Physical Medicine and Rehabilitation National Implementation of Competence by Design (CBD)
In July 2020, Competence by Design (CBD), the Royal College of Physicians and Surgeons’ implementation of Competency-Based Medical Education (CBME), was implemented in all Canadian Physical Medicine and Rehabilitation programs. Since July 1, 2017, Queen’s University has adopted a CBME model in all specialty programs, including PM&R.
Residency programs are broken down into four 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 coaching feedback and documentation of observations within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need.
Further information on CBD can be found on the Royal College of Physicians and Surgeons of Canada website at: CBD implementation
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.
Program application language: English
Program start date is July 1, 2022.
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:
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.
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.
Three letters of reference are required. All should be from physicians who you have worked with clinically. Referees should be able to attest to interest and proficiency in our specialty as well as comment on interpersonal skills. See Selection Criteria for more details.
Order from your Dean's office
Medical School TranscriptTranscripts 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)
Personal LetterPersonal letter outlining why you are applying to Physiatry. Please include personal strengths, weaknesses, career goals, and reason for interest in the field and in the Queen's program. Please do not exceed the maximum of 1000 word count for personal letters.
Custom Résumé / CV PhotoDocuments that are not in English must be accompanied by a notarized translation. Students applying in the last year of medical school will need to submit their most recent marks/transcripts, and will need to provide proof of their MD to CPSO prior to the start of residency training.
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
Dates:
We welcome diversity among our trainees, and seek to foster an environment that is welcoming to all, regardless of gender identity, race, religion, or sexual orientation.
Solid academic record which demonstrates special proficiency in those subjects related to the specialty.
Candidates should have a proven interest in physical medicine and rehabilitation.
Referees should be able to attest to interest and proficiency in the specialty as well as comment on exemplary interpersonal skills.
Candidates with an interest and proven experience in research, both in basic science and clinical research. Accomplishments, academic or otherwise during the period of medical school.
Excellent communication and interpersonal skills.
We are looking for applicants who embrace change and have a growth mindset, are passionate, resilient and receptive to feedback.
The program goal for residents, upon completion of the PM&R program at Queen’s University, is to:
be a competent specialist in PM&R (Physiatrist) capable of assuming a consultant’s role in the specialty. The resident must acquire a working knowledge of the specialty, including its foundations in the basic medical sciences and research. Residents must demonstrate the requisite knowledge, skills, and attitudes for effective patient-centred care to a diverse population. In all aspects of specialist practice, the resident must be able to address issues of gender, sexual orientation, age, culture, ethnicity and ethics in a professional manner. (Royal College of Physicians and Surgeons of Canada, 2011)
The resident must acquire a working knowledge of the specialty, including its foundations in the basic medical sciences and research. Residents must demonstrate the requisite knowledge, skills, and attitudes for effective patient-centred care to a diverse population. In all aspects of specialist practice, the resident must be able to address issues of gender, sexual orientation, age, culture, ethnicity and ethics in a professional manner. Other considerations are:
- a solid academic standing
- an interest in medical education and clinical medicine
- excellent communication skills
- demonstrates leadership skills
- research activities
Review team composition : 1 Program Director
3 faculty members
Average number of applications received by our program in the last five years : 0 - 50
Average percentage of applicants offered interviews : 51 - 75 %
File component | Criteria |
---|---|
CV | Provides a general overview of the candidate and their accomplishments |
Electives | Clerkship evaluations are required and will be reviewed. 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. |
Examinations | We do not evaluate this file component. |
Extra-curricular | Well rounded, contribution to the community, demonstrated ability to maintain work-life balance |
Leadership skills | Demonstrated leadership skills in academic and non-academic settings |
MSPRs | Academic performance and personal contributions during medical school |
Personal letters | Genuine interest in PM&R and the Queen's Program. Maximum 1000 word count. |
Reference documents | Professionalism, interpersonal skills, strong communication skills, advocacy, leadership and team work |
Research/Publications | Demonstrated interest, knowledge and experience in research during medical school. |
Transcripts | Academic performance during medical school |
2022 candidates: Due to COVID-19 pandemic electives in PM&R are not required.
Interview format :
We may accommodate requests to re-schedule interviews for applicants due to weather, technology failure, or unforeseen circumstances.
Interview components | Criteria |
---|---|
Collaboration skills | Able to work effectively with other health care professionals to provide safe, high-quality, patient care |
Collegiality | Ability to work with others in a respectful manner |
Communication skills | We use the interview as an opportunity to assess a candidate's verbal and non-verbal communication skills |
Health advocacy | Understanding of health advocacy |
Interest in the discipline | Applied knowledge and understanding of the discipline |
Interest in the program | Demonstrate interest in the PM&R program at Queen’s University |
Leadership skills | Evidence of leadership from the applicant's previous experiences |
Professionalism | Demonstrate professional behaviour during the interview and pre-interview process |
Scholarly activities | Interest and ability in performing scholarly work |
Quick Facts
Our program offers junior rehabilitation rotations in the Foundations of Discipline stage, and longer senior rehabilitation rotations in the Core of Discipline stage. Although not required by the Royal College, this spiral curriculum allows graduated progression of responsibilities, as well as spaced repetition to consolidate rehabilitation knowledge.
The program includes a particular focus on Clinical EMG training that provides the six month training requirement for EMG certification on completion of the program.
Academic Advising and longitudinal coaching is available during our residency training.
Funding is available to attend relevant national and international conferences ($10,000 during residency training)
Department funding for resident research project is available up to $6,000.
Collegial group of faculty and residents
New accessible hospital on Lake Ontario
Residents are provided the opportunity for at least a one-month community rehabilitation rotation in a small to medium sized community outside the academic medical centre.
Residents have first on call responsibilities Monday-Thursday each week with the exception to statutory holidays. The Medical On Call Group is first on call on Friday, Saturday and Sunday and on statutory holidays.
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 Queen’s University, Physical Medicine and Rehabilitation program is a fully accredited program, which meets the training requirements of the Royal College of Physicians and Surgeons of Canada. The program is structured with a mix of block and longitudinal components.
The Queens PM&R stages of training and rotations are as follows:
Transition to discipline+ 2 blocks |
Foundations of Discipline 19 blocks |
Core of Discipline 34 blocks |
Transition to practice 10 blocks |
Rehab Basics (2)
|
Internal Medicine - (4) (2 of Cardio, ID, Resp + 2 CTU) Geriatrics (1) Surgery (2) (2 of plastics, urology, vasc, nsx) Selective (2) Acquired Brain Injury (1) Spinal Cord Injury (1) Stroke (1) Musculoskeletal (2) Neurology (2) Rheumatology (1) Ortho (2) |
Acquired Brain Injury (3) Spinal Cord Injury (3) Stroke (3) Musculoskeletal (4) EMG (6) Pediatric Rehab-Ottawa (3) Cardiac and/or Respiratory Rehab (1) Prosthetics and Orthotics-Ottawa (1) Consolidation (4) Research (3) Electives (3) |
Junior attending Electives Further EMG training
Rec: Community Based on career plan
Other options: Research Extra training |
Longitudinal Rotations Neuromuscular Prosthetics and Orthotics |
Program Overview
The Physical Medicine and Rehabilitation Residency (PM&R) postgraduate training program is five years in length. Residents complete their first two blocks in Transition to Discipline, learning “Rehab Basics.” Foundations of Discipline (FD) is primarily off-service, but residents will have rotations in core PM&R areas as well. In Core of Discipline (CD), residents have the opportunity to revisit these core rotations as a senior resident. Going through the rotations twice allows for graduated responsibility and independence, and consolidation of knowledge from other off-service rotations such as Rheumatology, Neurology and Orthopedic Surgery.
During PM&R rotations, residents will participate in longitudinal rehabilitation clinics, such as Neuromuscular Rehabilitation and Prosthetics and Orthotics (P&O). Residents complete 3 blocks of Pediatric Rehabilitation and 1 block of P&O in Ottawa. Residents complete 6 blocks of EMG, which affords the opportunity to meet the CSCN (EMG) examination requirements.
The Transition to Practice (TP) stage allows residents to focus on career planning and preparation for independent practice. Residents in the TP stage are given opportunities to function as a junior attending, with enhanced responsibilities equivalent to those of a consultant in PM&R.
*Rotation order may vary due to scheduling conflicts and rotation availability
Funding is provided on an annual basis for education leave to attend conferences and courses. In addition, there is research funding available through the department.
Resources
Providence Care Hospital has a 60 bed rehabilitation unit in the rehabilitation/geriatric/complex care/mental health hospital setting. There are outpatient clinics, an EMG lab and a full complement of allied health care professionals. This new state of the art health care facility is the site of all inpatient and outpatient rehabilitation services since April 2017. This new site has significantly enhanced the clinical, education and research experiences of residents.
Kingston Health Sciences Centre-SITE: Hotel Dieu Hospital, Kingston–medicine, surgery, neurology and pediatric ambulatory clinics
Kingston Health Sciences Centre-SITE: Kingston General Hospital–acute-care inpatient services
University of Ottawa (Affiliation Agreements) for 3 blocks Pediatric Rehabilitation rotation at the Children’s Hospital of Eastern Ontario (CHEO) and 1 block of Prosthetics and Orthotics
Community Rehabilitation rotation– with the option of other sites at multiple locations across Ontario
All residents are provided with a Queen's email address, internet access and dedicated office space with a computer. On-site library facilities include a small departmental library containing print and medical resources and an excellent hospital library with knowledgeable staff. The Health Sciences Library on the Queen's University campus has additional resources.
As a smaller centre, here you are your name, not a student number. We treat each other with respect, dignity and work well together. We are here to help you grow into the Physiatrist you've dreamed of!
Kingston has many advantages with regards to quality of life, cost of living and ease of movement within the Health Sciences Centre.
Kingston is known for its many recreational opportunities including some of the best fresh water sailing in the world, wilderness parks, an active triathlon community, rowing, exceptional restaurants, an active theatre and music scene, to name a few. For those with a family, it is an ideal environment to raise children with many excellent schools. Past residents have found time to enjoy the richness of life outside of medicine that Kingston has to offer while completing their clinical training.
SUMMARY ID | Section | Summary of changes | Updated on | NOTIFY APPLICANTS | SECTION NAME | Actions |
---|