Institution-wide CBME Implementation within PGME at Queen’s University
Queen’s University received approval to adopt a Competency-based Medical Education model in all specialty programs, effective July 1, 2017.
Residents attending Queen’s in July 2017 and beyond 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 entrustable professional activities (EPAs) based on required competencies. These 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.
The changes at Queen’s University are intended to align with the Royal College of Physicians and Surgeons’ broader, national Competence by Design initiative to introduce CBME in all faculties and all disciplines. This program at Queen’s University simply adopts CBME on an advanced timeline. However, as each specialty and subspecialty adopts CBD nationally, Queen’s will make any necessary adjustments in order to fully align and comply with CBD.
Further information on CBD can be found on the Royal College of Physicians and Surgeons of Canada website at: CBD implementation
Altus Suite - admissions assessments of non-cognitive skills
All applicants applying to the Pediatrics program, at Queen's University are required to complete the Casper Test (Altus Suite), to assist with our selection process for the 2022-2023 Application Cycle.
Altus Suite is a standardized, two -part online assessment of non-cognitive skills, interpersonal characteristics, and personal values and priorities that we believe are important for successful students and graduates of our program. Altus Suite will complement the other tools that we use for applicant review and evaluation. In implementing Altus Suite, we are trying to further enhance fairness and objectivity in our selection process.
Altus Suite consists of:
You will register for Altus Suite for Canadian Postgraduate Medical Education (CSP-20201 – Canadian Postgraduate Medical Education),
Access www.TakeAltus.com to create an account and for more information on important dates and requirements, and the Altus Suite assessments.
We recognize that the COVID-19 pandemic has impacted candidates’ opportunities to arrange and complete electives and would like to reassure you that a lack of elective activity this year will not negatively impact your application to our program.
COVID-19 vaccination requirements:
Please refer to the 'Restrictions' section of the Ontario eligibility criteria for messaging regarding COVID-19 vaccination requirements.
EDIIA Institutional Statement:
The goal of resident selection is to identify trainees likely to succeed both in training and, once out in practice, in meeting the health care needs of patients and Canadian society. We know that having a physician workforce that reflects the demographics of the patients that they serve improves health care outcomes. There are many populations within Canada under-represented in medicine (UIM) with a paucity of health care practitioners who are Black, Indigenous, Persons of Colour, 2SLGBTQ+, from lower socioeconomic backgrounds and/or with disabilities. Diversity within training programs has also been shown to improve training environments. Queen’s University PGME is strongly committed to diversity and inclusion within its community for these reasons as well as being part of the solution to address historic and contemporary inequities.
All International Medical Graduates who match to a residency training position in Ontario are required to complete the Pre-Residency Program through Touchstone Institute prior to the start of their residency training.
To find out more about the Pre-Residency Program, please visit: https://touchstoneinstitute.ca/learning/
The Ministry requests all ROS agreements before June 1 of the year they were matched. All agreements should be returned to the Ministry prior to the start of residency training. It is the responsibility of the applicant to confirm eligibility with respect to the ROS requirements of other provinces.
Information about the Ministry’s ROS programs is available at the Return of Service Program
A letter of release from existing return of service agreements must be submitted as part of the application.
Program application language: English
There are between 16-20 residents to approximately 23 full time faculty in our training program. For an overview of the training program by year, go to: Queen's Pediatrics Program Overview.
Proof of valid current citizenship or permanent resident status must be provided by submitting one of the following verifications to CaRMS by the File Review Opening deadline. Failure to provide valid proof will result in your application being removed. No other forms of verification are acceptable:
CaRMS is partnering with third-party organizations to automate the verification of citizenship/legal status required by postgraduate offices for entry into residency. Third-party verification simplifies the process for applicants and programs. All applicants who do not receive third-party citizenship verification will be required to upload and assign an acceptable proof of citizenship document. Please see additional information here.
Language assessment document accepted: TOEFL-iBT
Language assessment document accepted: IELTS Academic
Language assessment document accepted: Occupational English Test (OET) -Medicine
Language assessment document accepted: Canadian English Language Proficiency Index Program (CELPIP) – General
Language assessment document accepted: Letter of language proficiency*
*Alternatively, candidates can submit a printout from the World Directory of Medical Schools which clearly states that the language of instruction is English or French.
The IELTS Indicator will be accepted as a substitute for the Academic Version of the IELTS.
The TOEFL iBT Home Edition will be accepted as a substitute for the TOEFL iBT.
Applicants must be able to communicate proficiently in the language of instruction and patient care of the matching school and training site. Please review specific program descriptions for more information.
Please submit 3 letters of reference (note if more are submitted only the first 3 will be read). One letter must be from a non-medical person who knows you well and can comment on your attributes that would make you a good pediatrician. If possible, one or more reference letters from a faculty member from Pediatrics is helpful, but not required. We realize that this may not be possible this year with the restrictions on electives and reassure you that this will not be detrimental to your application. Letters of reference must not be dated more than 2 years ago.
Please advise your non-medical referee that they do not need to follow the categories outlined in the standardized CaRMs referee form, as they are likely not applicable.
IMGs must have written and passed the Medical Council of Canada Qualifying Examination Part 1(MCCQE1)MCCQE Part I - Supplemental Information Report
IMGs must have written and passed the Medical Council of Canada Qualifying Examination Part 1(MCCQE1)Medical School Transcript
Your medical school transcript can be submitted through one of the methods below:
Personal letter should be no longer than 750 words.
We are looking for an honest, original and thoughtfully written letter. Do not be afraid to write in a frank manner about your past experience. Your personal letter should discuss the following topic: Tell us about something, outside of medicine, that you have taught yourself in the last 4 years. How did you go about teaching yourself this new skill or idea, and what was the result?Photo
Required if written.
* Candidates must have PASSED the MCCQE Part 2 exam or the NAC OSCE exam.CASPer exam
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.
Documents that are not in English must be accompanied by a notarized translation. Students applying in the last year of medical school will need to submit their most recent marks/transcripts, and will need to provide proof of their MD to CPSO prior to the start of residency training.
Note - completion of ACLS prior to registering in a postgraduate program at Queen's is a requirement.Abstract/Publications Custom Résumé / CV Postgraduate Medical Training Certificate USMLE Transcript
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 Faculty members under the direction of the Residency Program Committee. Only complete applications that include a non-medical reference letter will be considered.
All applicant files submitted before the deadline will be reviewed by the selection committee. Each file is evaluated on a number of merits, including but not limited to academic potential, interest in scholarly activities, leadership in extracurricular activities, strength of reference letters, and the candidate's personal statement. Our program values a broad range of electives, both in and outside of pediatrics. The program may contact any elective supervisor listed on your CaRMs application.
After review of documents, selected applicants will be offered a virtual interview. Not all applicants meeting the minimal requirements will be offered an interview. The final ranking process is determined by a combination of file review and interview scores.
Selection criteria for interviews will include a review of the complete file looking for academic performance, 3 letters of reference (which must include 1 from a non-physician), recent & relevant clinical experience, and a personal letter.
The non-medical reference letter must be from someone who has known you for more than 1 year, outside of medicine and clinical context, and who can comment on your attributes that would make you a good pediatrician. Non-medical means non-physician.
The personal letter should be no longer than 750 words.
We are looking for an honest, original, and thoughtfully written letter. Do not be afraid to write in a frank manner about your past experience. Your personal letter should discuss the following topic: Tell us about something, outside of medicine, that you have taught yourself in the last 4 years. How did you go about teaching yourself this new skill or idea, and what was the result?
We are looking for candidates who show evidence of being dedicated team players with a desire for a career in pediatrics. Candidates who are successful in moving forward to the interview will be considered to be well rounded and have demonstrated a genuine interest in pediatrics through an articulate and insightful personal letter. Elective experience at Queen's is not necessary. After the interviews, a composite score from the MMI and file review will help determine the rank list. The chief residents and the Residency Program Committee contribute to this process.
The Queen’s University Pediatric Training Program endeavors to produce highly skilled and knowledgeable pediatric physicians capable of providing excellent care for children in any setting. The program recognizes the need for both general pediatricians and pediatric subspecialists and is designed to provide a solid training for both these major career paths. The program aims to achieve this objective through abundant practical clinical experiences, formal educational sessions, graded responsibility in the acquisition of leadership skills, and curricular flexibility, particularly in the final year of training.
By the end of their training, the residents have had the opportunity to develop the confidence and skills needed to practice general pediatrics expertly in any sized community. Those who successfully complete the pediatric residency program at Queen’s will not only have the medical expertise needed, but also the skills required to function as a consultant pediatrician in a variety of settings, including community hospitals where they must balance a busy outpatient clinical load, consultations in emergency departments, attendance at deliveries and neonatal resuscitations, and care of admitted inpatients, including neonates in special care nurseries.
We are looking for candidates who show evidence of being dedicated team players with a desire for a career in pediatrics. We strive to identify candidates who are well-rounded, have a growth mindset, are curious and take ownership of their learning. Candidates will have demonstrated a genuine interest in pediatrics through an articulate and insightful personal letter. Elective experience at Queen's is not necessary. After the interviews, a composite score from the MMI and file review will help determine the rank list. The chief residents and the Residency Program Committee contribute to this process.
Review team composition : Files are reviewed by members of the Department of Pediatrics.
Average number of applications received by our program in the last five years : 51 - 200
Average percentage of applicants offered interviews : 0 - 25 %
|CV||Used to provide supporting evidence for other file components during the file review|
|Electives||We are looking for applicants who have completed a broad range of electives in Pediatrics|
|Examinations||NAC and MCCQE scores are used in the file review.|
|Extra-curricular||Used to provide supporting evidence for other components of the file review, ie leadership|
|Leadership skills||Demonstrated skills with evidence of research, advocacy, quality improvement, etc|
|MSPRs||Reviewed for unexplained gaps in training or other concerns with the applicant’s academic training|
|Personal letters||We are looking for honest and thoughtfully written letters|
|Reference documents||We are looking for reference letters that demonstrate specific evidence of personal attributes|
|Research/Publications||Demonstrates interest and experience with participation in a research project|
|Transcripts||Reviewed for unexplained gaps in training or other concerns with the applicant’s academic ability|
We are looking for and rewarding applicants who have completed a broad range of electives including in our discipline. We do not require applicants to have done onsite electives. We understand that some applicants choose to pursue a career in Pediatrics late in clerkship; thus, interest in Pediatrics should be demonstrated by your choice of referees and the content of your Personal Letter irrespective of electives completed.
** We understand that electives may have been difficult to arrange this year due to Covid-19.
Interview format :
We routinely accommodate requests to re-schedule interviews for applicants due to weather, technology failure or unforeseen circumstances.
|Collaboration skills||Works well with others in a constructive manner|
|Collegiality||Not specifically evaluated but interactions with faculty, residents and staff may be used|
|Communication skills||Thoughtfully and clearly expresses ideas. Minimal use of jargon. Easily adjusts style & tone.|
|Health advocacy||May be evaluated to support candidates skills or experience|
|Interest in the discipline||We do not evaluate this interview component|
|Interest in the program||Demonstrates specific knowledge of our program|
|Leadership skills||May be discussed within specific stations|
|Professionalism||Professional behavior is expected throughout the interview|
|Scholarly activities||May be evaluated to support candidates collaborative and leadership skills|
** We are a smaller center with no subspecialty training programs, so residents are first in line for learning experiences, working directly with the faculty. There are no fellows, with the exception of clinical fellows in the NICU.
** The program is rewarding for mature learners who are proactive in identifying their own learning goals, excel in seeking out feedback and learning opportunities, and are great team players. Residents always note the excellent hands-on experiences with early, supported, responsibility in the NICU and Hematology-Oncology rotations.
** Queen's has moved all post-graduate residency programs to competency-based. We have developed innovative tools for assessing CanMEDS competencies and facilitate competency-based assessment and training. See the Important Information section for details on Queen’s and competency-based medical education.
This residency program is for 4 years.
Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.
The pediatric residency training progresses over 4 years. The program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.
The Department of Pediatrics at Queen's includes departmental academic general pediatricians, community consultant pediatricians and academic subspecialists. Particular departmental strengths include general pediatrics, behavioural and developmental pediatrics, neonatology and genetics. Our philosophy is geared towards providing excellent training in general pediatric medicine for those planning a career in general pediatrics, in private, mixed or academic practice, or for those planning to pursue subspecialty training where a solid foundation in general pediatrics is a must.
The relatively small size of the program allows for a close and supportive working relationship among our trainees and faculty. Each resident is assured an exposure to a wide diversity and optimal number of patients by the program's size. The department's commitment towards the residency program is reflected not only in the provision of training environments with wide ranging clinical opportunities, but also in a comprehensive seminar program. Excellent hands-on and broad ranging clinical opportunities at Queen's are enhanced by subspecialty selective and core rotations at the Children’s Hospital of Eastern Ontario, in Ottawa.
Our program is committed to providing each trainee with pediatric experiences individualized to his/her personal career goals. Residents, by the end of their training, have had the opportunity to develop the confidence and skills needed to practice general pediatrics expertly in any sized community.
Transition to Residency and Foundations of Discipline (PGY-1 equivalent):
The first stage of residency training will give the trainee a solid base in general pediatrics. By the end of the Foundations of Discipline stage, the resident will be skilled in the diagnosis and initial management of less-complex presentations.
|Rotation/Area||Number of Weeks (scheduled in 4 week blocks|
Outpatient Pediatrics (ambulatory pediatrics including
general pediatrics clinics, minor emergency, and
pediatric subspecialty clinics)
Community Pediatrics (inpatient and outpatient
pediatrics in a smaller community hospital-based
|4 weeks (2nd half of academic year)|
Research / Quality Improvement and Patient Safety
Pediatric Emergency Medicine (CHEO-Ottawa)
Core of Discipline (PGY-2 and PGY-3 equivalent):
Now that the trainee has acquired foundational knowledge of the field of general pediatrics, the Core of Discipline stage is designed to provide a deeper exposure to subspecialty areas of pediatrics and to coach the resident into a more leadership role in the care of each patient. As this stage progresses, the resident transitions into a senior supervisory role, where the trainee is regularly entrusted with the management of ward and/or ambulatory patients, including those with complex problems. The trainee also takes on the responsibility of supervising more junior trainees. In the latter half of this stage, the resident assumes supervisory roles on the in-patient pediatrics service and neonatal intensive care unit. This stage encourages the development of a sense of critical judgment and increasing self-confidence.
To help with the integration of knowledge from different areas of pediatrics, many of our subspecialty rotations combine more than one subspecialty area. The combined rotations allow for a longer experience than would be possible with one-month single subspecialty blocks. The resident works in both outpatient and inpatient settings, performing largely a consultant role.
Number of Weeks (scheduled in 4-week blocks, except subspecialty
rotations which are contiguous)
Infectious Disease / Allergy / Public Health
Cardiology / Respirology
Pediatric Surgery (General, Orthopedics,
Neurology / Genetics / Child Development
Subspecialty Selective: Nephrology, Rheumatology
Endocrinology / Gastroenterology
|4 weeks (first half of 3rd academic year)|
|8 weeks in PGY2 and 4 weeks in PGY3|
|2 weeks in PGY2 and 2 weeks in PGY3|
Transition to Practice (PGY-4 equivalent):
The Transition to Practice stage is designed for the refinement of the knowledge, skills, and attitudes learned in the preceding stages. The primary clinical experience of the Transition to Practice stage is ambulatory pediatrics. Residents identify their own learning needs and fill in knowledge gaps with a variety of experiences including ambulatory and in-patient blocks, and a longitudinal “chiefs” consulting clinic. The residents also assume a junior attending supervisory role in our pediatric urgent care clinic, the inpatient acute medicine ward, and also rotate to cover a weekly resident-run General Pediatrics consulting clinic.
|Rotation/Area||Number of Weeks (scheduled in 4 week blocks)|
Ambulatory Pediatrics (combination of ambulatory
general pediatrics, subspecialty pediatrics, minor
emergency, senior resident consulting clinic)
Junior Attending / Teaching Fellow
Education and Assessments:
The Academic Half-Day rotates through a 2-year core curriculum that includes teaching in general and subspecialty pediatrics. Mock oral examinations (observed History/Physical Examination) are held twice per year for all residents. In addition, formative OSCE examinations are held twice a year, as preparation/practice for the Royal College exam in pediatrics; these are part of national OSCE collaboration between all other pediatric programs. This program takes advantage of the Clinical Education Centre and the Standardized Patient Program at Queen's University. Residents write the American Board of Pediatrics in-training examination every July, as well as biannual MCQ/SAQ Canadian In-Training practice exams.
Each resident is expected to complete a scholarly project. A mentor is available to each resident to assist in this process. Training in research methodology is provided in first year. All residents are expected to present at the annual Department of Pediatrics Research Day, held as a forum for the presentation and discussion of resident research projects and other basic science or clinical projects affiliated with the Department of Pediatrics. Presentation are made to resident and faculty colleagues, plus an expert panel consisting of a moderator, prominent in research and a statistician or epidemiologist to critique the project methodology, statistical analysis, tabulation of results and appropriateness of the conclusions. Annual participation is mandatory. Ongoing work such as literature reviews or interim results can be presented by residents who have not completed their projects. A prize is awarded to the resident with the best presentation.
Benefits: Accommodation for out-of-city clinics @ CHEO, Community Pediatric sites (Toronto/Belleville/Oshawa), Moose Factory
PALS & NRP courses provided in PGY1 year
Conference leave funding
Annual resident retreat
Canadian Pediatric Society, and American Academy of Pediatrics memberships/registration provided
Average patient load on in-patient pediatrics unit is 10-15; varies seasonally.
Computer with internet access, access to electronic journals, electronic textbooks, Medline, through Queen's Health Sciences Library.
Residents are matched with an Academic Advisor and meet at least 4 times per year. The Academic Advisor reviews the residents' performance, advocates for the resident in all ways and offers career counseling.
Elective blocks are available, three in the Core stage (2 in the second year of training and one in the third year of training). Electives may be undertaken at interprovincial and international sites.
There are four community-based rotations, 4 weeks in the Foundations stage, 4 weeks in the Core stage and 4 weeks in the Transition to Practice stage.
RE: Non-medical reference letter.
Q: Who can write it?
A: This must be written by a non-physician from a non-clinical setting. The better someone knows you, the better the letter they will write. In the past, candidates have used prior work colleagues, prior teachers, religious leaders, and camp directors. We highly discourage letters from family members.
Q: Why are you requesting this?
A: In an effort to get more information about the candidate their qualities outside of medicine.
Q: I don't have a non-medical letter. Will you still consider my file?
A: No. Only complete files will be considered for an interview. If you do not have a non-medical reference letter, your file is not complete.
Q: How many candidates do you interview?
A: Typically 10 candidates for each position
Q: Can I change my interview date?
A: There is an increasing interest in Pediatrics and we turn down qualified applicants for interviews each year. We will do our best to accommodate changes; however, as there are only certain number of slots per day to facilitate the interview process, changes can be quite difficult and are generally unlikely.
|SUMMARY ID||Section||Summary of changes||Updated on||NOTIFY APPLICANTS||SECTION NAME||Actions|