Crest

Queen’s University - Psychiatry - Kingston

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

Last approved on November 08, 2021

Summary of changes

Approximate Quota:

 3 

Accreditation status : Accredited

Provincial Criteria


Dr. Eric Prost
Psychiatry 
Hotel Dieu Hospital - Johnson 5 Rm. 528A 
Kingston, Ontario, K7L 5G2
613) 544-3400, ext. 2507
(613) 544-7079
Department of Psychiatry
Queen's Psychiatry Residency Program

Program Contacts

Sharon Thompson
Program Assistant
sharon.thompson@kingstonhsc.ca
613-544-3400 Ext. 2507


Important Information

Institution-wide CBME Implementation within PGME at Queen’s University

Queen’s University received approval to adopt a Competency-Based Medical Education (CBME) model in all specialty programs, effective July 1, 2017. 

Residents attending Queen’s since July 2017 have been using 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. The Residency program will be broken down into stages, and each stage has a series of Entrustable Professional Activities (EPAs) based on required competencies. These EPAs 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.

Competence-Based Medical Education at Queen’s University is fully aligned with the Royal College of Physicians and Surgeons’ national Competence by Design (CBD) initiative to introduce CBME in all faculties and all disciplines.  While Queen's University adopted CBME on an advanced timeline and now has years of experience with it, we have made any necessary adjustments in order to fully align and comply with The Royal College's CBD initiative. 

Further information on CBD can be found on the Royal College of Physicians and Surgeons of Canada website at: CBD implementation 

Queen's Psychiatry - Ask a Resident Night

As visiting electives are once again cancelled this year due to the COVID 19 pandemic, the Queen's University Psychiatry Program will be hosting two virtual information sessions to share our program features with you.  The sessions will be hosted by current residents and we will be prepared to answer your questions and showcase our program and city.    These sessions are open to medical students applying to the CARMS R-1 match only.   

Please register in advance:

Monday, November 22, 2021   7:00 - 8:30 pm

https://zoom.us/meeting/register/tJYrde-orzMqEtHj71SnT0ST4oSfY2a0oCoT

OR

Tuesday, November 30, 2021   7:00 - 8:30

https://zoom.us/meeting/register/tJUlfu-przMvHdfKHe0JQ1ApRuxI9nW6tuD4

 

Follow our Residency Program on Instagram:  @queenspsychmd

 

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. 

COVID-19 vaccination requirements:

Please refer to the 'Restrictions' section of the Ontario eligibility criteria for messaging regarding COVID-19 vaccination requirements.


General Instructions

Program application language: English

Applicants should provide all required information.  Any questions about documentation or the interview process can be directed to Sharon Thompson at sharon.thompson@kingstonhsc.ca

 

 


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
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 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 photo ID (must be a Canadian government issued photo ID).

 

CaRMS is partnering with third-party organizations to automate the verification of citizenship/legal status required by postgraduate offices for entry into residency. Third-party verification simplifies the process for applicants and programs. All applicants who do not receive third-party citizenship verification will be required to upload and assign an acceptable proof of citizenship document. Please see additional information here.

Reference documents
Required
Number requested: 3

Three letters of reference are required from faculty/staff who have directly supervised you. If possible, one or more reference letters from a faculty member from Psychiatry is helpful, but not required. We realize that this may not be possible this year with the restrictions on electives and reassure you that this will not be detrimental to your application.

No more than one letter should come from an individual you have not had clinical contact with (research supervisor, etc).  A letter from a resident or fellow will not be considered.  We recommend that you choose staff you have had close clinical contact with. A good choice would be a referee who has sufficient knowledge of your clinical performance and who can comment on your interest in psychiatry, comment on your clinical skills and ability to interact with patients and other members of the interdisciplinary team.  The referee should assess your performance at the expected standard for your level of training as compared to other students they have worked with.  It is preferred candidates provide letters that are recent (within 18 months) from time of receipt at the CaRMS office.  Undated letters will not be accepted.   References and other supporting documents scanned by CaRMS will be considered.  We will not accept updates directly to our office.

Additional documents
Required
Custom Résumé / CV 

Please include current CV with your application package.

Medical School Transcript 

Transcripts from the applicant’s graduating university (ideally sent directly by the university to CaRMS however if there are administrative barriers to doing this transcripts may be directly uploaded by the candidate)

Medical Student Performance Record 

Order from your Dean's office

Personal Letter 

A personal letter must be submitted (approximately 750 words). The letter should communicate the characteristics you have that make you suited to psychiatry (150 words);  Describe how your choice of psychiatry has been confirmed in your medical school experience (100 words); In your opinion, what are the two biggest challenges facing the discipline of psychiatry (200 words);  What might be the two biggest challenges you will face as you become a psychiatrist (150 words); What specifically about the Queen's Psychiatry Program do you think suits your goals and interests (150 words)

MCCQE Part I - Statement of Results 

Please submit for review when available

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

Medical School Diploma 

Proof of Medical Diploma if you are not a current year graduate.

Optional - will be reviewed
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



Interviews

Dates:

  • February 28, 2022
  • March 1, 2022
  • March 9, 2022
  • March 10, 2022

After review of CaRMS applications, candidates will be short-listed on the basis of selection criteria. Candidates chosen for an interview will be informed of their status via email.   Interviews will be held virtually.  

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Our program usually uses a mix of traditional interviews and Multi-Mini Interviews (MMIs) to assess candidates.  MMIs are short clinical scenarios that may involve role play in order to assess professionalism, communication and other qualities.

Because the interview process is virtual this year, our program is using a specific online platform in order to conduct part of the interview process.  Candidates who would usually be invited for in-person interviews, will be invited to participate in this on-line process instead.  The first online "interviews" will be available to invited candidates on February 28 & March 1;  candidates will be able to log in and record their answers - some written, some video - to interview questions.  The timing for the log-in during that week is up to individual candidates.

Later in March, some candidates will then be invited to a live virtual interview, including a time to meet faculty and residents over Zoom or a similar platform.  

If you are invited to participate in the above, we will make it very clear how and when these steps happen.   We want to make this as smooth as possible since we do recognize what a stressful time it can be for you even if you're not physically travelling around the country this year.


Selection Criteria

Program goals

The Department of Psychiatry at Queen's University is committed to training residents in the clinical skills necessary to become a psychiatrist based on sound theoretical, academic, and research knowledge.  This requires a strong core academic program, excellent clinical rotations, and research electives.  We provide this in the context of an energetic, enthusiastic faculty who are exceptional mentors.  We are fervent supporters of the diverse career aspirations of our trainees and, therefore, endevour to provide flexibility in pursuing personal career goals during the five years at Queen's University.

Selection process goals

The major factors that influence our Program's interview selection and ranking process are as follows:  1. The strength of your academic records (as measured by the Medical Student Performance Record and medical school transcripts).  A good academic record should demonstrate proficiency in psychiatry and related subjects.  The application should confirm the candidate's interest in mental health and psychiatry as well as interest or experience in scientific or clinical research;  2.  Letters of reference;  3.  Your personal letter;  4.  Your graduation year with preference to recent graduates; and 5.  The interview.    During the interview, candidates are expected to demonstrate clear interest in psychiatry, excellent communication and interpersonal skills, maturity, empathy and sensitivity, excellent clinical judgment, and high ethical and professional standards.

File review process

Review team composition : File reviewers, comprised of faculty and residents, review and score applicant files.

Average number of applications received by our program in the last five years : 51 - 200
We have an average of 130 Canadian Medical Graduate Applicants per year.

Average percentage of applicants offered interviews : 26 - 50 %

Evaluation criteria :
File component Criteria
CV Reviewed but not scored
Electives Electives will not be scored this year because of restrictions imposed by COVID-19
Examinations We do not evaluate this file component
Extra-curricular Points for extracurricular activities
Leadership skills Not scored
MSPRs Reviewed but not scored
Personal letters Points for interest in Psychiatry and quality of letter
Reference documents Points for quality of references
Research/Publications Points for Psychiatry research and other research
Transcripts Reviewed but not scored

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.

In accordance with broader postgraduate policies during the COVID-19 pandemic, electives will not be scored.

Interview process

Interview format :



We do not re-schedule interviews for applicants after we have completed the scheduling process.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Rubric with specific anchors
Collegiality We do not evaluate this interview component
Communication skills Rubric with specific anchors
Health advocacy not scored
Interest in the discipline Rubric with specific anchors
Interest in the program We do not evaluate this component during the interview
Leadership skills Rubric with specific anchors
Professionalism Rubric with specific anchors
Scholarly activities We do not evaluate this interview component

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

About Queen's University

Queen's University has a long-standing tradition of excellence in medical education.

Department of PSYCHIATRY Residency Program

Ideal program size

 

Individual continuous observation and feedback

Intellectually stimulating atmosphere

Collegial and friendly faculty personally committed to helping residents realize their full potential as a clinician, educator, and researcher

Strong Department with a clear vision and mission

Excellent core residency program is identified as one of our key priorities.  Residents experience breadth and diversity in their training through the divisions of adult (acute, rehabilitation & community), shared care, child & adolescent, student, geriatric, developmental disabilities, and forensic mental health.

Focus on inter-professional collaboration

Close working relationship with residents in provision of excellence in academic mission and clinical service delivery

Diverse backgrounds

Truly international program allows for variety of  experiences and ideas to be shared

Outstanding people

Residents: high rate of success in RCPSC exams

 

Faculty

National and international recognition in academic achievements

Focus on Research

Queen’s University is a recognized centre of excellence

Strong support for resident involvement

Number of highly regarded research programs (autism, stigma, geriatric psychiatry, schizophrenia, mood and sleep disorders) 

Clinician Investigator Program available to residents

Comprehensive psychotherapy training

Longitudinal training in all modalities

Cultural competence and self awareness training

Two annual CBT courses/IPT Course

Full Royal College accreditation

Next review 2026

Kingston

Repeatedly ranked as one of the best Canadian cities to live and work in

 


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.

PGY 1

This basic clinical year (PGY-1) is designed based on the Royal College Guidelines.

Our goal is to provide residents with introduction to the Department of Psychiatry and the areas of medicine relevant to a career in psychiatry. The rotations are selected to also facilitate success on the Medical Council of Canada Qualifying Examination Part II requirements.

 

Rotation

Duration

Psychiatry 

4 blocks 

Research

1 block

Geriatric medicine

1 block

Internal Medicine

1 block 

Emergency Medicine

1 block 

Pediatrics

1 block 

Neurology

1 block 

Family medicine 

1 block

Rehabilitative Medicine

1 block 

Hospital Medicine

1 block

Core Residency Program (PGY 2 & 3)

PGY 2

one year general adult psychiatry, divided between inpatient and outpatient psychiatry (2 blocks of emergency psychiatry is incorporated during OP Psychiatry rotation)

PGY 3

6  blocks Child & Youth Psychiatry

6  blocks Geriatric Psychiatry

1 block developmental disabilities

Senior Residency (PGY 4 & 5)

PGY 4  Mandatory rotations include 3 blocks of Consultation-liaison psychiatry, 2 blocks of shared care psychiatry, 3 blocks of chronic care psychiatry, 2 blocks addictions, 2 blocks personality disorders, and 1 block of emergency psychiatry.

During PGY 5, the resident assumes more leadership in the education and supervision of junior residents, while consolidating and further developing career track interest through electives and selectives, including research.

 

 

Electives/Selectives 

Rotation selection is determined based on the particular interests and career goals of the individual residents. We encourage residents to obtain broad clinical and academic experiences before making final career decisions.

Electives include inpatient and outpatient general adult psychiatry, collaborative mental health care services (shared care), forensic psychiatry, research projects, psychotherapy, geriatric psychiatry, psychoses, mood disorders, consultation-liaison, eating disorders, concurrent disorders, emergency psychiatry and a growing number of other options.

 

Academic Program

Our Academic Curriculum consists of didactic and clinical skills development aimed at training residents to become leading future psychiatrists.  This includes organized core didactic seminars, interviewing skills sessions, small group practices in Phenomenology, Diagnosis and Management and psychotherapy teaching which occur throughout the year.

Residents have protected time Wednesday afternoons, from 1:00 p.m - 4:30 p.m. during their PGY-2 to 5.  Journal Club and Wellness Sessions occur monthly at noon, prior to academic day.

During PGY1, residents attend the summer teaching series.  Sessions include a number of introductory topics: History of Psychiatry, Diagnosis and Classification, Resources, Children & Youth in the ER, Adults in the ER, the Mental Health Act, etc. 

The focus in junior years is on small group teaching encompassing core topics in psychiatry including etiology, phenomenology, descriptive psychopathology, diagnosis and treatment of psychiatric disorders across the life cycle as well as interviewing and case formulation. 

Residents in their senior years PGY 4 and 5 are involved consolidating knowledge at an advanced level to prepare for the Royal College examination and to prepare to work as an independent psychiatrist.  Senior residents  prepare for their Royal College final examinations through practice long case examinations and PDMs (Phenomenology Diagnostic and Management Practice Stations).   

Senior Residents have the opportunity to attend Annual Review Courses in Psychiatry, and are relieved of clinical duties to attend.

Psychotherapy teaching includes theory of psychotherapy practice, research methodology and critical appraisal.  Residents gain proficiency in cognitive behaviour therapy (CBT), psychodynamic psychotherapy, interpersonal therapy (IPT), family, group and couple therapy.  Our program follows the Royal College Guideline requirements.

Emergency psychiatry rounds (weekly), Geriatric Rounds (bimonthly),  Journal Club reviews under the supervision of a staff psychiatrist (monthly), and Psychiatry Grand Rounds (weekly), supplement the core academic teaching.  Individual services have formal case based teaching and specialty specific literature reviews (weekly).

Practice STACERs or Diagnostic Interview examinations are integrated into every core rotation. The STACER examinations in the senior years are integrated into the rotations of the Senior Residency. Residents have multiple opportunities to meet the STACER requirement by the early PGY5 year leaving ample time to prepare for the written and oral Royal College Exams.

On-Call 

Staff psychiatrists supervise and support resident interaction with patients in the emergency department. On-call duties are shared among the junior and senior residents (buddy system for all calls) Residents provide coverage on weekends, and from 5:00 pm - 8:30 am on weekdays.  After hours call frequency is approximately 1 in 14.

Research Training Program 

The Department is dedicated to clinical research and provides residents with opportunities to be mentored by Faculty actively involved in research. The residents participate in ongoing research projects and are encouraged and mentored to initiate their own research projects.

The program has two formal streams. Each resident can choose which stream to pursue during their residency, and there is the possibility of switching streams if necessary.

Residents choosing the General Research Stream will be expected to participate in all aspects of research but do not have to do this as part of a single project or present or publish as first author. In PGY4, they will be expected to produce a manuscript or summary of projects to show they have met the research training requirements. With permission, residents in this stream can switch to the Intensive Research Stream during the first 2 years of their residency.

Residents choosing the Intensive Research Stream will be expected to participate in all aspects of research. They will be expected to be first author on a submitted manuscript and present at the departmental research day and a national or international conference. These residents will schedule research electives.

Guidance is available from departmental members for study design methodology and statistical analysis as well as preparing projects for publication in peer reviewed journals. 

The Clinician Investigator Program (CIP) is also available for Queen’s psychiatry residents. The CIP's mandate is to assist in the career development of clinician/investigators by providing a formalized postgraduate educational program that fulfills the existing clinical specialty training requirements of the Royal College, as well as a minimum of two years of structured rigorous research training. Up to one of the research years may also be credited to fulfill the individual's specialty requirements. It is preferred that the two years of research be sequential.

The Postgraduate Program Director is available for ongoing consultation and will meet with each resident regularly.  The Resident body meets with the Program Director monthly as a group to discuss their program and address any concerns that might relate to their training.

Detailed information regarding RCPSC Specialty Training Requirements can be found at: https://www.royalcollege.ca/rcsite/documents/ibd/psychiatry_str_e


Training Sites

Resources

Kingston Health Sciences Centre - Hotel Dieu Hospital and Kingston General Hospital sites are two acute care facilities that provide training opportunities for psychiatry residents in general adult psychiatry and child and youth psychiatry. Providence Care Hospital is a chronic care inpatient/outpatient training site which focuses on rehabilitation medicine as well as psychiatric rehabilitation, geriatric psychiatry, forensic psychiatry, personality disorders and mood disorders. A wide variety of experiences are available in both inpatient and outpatient psychiatry, consultation-liaison psychiatry, emergency/urgent care psychiatry, and specialty clinics for psychotic, anxiety, mood and eating disorders.

Community psychiatry training placements are available with Family Health Teams, at Queen's Student Health, and Community Mental Health Services in and around Kingston.


Summary of changes

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