept 3-4 new residents per year. Currently, there are 19 Radiology residents in our program.   We do not offer any radiology fellowship programs, which allows for complete resident access to all cases, rounds and procedures at all our teaching sites.  We currently have 39 teaching faculty, including six full time faculty, having a wide range of subspecialty training and research interests.

The teaching curriculum cycles over a two-year period. Changes are currently underway to prepare for the training experiences required for the CBD curriculum.

  • State of the art simulation curriculum including: contrast reactions, image guided procedural techniques, consent, breaking bad news, MR safety, managing complications.
  • Formal biannual simulated oral and OSCE examinations.
  • Written yearly MCQ RadExam
  • Written yearly MCQ ACR Exam
  • Stat Dx
  • Rad Primer
  • Support for residents committing to write the ABR examination

A formalized teaching schedule runs from September to June, which includes daily teaching led and/or supervised by our teaching faculty. The small number of residents in our program allows every resident to have ample opportunity to take cases during teaching rounds in preparation for the Royal College examination. During the summer months, residents are given one academic half day per week for research purposes.  



One of the strengths of our program is the high level of staff interest in research resulting in a diverse array of high quality projects. Past residents have commented on the high level of support they receive, from the research team as well as supervisors. This allows our residents to obtain research experience which best fits their career plans and level of interest in research. We have a dedicated research director and research assistant in the department who assists residents through the process. Areas of research interest included but are not limited to simulation, molecular imaging, educational research, creation of new paradigms. 

Each resident has their own idea of what their research involvement should be based on a variety of factors, however, at a minimum each resident must complete at least one research project. This project must be started and completed within the candidate’s residency. The purpose of the project is to add to the collective knowledge within the radiology literature, and, therefore, the goal of all projects is publication. A project would be defined as a process which would include:

- Identification of a research question by the resident, staff member or both

- Literature search relevant to the problem

- Study design

- If necessary, application for ethics approval from the local Health Research Ethics Board (HREB)

- Collection and analysis of data (with assistance from partners in biostatistics as required)

- Presentation at Newfoundland and Labrador Association of Radiologists meeting (NLAR) at a minimum, or preferably a national or international conference

- Completion and submission of a paper for publication is required

Each resident would do one project per year. Residents will present their research progress at an annual research day. There is journal club four times a year, and an annual review of research progress by the research director and research assistant.


- Mandatory Journal Club and Grand Rounds

- Annual Resident Grand Rounds. Residents choose a focused radiology-related topic, prepare a talk and present it to staff and residents 

- Weekly: Interesting case rounds, subspecialty rounds, Fundamentals of Radiology rounds/alternated with Grand Rounds

- Academic half-day, weekly (includes physics teaching)

- Ethics seminars

- Financial Management sessions

- Simulated Oral OSCE exam review sessions


Masters in Clinical Epidemiology

Residents may register for courses and obtain a diploma or masters degree in clinical epidemiology.

Training Sites


The program offers rotations at three hospitals in St. John's.

- Health Sciences Centre

- St. Clare's Mercy Hospital

- Janeway Children's Health and Rehabilitation Centre

Each radiology resident is assigned a work station during each rotation. Each work station consists of a PC, GE PACS system and Powerscribe voice dictation system. There is resident access to Stat Dx, as an online resources reference system. There is also a subscription to RADPrimer, an online study guide and resource.  The following are additional highlights of our program:

Standing desks have been implemented to contribute to resident wellness.

Annual Resident Retreat

Residents may be able to locum in PGY 5

New state of the art nuclear medicine facility

Additional Information

Summarizing some of our program strengths:

  • Our program received full Royal College of Physicians and Surgeons of Canada accreditation in March 2017.
  • Our residents experience early hands-on radiology with close one-on-one supervision.
  • We have implemented online, web-based end rotation exams. There is automatic correcting of exams, immediate feedback to the residents.
  • We use a daily performance cards as well as on call performance cards. This enhances face to face feedback during mid-rotation and end of rotation meetings. 
  • We have an online electronic log to help procedure record tracking.
  • We have our own library webpage and selection of textbooks within the onsite library. Both allow immediate access to a large volume of textbooks subscribed and paid for through our library. 
  • Statdx and RadPrimer are also online resources that are made available to the residents through a subscription.
  • Our small program size, without fellows, results in increased exposure and responsibility.
  • Supportive, dedicated administrative staff.  They are often considered as the scaffolding of the program and are highly respected by all residents and faculty.
  • Teaching curriculum is continuously updated. Online web-based teaching, such as the PGY 1 online emergency radiology course, aids in teaching and preparing residents for on-call as well as the Royal College exam.




Specific questions can be brought forward via email or telephone to either of the contact information provided.

Summary of changes

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