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University of Manitoba - Adult Rheumatology - Winnipeg

2022 Medicine Subspecialty Match - first iteration
Competitive Stream for All

Last approved on July 20, 2021

Summary of changes

Approximate Quota:

 2 

Accreditation status : Accredited

Provincial Criteria


Dr. Ramandip Singh
Section of Rheumatology 
Health Sciences Centre  
GC338 - 820 Sherbrook St.
Winnipeg, Manitoba, R3A 1R9
(204) 787-1103
Subspecialty Training Program - Rheumatology

Program Contacts

MARIE FIELD
Program Administrator
mfield@hsc.mb.ca
(204) 787-2290 

Dr. Carol Hitchon
Research Director, Rheumatology Residency Program
carol.hitchon@umanitoba.ca
204-787-1851


Important Information

 

Applying competency-based practices to residency education

Our Rheumatology program involves competency-based training. 

To contribute to the success of Canadian physicians and the delivery of high-quality patient care, the Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competency-based medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative, called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process. 

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 milestones based on required competencies. These milestones will 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.

All programs implementing CBD will continue to undergo the same rigorous accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees in both CBD and traditional programs will include the completion of a Royal College examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones and the Royal College examination must be successfully completed to achieve certification.  

For more information, please contact cbd@royalcollege.ca.

Orientation for all incoming residents

Please be advised that the 2022 PGME New Resident Orientation Day is scheduled for Wednesday, June 29, 2022.

This Orientation is mandatory for all incoming residents.

Website- https://wiki.umintmed.ca/index.php?title=Rheumatology_Subspecialty_Education_Program


Return of Service

Please provide your Return of Service Contract at the time of application.


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.
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)
Language proficiency
Required
Submit one of the following documents to verify your language proficiency:
• IELTS

Language Proficiency
English is the language of study at the Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba. All applicants whose first language is not English must submit proof of English language proficiency to CaRMS by the file review opening date.

CMG/USMG

  • If you graduated from an English medical school in Canada or the US, you are exempt from providing proof of language proficiency.

Candidates who attended medical school in Canada or the United States where the language of instruction or the primary language of patient care was not English, must fulfill the English Language Proficiency requirements.

IMG’s

  • IMG applicants must fulfill the English Language Proficiency requirements.

 Candidates are exempted from English language proficiency testing under the following circumstances:

  1. the language of instruction and patient care throughout the entire undergraduate medical education curriculum or prior Postgraduate training was in English. A letter of attestation mailed directly from the Dean of the candidate’s medical school confirming that the majority of the language of instruction and patient care was conducted in English is required.
  2. their undergraduate medical education was taken in English in one of the countries that have English as a first and native language (see list below)

All other candidates must have taken the Academic Version of International English Language Testing System (IELTS) with a minimum score of 7 in each component with an overall band score of no less than 7in the same sitting.  IELTS scores will be considered valid for 2 years from the date taken.:

List of countries that have English as a first and native language - Countries: Australia, Bahamas, Bermuda, British Virgin Islands, Canada, Ireland, New Zealand, Singapore, South Africa, United Kingdom, United States of America, US Virgin Islands - Caribbean Islands: Anguilla, Antigua and Barbuda, Barbados, Dominica, Grenada, Grenadines, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent, Trinidad and Tobago

Please note the following:

  • Photocopies are acceptable.
  • Language Proficiency Attestations will not be accepted from the candidate or a third party.
  • Language Proficiency results will not be accepted by fax or e-mail.
Reference documents
Required
Number requested: 2
Number requested: 1

Note:

This means a total of 3 Reference Letters:  one from Current PD, and 2 others.

 

 

Note:

If the applicant has done an elective within the Department of Internal Medicine at the University of Manitoba, the local supervisor must provide a letter of reference.

Additional documents
Required
Undergraduate Transcript (Bachelor's Degree) 

Medical School Diploma 

Medical School Transcript 

Medical School Transcript is required.

Personal Letter 
Word count
Minimum : None
Maximum : None

This should clearly indicate the applicant's reasons for applying, what he / she  feels they can bring to the program, as well as program and career expectations.  Activities, skills and characteristics that may relate to “Selection Process Goals” are evaluated. If there have been gaps in training, the applicant should explain them. At least one reference letter must be from the core IM Program Director. If the applicant has engaged in remediation for any rotations in Core IM, he/she must indicate this.  If there are gaps in training, the applicant is expected to indicate this.  500 words maximum.

Custom Résumé / CV 

CV – Aside from what is written within the body of the CaRMS document, the applicant must include a formal Curriculum Vitae (CV) at the end of the CaRMS package. There will be overlap of information recorded in the CV and in the body of the larger CARMS document.   Both the CV and the main CaRMS document should include all professional and personal activities that reflect the qualities outlined in “Selection Process Goals”.  The CV and the main CaRMS document should indicate which activities were/are voluntary versus reimbursed/salaried.  If the activity contributed to the applicant’s growth as a physician and as a person, he/she should indicate in what way.  The CV should describe any activities in academic areas including research, education, administration, advocacy and leadership.  The Section below entitled “Research/Publications” provides guidance regarding how the publications within the CV should be described.

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

A photo is required with your application.

MCCQE Part I - Statement of Results 

USMLE Transcript 

Applicants who have graduated from a medical school outside of Canada or the USA (including VISA applicants) must have passed one of the following

  1. USMLE 1 and 2

USMLE - Step 1 

USMLE - Step 2 - Clinical Knowledge (CK) 

USMLE - Step 2 - Clinical Skills (CS) 

USMLE - Step 3 

Name Change 


Review Process

Applications submitted after file review has opened on August 25, 2021


Supporting documents that arrive after file review has opened  on  August 25, 2021



Interviews

Dates:

  • September 27, 2021

Date of Interview: MONDAY, SEPTEMBER 27, 2021.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
The interview process will take place virtually and will generally last for the better part of a day. A detailed agenda will be forwarded to the applicant in advance of the interview date. A number of 30-minute interviews will be scheduled with members of the Rheumatology Training Program Committee. During the day, interviews will be arranged with one or two External Program Directors or physicians and will include structured questions. The candidate will be given an opportunity to ask questions about our program when meeting with the members of the Rheumatology Training Program Committee.


Selection Criteria

The Section of Rheumatology at the University of Manitoba is committed to a fair, equitable, and transparent application process. We maintain the right to choose the applicants we feel are the best candidates for our residency training program.

Our selection processes are outlined below.

Program goals

Mission: We educate the next generation of Rheumatologists who will sustain and promote the health of those we serve through the provision of the highest quality of clinical care, research, innovation and communication.  

 

Goals (not necessarily in order of priority):

  1. To train physicians who will practice in academic and non-academic settings.
  2. To train physicians who practice holistic care and who embody excellence in all the CANMEDS roles.
  3. To meet the needs of the people we serve, and the academic needs of those we choose to admit to our programs. 
  4. To maintain and nurture excellence within our training program.

Objectives (not necessarily in order of priority):

  • To develop Rheumatologists who excel as scholars, communicators, leaders, health advocates, collaborators and professionals.
  • To support and mentor our trainees.
  • To foster lifelong learning.

Selection process goals

Our program values the following candidate attributes:

  1. Excellence in the performance of all the CANMEDS roles in all the areas of practice in Internal Medicine, including General  Internal Medicine.
  2. Evidence of activities, whether in one’s personal and/or professional life, that contribute to the well-being of others, and that reflect drive/motivation; skills in leadership, administration, education and communication; innovation; problem-solving and resiliency.

File review process

Review team composition : At various stages of the ranking process, the file may be reviewed by the following: the Program Director, Section Members, members of the Department PGME Committee, administrative personnel and selected physicians appointed by the PGME Chair.

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

Average percentage of applicants offered interviews : 26 - 50 %

Evaluation criteria :
File component Criteria
CV Professional/personal activities that reflect qualities outlined in "Selection Process Goals"
Electives Electives are evaluated in terms of how they relate to the above described "Selection Process Goals"
Examinations We require MCCQE I scores. We also require information regarding whether the MCCQE II has ever been written, and if so, what the scores were for any time the exam was written. If the candidate is from a US institution, we require their USMLE Step 1 and Step 2 scores.
Extra-curricular Activities, skills and characteristics that may relate to “Selection Process Goals"
Leadership skills Activities, skills and characteristics that may relate to “Selection Process Goals” are evaluated.
MSPRs We do not evaluate this file component.
Personal letters Activities, skills and characteristics that may relate to “Selection Process Goals” are evaluated.
Reference documents Activities, skills and characteristics that may relate to “Selection Process Goals".
Research/Publications Peer reviewed publications, presentations, monographs, studies, awards, current work are evaluated.
Transcripts Academic excellence, range of interest and study, duration and continuity/gaps are evaluated.

Interview process

Interview format :



We may accommodate requests to re-schedule interviews for applicants due to weather, technology failure, or unforeseen circumstances.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Demonstrates understanding of and engagement in successful teamwork.
Collegiality Evidence of respect for others within and between teams/groups.
Communication skills Ability to speak fluently and clearly in English. Ability to express complex ideas clearly/succinctly
Health advocacy Demonstrated skills in health advocacy.
Interest in the discipline Interest in sub-specialty and Internal Medicine holistic care.
Interest in the program Demonstrated interest in and knowledge of the Manitoba training program.
Leadership skills Experience, success, and learning from failure, through leadership in professional / personal life.
Professionalism Demonstration of professional behaviors and ethics.
Scholarly activities Demonstrated depth of understanding of his/her academic & clinical work.
Other interview component(s) Evidence of compassion in the provision of care.
If the candidate has ever been the subject of a complaint from a patient, another health care worker, or other source in their professional life, the candidate should be prepared to discuss the circumstances in the interview. This includes complaints submitted to undergraduate or postgraduate offices or departments, through evaluations and mechanisms such as "Speak Up" which is available at the University of Manitoba.

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

The Program

The Adult Rheumatology Training Program at the University of Manitoba offers exceptional clinical exposure, strong educational fundamentals, and excellent opportunities for exposure to clinical, basic science and translational research. Whether the future goal is academic or private practice rheumatology, opportunities for electives allow for an experience tailored to the trainee’s career aspirations.

The Training Program is housed at the Health Sciences Center in Winnipeg. As the only tertiary care rheumatology center in Manitoba, the Health Sciences Centre sees a wealth of complicated rheumatology cases from across the entire Province, Northwestern Ontario and Western Nunavut.

This catchment allows for a wide range of both common and uncommon disorders to be seen in the training program as well as specialty clinics in SLE, Early Arthritis, Scleroderma and Vasculitis.

As a smaller program, trainees have the opportunity to work closely with faculty in a mentoring environment. While there is ample opportunity for clinical exposure it is balanced to allow for optimal learning. Most of the faculty members are actively leading or participating in national or International research initiatives. Two of the faculty members are involved in basic science and translational research and have number of ongoing projects in collaboration with state of art Proteomics laboratory onsite.

Living in Winnipeg

Winnipeg is a friendly, multi-cultural city of approximately 700,000, situated in the centre of Canada. It is a city with a friendly atmosphere, and an unexpectedly rich cultural milieu.

Winnipeg is home to the Royal Winnipeg Ballet, the Winnipeg Symphony Orchestra, Manitoba Opera, and many theatre companies, including Rainbow Stage and Manitoba Theatre Centre. We are also known for our variety of excellent restaurants, serving food from all parts of the world.  The Winnipeg Blue Bombers, the Winnipeg Jets and the Winnipeg Goldeyes are ever popular for the sports fan.

Summers in Winnipeg are filled with festivals, including the Folk Festival (which is outstanding!), the Jazz Festival, the Fringe Festival, and unique to Winnipeg, Folklorama.

As Winnipeg is in close proximity to numerous lakes, parks and beaches, there is no shortage of places to camp, fish and hike. The summers are sunny and dry for the most part. This also makes ideal weather for many summer sports including ultimate Frisbee, football and running (through our numerous parks).

Winnipeg's winter allows for a variety of winter sports and gives an ideal setting for the Festival du Voyageur.

Finally, Winnipeg is an affordable city, allowing your money to go farther. The cost of housing, in particular, is far more reasonable than in other big Canadian cities. It is relatively easy to negotiate Winnipeg’s traffic and parking, and we have our share of die-hard year-round bicycle commuters.


Travel Manitoba (http://www.travelmanitoba.com/)


Program Curriculum

This residency program is for 2 years.

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

The Training Program at the University of Manitoba follows the guidelines of the Specialty Committee for Rheumatology of the Royal College of Physicians and Surgeons of Canada. It is a two-year program undertaken by candidates with training in Internal Medicine. Residents must have completed three or four years of General Internal Medicine training prior to entering the program. Royal College guidelines allow for simultaneous completion of the fourth year of Internal Medicine and the first year of Rheumatology training.

The current program is divided into 26 four-week periods as set out by the Postgraduate Office at the University of Manitoba. The current collective bargaining agreement allows for one four-week period per year to be taken as vacation. The rotations are as follows:

Arthritis Centre Clinics and Consults 12 periods
Community Practice 2 periods
Pediatric Rheumatology 2 periods
Laboratory Investigations and Pathology in Rheumatology 1 period
Non-inflammatory musculoskeletal Diseases 1 period
Electives 6 periods
Vacation 2 periods
  26 periods



In addition to the various rotations, residents will participate in several longitudinal activities. These include a weekly Subspecialty Residents Clinic, Academic Half Day, Journal Club, and Radiology Rounds. Further, residents will be expected to undertake and present a research project appropriate for their level of training. Call duties never exceed 1 in 4. The Academic half day and the Subspecialty Resident's clinic continue throughout the whole two years of training whether the resident is doing mandatory rotations or electives.

Arthritis Centre Clinics. The Arthritis Centre Clinic and Consults block consists of 12 periods. Under the supervision of the GFT section members, the resident will attend 5 – ½ day outpatient clinics per week. The resident will see both new consultations as well as patients with established rheumatic diseases. New patients requiring follow-up will be seen in the resident’s weekly longitudinal follow-up clinic (“Subspecialty Resident's clinic") on Friday mornings. This clinic is in addition to the 5 scheduled clinics for that week. During these periods the resident will gain exposure to patients with inflammatory arthritides, complex connective tissue diseases, systemic vasculitides and rheumatic complications of systemic diseases encountered in a tertiary care centre. The Subspecialty Resident's clinic allows for longitudinal exposure to the management of these patients. Subspecialty Residents will continue to attend Academic Half Day during these periods.

Arthritis Centre Consult Service. This experience is combined with 12 periods of Arthritis Center Clinic block. During these 12 periods the resident will learn about inpatient management of rheumatic diseases at the tertiary hospitals (Health Sciences Centre and St. Boniface General Hospital). The resident will GAIN invaluable experience in evaluating patients for possible rheumatic diseases or flares/relapses and complications of their known rheumatic illness admitted at these institutes as either inpatients or presenting to the emergency department. Along with the rotating internal medicine residents and medical students the resident will provide consult service on these  patients and report to the rotating attending rheumatologist. It is expected that the resident will progress from being very “hands-on” to a more supervisory role as the periods progress and their knowledge base grows.

The Subspecialty Resident's clinic will continue through these periods and any unassigned inpatients requiring follow-up will be seen by the resident in Subspecialty Resident's clinic.

Community Practice. These periods consist of several clinics each week in a variety of community practice settings under the supervision of community practice members of the section. These periods provide exposure to different types of clinical rheumatology cases while giving insight into the operation of an office in community practice.

Pediatrics. Residents complete a minimum of 2 months on the pediatric rheumatology service. This consists of 3.5 ½ day outpatient clinics per week, inpatient consults at the Children’s Hospital and specific teaching sessions. Residents will gain exposure to pediatric rheumatic diseases and the unique circumstances related to care of the pediatric patient.

Non-inflammatory musculoskeletal rotation. Residents will spend one period attending outpatient clinics with a variety of musculoskeletal specialists focusing on soft tissue problems such as myofascial pain, mechanical spine problems, fibromyalgia, occupational and sports-related injuries.

Laboratory and pathology Rotation: One four week period is dedicated to learning hands on about the various immunologic tests done in rheumatology. The resident will also spend time reviewing muscle, skin, lung and renal pathology with dedicated experts in these areas.

Electives. Ample elective time is allotted for the resident to explore areas related to their career pathway. External electives are encouraged. These may be research-based, clinical or a combination. Orthopedic, dermatology, osteoporosis, are some of the many possible elective opportunities. If desired, residents may spend extra time in some of the compulsory rotations described above.

LONGITUDINAL EXPOSURES

Academic Half Day. This compulsory program runs Thursday mornings from September to June. A modified program runs during the summer months. Residents are relieved of clinical duties during this time slot. The program consists of 3 hours each week.

The first hour consists of invited speakers, both local and external focusing both on basic science and clinical aspects of rheumatology.

The second hour of half day will be comprised of clinical-based presentations by the rheumatology resident, rotating residents and students. The third hour of half day consists of a core rheumatology tutorial series covering key clinical and basic science topics in rheumatology. Residents will be given weekly learning objectives and references and will be expected to come prepared to discuss the material.

Finally, there is an interdisciplinary core curriculum half day offered by the PGME office for all residents. When the topic is of value to the rheumatology residents they will be expected to attend. The Practice Management session is considered compulsory by the PGME office.

Subspecialty Resident's Clinic. The Subspecialty Resident's clinic allows trainees to follow their patients for the course of the training program. This allows trainees to follow the evolution of rheumatic disease and its treatment over time. This clinic occurs weekly under rotating supervision from the attending rheumatologists. For continuity, patients initially reviewed with one rheumatologist will be scheduled for clinic when that same rheumatologist is present.

Journal Club. Trainees are expected to attend and contribute to a monthly Journal Club held as part of the Academic Half Day. This is an opportunity to review interesting research papers. Both basic science and clinical topics will be reviewed.

Internal Medicine Grand Rounds. Grand Rounds run on Tuesday at 08:00 AM. They are linked to St Boniface Hospital. Trainees are expected to attend. 

Radiology. Prior to each Subspecialty Resident's clinic, films from the previous week will be reviewed with the attending rheumatologist. The program owns an ultrasound machine with one faculty member trained in performing musculoskeletal ultrasound including ultrasound. Introduction to musculoskeletal ultrasound will be done at tutorials at academic half day. Longitudinal exposure will be available through the Subspecialty Resident's clinic.


Training Sites

Health Sciences Centre, Winnipeg

St Boniface Hospital, Winnipeg

Northern Medical Unit (NMU): The J.A. Hildes Northern Medical Unit provides primary care and specialist consultative services to remote communities in Northern Manitoba and Nunavut. Subspecialty residents are encouraged to participate in the remote rheumatology clinics offered through the Arthritis centre and the NMU.

Legacy Sport Medicine, Winnipeg

Manitoba Clinic, Winnipeg

Grace Hospital, Adult Medical Clinics, Winnipeg

Riverview Health Centre, Winnipeg 


Additional Information

Research/Publications

The applicants must indicate which publications are in peer reviewed versus non-peer reviewed journals/publications. If the applicant has submitted an article for publication at the time of CaRMS application, the applicant must provide evidence of journal notification of submission. The applicants must indicate all presentations at local resident research day as well as national and international conferences, and any prizes awarded.

 

Curriculum Vitae (CV)

A current curriculum vitae (CV) including all relevant information required for assessment of education, leadership, administrative and research experience is mandatory.  Where applicable, please document whether activities are voluntary or reimbursed.    Your CV should be downloaded to the document section.  For research papers that have been submitted but not yet published, please include acknowledgement of submission from the journal.

 

Other Document - Evaluation of Training - for International or US Medical Graduates Only

International or US Medical Graduates Only - you must provde a RCPSC assessment of training form from the Royal College of Physicians and Surgeons of Canada: website:  www.rcpsc.medical.org

 

Interviews

For the 2022 CaRMS Match all interviews will be conducted electronically. The applicant may meet electronically with a panel of interviewers, or with interviewers individually, or a combination of both.

 

Orientation for all incoming residents

Please be advised that the 2022 PGME New Resident Orientation Day is scheduled for Wednesday, June 29 2022.  This Orientation is mandatory for all incoming residents.


Summary of changes

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