University of Manitoba - Physical Medicine & Rehabilitation - Winnipeg
2023 R-1 Main Residency Match - first iteration
CMG Stream for CMG
Last approved on December 05, 2022
Summary of changesAccreditation status : Accredited
Provincial Criteria
Riverview Health Centre
PE319 - 1 Morley Ave
Winnipeg, Manitoba, R3L 2P4
Program Contacts
Important Information
The Postgraduate Medical Education Orientation, which is mandatory, will be held on Thursday June 29, 2023. This is a full day orientation.
Applying competency-based practices to residency education
Residents entering Physical Medicine & Rehabilitation program from July 2020 and beyond 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 implementing CBD will continue to undergo the same rigorous accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees in both CBD and traditional programs will include the completion of a Royal College examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones and the Royal College examination must be successfully completed to achieve certification.
For more information, please contact cbd@royalcollege.ca.
The CASPer Test - Computer-Based Assessment for Sampling Personal Characteristics
All applicants to the Physical Medicine and Rehabilitation Residency Program, at the University of Manitoba are required to complete an online assessment (CASPer), to assit 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 Residents 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 testing dates are only available for your CASPer test. There will be no additional tests scheduled. Please use an email address that you check on a regular basis as there may be updates to the test schedule.
Please direct any inquiries on the test to support@takecasper.com. Alternately, 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 questions within a time constraint. 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 might want to familiarize yourself with the test structure at takeCASPer.com.
You will want to ensure you have a quiet environment in which to take the test.
CASPer tests results are valid for one admissions cycle. Applicants who have already taken the test in previous years will need to re-take it.
General Instructions
Program application language: English
- Interprovincial and international electives are encouraged though not required.
- Ratio of residents to faculty is 10 residents to 7 full-time and 2 part-time faculty.
- There are no mandatory rural rotations.
- Rotations can be focused based on residents interests.
- Ultrasound used for guiding procedures as well as research
-Interventional spine procedures training as part of MSK and pain rotations
-Physiatry based Neuromuscular and EMG service with training leading to certification in EMG
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/
Supporting Documentation / Information
• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Citizenship Card (both sides of card)
• Canadian Permanent Resident Card (both sides of card)
• IELTS
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General
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 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:
- Photocopies are acceptable.
Language Proficiency results will not be accepted by fax or e-mail.
Your medical school transcript can be submitted through one of the methods below:
- Obtain your medical transcript from your school and upload it directly to your CaRMS Online account. Follow your school’s policy regarding accessing or requesting your transcript;
- Ask your medical school to upload your medical transcript through their CaRMS Undergraduate Portal account; or
- International (IMGs) and United States (USMGs) medical graduates can transfer their transcript from their physiciansapply.ca account.
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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.
Conditionally required
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 disability, racialized persons, women, persons of 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 this match.
Review Process
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
Interviews
Dates:
- February 23, 2023
Selection Criteria
- Show academic proficiency in subjects related to Physical Medicine and Rehabilitation
- Have completed elective rotations in Physical Medicine and Rehabilitation.
- Reference from a specialist in rehabilitation or a related field which addresses excellent communication skills, ability to work as part of a team, and interest in neuromusculoskeletal areas, etc.
Program goals
Mission: We educate the next generation of physiatrists 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:
- To train physicians who will practice in academic and non-academic settings.
- To train physicians who practice holistic care and who embody excellence in all the CANMEDS roles.
- To meet the needs of the people we serve (locally in Manitoba, and beyond).
- To maintain and nurture excellence within our training program.
Objectives:
To develop physiatrists 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:
- Excellence in the performance of all the CANMEDS roles in all the areas of practice in Physical Medicine and Rehabilitation.
- 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 : Our review team comprises of the Section Head, Program Director, Section Members, Chief Resident or Senior Resident
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 | Aside from what is written within the body of the CaRMS document, the applicant must include a formal CV. |
| Electives | The type and site of electives are evaluated in terms of how they may relate to the above described objectives. |
| Examinations | CASPER Score as per PGME policy. |
| Extra-curricular | Activities, skills and characteristics that may relate to “Selection Process Goals” are evaluated. |
| 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 | This should clearly indicate the applicant's reasons for applying, what he / she feels they can bring to the program. |
| Reference documents | Activities, skills and characteristics that may relate to “Selection Process Goals” are evaluated. |
| Research/Publications | The applicants must indicate which publications are in peer reviewed versus non-peer reviewed journals. |
| Transcripts | Transcripts are evaluated for evidence of academic excellence, range of interest and study. |
| Other file component(s) | CaSPER Exam must be completed in order to be given an interview as per our PGME policy. |
Elective criteria
Interview process
Interview format :
We do not re-schedule interviews for applicants after we have completed the scheduling process.
| 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. |
| Health advocacy | We do not evaluate this interview component. |
| Interest in the discipline | Demonstrated interest in the specialty as well as in all the components of Physical Medicine. |
| Interest in the program | Demonstrated interest in and knowledge of the Manitoba training program. |
| Leadership skills | Degree of experience and success as a leader in professional and personal life. |
| Professionalism | Demonstration of professional behaviors and ethics |
| Scholarly activities | Demonstrated depth of understanding of his/her academic work and chosen field of study. |
| Other interview component(s) |
Medical Knowledge - Demonstrates ability to answer basic medical questions related to the field of Physical Medicine and Rehabilitation. Demonstrated excellence in health advocacy. |
Information gathered outside of CaRMS application
We do not consider any information gathered outside of the CaRMS application and local interview processes.Ranking process
The behavior(s) exhibited below during the interview process may prevent an applicant from being ranked by our program :Program Highlights
- Residents are encouraged to pursue up to 6 months of out of province electives, either interprovincially or internationally.
- We typically have 2 resident positions per year with a current complement of 9 residents. Physiatry staff includes 8 geographic full-time and 2 part time community physiatrists.
- Inpatient load varies up to 15 but is typically less than 10 during inpatient Physiatry rotations. Outpatient clinics are concurrent with the inpatient rotations.
- The focus is on the educational aspect of training rather than service.
- A rural rotation is not a mandatory component of the program.
- The program includes a particular focus on Clinical EMG and Neuromuscular Diseases training that provides the training requirement for EMG certification by the Canadian Society of Clinical Neurophysiologists(CSCN) and the American Board of Electrodiagnostic Medicine (ABEM) upon completion of the program.
- Excellent opportunities exist for exposure to a wide variety of interventional treatments techniques for musculoskeletal diseases. In particular there is a close relationship to the pain clinic with cross appointed faculty physiatrists doing interventional spinal procedures. Ultrasound guided chemodenervation and musculoskeletal injections are also emphasized.
Program Curriculum
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.
Schedule below is example only.
Note: At the University of Manitoba, a period = 28 days, 13 periods/year
The current program is divided into 65 four-week periods as set out by
the Postgraduate Office at the University of Manitoba. The current
collective bargaining agreement allows for one four-week or two - two week vacation blocks.
The rotations are as follows:
Off Service Rotations:
CTU Medicine (3 periods) - 1 period usually spent on the medicine consultation service.
Medicine subspecialties - Geriatrics (1 period); Internal Medicine (3 periods); Neurology (2 periods); Rheumatology (2 periods)
Medicine Selectives (at least 2 periods): Cardiology; Critical Care; Emergency; Infectious Diseases; Palliative Medicine; Pediatrics; Radiology; Respirology and Psychiatry (Addictions, Mood Disorders or Geriatric)
- these rotations are optimized for the Physiatry resident to make experiences applicable to their future career.
Surgical Selectives (Vascular, Neurosurgery, Urology, Plastics) (at least 2 periods) - this is a mostly outpatient experience though longer periods with more surgical exposure can be arranged. We do this differently than any other centre. This gives residents an experience in all related surgical specialities with a focus on what is important to the physiatrist.
Orthopedics (3 periods) - spent in subspecialties of arthroplasty, sports, and spine as chosen by residents
Physical Medicine Rotations:
Musculoskeletal (6 periods) - 1 period of inpatient and 5 periods of outpatients including sports medicine, pain clinic, third party medical and general physiatric MSK clinics
Acquired Brain Injury (3 periods)
Stroke Rehabilitation (3 periods)
Amputee Rehabilitation (3 periods)
Spinal Cord Injury (3 periods)
Electromyography (3 periods) - combination of outpatient physiatry clinics, ALS clinic, and EMG/Neuromuscular disease clinics
Pediatric Rehabilitation (3 periods) One of these periods is spent in Edmonton at the University of Alberta as part of an interuniversity agreement.
Electives (4 periods)
Research (at least 1 period) - may be taken longitudinally
Research
Research is a required component of the program and is encouraged early in training. The resident can choose a mentor from any related area, not just physiatry, and together with the mentor will pick a research project. There is a clinical nurse research coordinator in the Section of Physical Medicine & Rehabilitation to help staff and residents with research. The research block can be done longitudinally over several years, if required. Evidence of interest in research is an asset. Quarterly research meetings are held with the residency research director in order to foster and promote research among residents. A formal blueprint for research development in residency will ensure participation of each resident in the CAPMR essay and research contests and writing up research in a form that could be submitted to a journal for publication.
Seminars
- There are weekly half-day academic rounds on a variety of basic sciences and general rehabilitation topics, as well as examination skills. A particular strength of our program which sets it apart from other centres is that staff are present throughout academic halfday as a resource from start to finish.
- Journal Club is held monthly.
- Monthly Rehabilitation Grand Rounds are presented with residents participating annually.
- Rotation-specific teaching sessions are arranged within the framework of each rotation.
- Quarterly Morbidity and Mortality Rounds
- There is access to other disciplines' rounds on a weekly basis(e.g. neuroscience, orthopedics, etc).
- Yearly Medicine Research Days are held.
Training Sites
Resources
- Rehabilitation Hospital, Health Sciences Centre
- General Hospital, Health Sciences Centre
- Special Services for Children and Youth (SSCY)
- Rehfit Center (for cardiac rehabilitation)
- Associated Sport and Spine Physicians
- St. Boniface Hospital
- Riverview Health Centre
- Pan-Am Sports Medicine Centre
-Pain Clinic (largest in Western Canada)
Additional Information
WINNIPEG
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Lifestyle
Winnipeg is a friendly, multicultural city of approximately 700,000, situated in the centre of Canada. It is fairly laid back as a city with a friendly atmosphere, but has more culture than most of the large cities across Canada.
Winnipeg is home to the Royal Winnipeg Ballet, the Winnipeg Symphony Orchestra, Manitoba Opera, and many theatre companies including Rainbow Stage and Manitoba Theatre Centre. We are also known for our variety of excellent restaurants serving food from all parts of the world.
Summers in Winnipeg are filled with festivals including the Folk Festival (which is outstanding), the Jazz Festival, the Fringe Festival, and, unique to Winnipeg - Folklorama.
As Winnipeg is in close proximity to numerous lakes, parks and beaches, there is no shortage of places to camp, fish, and hike. The summers are sunny and very hot for the most part. This also makes ideal weather for many summer sports including ultimate Frisbee, football and running (through our numerous parks).
Winnipeg is also known for its cold winter months. The readily available snow allows for a variety of winter sports and gives an ideal setting for the Festival du Voyageur. We are also home to many professional and amateur sports teams including the Winnipeg Jets (Hockey), Winnipeg Blue Bombers (Football), and Winnipeg Goldeyes (Baseball).
Finally, Winnipeg offers an affordable cost of living in Canada. It is easy to find a very nice apartment within 10 minutes of either hospital for a reasonable amount of money. Food, gas, and car insurance are also quite a bit less expensive than other provinces, so your money will go further.
Discover Winnipeg (http://www.discoverwinnipeg.ca)
My Winnipeg (http://www.mywinnipeg.com)
Destination Winnipeg (http://www.destinationwinnipeg.ca)
FAQ
Why Consider Us?
This program offers a high degree of individual attention, with plenty of one-on-one teaching and experience. This allows a fair degree of latitude to encourage you to do what you want to do. The program is large enough to provide you with all the necessary experience to excel in the future, yet not so large as to lose a resident in the process. There are currently eight dedicated full-time academic members and two part-time members, allowing exposure to inpatient and outpatient, academic and private, practice. Currently, there are eight residents in the program. Areas of excellence include a strong program-focused team approach, with each resident dedicated to each specialized team during her or his rotation blocks. There are many ties to the local basic science community, especially with the Spinal Cord Injury Research Centre.
We have dedicated rehabilitation programs for Amputee, Neuromusculoskeletal, Spinal Cord Injury, Stroke, and Acquired Brain Injury.
We provide excellent training in musculoskeletal medicine. There are close ties between physiatry and the pain clinic allowing for multidisciplinary pain management. There are faculty with interests in chronic pain, fibromyalgia, myofascial trigger point injections, interventional spine management, ultrasound guided procedures, sports medicine, independent medical examinations, as well as the pharmacologic management of pain.
There is a dedicated Physiatry based EMG lab run by 4 physiatrists with fellowship training in neuromuscular diseases and electromyography. Muscle biopsies are also performed by the neuromuscular staff. Training can lead to certification in EMG (Electrodiagnosis)
Ultrasound is used as a tool for research and guidance of procedures.
In summary, the primary focus is to develop and expand continuously our roles and goals, to provide the best educational experience for an excellent "real world" preparation. We encourage electives at other centres, allowing sharing of ideas and techniques, including internationally.
Summary of changes
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