Crest

University of Manitoba - Adult Infectious Diseases - Winnipeg

2022 Medicine Subspecialty Match - first iteration
Competitive Stream for All

Last approved on July 20, 2021

Summary of changes

Approximate Quota:

 1 

Accreditation status : Accredited

Provincial Criteria


Dr. Evelyn Lo
Section of Infectious Diseases, Department of Medicine  
Section of Infectious Diseases Dept. of Medicine Health Sciences Centre JBRC 807 K - 720 McDermot
Winnipeg, Manitoba, R3A 1R9
(204) 787-2330
(204) 789-3988
Provincial Criteria

Program Contacts

Evelyn Lo
Director
ELO@sbgh.mb.ca

Program Administrator
Melissa Franzmann
Program Administrator
mfranzmann@hsc.mb.ca
204-787-2330


Important Information

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.

 


Return of Service

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


General Instructions

Program application language: English


Supporting Documentation

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. It is very important that you fill out your CV carefully and completely, because part of our evaluation process involves a "semi-blinded" assessment of your CV. 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.  Please refer to the section on this website called "Additional Information" which 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 Step 1 and Step 2

USMLE - Step 1 

USMLE - Step 2 - Clinical Knowledge (CK) 

USMLE - Step 2 - Clinical Skills (CS) 

USMLE - Step 3 

Name Change 


Interviews

Interview Date:  Monday September 13, 2021

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
There will be several interviews per resident. There are panels consisting of the Head of the ID section, and members of the Residency Program Committee for Adult Infectious Disease sub-specialty program. In addition, University of Manitoba Internal Medicine PGME requires that each candidate also be interviewed by minimally one external program director or physician from an Internal Medicine sub-subspecialty.


Selection Criteria

The Section of Infectious Diseases 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 Infectious Disease physicians 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 Infectious Disease physicians 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 : 51 - 75 %

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 Subspecialty Training Program in Infectious Diseases at the University of Manitoba is accredited by the Royal College of Physicians and Surgeons of Canada as a two year period of training. Candidates may enter our program after completing three core years of training in either Internal Medicine. 

The strengths of our program are it's strong microbiology training and collaboration, our close ties with national public health given that Winnipeg is the site for both the NCCID and NML (see below), and global health research connections, particularly in Colombia, Africa and India. We are also proud of our connectedness between adult and pediatric ID programs along with medical microbiology allowing a larger community of residents in the programs while at the same time our smaller size allows for more flexibility in individual resident's training.

Adult ID has not started competency based curriculum at this time. We expect to implement CBD in the future according to RCPSC timelines.
 
The clinical component of the adult program is based on the four Infectious Diseases consulting services at the University of Manitoba teaching hospitals, including the Pediatric Infectious Diseases Service with Drs. Joanne Embree, Paul Van Caeseele, Sergio Fanella, Rachel Dwilow, , Guillaume Poliquin,  Maryanne Crockett  and Jared Bullard (Department Head); and the General Infectious Diseases Consult Service at St. Boniface General Hospital with Drs. Evelyn Lo, Cathy Smith, Amila Heendeniya and Terry Wuerz; and the Surgical and Medical Infectious Diseases Consulting Services at the Health Sciences Centre with Drs. Greg Hammond, Fred Aoki, Pamela Orr, Eric Bow, Ken Kasper, Andrew Walkty, Yoav Keynan, Lauren MacKenzie, John Embil and Kelly MacDonald (Department Head). Adult Infectious Diseases residents complete two pediatric rotations, three rotations at St. Boniface General Hospital and two rotations each on the Surgical and the Medical Infectious Diseases Services at the Health Sciences Centre. Other mandatory rotations includes Infection control rotation, Public Health and Antimicrobial Stewardship. Our site also has a mandatory multispecialty clinic block which includes areas that have significant outpatient components including STD clinic, TB clinic, Hepatology and travel health. Electives can be undertaken in dermatology, allergy/immunology, research, community IV program and transplant/immunodeficiency. As Winnipeg also hosts the National Collaborating Centre for Infectious Diseases (NCCID), residents may undertake an elective there as well additionally or for part of their public health block.
 
The laboratory training component of the program occurs in the Clinical Microbiology Laboratories of the Health Sciences Centre, St. Boniface General Hospital, Cadham Provincial Laboratory and National Microbiology Laboratory. We attempt to have our residents begin their laboratory training at the St. Boniface General Hospital Clinical Microbiology Laboratory with Drs. Lagace-Wiens, Christine Turenne, and James Karlowsky within the first two rotations in order to acquire a timely overview and fundamental skills required in a hospital Microbiology Laboratory. Additional general clinical microbiology skills are obtained in the Microbiology Laboratory of the Health Sciences Centre with Drs. Andrew Walkty and Heather Adam. Residents spend additional time in the Mycobacteriology and Mycology Sections of the laboratory. The Cadham Provincial Laboratory offers training in environmental bacteriology, serological diagnosis and medical virology including retrovirology. Molecular diagnostic techniques can be acquired in the laboratories of both the Health Sciences Centre and the St. Boniface General Hospital. As per new 2016 standards, the number of laboratory rotations have been reduced. Although the minimum requirement is now 3 blocks, U of M will be offering 4.5 blocks of microbiology we believe this is a strong component of our program. This will include a 2 week block at the National Microbiology laboratory.

As part of the clinical training that is undertaken with the University of Manitoba, all trainees will participate in continuity of care clinics. During the first year, a general Infectious Diseases Clinic is attended, while in second year, the trainees participate in a continuity of care clinic focusing on persons infected with the human immunodeficiency virus. The clinic based activity is to highlight the importance of ambulatory care in the management of persons with infectious diseases. The range of pathology presenting to these clinics is broad and consists of patients referred from primary care physicians from the community as well as patients seen on the inpatient consultation service.

The trainees will have access to the Centre for Global Public Health, which is currently working on research projects in 3 countries. Other unique local educational resources include the National Microbiology Laboratory, opportunities to participate in remote and northern medicine as it pertains to infectious diseases and the NCCID (National Collaborating Centre for Infectious Disease) which is the national centre for knowledge translation for ID.

There are a number of scheduled educational events for Infectious Diseases residents. These include weekly case presentations on Friday mornings which are televised between the two teaching hospitals (this has consistently been one of our best educational and quality control programs); weekly “Plate” Rounds in the Clinical Microbiology Laboratories of each of the teaching hospitals during which the microbiology of important or interesting isolates for the week are reviewed. In addition, Medical Microbiology Review Seminars and a Medical Microbiology Journal Club are held monthly together with the graduate students in the Department of Medical Microbiology, University of Manitoba. The monthly Joint Infectious Disease and Clinical Microbiology Journal Club is held over lunch hour after case rounds. Residents also attend Visiting Professor Rounds in both the Department of Medicine and the Department of Medical Microbiology. A weekly academic half day incorporates clinical teaching seminars and workshops on clinical Infectious disease, Non –medical expert competencies and in addition, a series of graduate level University courses cover – Clinical Bacteriology (coordinated by faculty members of the Section of Infectious Diseases), Clinical Parasitology and Clinical Virology.  

During the course of the two year program we involve our residents in research activities. It is a priority for Infectious Diseases residents to develop research skills. As per Royal college requirements, residents must complete a publishable research project during their tenure here.
 
Careers in Infectious Diseases vary considerably. Some residents have elected to combine Clinical Infectious Diseases and Medical Microbiology training by adding a third year to their training program and thus completing a combined med micro/ID  residency which allows them to sit for the royal college exams for both medical microbiology and Infectious Diseases. If accepted for ID and acceptable to the Med micro program, the third year of funding has been secured for these trainees. The Director for the Subspecialty Training Program in Medical Microbiology is Dr. Andrew Walkty. Other residents have elected to pursue further clinical research through the Clinical Investigators Program offered by the University of Manitoba, a Master’s Degree in Public Health and Epidemiology or graduate research training toward a Ph.D. Degree in Basic Sciences. Public Health and Infection Control remain additional areas that individuals can pursue. Similar to the American model, a few residents have elected to pursue a clinical career comprising Clinical Infectious Diseases, Internal Medicine and Infection Control in community hospitals.

Program Curriculum

This residency program is for 2 year(s)

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

The program curriculum is based upon the training track which the trainee selects and are summarized as follows:

Combined Infectious Diseases and Medical Microbiology:

  • This combined 3 year Residency Training Program requires that all elective time in the first 2 years of the Infectious Diseases Residency Training Program be used for Medical Microbiology rotations.
  • The third year of training will be exclusively devoted to Medical Microbiology.
  • One month of holiday is available during each year of training
  • During the first 2 years of the Infectious Diseases Fellowship, the clinical rotation will consist of the following:
    • Pediatrics
    • St. Boniface Hospital
    • Health Sciences Centre Surgical Rotation
    • Health Sciences Centre Medical Rotation
    • Infection Prevention and Control
    • Public health
    • Antimicrobial Stewardship
    • Multispecialty clinic block
  • With regards to the Medical Microbiology rotations, these are conducted at the Health Sciences Centre, St. Boniface Hospital, Cadham Provincial Laboratory and the National Microbiology Laboratory.



Two Year Infectious Diseases Fellowship:

  • Over the course of the 2 year Infectious Diseases Fellowship Training Program, the trainee will complete 4.5  months of Medical Microbiology training, 12 months of Clinical Infectious Diseases training, (as outlined above), 1.5 blocks each of Infection Control and Antimicrobial Stewardship, 1 block of Public Health. The remainder of the training program will be devoted to elective time. That elective time can be used for training opportunities that are approved by the Residency Program Training Committee.


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 program curriculum is based upon the training track which the trainee selects and are summarized as follows:

Combined Infectious Diseases and Medical Microbiology:

  • This combined 3 year Residency Training Program requires that all elective time in the first 2 years of the Infectious Diseases Residency Training Program be used for Medical Microbiology rotations.
  • The third year of training will be exclusively devoted to Medical Microbiology.
  • One month of holiday is available during each year of training
  • During the first 2 years of the Infectious Diseases Fellowship, the clinical rotation will consist of the following:
    • Pediatrics
    • St. Boniface Hospital
    • Health Sciences Centre Surgical Rotation
    • Health Sciences Centre Medical Rotation
    • Infection Prevention and Control
  • With regards to the Medical Microbiology rotations, these are conducted at the Health Sciences Centre, St. Boniface Hospital, Cadham Provincial Laboratory and the National Microbiology Laboratory.



Two Year Infectious Diseases Fellowship:

  • Over the course of the 2 year Infectious Diseases Fellowship Training Program, the trainee will complete 6 months of Medical Microbiology training, 12 months of Clinical Infectious Diseases training, (as outlined above), and 6 months of the training program will be devoted to elective time. That elective time can be used for training opportunities that are approved by the Residency Program Training Committee.


Training Sites

Clinical Infectious Diseases

  • Health Sciences Centre
  • St. Boniface Hospital
  • Children’s Hospital



Medical Microbiology Training

  • Health Sciences Centre
  • St. Boniface Hospital
  • Cadham Provincial Laboratory
  • National Microbiology Laboratory


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.  If a presentation (oral or abstract) has been submitted to a conference, the applicant should include any letter of acceptance by conference organizers.

 

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.  See comments above under Research/Publications for information regarding how to document your work.

 

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

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

 

Interviews

For the CaRMS Match which will take place in the Fall of 2021, 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