Institution-wide CBME Implementation within the Postgraduate Medical Education at Queen’s University
Queen’s University received approval to adopt a Competency-based Medical Education model in all specialty programs, effective July 1, 2017.
Residents attending Queen’s University in July 2017 and beyond 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 Entrustable Professional Activities (EPAs) based on required competencies. These EPAs will create more targeted learning outcomes and will involve more frequent, formative assessments within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need.
The changes at Queen’s University are intended to align with the Royal College of Physicians and Surgeons’ broader, national Competence by Design initiative to introduce CBME in all faculties and all disciplines. This program at Queen’s University simply adopts CBME on an advanced timeline. However, as each specialty and subspecialty adopts CBD nationally, Queen’s will make any necessary adjustments in order to fully align and comply with CBD.
Further information on CBD can be found on the Royal College of Physicians and Surgeons of Canada website at: CBD implementation
Electives: We recognize that the COVID-19 pandemic has impacted candidates’ abilities to travel and opportunities to arrange and complete electives. We would like to reassure you that a lack of elective activity this year will not negatively impact your application to our program.
Equity and diversity: The Queen's Internal Medicine residency program welcomes diversity among its trainees and seeks to foster an environment that is welcoming to all, regardless of gender identity, race, religion, or sexual orientation.
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
Please follow all CaRMS application guidelines and deadlines. Documents submitted after the deadline will not be considered. Refer to Supporting Documents for specifics on the required documentation.
Key requirements for applications:
Items we neither require nor want:
A note to First Nation, Inuit and/or Métis applicants: At the present time, CaRMS does not have a self-identification process for First Nation, Inuit and/or Métis applicants. The Queen's Department of Medicine is committed to the Truth and Reconciliation Commission’s Calls to Action on Health. For this reason, we encourage First Nation, Inuit and/or Métis applicants to our residency program to self-identify in their personal letter. Our goal is to mitigate systemic biases by recognizing and valuing the unique contributions of those who self-identify as indigenous. If you choose to self-identify, please indicate this clearly at the top of your personal letter. For those applicants who choose to self-identify in their personal letter, you will be given an opportunity to provide additional detail in the personal letter (see instructions below, under the 'Supporting Documentation' heading) and we will ensure that interviews are conducted by at least one member who identifies as indigenous.
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 require 3 letters of reference as part of the application. Additional reference letters will not be considered so please only submit 3 letters of reference. All of these letters should come from faculty members who can comment on your clinical abilities, interpersonal skills, and attest to your ability as a prospective resident. They do not need to come from internists.
A current personalized CV is required. The CV should not include any photographs.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 candidateMedical Student Performance Record
This must be ordered from your Dean's office.
A personal letter is required. Word count should not exceed 750 words. Candidates should describe their experiences, achievements, and strengths that are relevant to internal medicine training. It is important to describe why the Queen’s Internal Medicine program is an excellent fit for your career goals.
For indigenous applicants who choose to participate in the Indigenous process as described in the 'General Information' section: Please indicate this at the top of your personal letter. This first sentence (self-identification) does not count toward your word count for the personal letter. If you self-identify as indigenous at the top of your personal letter, you have the option to include an additional 250 words to address the following prompt: Describe how your identity has impacted your vision for your career in medicine.Photo
Documents 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
We review all applicants based on the submitted package. Applications are reviewed by faculty members with involvement in and experience related to the internal medicine program. Applications are assessed using a standardized process. Applicants that are felt to be competitive for admission to the program will be offered an interview. We will contact applicants who are selected for an interview. Interview details and the process for booking an interview will be explained at the time of the interview offer.
Vision for the Queen’s Faculty of Health Sciences
“Ask questions, seek answers, advance care, and inspire change”
Vision for the Queen’s University School of Medicine
“Advance the science and practice of medicine to benefit the health and well-being of the population. We do this through excellence in education, care, and research.”
Goals for the Queen’s University Core Internal Medicine Training Program:
We aim to train graduates who:
We aim to maintain a training program that consistently meets the Specialty Specific Standards of Accreditation for Internal Medicine as outlined by the Royal College of Physicians and Surgeons of Canada.
Our goal is to admit a diverse class of residents to our program who collectively bring a wide range of experiences and interests. We believe that success in residency training requires a strong connection and engagement with your program and colleagues; as such, we look for students with a demonstrable interest in Queen's Internal Medicine (QIM) and Kingston. We look for residents who have a passion for learning and bring a growth mindset. And of course, outstanding performance during medical school is essential. Furthermore, we aim to select candidates with strong communication skills, exemplary professional attributes, and those who posess excellent team skills.
Most importantly, we want to recruit residents of all backgrounds and provide a welcoming community where all residents know they belong.
Review team composition : Our file review team includes senior residents and faculty members. Each application is reviewed by one resident and one faculty member.
Average number of applications received by our program in the last five years : 401 - 600
Average percentage of applicants offered interviews : 26 - 50 %
|CV||Organized and professional presentation of yourself.|
|Electives||Evidence of an interest in Internal Medicine.|
|Examinations||We do not evaluate this file component.|
|Extra-curricular||Evidence of regular activities supporting mental and/or physical well-being.|
|Leadership skills||Evidence of meaningful leadership activities as part of and/or beyond medical school.|
|MSPRs||Academic performance and personal contributions during medical school.|
|Personal letters||Clear, concise, well-formulated articulation of how QIM aligns with (1) your career goals; (2) personal characteristics; (3) desired community of learning.|
|Reference documents||Successful and meaningful participation in clinical activities in Internal Medicine and related subspecialties.|
|Research/Publications||Evidence of meaningful research contribution during medical school (not required). Research should be documented in the CV; do not upload copies of publications.|
|Transcripts||Academic performance during medical school.|
|Other file component(s)||Publications are not required but viewed as supplemental. Please do NOT submit publications as additional documents. If you have them, list them on your CV and in the appropriate section of the CaRMS application.|
Interview format :
We routinely accommodate requests to re-schedule interviews for applicants.
|Collaboration skills||Evidence of enthusiasm for teamwork and collaboration in a clinical setting.|
|Collegiality||Evidence that the applicant gets along and supports colleagues as well as the ability to discuss personal experiences.|
|Communication skills||Evidence of excellent verbal and non-verbal communication skills, able to convey thoughts succinctly.|
|Health advocacy||Evidence of commitment to supporting the unique needs of disadvantaged patients.|
|Interest in the discipline||Demonstrable interest in Internal Medicine.|
|Interest in the program||Demonstrable interest in the Queen's Internal Medicine residency program.|
|Leadership skills||Evidence of meaningful leadership experience and/or skills in a medical setting.|
|Professionalism||Evidence of professionalism in all interpersonal interactions and behaviours.|
|Scholarly activities||Achievements in scholarly activities are viewed as an asset, not a requirement.|
Overall Program Highlights
Queen's Internal Medicine is dedicated to providing residents the opportunity to engage in significant research.
Residents in our program are very engaged in teaching - both formally through the Medical School, and informally through leading teaching events within our program. Additionally, residents have the opportunity to obtain more advanced training through The Essentials of Clinical Teaching course.
This residency program is for 3 years.
Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.
The Queen's University Department of Medicine delivers a highly respected, competency-based program in a close-knit, and highly supportive community of clinicians. One of the QIM strengths is our ability to provide personalized feedback and graduated responsibility. This focus on learning creates a well-supported and very hands-on learning experience for residents.
Building on this, the program goals are to graduate residents who:
To deliver on these goals, each resident is assigned an Academic Advisor. The advisors' role is to help residents set goals, synthesize feedback, and develop their own individualized learning plan. These learning plans align with the Competency by Design framework that was introduced in July 2017. Through this personalized approach, the program is able to graduate superb residents who excel in fellowship.
Our ward rotations include the Internal Medicine teaching units (including our medicine-run level 2 ICU). Cardiology and Hematology wards, CCU, and ICU. Subspecialty education is focused on the ambulatory and consult setting, with rotations available in Allergy & Immunology, Cardiology, Dermatology, Endocrinology, Gastroenterology, General Internal Medicine, Geriatrics, Hematology, Infectious Diseases, Medical Oncology, Nephrology, Neurology, Palliative Care, Respirology and Rheumatology. In addition, a month of Community Internal Medicine and a research block are mandatory.
The academic curriculum is delivered through a variety of approaches including weekly protected half-day, noon conferences, evening journal clubs (hosted by the program at local restaurants/venues). Residents also attend subspecialty rounds, Departmental Grand Rounds, and Morbidity and Mortality Conference. Our curriculum covers the content required for the Royal College Exam as well as all the other areas fundamental to developing into a leading clinician, researcher, and medical teacher.
Description of Clinical Training Experiences (typical)
Transition to Discipline and Foundations of Discipline stages (PGY-1 year)
Core of Discipline (PGY-2 and PGY-3)
Queen's also offers subspecialty training in most subspecialties (Cardiology, Endocrinology, Gastroenterology, General Internal Medicine, Hematology, Medical Oncology, Nephrology, Palliative Care, Respirology, and Rheumatology)
The three affiliated hospitals work closely to provide rotations in all areas of internal medicine. Kingston General Hospital is a tertiary care referral teaching hospital with a regional trauma unit, dialysis and kidney transplant programs, open heart, thoracic and neurosurgical services, and the full range of internal medicine and its subspecialties. Hotel Dieu Hospital is a tertiary care hospital with ambulatory clinics in all the medical subspecialties. Providence Care Hospital provides geriatric, palliative, psychiatry, and rehabilitation care.
Please refer to our website for the answers to some frequently asked questions.
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