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University of Manitoba - Geriatric Medicine - 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. Lindsay Torbiak
Section of Geriatric Medicine 
St. Boniface General Hospital  
N4034 - 409 Taché Ave.
Winnipeg, Manitoba, R2H 2A6
(204) 237-2410
(204) 237-2697
Canadian Geriatrics Society
WRHA Rehabilitation, Healthy Aging and Seniors Care

Program Contacts

Dr. C. van Ineveld
Program Director
cornelia.vanineveld@umanitoba.ca
(204) 237-2410

Melanie Loyola
Program Administrator
mloyola@exchange.hsc.mb.ca
(204) 787-7197


Important Information

All residents entering our Geriatric Medicine program will participate in Competence By Design (CBD).

CBD 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. The Residency programs is broken down into stages, and each stage has a series of Entrusted Professional Acts (EPAs) that must be achieved. EPAs 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 stages must be successfully completed in addition to academic requirements and internal exams to complete the training program. Royal College examination must be successfully completed to achieve certification.  

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

 

 

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

This Orientation is mandatory for all 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 


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 30, 2021
Our interview date is September 28th, 2021.  All interviews will be conducted virtually. 

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Interviews will take place virtually.  There will be a combination of interviews with one or more individuals.  There will be an opportunity to meet teaching faculty.  Program information and an opportunity to meet with current trainees will be available through the Canada's Portal for Residency Program Promotion (www.canprepp.ca).


Selection Criteria

The Section of Geriatric Medicine 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 Geriatric Medicine 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 the program.
  4. To maintain and nurture excellence within our training program.

Objectives (not necessarily in order of priority):

  • To develop Geriatric Medicine 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 Geriatric 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". It is recognized that for this application cycle candidates may had limited opportunity to complete desired electives and this will be taken into consideration
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 healthy 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 training program will provide the resident an opportunity to work across the spectrum of services and gain a strong foundation in general geriatrics. The Winnipeg Regional Health Authority Rehabilitation, Healthy Aging and Seniors Care Program has a well-established coordinated geriatrics program that spans the breadth of clinical services.

Our well-developed programs in inpatient consultation, geriatric rehabilitation, outpatient care, home visits and geriatric psychiatry will form the foundation of the training program. As well, the trainee will be supervised in a weekly longitudinal clinic. The trainees will also participate in collaborative care provision to the TAVI program and Family Medicine Clinical Teaching Unit and have access to a breadth of subspecialty clinics/ rotation. There is a unique opportunity to work with Dr. Rhynhold, a geriatrician in rural Manitoba and this is mandatory 2 week component of the program

The program has partnered with University of British Columbia and the University of Toronto to create a 2 month experience where the trainee will travel to one of those 2 academic centres.  This will be an opportunity to participate in acute care services, specialized clinics and teaching events. This is a mandatory component of the program and funding is in place to support travel and accommodation costs.

The training program has strong relationships with the Care of the Elderly and the Geriatric Psychiatry training programs.  Academic half-days are combined with trainees from those program to foster collaborative learning.

The Section has a strong teaching commitment to the undergraduate program, Family Medicine and Internal Medicine.  Trainees will have an opportunity to teach at all levels. In addition, within the program there is considerable opportunity to tailor the training to a particular interest. Faculty members have expertise in evidence based medicine, clinical epidemiology, administration, education curriculum development and interdisciplinary education. The members of the Section of Geriatric Medicine have strong links with the Undergraduate Curriculum, Centre on Aging, Manitoba Centre for Health Policy, Section of Geriatric Psychiatry, WRHA Palliative Care Program, WRHA Personal Care Home Program.

For trainees interested in academic careers there is local access to Masters level courses in Clinical Epidemiology and research methods, and the training program supports participation in distance learning in Quality Assurance and Medical Education.  Our program supports residents who wish to combine clinical training with research training through the Clinical Investigator Program.

The Geriatric Medicine training program has partnered with the Section of General Internal Medicine to create personalized training experiences within the residency program for those interested in combining Geriatric Medicine with General Internal Medicine in their future careers.


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 clinical experiences and formal curriculum complement each other with the goal of ensuring all EPAs and required training experiences are successfully completed.  The components of the formal curriculum include:

  1. Geriatric Seminar Series: Mondays 1 to 3 PM is set aside for faculty members to provide teaching on core geriatric content and critical appraisal skills to rotating residents from Family Medicine and Internal Medicine. Core topics in geriatrics are covered on a rotating basis. This includes delirium, dementia, polypharmacy, ethical issues and incontinence. At the beginning of the Residency Program the resident is expected to attend the core topic series. Subsequently the resident takes on a graduated leadership role in organizing and delivering critical appraisal session. As training progresses, the resident advances their teaching skills by leading core topics sessions.
  2. Geriatric Rounds/A-Z Sessions: Mondays 3:30 to 5:30 PM are set aside as academic rounds for the Section of Geriatric Medicine. This includes updates on current topics, journal club and A-Z topics. A-Z sessions are presented either by Faculty or the Subspecialty resident and are intended to cover essential topics in geriatric medicine including basic and clinical sciences. Local experts are also invited to address topics from the list. The intent of the session is to cover current knowledge in the topic area and direct the trainee to key references in the area.  Baycrest in Toronto has an academic round on geriatric medicine that is broadcast through zoom every 2 weeks.  The trainee will be released form duties to attend those broadcasts.
  3. Baycrest Rounds: Baycrest broadcasts their bi-weekly rounds via zoom. Manitoba is a participating site and residents are relieved from clinical duties to view the broadcasts
  4. Monthly Subspecialty/Enhanced Skills Half-day: On a monthly basis there is an afternoon of dedicated teaching to the Subspecialty, Care of the Elderly and Geriatric Psychiatry trainees.  The primary focus will be on topics related to non-medical expert CanMeds roles.
  5. Directed Readings/ Rotation checklists: At the beginning of the training program the resident is provided with a package of readings covering core topics in geriatric medicine. As well for certain rotations there are directed readings, e.g. in the Day Hospital rotation there are directed readings with regard to team function and team building; in the Administration rotation there will be directed readings with respect to quality management issues and in concert with these directed readings are one-on-one debriefings with faculty members with particular expertise in these areas.
  6. Scholarly Project: There is dedicated time and a broad range of supports and existing projects in place to facilitate completion of a scholarly project.
  7. Improving Health Care Delivery: There is dedicated teaching in Quality Assurance.  Time is set aside for completion of a personal practice audit, oberve and participate in clinical program administration and completing health care delivery related EPAs
  8. Resource Allocation: Completion of resource allocation project is CPGME requirement.  There is dedicated teaching as well as protected time for completion of the project
  9. Exam Preparation: There are Short Answer Question exams in the format of the Royal College Subspecialty Exam at 6, 12, 18 and 21 months for both formative and summative purposes.
  10. Resident Education Day: attendance at the Resident Education Day held in conjunction with the Canadian Geriatric Society Annual Scientific Meeting is a required training experience for the program.  The trainee will be funded to attend.

The academic and clinical communities in Manitoba offer rich and varied learning opportunities in terms of local courses and conferences.  As these opportunities arise the trainee will be freed up from clinical duties to participate.


Training Sites

The two main training sites are:

St. Boniface General Hospital for acute care and outpatient care.   There is a resident office located there.

Deer Lodge Centre for inpatient care.  There is a resident office located there.

 

Clinical experiences also occur in a variety of settings in Winnipeg. These include:

St. Boniface Hospital, 409 Tache Avenue (www.saintboniface.ca)

Health Sciences Centre, 820 Sherbrook Street (www.hsc.mb.ca)

Riverview Health Centre, 1 Morley Avenue (www.riverviewhealthcentre.com)

Deer Lodge Centre, 2109 Portage Avenue (www.deerlodge.mb.ca)

Seven Oaks General Hospital, 2300 McPhillips Street (www.sogh.ca)

Victoria General Hospital, 2340 Pembina Highway (www.vgh.mb.ca)

PRIME, two sites - 2109 Portage Avenue and 99 Cornish Avenue (http://www.wrha.mb.ca/prog/rehab/prime.php)

 

There is a mandatory 2 week experience in rural geriatrics.  This occurs in the Prairie Mountain Health Region. Accommodation will be arranged in Brandon, Manitoba.

There is an 8 week mandatory rotation in Toronto or Vancouver.  Funding covers the cost of accommodation, one return flight and any registration/ licensing costs.

 


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