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McMaster University - Neurology - Hamilton

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

Last approved on January 19, 2022

Summary of changes

Approximate Quota:

 3 

Accreditation status : Accredited

Provincial Criteria


Dr. Demetrios Sahlas
Neurology 
Hamilton General Hopsital 
237 Barton Street East
Hamilton, Ontario, L8L 2X2
(905) 521-2100 x 44380
McMaster University, Department of Neurology

Program Contacts

Program Contact
Erica Pratt
Program Coordinator
pratter@mcmaster.ca
905-521-2100 x 44380


Important Information

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

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

The aim of the program is to produce a physician-specialist with the competence to effectively diagnose and manage the care of patients with neurological diseases.

The objectives of our Residency Training Program outlined are provided in the CanMEDS format. The CanMEDS roles for physicians (and trainees) define wide range knowledge, attitudes and skills required in order to be an effective, competent, knowledgeable and professional physician. The CanMEDS roles also provide the framework by which you will be evaluated during your residency training.

Residents must demonstrate the knowledge, skills and attitudes relating to gender, culture and ethnicity pertinent to neurology. In addition, all residents must demonstrate an ability to incorporate gender, cultural and ethnic perspectives in research methodology, data presentation and analysis.

Provide scientifically based, comprehensive and effective diagnosis and management for patients with neurologic disorders.

Communicate effectively with patients, their families and medical colleagues (particularly referring physicians), and other health care professionals.

Counsel patients and others on aspects of prevention of neurological disorders, including risk factors, and genetic and environmental concerns.

Maintain complete and accurate medical records.

Effectively coordinate the work of the health care team.

Be an effective teacher of other physicians (including medical students and house officers), other health care personnel and patients.

Be proficient in professional and technical skills related to the specialty.

Demonstrate personal and professional attitudes consistent with a consultant physician role.

Be willing and able to appraise accurately his or her own professional performance.

Be willing and able to keep his or her practice current through reading and other modes of continuing medical education.

Be able to critically assess the neurological literature as it relates to patient diagnosis, investigation and management.

Be able to participate in clinical or basic science studies as a member of a research team.


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
Additional documents
Required
Undergraduate Transcript (Bachelor's Degree) 

Medical School Transcript 

Order from your Registrar. 

Custom Résumé / CV 

Personal Letter 
Word count
Minimum : None
Maximum : None

Tell us why you're interested in neurology, our program in particular and why you would be a good fit.  Please include anything you feel we should know about you. 1000 word maximum.

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

Medical Student Performance Record 

Order from your Dean's Office

Conditionally required
Medical School Diploma 

Please note: Required if Medical school has been completed.

Optional - will be reviewed
Graduate Transcript (Master/PhD Degree) 

Abstract/Publications 


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 applications will be reviewed by a minimum of two file reviewer. Each review will follow a standardized format. The Committee will decide on shortlisting based upon reviewers scores, individuals performance in medical school and testimonials. Research experience and neurology rotations will be an asset but are not mandatory.

Reference letters from the institution/ discipline will not be required for consideration of interview.


Interviews

Dates:

  • March 12, 2022
The interview dates will fall in alignment with the interviews for Ontario Universities.  Only candidates offered interviews will be contacted. Our interviews will be held on Saturday, March 12, 2022.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Candidates will be contact by the Program Administrator regarding the time and link for virtual interview. The candidates are required to confirm their attendance. The dates are fixed and the interviews are multiple.

Each candidate will be interviewed twice, once by members of faculty and once by current residents in our program.  The first interview will be immediately be followed by the second interview.  You may expect to be fininished approximately fourty minutes from the time you are scheduled.


Selection Criteria

Candidates must meet the published requirements for applications (available at McMaster University Overview and through CaRMS)

Preference will be given to candidates who have been evaluated by one of the provincial evaluation programs, within the last two years and who can provide documentation of the assessment results.

Graduation from medical school within the past 3 years OR graduation from medical school within the past 8 years AND active medical practice within the past 3 years (please note that observerships do not count as recent medical practice). Candidate should have demonstrated excellent academic achievement, including above average performance on Canadian qualification examinations. Research background will be taken into consideration.

 Preference will be given to candidates who can demonstrate familiarity with the Canadian or North American health care system. Examples include formal medical training or practice in a Canadian or American jurisdiction (Canadian experience preferred). Research experience in Canada and clinical observerships are an asset, but considered less valuable than training or work experience.

Demonstrated proficiency in English.

Program goals

The aim of the program is to produce a physician-specialist with the competence to effectively diagnose and manage the care of patients with neurological diseases.

The objectives of our Residency Training Program outlined are provided in the CanMEDS format. The CanMEDS roles for physicians (and trainees) define wide range knowledge, attitudes and skills required in order to be an effective, competent, knowledgeable and professional physician. The CanMEDS roles also provide the framework by which you will be evaluated during your residency training.

Provide scientifically based, comprehensive and effective diagnosis and management for patients with neurologic disorders.

Communicate effectively with patients, their families and medical colleagues (particularly referring physicians), and other health care professionals.

Counsel patients and others on aspects of prevention of neurological disorders, including risk factors, and genetic and environmental concerns.

Maintain complete and accurate medical records.

Effectively coordinate the work of the health care team.

Be an effective teacher of other physicians (including medical students and house officers), other health care personnel and patients.

 

Selection process goals

To match candidates with great potential who will both benefit from and contribute to our training program.

To be fair, transparent and accountable with respect to our selection process. 

To involve as many faculty members and residents as possible in the file review and interview process.

For the interview experience to be pleasant and memorable for all candidates.

To provide a welcoming venue the evening before the interview with the oportunity to meet as many faculty and residents as possible as well as provide information regarding our program and living in Hamilton.

 

 

File review process

Review team composition : Applications are distributed for review between Residency Program Committee Members as well as residents. Each application is reviewed by a staff member and a current resident. The Program Director reviews all files and monitors for discrepancies in scoring.

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

Average percentage of applicants offered interviews : 0 - 25 %

Evaluation criteria :
File component Criteria
CV evaluated
Electives evaluated
Examinations We do not evaluate this file component.
Extra-curricular evaluated
Leadership skills evaluated
MSPRs evaluated
Personal letters evaluated
Reference documents evaluated
Research/Publications evaluated
Transcripts evaluated
Other file component(s) We have a file review sheet that each reviewer completes to ensure consistency.

Elective criteria

We encourage applicants to have completed at least one elective in our discipline.
We prefer applicants to have done onsite electives.

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

Interview process

Interview format :



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

Interview evaluation criteria :
Interview components Criteria
Collaboration skills evaluated
Collegiality evaluated
Communication skills evaluated
Health advocacy evaluated
Interest in the discipline evaluated
Interest in the program evaluated
Leadership skills evaluated
Professionalism evaluated
Scholarly activities evaluated
Other interview component(s) Interviewers have set questions to ensure consistency 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 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.

Residency Goals

We will facilitate the career development of neurologists in training. McMaster draws from a population base of over two million, and has a rich clinical load in all aspects of Neurology with full supporting services in neurosurgery, neuroradiology, neuropathology, and neuropsychiatry. We encourage the full growth of residents, including the development of skills beyond clinical neurology, especially in those areas for which McMaster enjoys a significant reputation. Thus, we would welcome residents with an interest in academic neurology, educational methodology, educational research, epidemiology and biostatistics and clinical trial design, population health, pharmacoepidemiology, and many aspects of basic neurosciences. We believe that there should be an excitement to education, in a collegial and supportive atmosphere.



Educational Program 

The Residency Program extends over a period of five years. The first two years consist of a basic clinical year and a year of Internal Medicine. As such, rotations include Infectious Disease, Radiology, ICU, Cardiology, Neurosurgery, Thrombosis and Ambulatory Clinics.

There are also rotations in General Internal Medicine, and six months of Adult Neurology in the first two years. The third year consists of rotations in Ambulatory Clinic rotations, Stroke, EMG, Community Neurology, Pediatric Neurology and Adult Neurology. The fourth year consists of rotations in Stroke Unit, Neuromuscular, EEG/Epilepsy, Neuroradiology, Neuro-Ophthalmology, Neuropatho9logy, Research and electives. The fifth year consists of Adult Neurology and rotations in subspecialties. There will be ample opportunity for independent and group learning throughout, for undertaking clinical and basic research initiatives should this be desired, and in assuming sequentially more responsibility for the clinical supervision and education of more junior trainees. The University has an excellent library, and most of the journal subscriptions are now accessible by electronic means.

Evaluation 

Informal evaluation are done part way through each rotation (depending on the length), and a formal evaluation will occur after each rotation. In addition, the Program Director will review with each resident progress at quarterly intervals. Residents from PGY2 will be expected to sit a written practice exam on a yearly basis to assess knowledge progression. They will also write the American Academy of Neurology yearly practice examination funded through the program. They will be expected to undertake a witnessed history and physical and oral exam with each one of the Adult Neurology rotations. Feedback by the residents is encouraged to improve the educational experience. The residents are also encouraged to evaluate each rotation.



Educational and Research Opportunities

Residents will have mandatory educational rounds.

Research is a must while in the program.  Each resident is assigned a mentor who will guide them towards oportunities.  Funding is available for each research.



Specialty Clinics

-Epilepsy - Dr. Michelle Shapiro, Dr. Joseph Perumpillichira, Dr. Luis Morillo

-Neuromuscular Disease - Dr. Mark Tarnopolsky, Dr. Steven Baker

-ALS Clinic - Dr. John Turnbull, Dr. Marvin Chum, Dr. Matthew Gladman

-Behavioural Neurology - Dr. D. J. Sahlas, Dr. Eliza de Freitas

-Neuro-oncology - Dr. Michel Rathbone, Dr. Navya Kalindindi

-Stroke - Dr. Wes Oczkowski, Dr. Mike Sharma, Dr. D. J. Sahlas, Dr. Jamie Silva, Dr. Chidam Yegappan, Dr. Kanjana Perera, Dr. Kelvin Ng, Dr. Ashkan Shoamanesh, Dr. Luciana Catanese

-INR - Dr. Brian van Adel

-Multiple Sclerosis - Dr. Suresh Menon, Dr. Eslam Shosha

-Movement Disorders - Dr. Barbara Connolly, Dr. Devin Hall

-Headache - Dr. Rose Giammarco

-Neurogenetics - Dr. Mark Tarnopolsky

 




Training Sites

Teaching Hospitals

The Hamilton General Hospital

The Hamilton General Hospital is the designated stroke centre for the region and site of the Neuro CTU.  Outpatient clinics involve stroke prevention, movements disorders, MS, epilepsy, and behavioural neurology.  It is also the regional referral centre for Adult Neurosurgery.  Cardiac surgery and interventional cardiology services are carried out at this site.

The Juravinski Hospital

The Juravinski Hospital is the site of the Regional Oncology Clinic, and home for Neuro-oncology and Pain Centre.

McMaster University Medical Centre

McMaster University Medical Centre is a tertiary and quaternary referral centre. With respect to the Neurology Program, the chief strengths are its outpatient clinical activities (including the ALS Clinic, Neuromuscular Disease Clinic, Neuropsychiatry Clinic). In addition, all of the basic science laboratories in Neurology are located at this site). This site also houses the Children's Hospital, and Pediatric Neurology and Neurosurgery.

St. Joseph's Hospital

St. Joseph 's Hospital is a busy general hospital with expertise in nephrology, respirology, and psychiatry, and is the site of a new institute of brain and behaviour.


Summary of changes

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