Institution-wide CBME Implementation within PGME at Queen’s University
Queen’s University received approval to adopt a Competency-Based Medical Education (CBME) model in all specialty programs, effective July 1, 2017.
Residents attending Queen’s since July 2017 have been using 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 program will be broken down into stages, and each stage has a series of Entrustable Professional Activities (EPAs) based on required competencies. These EPAs 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.
Competence-Based Medical Education at Queen’s University is fully aligned with the Royal College of Physicians and Surgeons’ national Competence by Design (CBD) initiative to introduce CBME in all faculties and all disciplines. While Queen's University adopted CBME on an advanced timeline and now has years of experience with it, we have made any necessary adjustments in order to fully align and comply with The Royal College's CBD initiative.
Further information on CBD can be found on the Royal College of Physicians and Surgeons of Canada website at: CBD implementation
As visiting electives were cancelled again due to the COVID-19 pandemic, the Queen's University Psychiatry Program will be hosting two virtual information sessions (via Zoom) to share our program features with you. The sessions will be hosted by current residents and we will be prepared to answer your questions and showcase our program and city. These sessions are open only to medical students applying to the CaRMS R-1 Match.
Please register in advance for one of the below sessions.
Session #1: Monday, November 21, 2022 from 7:00 – 8:30pm (Eastern Time)
Register in advance for session #1 by using the following link: https://queensu.zoom.us/meeting/register/tJUpd-6tpj8iGtU95I8eHSljkrOI343FxZGC
After registering, you will receive a confirmation email containing information about joining the Zoom meeting.
Session #2: Tuesday, November 29, 2022 from 7:00 – 8:30pm (Eastern Time)
Register in advance for session #2 by using the following link: https://queensu.zoom.us/meeting/register/tJ0vcO2rqjMuG9wEx27uBmNcYRZi33pZHLDj
After registering, you will receive a confirmation email containing information about joining the Zoom meeting.
Follow our residency program on Instagram: @queenspsychmd
Electives
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.
Program application language: English
Applicants should provide all required information. Any questions about documentation or the interview process can be directed to Kevin O'Neil at oneilk@providencecare.ca
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.
Three letters of reference are required from faculty/staff who have directly supervised you. If possible, one or more reference letters from a faculty member from Psychiatry 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.
No more than one letter should come from an individual you have not had clinical contact with (research supervisor, etc). A letter from a resident or fellow will not be considered. We recommend that you choose staff you have had close clinical contact with. A good choice would be a referee who has sufficient knowledge of your clinical performance and who can comment on your interest in psychiatry, comment on your clinical skills and ability to interact with patients and other members of the interdisciplinary team. The referee should assess your performance at the expected standard for your level of training as compared to other students they have worked with. It is preferred candidates provide letters that are recent (within 18 months) from time of receipt at the CaRMS office. Undated letters will not be accepted. References and other supporting documents scanned by CaRMS will be considered. We will not accept updates directly to our office.
Please include current CV with your application package.
Medical School TranscriptYour 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.
A personal letter must be submitted (approximately 750 words). The letter should communicate the characteristics you have that make you suited to psychiatry (150 words); Describe how your choice of psychiatry has been confirmed in your medical school experience (100 words); In your opinion, what are the two biggest challenges facing the discipline of psychiatry (200 words); What might be the two biggest challenges you will face as you become a psychiatrist (150 words); What specifically about the Queen's Psychiatry Program do you think suits your goals and interests (150 words)
PhotoPlease submit for review when available
Medical School DiplomaProof of Medical Diploma if you are not a current year graduate.
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
Dates:
After review of CaRMS applications, candidates will be short-listed on the basis of selection criteria. Candidates chosen for an interview will be informed of their status via email. Interviews will be held virtually.
The Department of Psychiatry at Queen's University is committed to training residents in the clinical skills necessary to become a psychiatrist based on sound theoretical, academic, and research knowledge. This requires a strong core academic program, excellent clinical rotations, and research electives. We provide this in the context of an energetic, enthusiastic faculty who are exceptional mentors. We are fervent supporters of the diverse career aspirations of our trainees and, therefore, endevour to provide flexibility in pursuing personal career goals during the five years at Queen's University.
The major factors that influence our Program's interview selection and ranking process are as follows: 1. The strength of your academic records (as measured by the Medical Student Performance Record and medical school transcripts). A good academic record should demonstrate proficiency in psychiatry and related subjects. The application should confirm the candidate's interest in mental health and psychiatry as well as interest or experience in scientific or clinical research; 2. Letters of reference; 3. Your personal letter; 4. Your graduation year with preference to recent graduates; and 5. The interview. During the interview, candidates are expected to demonstrate clear interest in psychiatry, excellent communication and interpersonal skills, maturity, empathy and sensitivity, excellent clinical judgment, and high ethical and professional standards.
Review team composition : File reviewers, comprised of faculty and residents, review and score applicant files.
Average number of applications received by our program in the last five years : 51 - 200
We have an average of 130 Canadian Medical Graduate Applicants per year.
Average percentage of applicants offered interviews : 26 - 50 %
File component | Criteria |
---|---|
CV | Reviewed but not scored |
Electives | Electives will not be scored this year because of restrictions imposed by COVID-19 |
Examinations | We do not evaluate this file component |
Extra-curricular | Points for extracurricular activities |
Leadership skills | Not scored |
MSPRs | Reviewed but not scored |
Personal letters | Points for interest in Psychiatry and quality of letter |
Reference documents | Points for quality of references |
Research/Publications | Points for Psychiatry research and other research |
Transcripts | Reviewed but not scored |
In accordance with broader postgraduate policies during the COVID-19 pandemic, electives will not be scored.
Interview format :
We do not re-schedule interviews for applicants after we have completed the scheduling process.
Interview components | Criteria |
---|---|
Collaboration skills | Rubric with specific anchors |
Collegiality | We do not evaluate this interview component |
Communication skills | Rubric with specific anchors |
Health advocacy | not scored |
Interest in the discipline | Rubric with specific anchors |
Interest in the program | We do not evaluate this component during the interview |
Leadership skills | Rubric with specific anchors |
Professionalism | Rubric with specific anchors |
Scholarly activities | We do not evaluate this interview component |
About Queen's University
Queen's University has a long-standing tradition of excellence in medical education.
Department of PSYCHIATRY Residency Program
Ideal program size
|
Individual continuous observation and feedback Intellectually stimulating atmosphere Collegial and friendly faculty personally committed to helping residents realize their full potential as a clinician, educator, and researcher |
Strong Department with a clear vision and mission |
Excellent core residency program is identified as one of our key priorities. Residents experience breadth and diversity in their training through the divisions of adult (acute, rehabilitation & community), shared care, child & adolescent, student, geriatric, developmental disabilities, and forensic mental health. |
Focus on inter-professional collaboration |
Close working relationship with residents in provision of excellence in academic mission and clinical service delivery |
Diverse backgrounds |
Truly international program allows for variety of experiences and ideas to be shared |
Outstanding people |
Residents: high rate of success in RCPSC exams
|
Faculty |
National and international recognition in academic achievements |
Focus on Research |
Queen’s University is a recognized centre of excellence Strong support for resident involvement Number of highly regarded research programs (autism, stigma, geriatric psychiatry, schizophrenia, mood and sleep disorders) Clinician Investigator Program available to residents |
Comprehensive psychotherapy training |
Longitudinal training in all modalities Cultural competence and self awareness training Two annual CBT courses/IPT Course |
Full Royal College accreditation |
Next review 2026 |
Kingston |
Repeatedly ranked as one of the best Canadian cities to live and work in |
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.
PGY 1
This basic clinical year (PGY-1) is designed based on the Royal College Guidelines.
Our goal is to provide residents with introduction to the Department of Psychiatry and the areas of medicine relevant to a career in psychiatry. The rotations are selected to also facilitate success on the Medical Council of Canada Qualifying Examination Part II requirements.
Rotation |
Duration |
Psychiatry |
4 blocks |
Research |
1 block |
Geriatric medicine |
1 block |
Internal Medicine |
1 block |
Emergency Medicine |
1 block |
Pediatrics |
1 block |
Neurology |
1 block |
Family medicine |
1 block |
Rehabilitative Medicine |
1 block |
Hospital Medicine |
1 block |
Core Residency Program (PGY 2 & 3)
PGY 2 |
one year general adult psychiatry, divided between inpatient and outpatient psychiatry (2 blocks of emergency psychiatry is incorporated during OP Psychiatry rotation) |
PGY 3 |
6 blocks Child & Youth Psychiatry 6 blocks Geriatric Psychiatry 1 block developmental disabilities |
Senior Residency (PGY 4 & 5)
PGY 4 Mandatory rotations include 3 blocks of Consultation-liaison psychiatry, 2 blocks of shared care psychiatry, 3 blocks of chronic care psychiatry, 2 blocks addictions, 2 blocks personality disorders, and 1 block of emergency psychiatry.
During PGY 5, the resident assumes more leadership in the education and supervision of junior residents, while consolidating and further developing career track interest through electives and selectives, including research.
Electives/Selectives
Rotation selection is determined based on the particular interests and career goals of the individual residents. We encourage residents to obtain broad clinical and academic experiences before making final career decisions.
Electives include inpatient and outpatient general adult psychiatry, collaborative mental health care services (shared care), forensic psychiatry, research projects, psychotherapy, geriatric psychiatry, psychoses, mood disorders, consultation-liaison, eating disorders, concurrent disorders, emergency psychiatry and a growing number of other options.
Academic Program
Our Academic Curriculum consists of didactic and clinical skills development aimed at training residents to become leading future psychiatrists. This includes organized core didactic seminars, interviewing skills sessions, small group practices in Phenomenology, Diagnosis and Management and psychotherapy teaching which occur throughout the year.
Residents have protected time Wednesday afternoons, from 1:00 p.m - 4:30 p.m. during their PGY-2 to 5. Journal Club and Wellness Sessions occur monthly at noon, prior to academic day.
During PGY1, residents attend the summer teaching series. Sessions include a number of introductory topics: History of Psychiatry, Diagnosis and Classification, Resources, Children & Youth in the ER, Adults in the ER, the Mental Health Act, etc.
The focus in junior years is on small group teaching encompassing core topics in psychiatry including etiology, phenomenology, descriptive psychopathology, diagnosis and treatment of psychiatric disorders across the life cycle as well as interviewing and case formulation.
Residents in their senior years PGY 4 and 5 are involved consolidating knowledge at an advanced level to prepare for the Royal College examination and to prepare to work as an independent psychiatrist. Senior residents prepare for their Royal College final examinations through practice long case examinations and PDMs (Phenomenology Diagnostic and Management Practice Stations).
Senior Residents have the opportunity to attend Annual Review Courses in Psychiatry, and are relieved of clinical duties to attend.
Psychotherapy teaching includes theory of psychotherapy practice, research methodology and critical appraisal. Residents gain proficiency in cognitive behaviour therapy (CBT), psychodynamic psychotherapy, interpersonal therapy (IPT), family, group and couple therapy. Our program follows the Royal College Guideline requirements.
Emergency psychiatry rounds (weekly), Geriatric Rounds (bimonthly), Journal Club reviews under the supervision of a staff psychiatrist (monthly), and Psychiatry Grand Rounds (weekly), supplement the core academic teaching. Individual services have formal case based teaching and specialty specific literature reviews (weekly).
Practice STACERs or Diagnostic Interview examinations are integrated into every core rotation. The STACER examinations in the senior years are integrated into the rotations of the Senior Residency. Residents have multiple opportunities to meet the STACER requirement by the early PGY5 year leaving ample time to prepare for the written and oral Royal College Exams.
On-Call
Staff psychiatrists supervise and support resident interaction with patients in the emergency department. On-call duties are shared among the junior and senior residents (buddy system for all calls) Residents provide coverage on weekends, and from 5:00 pm - 8:30 am on weekdays. After hours call frequency is approximately 1 in 14.
Research Training Program
The Department is dedicated to clinical research and provides residents with opportunities to be mentored by Faculty actively involved in research. The residents participate in ongoing research projects and are encouraged and mentored to initiate their own research projects.
The program has two formal streams. Each resident can choose which stream to pursue during their residency, and there is the possibility of switching streams if necessary.
Residents choosing the General Research Stream will be expected to participate in all aspects of research but do not have to do this as part of a single project or present or publish as first author. In PGY4, they will be expected to produce a manuscript or summary of projects to show they have met the research training requirements. With permission, residents in this stream can switch to the Intensive Research Stream during the first 2 years of their residency.
Residents choosing the Intensive Research Stream will be expected to participate in all aspects of research. They will be expected to be first author on a submitted manuscript and present at the departmental research day and a national or international conference. These residents will schedule research electives.
Guidance is available from departmental members for study design methodology and statistical analysis as well as preparing projects for publication in peer reviewed journals.
The Clinician Investigator Program (CIP) is also available for Queen’s psychiatry residents. The CIP's mandate is to assist in the career development of clinician/investigators by providing a formalized postgraduate educational program that fulfills the existing clinical specialty training requirements of the Royal College, as well as a minimum of two years of structured rigorous research training. Up to one of the research years may also be credited to fulfill the individual's specialty requirements. It is preferred that the two years of research be sequential.
The Postgraduate Program Director is available for ongoing consultation and will meet with each resident regularly. The Resident body meets with the Program Director monthly as a group to discuss their program and address any concerns that might relate to their training.
Detailed information regarding RCPSC Specialty Training Requirements can be found at: https://www.royalcollege.ca/rcsite/documents/ibd/psychiatry_str_e
Resources
Kingston Health Sciences Centre - Hotel Dieu Hospital and Kingston General Hospital sites are two acute care facilities that provide training opportunities for psychiatry residents in general adult psychiatry and child and youth psychiatry. Providence Care Hospital is a chronic care inpatient/outpatient training site which focuses on rehabilitation medicine as well as psychiatric rehabilitation, geriatric psychiatry, forensic psychiatry, personality disorders and mood disorders. A wide variety of experiences are available in both inpatient and outpatient psychiatry, consultation-liaison psychiatry, emergency/urgent care psychiatry, and specialty clinics for psychotic, anxiety, mood and eating disorders.
Community psychiatry training placements are available with Family Health Teams, at Queen's Student Health, and Community Mental Health Services in and around Kingston.
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