Equity, Diversity and Inclusivity
The Department of Emergency Medicine at the University of Manitoba is committed to improving equity, diversity and inclusivity within its training program and in emergency medicine as a speciality. Residents are encouraged to participate in EDI activities, including the Department of Emergency Medicine EDI Committee as well as regular EDI rounds.
Competency Based Medical Education
Residents entering the University of Manitoba Emergency Medicine residency program will experience 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.
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. 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 in CBD undergo the same rigorous accreditation processes as traditional programs. Certification for trainees in CBD programs include the completion of a Royal College examination in addition to being assessed against program milestones throughout their training. Within a CBD program, all milestones and the Royal College examination must be successfully completed to achieve Royal College approved certification.
For more information, please contact cbd@royalcollege.ca.
The CASPer Test - Computer-Based Assessment for Sampling Personal Characteristics
All applicants to the Emergency Medicine Residency Program, at the University of Manitoba are required to complete an online assessment (CASPer), to assist with our selection process. Successful completion of CASPer is mandatory in order to maintain admission eligibility.
CASPer is an online test which assesses for non-cognitive skills and interpersonal characteristics that we believe are important for successful students and graduates of our program, and will complement the other tools that we use for applicant screening. In implementing CASPer, we are trying to further enhance fairness and objectivity in our selection process.
In order to take CASPer, you will be responsible for securing access to a computer with audio capabilities, a webcam, and a reliable internet connection on your selected test date. CASPer can be taken practically anywhere that you can satisfy the aforementioned requirements. No exceptions will be provided for applicants unable to take CASPer online due to being located at sites where internet is not dependable due to technical or political factors.
Please go to www.takeCASPer.com to sign up and reserve a test using your student identifier and a piece of government-issued photo ID. You will be provided with a limited number of testing dates and times. Please note that these are the only testing dates available for your CASPer test. There will be no additional tests scheduled. Please use an email address that you check regularly; there may be updates to the test schedule.
Please direct any inquiries on the test to support@takecasper.com. Alternatively, you may use the chat bubble in the bottom right hand corner of your screen on the takecasper.com website.
The CASPer test is comprised of 12 sections of video and written scenarios. Following each scenario, you will be required to answer a set of probing questions under a time contract. Each response is graded by a different rater, giving a very robust and reliable view of personal and professional characteristics important to our program. No studying is required for CASPer, although you may want to familiarize yourself with the test structure at takeCASPer.com, and ensure you have a quiet environment to take the test.
CASPer test results are valid for one admissions cycle. Applicants who have already taken the test in previous years will therefore be expected to re-take
The Postgraduate Medical Education Orientation for all residents, which is MANDATORY, will be held on Thursday, June 29, 2023.
All rotation requests, important documents, EPAs and other evaluations are managed through the curriculum management system used by the University of Manitoba called ENTRADA.
MCCEE to be phased out in 2020 - The last MCCEE session was held in November 2018. The MCCQE Part 1 will replace the MCCEE: https://mcc.ca/examinations/mccee/
Program application language: English
Emergency 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.
However, not all applicants whose files meet our minimum criteria will be offered interviews; only the top candidates will be offered an interview.
As per the national standards set by all Universities during the pandemic, there are no visiting elective students. Doing Emergency Medicine electives at your home institution is encouraged but is not required of an applicant and those who are unable to do so will still considered for an interview.
You are required to fulfill ALL of the most current Provincial Criteria for Canadian Medical Graduates for Manitoba
The criteria can be found at: https://www.carms.ca/match/r-1-main-residency-match/eligibility-criteria/manitoba/
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
Candidates who attended medical school in Quebec or the University of Ottawa where the language of instruction or the primary language of patient care was not English, must fulfill the English Language Proficiency requirements.
Successfully completed English language proficiency tests do not have statute of limitations.
Candidates are exempted from English language proficiency testing if their undergraduate medical education was taken in English in one of the below countries that have English as a first and native language:
List of countries that have English as a first and native language: 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:
Language Proficiency results will not be accepted by fax or e-mail.
Structured reference letters should be from an attending physician. While references from an Emergency Physician are desirable, they are not mandatory. Any physician that has worked with the candidate and can provide an honest reference regarding the candidate's abilities are acceptable.
Personal letters should outline why the candidate is interested in a career in emergency medicine, demonstrate an understanding of what it means to practice emergency medicine and why they would like to train at the University of Manitoba. Additional information that the candidate wishes to communicate to the selection committee to highlight their unique characteristics and/or experiences which they feel strengths their application are at the candidates discretion.
Custom Résumé / CV PhotoYour medical school transcript can be submitted through one of the methods below:
For current year Canadian medical graduates (CMGs), there is no action required from you. Your medical school will automatically submit your MSPR to CaRMS on your behalf for you to assign.
If your MSPR is in a language other than the program language of English or French, you are required to have the document translated.
Your CASPer assessment result is sent directly to CaRMS from Altus approximately one week prior to the application deadline. Please ensure that you give Altus permission to share your results with CaRMS.
The CASPer assessment is only valid for one admissions cycle. If you have taken the assessment in a previous year, you are expected to re-take it. To register for the CASPer assessment visit takealtus.com/casper.
The University of Manitoba, Rady Faculty of Health Sciences promotes and supports a community that embraces equity, diversity and inclusion, provides for equality of opportunity and recognizes the dignity of all people. These are key values to create an inclusive community for all. 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.
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. We are in the data collection phase currently. 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 for program selection improvement in future years. It will not be used for selection purposes this year. Any self-identification questionnaires received will NOT be reviewed as part of our file review process or used as an aid for file reviewers for the 2023 match.
Applications submitted after file review has opened on January 10, 2023
Supporting documents (excluding letters of reference) that arrive after file review has opened on January 10, 2023
Letters of reference that arrive after the unmasking date on January 10, 2023
All applications are reviewed by the CaRMs selection committee. Multiple reviewers review the applications and the choice of candidates for interview is by consensus. Important criteria include the personal letter, references, electives, rotation evaluations and the Dean's letter/medical student performance report.
Dates:
The following criteria will be used as a baseline to determine who will be considered for an interview: academic marks and achievements, interest in Emergency Medicine, personal letter and reference letters. We maintain the right to choose the applicants we feel are the best candidates for our residency training program. However, not all applicants whose files meet our minimum criteria will be offered interviews; only the top candidates will be offered an interview.
Our residents have a clear passion for and commitment to emergency medicine. They demonstrate both academic and clinical excellence while maintaining a positive work-life balance through participation in extracurricular activities. Residents in our program have exceptional interpersonal skills and understand the importance of teamwork, collaboration and communication. Our residents are highly self-motivated, self-reflective and eager to learn. The University of Manitoba, Rady Faculty of Health Sciences promotes and supports a community that embraces equity, diversity and inclusion, provides for equality of opportunity and recognizes the dignity of all people.
Identify applicants who are passionate about emergency medicine and will develop into exceptional emergency physicians.
Identify applicants who demonstrate academic excellence though their course work and training.
Identify applicants who demonstrate clinical excellence through their clinical training.
Identify applicants who demonstrate self-motivation.
Identify applicants who demonstrate excellent interpersonal skills.
Identify applicants who have shown they understand the importance of teamwork and collaboration.
Identify applicants who demonstrate strong communication skills in a variety of settings.
Identify applicants who have interests outside of medicine showing an aptitude for work life balance.
Review team composition : Our review team consists of the Program Directors, Senior and Junior Lead Residents and selected faculty members.
Average number of applications received by our program in the last five years : 51 - 200
Average percentage of applicants offered interviews : 26 - 50 %
File component | Criteria |
---|---|
CV | awards, previous work experiences, interest group participation, research and/or teaching experience |
Electives | which ones have been done particularly in emergency medicine or related fields |
Examinations | we do not evaluate this component |
Extra-curricular | volunteering, leadership experiences, team experiences, program/curriculum development, medical courses outside of medical school, non-medically related experiences. |
Leadership skills | in both medical and non-medical activities |
MSPRs | demonstrated clinical skills on core rotations, communication, patient interactions, professionalism |
Personal letters | reason for interest in emergency medicine, understanding of emergency medicine as a speciality, experiences that have prepared you for a career in emergency medicine. |
Reference documents | knowledge base, diagnostic skills, ability to manage patients, communication skills, professionalism |
Research/Publications | overall general research experience |
Transcripts | academic performance |
Other file component(s) |
CASPer Score is considered as per the University of Manitoba PGME mandate. 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. We are in the data collection phase currently. 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 for program selection improvement in future years. It will not be used for selection purposes this year. Any self-identification questionnaires received will NOT be reviewed as part of our file review process or used as an aid for file reviewers for the 2023 match. |
Interview format :
We routinely accommodate requests to re-schedule interviews for applicants.
Interview components | Criteria |
---|---|
Collaboration skills | demonstrates an ability to work as part of a team |
Collegiality | demonstrates ability to work well with others even in difficult circumstances |
Communication skills | ability to speak and write in English |
Health advocacy | demonstrates an ability to advocate for patient care |
Interest in the discipline | demonstrates an understanding of emergency medicine as a speciality |
Interest in the program | demonstrates interest in what the Manitoba program offers |
Leadership skills | in medical or non-medical situations |
Professionalism | interactions with faculty, residents, other candidates and administrative staff |
Scholarly activities | demonstrates enthusiasm for scholarship |
Strengths of the Program
High patient acuity with large volumes and high rates of pathology.
Full academic day.
Junior and Senior curriculums in Ultrasound, Simulation, Ethics and Professionalism (E&P), and Evidence Based Medicine (EBM) embedded in the academic day.
Integration of academic day with Pediatric Emergency Medicine program and the CCFP-EM program.
Strong simulation program under the direction of Dr. C. ffrench.
Annual Resident Retreat.
Cohesive and supportive resident group.
Resident-faculty Journal Club.
ACLS, ATLS, ACLS Instructor, ATLS Instructor, PALS, AIME Courses - all paid for under the contract.
$2,000 Cdn/yr provided to each resident for scholarly activity/conferences.
The program has strong ties with the pre-hospital care system, including the Winnipeg Fire Paramedic Service, the Provincial Air Ambulance (Lifeflight) and the rotary program STARs.
Two clinical Toxicologists provide a strong Toxicology rotation.
Excellent research program under the direction of Research Director Dr. M. Leeies.
Attending physicians with subspecialty training in Critical Care, EMS, Aeromedicine, Ethics, Palliative Care, Simulation, Ultrasound, Medical Education, Sports Medicine and Toxicology.
Residents have access to High Performance Physician training including a dedicated exam preparation session in the exam year.
Formal Mentorship Program pairing faculty and residents based on personal and professional interests.
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.
Competence By Design:
The University of Manitoba Emergency Medicine residency uses Competency Based Medical Education (CBME) as structured by the Royal College's Competence By Design (CBD).
In CBD the focus is on skill acquisition and competence rather than arbitrary time measurements.
The CBD stages of training (with the previous time based stages of residency in brackets) are as follows:
The Royal College examination takes place in the spring of the PGY-4 year (between Core and Transition to Practice).
Each stage of residency has required Entrustable Professional Activities (EPA) and milestones which must be successfully completed in order to progress to the next stage of training.
The following are definitions from the Royal College:
The EPAs and milestones have been developed by the Specialty Committee in Emergency Medicine and are the same for all Emergency Medicine residency programs.
Training Program:
Emergency Medicine training will be split between the Health Sciences Centre (HSC), which is an Adult Emergency Department and St. Boniface General Hospital (SBGH), which is undifferentiated (sees patients of all ages). As well, there is a one month Community Hospital Emergency Medicine rotation which occurs early in residency. There are 5 months of Pediatric Emergency Medicine training that occurs at the Children's Hospital which is part of the HSC campus.
Off-service rotations are provided at either the Health Sciences Centre or St. Boniface General Hospital, based on the availability of the most appropriate clinical experience.
This curriculum is a general guide as there will be flexibility in the order and in some cases the stage that the off-service rotations are done. As well, the curriculum is regularly reviewed by the Residency Program Committee which may result in modifications.
There is an opportunity to do electives out of province. However, there is a 6 month limit on out of province training.
All residents must have an "Area of Concentrated Expertise" (commonly referred to as the ACE or Niche). This time is meant to provide focused training or study in an area that is relevant to the specialty of Emergency Medicine. This may be a clinical or academic. Depending on the area of study and process (for example on-line or distance education) there may be a requirement to do shifts in the Emergency Department during the rotations. The majority of the ACE is completed during Transition to Practice (PGY-5). These six months of training are a Royal College requirement.
Curriculum (This is a general template of rotations)
TTD/Foundations | Core | Core | Core/TTP | TTP | |
PGY1 | PGY2 | PGY3 | PGY4 | PGY5 | |
Personal Learning Plan | Personal Learning Plan | Personal Learning Plan | Personal Learning Plan | Personal Learning Plan | |
Period |
3 blocks 6-9 blocks |
36-40 blocks | 36-40 blocks | 36-40 blocks | 12-15 blocks |
1 |
Emergency |
Emergency |
Emergency |
TTL |
Emergency |
2 |
Emergency |
Emergency |
Emergency |
Emergency |
Emergency |
3 |
Emergency |
Orthopedics |
Emergency |
Emergency |
Emergency |
4 |
Community Emergency |
Obs/Gyn |
Emergency |
Emergency |
Emergency |
5 |
Emergency |
Emergency Psychiatry |
Emergency |
Emergency |
ED Admin |
6 | Trauma Surgery |
CCU/Cardiology |
Emergency |
Emergency |
Emergency Peds |
7 |
Emergency |
Plastic Surgery |
Medical ICU |
EMS |
ACE |
8 |
Int Med wards |
Surg ICU |
Medical ICU |
Elective |
ACE |
9 |
Int Med wards |
Emergency |
Toxicology |
Elective |
ACE |
10 |
Emergency |
Int Med consults |
Peds ICU |
Elective |
ACE |
11 |
Anesthesia |
Adult/Peds Anesthesia |
EM Education |
Emergency |
ACE |
12 |
Emergency Peds |
Emergency Peds |
Emergency Peds |
Emergency Peds |
ACE |
13 |
Vacation |
Vacation |
Vacation |
Vacation |
Vacation |
TTD Transition to Discipline
TTP Transition to Practice
TTL Trauma Team Leader
EMS Emergency Medical Services
ACE Area of Concentrated Expertise
Transition to Discipline (TTD)
This will consist of approximately the first three blocks of residency and will be done in the HSC and SBGH Emergency Departments.
Foundations
The Foundations stage of training is expected to consist of 9 blocks which include Community Emergency Medicine, further Emergency Medicine blocks as well as a number of off-service rotations/blocks: Internal Medicine wards, Trauma Surgery, Anesthesia and Pediatric Emergency Medicine.
Core
This stage is expected to consist of 36-40 blocks of training and wil include Emergency Medicine blocks as well as off service rotations/blocks in Orthopedics, Obstetrics/Gynecology, Emergency Psychiatry, Plastics, CCU/Cardiology, Internal Medicine Consults, Adult and Pediatric Anesthesia, Pediatric Emergency Medicine, Pediatric Intensive care and ICU (both Surgical and Medical). As well there will be Emergency Medicine based blocks of Trauma Team Leader, Toxicology and Medical Education.
The Royal College examination will be held at the transition from the Core to Transition to Practice which corresponds to the end of the PGY-4 year.
Transition to Practice
This stage of training is expected to consist of 12-15 blocks of training. The resident will function as a junior attending in the Emergency Department. Additional rotations and components may include Emergency Department administration, Pre-hospital Care (EMS), medical education as well as Pediatric Emergency Medicine.
It is during this stage of training that the "Area of Concentrated Expertise" (ACE) will be completed. This is 6 months of focused training or education in an area pertaining to the specialty of Emergency Medicine in which the resident has a special interest.
Seminars
There is a weekly academic full day on Tuesdays which is protected time for the residents. Both FRCP and CCFP(EM) residents participate in the academic day. The Pediatric Emergency Medicine fellows are also invited to participate in the academic day sessions that are of interest and relevant to their training. The academic curriculum is based on a two year cycle of core Emergency Medicine topics with objectives geared to both senior and junior level of learners.
The academic sessions utilize a "flipped classroom format" to make the sessions as interactive and informative as possible based on pre-reading of core Emergency Medicine topics.
Integrated within the academic program are formal Simulation, Ultrasound, Evidence-Based Medicine, Ethics and Professionalism, Indigenous Health, Addictions Medicine, Musculoskeletal, Pediatric and Professional Sustainability and Wellness curriculums. Each of these curriculums have dedicated streams for both junior and senior leaners that run on a two year cycle. The Ultrasound curriculum is designed so that all junior residents attain their Independent Practitioner status in their first year. There is an advanced track for senior residents that teach more advanced topics such as the RUSH protocol, vascular access, lung ultrasound, DVTs, and ocular ultrasound. The Simulation curriculum brings residents to the Clinical Learning and Simulation Facility 1-2 times per month for dedicated simulation training. Advanced training in simulation is also available.
Grand Rounds are held approximately every 2 weeks, except over the summer. These are city-wide events, with participation from Emergency Physicians at both teaching and community hospitals as well as our urgent care facilities. Residents are expected to present at Grand Rounds yearly, with the exception of their first year.
The FRCPC Emergency residency program hosts a Journal Club for all faculty and residents four times a year. These events are led by our senior residents and are done in a discussion based format.
The Professional Sustainability and Wellness curriculum is also embed into the academic curriculum. This incorporates teaching and concepts from the High Performance Physician (HPP) program utilizes the same Sports Psychology concepts as those utilized by Olympic athletes. In their exam year, residents further participate in a dedicated exam preparation session led by HPP facilitators.
A further mandatory resident educational activity is the Core Curriculum. These are additional education activities provided by the Postgraduate Medical Education Office at the University of Manitoba for all residents in the Faculty of Medicine. (The sessions are described in the table below)
Core Curriculum Schedule
Mandatory Sessions | To be Completed in | Course Delivery |
CMPA Resident Symposium - Live Online Session CanMED Role(s) Professional |
PGY 1 | Live Online Session |
Conflict Management in Medicine CanMED Role(s) Leader, Collaborator |
PGY 1 | UM Learn Online |
Diversity in Medical Education CanMED Role(s) Professional, Health Advocate |
PGY 1
|
UM Learn Online |
Drug Prescribing Safety CanMED Role(s) Professional Medical Expert |
PGY 1 | |
Practice Management CanMED Role(s) Leader |
Final years of training |
Live Online Session |
Professional Boundaries in the Physician-Patient Relationship CanMED Role(s) |
PGY 1 | UM Learn Online |
Foundations of Professionalism CanMED Role(s) Professional |
PGY 1 | UM Learn Online |
Nightmares Simulation Boot Camp Medical Expert, Communicator, Leader, Collaborator |
PGY 1 Anaesthesia, Emergency, ObsGyne, Surgical Foundations, Internal Medicine
|
Live Simuation course |
Resource Stewardship CanMED Role(s) Health Advocate Medical Expert Scholar |
PGY 1 | UM Learn Online |
Teaching Development Program (TDP0) - Introduction to Teaching Medical Students CanMED Role(s) Scholar |
Annually | UM Learn Online |
Teaching Development Program (TDP) - Fundamentals of Teaching
CanMED Role(s) |
PGY 1 | UM Learn Online |
Research
All residents are expected to complete at least one scholarly project. While the Gold Standard is for the project to be suitable for publication in a peer-reviewed journal or presentation at a national conference (as per the Royal College requirements), other activities that are satisfactory to the residency program committee are acceptable. These projects are expected to be presented at the annual Resident Research Day.
Residents are instructed in all aspects of a research project, including study design, grant writing, submission, implementation, analysis, and presentation during their academic day research sessions. A faculty supervisor is assigned to all resident projects. As well there is additional support and supervision provided by the Research Director.
The Evidence-based medicine (EBM) curriculum is embedded into academic day. The PGY-1 curriculum focuses on introductory concepts, statistics and how to answer a clinical question. The PGY-2 curriculum focuses on quality improvement. The PGY-3 curriculum advances these concepts and provides further support for the development of a research project. EBM is also an integral part of the journal club.
Resources
-Health Sciences Centre: Adult Emergency
-Health Sciences Centre: Children's Emergency
-St. Boniface General Hospital
The Health Sciences Centre and the St. Boniface General Hospital are tertiary care referral centres serving all of Manitoba, parts of Northwest Ontario, and Nunavut.
The Health Sciences Centre is an adult Emergency Department and serves as the provincial Trauma, Stroke and Neurosurgery centre and has a volume of >65,000 visits with a very high acuity level. It is situated in the core area of Winnipeg and sees significant volumes of trauma, toxicology and complex medical illness. As well, it is a major referral site for rural and northern patients.
St. Boniface General Hospital Emergency Department is a tertiary care referral centre and the Provincial Cardiac Sciences referral centre. It also serves as a community hospital for the Francophone community of Winnipeg and surrounding rural Francophone towns. Patient acuity is high with a significant proportion of general internal medicine, cardiology, nephrology and geriatrics. Both adult and pediatric patients are seen.
The Children's Hospital, Health Sciences Centre, is situated in the core area of Winnipeg where it provides primary, secondary, and tertiary pediatric care for Winnipeg, Manitoba, NW Ontario and Nunavut. All levels of injury and illness acuity are seen in this Emergency Department with significant multiple trauma, toxicology, and complex medical illness.
The Children's Hospital cares for all pediatric hospital admissions in the city of Winnipeg and has a very busy Pediatric Intensive Care Unit.
All sites have a computerized Emergency Department Information System and utilized the Electronic Patient Record (EPR) for documentation.
Emergency Medicine at the University of Manitoba is committed to a fair and transparent application process. We maintain the right to choose the applicants we feel are the best people for our residency training program.
However, not all applicants whose files meet our minimum criteria will be offered interviews; only the top candidates will be offered an interview.
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