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Dalhousie University - Physical Medicine & Rehabilitation - Halifax

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

Last approved on December 07, 2021

Summary of changes

Approximate Quota:

 1 

Accreditation status : Accredited

Provincial Criteria


Dr. Anita Mountain
PM&R 
QEII HSC - NSRC Site  
1341 Summer Street
Halifax NS B3H 4K4 , Nova Scotia, B3H 4K4
(902) 473-3232
Dalhousie University

Program Contacts

Dr. Anita Mountain
Program Director
anita.mountain@nshealth.ca
(902) 473-3232

Alysha Nelson
Residency Education Coordinator
alysha.nelson@nshealth.ca
902-473-3232
902-473-3204 (Fax)


Important Information

There is one (1) PM&R residency position available for the 2022 CaRMS Match.

PM&R transitioned to a Competence by Design (CBD) curriculum nationally in 2020.

We recognize that the situation with changes in clerkship and ability to do electives due to Covid-19 may have led to decreased opportunities for elective experiences in PM&R and ability to obtain reference letters from PM&R preceptors. This will be considered during the selection process in a way that does not disadvantage otherwise suitable candidates.

We will be hosting 2 virtual information sessions on the Dalhousie PM&R program for interested applicants that will be conducted prior to January 31st, 2022 (the last day of the application period). These information sessions will provide an overview of our program, facilities and faculty as well as an opportunity to ask questions to the program director and current residents. Please contact Alysha Nelson – PM&R residency education coordinator for dates and details.

Our program values the importance of equity, diversity, and inclusion (EDI) as a goal in the selection process. 

To help inform and advance EDI in our selection process we are pleased to offer the option to submit the voluntary CaRMS Self Identification Questionnaire as part of an approved pilot offered in conjunction with CaRMS.  

Please see 'Supporting documents' and 'Selection criteria' sections below for further information. 


General Instructions

Program application language: English


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.
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)

 

You must be a Canadian citizen or permanent resident at the time of application.

Reference documents
Required
Number requested: 3

Three letters of reference are required and must be written by faculty or consultants who have worked directly with you and can attest to the applications knowledge, skills, professionalism and aptitudes. Please do not include more than three references.

Particularly important are references from clinicians or researchers with whom the applicant has worked. We recognize that given the changes related to COVID-19 that the candadites may not have the opportunity to provide a reference letter form a Physiatrist. Evidence of candidate's interest in the field through involvement with community agencies or elective experiences in the field of physical medicine and rehabilitation should be highlighted. Attention is paid to research experience in any field of medicine including physical medicine and rehabilitation.

Additional documents
Required
Medical School Transcript 

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

Medical Student Performance Record 

Order from your Dean's office.

Undergraduate Transcript (Bachelor's Degree) 

Our program requires your undergraduate transcript be submitted to CaRMS.

Personal Letter 
Word count
Minimum : None
Maximum : None

Submission of a personal letter is a required. The letter should be no more than 500 words in length. It should include (but not necessarily limited to) why you have chosen PM&R as your specialty, your strengths, attributes and areas for growth as well as your interest in the Dalhousie program.

Optional - will be reviewed
CaRMS self-identification questionnaire 

We invite candidates who have completed the voluntary CaRMS Self Identification questionnaire as part of their application to submit their responses to our program. This is a voluntary option for anyone who wishes to confidentially share their responses with us. All information received will be maintained as part of the application, which is handled with complete confidentiality. Any responses received will be used only to support our programs and Dalhousie’s equity, diversity, and inclusion goals. 

Candidates are not required to submit the CaRMS Self Identification questionnaire, but for those that do feel comfortable doing so the information received would only be used to advantage those who would contribute to the diversity of our community. 

Applicants have two options: 

Option 1: Upload a copy of the completed CaRMS self-identification questionnaire sent via e-mail. 

Option 2: Download the PDF version of the CaRMS self-identification questionnaire here: 

https://www.carms.ca/pdfs/CaRMS-self-identification-questionnaire.pdf 

Once completed, upload and assign the completed questionnaire to our program. 


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
A virtual interview using a multiple mini-interview format with the Program Director and other faculty and residents (selection committee) is a requirement for selection into this program.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
The Program Director's office will contact short-listed candidates. Interviews will be arranged on Feburary 28 & March 1, 2022. The formal interview is a multiple mini-interview format consisting of 15 minute stations with members of the selection committee. The interview day includes a formal presentation by the Program Director and Chief Resident and a virtual tour of the Nova Scotia Rehabilitation Centre. There will also be an informal opportunity to meet with current residents in lieu of an in-person social night.


Selection Criteria

Academic record.
The academic record of all applicants is reviewed by the selection committee and a strong academic record (pre-clinical and especially clinical) is highly rated. Attention is paid to candidates who have had exposure to fields of medicine or health care related to physical medicine and rehabilitation (i.e. sufficient to allow the candidate to be confident in their career choice).

Program goals

The Physical Medicine and Rehabilitation residency program at Dalhousie Univerity is looking for candidates who demonstrate academic excellence and strong skills in many diverse areas including leadership, advocacy, communication, professionalism and research. The successful candidate must be able to demonstrate the ability to collaborate and function well within a team environment and provide the highest quality of care to a diverse population with neuromusculoskeletal conditions and disabilities.

Our program and university values the importance of equity, diversity and inclusion in residency education, and acheiving a diverse and inclusive group of residents is a goal in our selection process.                                                                                                                                                                                                                                                                                                                                        

Selection process goals

The Physical Medicine and Rehabilitation Program at Dalhousie Univerisity strives to identify applicants with a documented interest and strong knowledge of the specialty of Physical Medicine and Rehabilitation.  Applicants must  have a strong academic record and research experience during their medical school and pre-medical school training.  It is vital that applicants have excellent communication skills and the ability to collaborate well with other health care practitioners as well as with families and patients.  Applicants must also demonstrate a high sense of responsibility and professionalism in past endevours.

Dalhousie is committed to fostering a collegial culture grounded in diversity and inclusiveness. The university encourages applications from Indigenous persons, persons with a disability, racialized persons, women, persons of a minority sexual orientation and/or gender identity, and all candidates who would contribute to the diversity of our community.  

Candidates are not required to submit the CaRMS Self Identification questionnaire, but for those that do feel comfortable doing so the information received would only be used to advantage those who would contribute to the diversity of our community. 

Any self-identification questionnaires received will be reviewed as part of our file review process and used as an aid for file reviewers in selecting a diverse group of candidates for interviews. Information received may also be used by the program to adjust final rankings, at the discretion of the selection committee, to address issues of program priority and diversity. 

File review process

Review team composition : Our review team is composed of the Program Director, Chief Resident, Program Administrator and designated members of our Residency Program Committee.

Average number of applications received by our program in the last five years : 0 - 50

Average percentage of applicants offered interviews : 76 - 100 %

Evaluation criteria :
File component Criteria
CV Optional: If submitted the content is reviewed.
Electives Clinical or research electives, particularly in PM&R and associated disciplines.
Examinations We do not evaluate this file component.
Extra-curricular Volunteer experience and mentoring, particularly in areas related to PM&R.
Leadership skills Demostrated leadership skills in academic and non-academic settings.
MSPRs Academic performance, qualitative comments and interpersonal interactions.
Personal letters Interest in discipline and program.
Reference documents Professionalism, interpersonal skills, advocacy, leadership and ability to work in team enviroment.
Research/Publications Interest, knowledge and experience in research/scholarly activity.
Transcripts Academic performance.

Elective criteria

We are looking for and rewarding applicants who have completed a broad range of electives including in our discipline.

For the 2022 Match we do recognize that due to COVID-19 many elective opportunities were not possible or cancelled, this will be taken into account when making decisions.

Interview process

Interview format :



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

Interview evaluation criteria :
Interview components Criteria
Collaboration skills The ability to work collaboratly with physicians, patients, families and other health care professionals.
Collegiality The ability to work in a collaborative and respectful manner.
Communication skills The ability to communicate clearly, effectively and establish rapport.
Health advocacy Examples and understanding of health advocacy.
Interest in the discipline Applied knowledge and understanding of the discipline.
Interest in the program Demostrates knowledge of and interest in Dalhousie University PM&R Program.
Leadership skills Demonstration of leadership skills in medicine and other areas.
Professionalism Demonstration of professional behavior during interview process and in previous interactions.
Scholarly activities Examples and quality of past scholarly activities.

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

Quick Facts:

There are opportunities for 3-month interprovincial or international elective experiences during our residency program. Each rotation will be considered on a case-by-case basis.

There are currently 12 teaching faculty and 7 residents.

The main training site is the QEII Health Sciences Centre, Nova Scotia Rehabilitation and Arthritis Centre site in Halifax, NS. We have an additional training site in New Brunswick at the Stan Cassidy Centre for Rehabilitation in Fredericton NB. There are also opportunities for training in Moncton, Saint John and Charlottetown and in community rehabilitation locations. The Nova Scotia Rehabilitation and Arthritis centre is the only tertiary rehabilitation centre in Nova Scotia and thus provides care for the most complex tertiary rehabilitation in the province. Pediatric rehabilitation is at the IWK Health Centre which is the tertiary children’s hospital for the Maritimes, and the Stan Cassidy Centre for Rehabilitation. Residents are expected to spend on average 10 percent of their residency training outside of the main Halifax site.

The Nova Scotia Rehabilitation and Arthritis Centre is a 66-bed stand-alone inpatient rehabilitation centre which is located adjacent to the QEII Health Sciences centre’s acute care sites. Each inpatient floor is staffed with a hospitalist or clinical assistant in addition to the consulting Physiatrist. The clinical load per resident is up to 10-12 inpatients, plus an average of 2 outpatient clinics per week while on an inpatient service.

We have four major programs of care: Acquired Brain Injury, Neuro (including spinal cord medicine, peripheral nerve and neuromuscular patient populations), Musculoskeletal (including patient’s with amputations) and Assistive Technology. Each program has a full and comprehensive interprofessional team with inpatient and ambulatory care services.


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.

The length of the residency program is designed as 5 years.

The program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.

As of July 2020, PM&R has transitioned to a Competency by Design curriculum.

Transition to Discipline

This stage will be a 3-block rotation on physical medicine and rehabilitation focusing on establishing a solid base in performing, presenting and documenting assessments that are physiatry-based.

Foundations of Discipline

This stage will be planned as 14-blocks in length including rotations on the Medical Teaching Unit (3), Geriatrics (2), Infectious Diseases (1), Neurosurgery (1), Psychiatry (1), Rheumatology (2), Orthopedic Surgery (2) and Neurology (2). The goal of this stage is to gain competency in the initial management, investigations and treatment (including common procedures) of common, urgent and emergent medical and surgical issues as well as post-surgical complications and restrictions.

Core of Discipline

This stage will be planned as 32-blocks in length. During this stage the resident will gain competency in the assessment, investigation, treatment (including performing relevant procedures) communication, collaboration, leadership and advocacy skills required for the management of all complex rehabilitation patient populations and team-based interactions. This stage will include rotations in such areas as stroke and acquired brain injury rehabilitation, spinal cord medicine, neuromuscular rehabilitation and EMG, musculoskeletal medicine, rehabilitation of persons with amputations and pediatric rehabilitation. There will be opportunity to do elective rotations specific to a resident’s interests. There is an expectation to conduct a scholarly project (clinical research or quality/patient safety project) during this stage with completion by the end of the Transition to Practice stage.

Transition to Practice

This stage will be planned as 11-blocks in length. During this stage the resident will gain competency in the independent management of all physiatry patients while demonstrating well developed leadership, communication and advocacy skills. This stage will also focus on development and implementation of plan for life-long learning and continuous professional development.

Scholary Project

Residents are required to complete a research project over the 5 years of training, to the point of presentation at a national or international meeting (e.g. Canadian Association of Physical Medicine and Rehabilitation or American Academy of PM & R). The Director of Research advises residents during all stages of their research project.

Current and past residents in the program have won national and international resident research awards. Research is facilitated by faculty researchers within the Division of Physical Medicine and Rehabilitation and cross-appointed faculty from the Faculty of Health and Department of Psychology and Neuroscience. The Department of Medicine's resident travel policy is generous and funds accommodation and travel expenses for residents presenting their research and in addition funds one research/educational conference per year to a maximum of two conferences per year.

Seminars

There is a well-organized academic half-day program consisting of seminars and didactic sessions. The weekly academic half-day includes seminars covering major areas of the discipline on a two-and-a-half-year rotation; grand rounds; ward teaching rounds; rehabilitation updates (presented by faculty in areas of interest), journal clubs, electrodiagnostic teaching rounds and quality management/bioethics rounds. The academic half-day is protected time and all residents, are excused from clinical duties during that time.



Evaluation of Trainees

Evaluation of progress within a stage and for promotion to next stage of training is provided to the residency program committee by the competence committee. In making this determination the competence committee reviews all information available to them including progress towards EPA completion, in-training evaluation reports and mid-term and year-end formal examinations (OSCE and written) in accordance with the current Royal College format. The training program is evaluated on an ongoing basis by the Residency Program Committee and includes confidential resident evaluations of teaching services. Residents in Core of Discipline stage are sponsored by the program to write the American Academy of Self-Assessment Examination annually.



Curriculum

The program in Physical Medicine and Rehabilitation received full accreditation by the Royal College of Physicians and Surgeons of Canada in 2018.

The main training site is the QEII Health Sciences Centre, Nova Scotia Rehabilitation and Arthritis Centre site in Halifax, NS. We have an additional training site in New Brunswick at the Stan Cassidy Centre for Rehabilitation in Fredericton NB. There are also opportunities for training in Moncton, Saint John and Charlottetown and in community rehabilitation locations. Residents are expected to spend on average 10 percent of their residency training outside of the main Halifax site. We have four major programs of care: Acquired Brain Injury, Neuro (including spinal cord medicine, peripheral nerve and neuromuscular patient populations), Musculoskeletal (including patient’s with amputations) and Assistive Technology. Each program has a full and comprehensive interprofessional team with inpatient and ambulatory care services.

The program offers training opportunities in all areas of special interest in the discipline, either as part of the core training experience or electively. Residents participate in interdisciplinary tertiary care clinics for spinal cord injury, stroke, traumatic brain injury, musculoskeletal trauma, multiple sclerosis, neuromuscular diseases, spasticity management, and persons with amputations. Secondary care physiatry clinics in regional musculoskeletal pain syndromes and their management are also available, as well as, experience in sports medicine. Electrodiagnostic training occurs at the Halifax Infirmary site under the supervision of Physiatrists and Neurologists with a comprehensive educational program including regular teaching rounds. The Nova Scotia Rehabilitation and Arthritis Centre also houses an active orthotics and prosthetics department that provides in-house fabrication of orthoses and prosthetics.

Currently (2020-2021), all mandatory rehabilitation training is available at Dalhousie. Pediatric Rehabilitation training is conjointly at the Stan Cassidy Rehabilitation Centre in Fredericton, New Brunswick and the IWK in Halifax.




Training Sites

- Nova Scotia Rehabilitation Centre Site, Queen Elizabeth II Health Sciences Centre, Halifax, NS

- Victoria General Hospital Site, Queen Elizabeth II Health Sciences Centre, Halifax, NS

- Halifax Infirmary, Queen Elizabeth II Health Sciences Centre, Halifax, NS

- IWK Health Centre, Halifax, NS

- Stan Cassidy Rehabilitation Centre, Fredericton, NB

 

NOTE: All residency programs are required to have 10% of their residency training outside of Halifax Regional Municipality as stipulated in the most recent Academic Funding Plan set out by the Department of Health and Wellness. Please be aware that if matched to Halifax, as part of your training you may be expected to complete rotations outside central zone but within the maritime provinces.


Additional Information

We will review any other items (e.g., research publications) you would like to submit as long as the length does not exceed 5 pages.


Summary of changes

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