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Queen’s University - Internal Medicine - Kingston

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

Last approved on January 19, 2022

Summary of changes

Approximate Quota:

 15 

Accreditation status : Accredited

Provincial Criteria


Dr. Stephen Gauthier
Department of Medicine 
Etherington Hall, Room 3033 
94 Stuart Street
Kingston, Ontario, K7L 3N6
(613) 533-2623
Internal Medicine at Queen's University
Queen's PGME

Program Contacts

Stephen Gauthier
Program Director

Geneviève Bureau
Program Manager
improg@queensu.ca


Important Information

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.


General Instructions

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:

  • Completed CaRMS Application
  • Personal Statement
  • Personal CV
  • 3 Letters of Reference
  • Medical School Progress Report (MSPR)
  • Proof of Medical Diploma (MD)
  • Other items relevant later in the process (e.g., photo, proof of citizenship/residence)

Items we neither require nor want:

  • CTU assessments
  • PDFs of publications
  • PDFs of certificates/diplomas/degrees

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. 


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:
• 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)
• Canadian Birth Certificate or Act of Birth

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

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.

 

 

 

Additional documents
Required
Custom Résumé / CV 

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 candidate

Medical Student Performance Record 

This must be ordered from your Dean's office.

 

Personal Letter 
Word count
Minimum : None
Maximum : None

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 
[Note: Photograph is used as memory aid only]

Conditionally required
Medical School Diploma 

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.


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


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.


Interviews

Dates:

  • March 3, 2022
  • March 4, 2022
  • March 7, 2022
  • March 8, 2022
Virtual interviews will be held on the days indicated above.

Notification of virtual interviews will be sent out on Friday, February 18th, 2022, at 12 noon EST.

Candidates will have access to the online booking system on Tuesday, February 22nd, 2022, at noon EST.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
All interviews will be conducted virtually. Candidates will be interviewed by both a faculty member and a senior resident. In addition to the interview itself, candidates will be scheduled to attend a small-group information session on the same day. 

We will organize a number of virtual town-hall events for applicants to learn more about our program prior to the interview period. The program director and chief residents will be available to provide information and answer questions. These sessions will be organized from November 2021 to February 2022. Further details will be released on our website under the CaRMS Information section and on the CANPREPP National Web Calendar of Events.

 


Selection Criteria

Program goals

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:

  • Provide exceptional clinical care across diverse clinical settings
  • Respond to the needs of their patients, communities, and society as a whole
  • Have the foundation necessary to enter fellowship training in any of the medical subspecialties
  • Have had the opportunity to engage in significant research and lay the foundation for a program of scholarship
  • Advance the practice and science of healthcare through medical education, public health, professional advocacy, and healthcare administration

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.

Selection process goals

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.

File review process

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 %

Evaluation criteria :
File component Criteria
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.

Elective criteria

We are looking for applicants who have done electives in specialties/subspecialties of internal medicine. We also expect applicants will have electives in other areas.
We do not require applicants to have done onsite electives.

Interview process

Interview format :



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

Interview evaluation criteria :
Interview components Criteria
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.

Information gathered outside of CaRMS application

We do not consider any information gathered outside of the CaRMS application and local interview processes.

Ranking process

The behavior(s) exhibited below during the interview process may prevent an applicant from being ranked by our program :
   
   
   


Program Highlights

Overall Program Highlights

  • Recognized as the top Postgraduate Training Program in Ontario by PARO in 2018
  • Learner-centered with a well-supported and resident-led wellness program
  • Excellent mentorship and career advisement
  • Strong experience with and leadership in Competency-Based Medical Education (CBME)
  • Great waterfront and family-friendly city

Resident Wellness

  • Resident wellness committee with program funding for special events and initiatives
  • Fall 1-day retreat to connect residents
  • Annual winter 2-day retreat
  • Regular resident social events (e.g., climbing, kayaking, cooking, holiday dinner, etc)
  • Excellent support services for residents facing stressors and personal challenges

Clinical Services:

  • 5 CTUs provide training in the management of inpatient medicine
  • Medical Short Stay team (CTU-E)
  • Stepdown ICU for critically ill patients run by Medicine
  • Hospitalist Service to divert ALC patients from teaching services
  • PGY3 Night Float for acute medicine call
  • Continuity Clinic for PGY-2 and PGY-3 Residents
  • Competency-based educational curriculum

Research Opportunities:

Queen's Internal Medicine is dedicated to providing residents the opportunity to engage in significant research.

  • Mentorship by leading researchers
  • Maximum protected research time (up to three blocks over three years)
  • Research training workshops (grant writing and scientific writing)
  • Annual Resident Research Day
  • Regular journal club events organized by residents and supported by faculty and the program

Teaching:

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.


Program Curriculum

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:

  • Provide exceptional clinical care
  • Respond to the health needs of their patients and communities
  • Enter fellowship fully prepared--across the full breadth of medicine subspecialties
  • Are capable of engaging in significant scholarship
  • Lead in the health care administration and medical education

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.

Academic Curriculum

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)

  • Clinical Teaching Units/General Medicine (4 blocks)
  • Cardiology
  • ICU
  • Elective (1 block)
  • Palliative Care Medicine
  • Emergency Medicine
  • Research/Selective
  • Subspecialty rotations

Core of Discipline (PGY-2 and PGY-3)

PGY-2

  • ICU (2 blocks)
  • Clinical Teaching Units/General Medicine (3-4 blocks)
  • Cardiac Care Unit/Cardiac Sciences Unit (1 block)
  • Electives (1 block)
  • Research/Selective
  • Subspecialty rotations

PGY-3

  • Clinical Teaching Unit/General Medicine (3-4 blocks)
  • Night float
  • Elective (1 block)
  • Research/Selective
  • Subspecialty rotations

Beyond

Queen's also offers subspecialty training in most subspecialties (Cardiology, Endocrinology, Gastroenterology, General Internal Medicine, Hematology, Medical Oncology, Nephrology, Palliative Care, Respirology, and Rheumatology)


Training Sites

  • Kingston General Hospital
  • Hotel Dieu Hospital
  • Providence Care Hospital

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.


FAQ

Please refer to our website for the answers to some frequently asked questions.


Summary of changes

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