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University of Saskatchewan - Orthopedic Surgery - Saskatoon

2023 R-1 Main Residency Match - first iteration
CMG Stream for CMG

Last approved on December 01, 2022

Summary of changes

Approximate Quota:

 2 

Accreditation status : Accredited

Provincial Criteria


Dr. Andrew Urmson
Division of Orthopedics 
Room A5512, 103 Hospital Drive 
Royal University Hospital
Saskatoon , Saskatchewan, S7N 0W8
(306) 844-1114
Division of Orthopedic Surgery
Explore the Orthopedic Surgery program at the U of S

Program Contacts

Dr. D. Sauder
Program Director
ortho.surgery@usask.ca

Judy Classen
Program Administrative Assistant
ortho.surgery@usask.ca
(306) 844-1114
(306) 655-0638


Important Information

Applicants  are responsible for reviewing the University of Saskatchewan Policies for the R1 Match to determine if they meet all requirements and eligibility criteria. Failure to meet or provide proof of any of the stated requirements or documents may result in an applicant’s file not being reviewed or ranked.

CASPer Test
All applicants must complete the Casper test. More information is available under Supporting Documentation-CASPer Exam.

Licensing
Matched applicants must be eligible for an educational register license with the College of Physicians and Surgeons of Saskatchewan (CPSS) for a July 1st start date and must maintain eligibility for an educational register license throughout their entire training program. Matched applicants who are graduating in the spring will need to provide a copy of their medical degree/diploma to the PGME office and the College of Physicians and Surgeons of Saskatchewan (CPSS) prior to the start of residency training. Any delays in providing all required documentation to CPSS may result in the following:

  • delay in issuance of an educational register license and a delay in start of postgraduate training beyond July 1st
  • release from CaRMS match contract

Applicants completing medical education at the University of Montreal, Sherbrooke, Laval, and the University of Ottawa (French stream) are required to submit proof of English language proficiency before the rank order deadline to demonstrate they meet CPSS requirements. More information is available under Supporting Documentation-Language Proficiency.

NOTE: Applicants who are considering a delay to their convocation date must be aware that a medical degree cannot be issued to a student until they have convocated. CPSS bylaws require that new residents must have received their medical degree prior to the commencement of residency training. Choosing to delay convocation will affect a matched applicant’s ability to commence their residency training program in Saskatchewan on July 1. Please refer to the U of S CaRMS Deferral Policy for additional information.

Credentialing
In order to commence and continue in Postgraduate Medical Education training programs, matched applicants must be eligible for and maintain privileges within the Saskatchewan Health Authority (SHA) as determined by their credentialing process. The SHA requires successful applicants to submit a current criminal record check as part of their pre-resident application for appointment. Applicants with criminal records will be considered on a case by case basis by the College of Medicine in consultation with the SHA.

Resident Boot Camp
All matched applicants must attend a mandatory three-day Resident Boot Camp scheduled for late June. The purpose of the Boot Camp is to provide additional support to trainees as they transition to residency by introducing and consolidating baseline skills and knowledge needed to flourish during their residency years. The program will include interactive case-based and hands-on practice sessions. There will also be a social event to provide trainees with the opportunity to interact and network among themselves. Stipends will be provided to trainees.

Attendance is required and absences are only permitted in exceptional circumstances, with prior approval of PGME.

Advanced Cardiac Life Support
Matched applicants are required to provide proof of ACLS certification (current as of July 1, 2023) to the PGME office prior to starting their training program. The ACLS course must be endorsed by the Heart and Stroke Foundation of Canada and/or the American Heart Association. ACLS training that is not certified by these two organizations and/or is completed entirely through an online course will not be accepted. Applicants are responsible for all costs associated with obtaining ACLS certification.


General Instructions

Program application language: English


Supporting Documentation / Information

Canadian citizenship
CaRMS partners with third-party organizations to verify your citizenship or permanent resident status. If your status is verified by one of these organizations, you will not need to provide citizenship documents in your application. If your citizenship status is not verified, you must provide one of the documents listed below.
Document must be notarized/certified
Required
Submit one of the following documents to verify your Canadian citizenship:
• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)
• Canadian Citizenship Card (both sides of card)

All applicants must be Canadian Citizens or Permanent Residents at the time of application and must submit a notarized/certified photocopy of one of the accepted citizenship documents.

Proof of citizenship must be current at the time of application and expired documents will not be accepted.

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 proficiency
Conditionally required
Submit one of the following documents to verify your language proficiency:
• IELTS
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General

Language assessment document accepted: IELTS Academic

  • Document validity (not expired) by: Must be valid up to July 1, 2023
  • Minimum score: Minimum of 7.0 in each of the components
  • Results available and submitted to programs by: March 2, 2023 at 14:00 ET 

Language assessment document accepted:

  1. Occupational English Test (OET) – Medicine on paper at a test venue
  2. Occupational English Test (OET) – Medicine on a computer at a test venue
  • Document validity (not expired) by: Must be valid up to July 1, 2023
  • Minimum score: Minimum grade of B
  • Results available and submitted to programs by: March 2, 2023 at 14:00 ET

Language assessment document accepted: Canadian English Language Proficiency Index Program (CELPIP) – General

  • Document validity (not expired) by: Must be valid up to July 1, 2023
  • Minimum score: Minimum grade of 9 in all sections
  • Results available and submitted to programs by: March 2, 2023 at 14:00 ET

Applicants will be required to provide proof of proficiency in the English language to meet licensing requirements of the College of Physicians and Surgeons (CPSS) of Saskatchewan.

CMGs/USMGs who completed their medical education at an English medical school in Canada or the US are not required to submit proof of English language proficiency.

Canadian applicants with medical education from the University of Montreal, Sherbrooke, Laval, and the University of Ottawa (French stream) are required to meet the English language proficiency requirements of the College of Physicians and Surgeons of Saskatchewan and must complete one of the language exams listed above.

Applicants who are required to complete a language exam must submit a valid test score to CaRMS by the program rank order deadline. Applicants who do not provide acceptable proof of language proficiency by the program rank order deadline will not be ranked.

Please direct any questions about language requirements or eligibility to della.toews@usask.ca. Applicants should not contact CPSS directly about their eligibility for licensure.

Reference documents
Required
Number requested: 3

Our program requires referees to complete the Orthopedic Surgery Structured Reference Letter.

Applicants must provide the below links within their reference request to referees. Both PDF and fillable PDF forms are available to choose from:

https://www.carms.ca/pdfs/orthopedic-structured-reference-letter.pdf

https://www.carms.ca/pdfs/orthopedic-structured-reference-letter-fillable.pdf

Additional documents
Required
Photo 
[Note: Photograph is used as memory aid only]

Medical School Transcript 

Your medical school transcript can be submitted through one of the methods below:

  1. 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;
  2. Ask your medical school to upload your medical transcript through their CaRMS Undergraduate Portal account; or
  3. International (IMGs) and United States (USMGs) medical graduates can transfer their transcript from their physiciansapply.ca account.

Medical Student Performance Record 

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.

Personal Letter 
Word count
Minimum : None
Maximum : 300

A personal letter is encouraged.  Please describe your reasons for wanting to do a residency in orthopedic surgery in two paragraphs or less (approx. 300 or less).

In a separate paragraph please outline why you are applying to the University of Saskatchewan Orthopedic Surgery Residency Training Program.

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.

Custom Résumé / CV 


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 16, 2023
All candidates will be notified as to whether or not they will be invited for an interview.

We ask invited candidates to confirm with the program administrator, as soon as possible, their intention to come to the interview.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
All interviews will be virtual for the 2023 R1 Match. There will be two interviews conducted by one or two panelists. There will be a social activity the night before, an introductory virtual forum, and a resident chat room(s) during the interview period.


Selection Criteria

Candidates should have a proven interest in orthopedic surgery. This can be demonstrated by electives in orthopedics or related fields.

Three references should be obtained from academic specialists. References should be able to attest to interest and proficiency in the specialty as well as comment on interpersonal and manual skills.  Alll references must use the Canada-wide Orthopedic Structured Reference Letter (SRL).

Program goals

The University of Saskatchewan offers a well-organized comprehensive training program in Orthopedic Surgery as per the Royal College Objectives of Training in Orthpedic Surgery. Our residents will demonstrate the following attributes: exceptional teamworkinterpersonal skills, clinical skills, research experience and academic excellence. Our program believes in a positive work/life balance and extracurricular activities.  

Selection process goals

Identify applicants who have demonstrated ability to interact appropriately with patients and colleagues alike.

Identify applicants interested in Orthopedic Surgery, and those who will develop into exceptional surgeons.

Identify applicants who have demonstrated attributes highlighted in the CanMEDS 2015 roles:  Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar and Professional.

Identify applicants who have demonstrated ability and enthusiasm to learn and are able to adapt to a demanding residency.

File review process

Review team composition : Our team is composed of the program director, 5 faculty and 2 residents.

Average number of applications received by our program in the last five years : 51 - 200

Average percentage of applicants offered interviews : 76 - 100 %

Evaluation criteria :
File component Criteria
CV This gives a good overall impression of the candidate.
Electives There should be some electives in orthopedics to demonstrate interest. Electives in other areas in Medicine will be viewed favorably.
Examinations All applicants must complete a CASPer exam to be eligible for consideration. French stream applicants are required to submit proof of English language proficiency.
Extra-curricular Volunteering and achievement are valued.
Leadership skills This can be demonstrated in leading organizations, sports teams or smaller groups.
MSPRs Students are expected to demonstrate hard work and clinical acumen.
Personal letters We are looking for interest in the specialty and our program location.
Reference documents We will evaluate students in regard to their aptitude for the specialty, hard work, and interpersonal skills. The Orthopedic Structured Reference letter (SRL) will be the only form of reference that will be accepted.
Research/Publications We will evaluate for demonstrated initiative and follow through.
Transcripts We will assess academic performance.

Elective criteria

We encourage applicants to have completed at least one elective in our discipline.
We do not require applicants to have done onsite electives.

We will consider candidates that show some interest in the specialty by doing electives in Orthopedic Surgery. Doing electives in other areas of medicine is also looked on favourably. Candidates that have done electives at our site will be given preference.

Due to COVID-19, it is expected and anticipated that elective experiences are greatly affected and appropriate consideration will be taken when reviewing applications. We wish to assure applicants this will not impact the eligibility of their application during the review and selection process.

Interview process

Interview format :



We do not re-schedule interviews for applicants after we have completed the scheduling process.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Promotion of high-quality patient care through working in a team environment.
Collegiality Behaviour, attitude, ability to work well with others.
Communication skills Ability to speak and write English. Ability to appropriately convey medical information in a team.
Health advocacy Ability and desire to improve the health of the community.
Interest in the discipline Articulating your desire to train in orthopedic surgery.
Interest in the program Able to express a genuine interest in our program.
Leadership skills Previous experiences demonstrating positive leadership roles.
Professionalism Appropriate interactions with staff, residents and allied health professionals.
Scholarly activities Ability to explain previous research experiences.

Information gathered outside of CaRMS application

Specifically, we may consider:







Ranking process

The behavior(s) exhibited below during the interview process may prevent an applicant from being ranked by our program :
   
   
   


Program Highlights

We have a yearly Combined Research Day with the University of Manitoba.   The programs alternate visiting and hosting.  This involves a one-day event with air travel.

We have newly renovated the Orthopedic learning centre with the latest AV technology and virtual meeting capability.

We currently hold our simulation labs in the new Anatomy lab space.  The College of Medicine is continuing to develop Surgical Simulation capacity.  

We have a favorable resident to staff ratio fostering a supportive learning environment.

We have many off-service rotations allowing for a broad medical and surgical experience in Surgical Foundations.

Our transition to CBD is going smoothly.

A senior call schedule allows for additional study time.

Every year we have a summer retreat to welcome the new residents held off-site at a faculty's cabin.


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.

Curriculum

The University of Saskatchewan has a very strong history of clinical and didatic teaching.  Daily teaching and weekly grand rounds provide ample learning opportunities for our residents.  Boot camp and surgical simulation curriculum has been implemented to keep pace with the transition to competency based education.  

Transition to Discipline

The Surgical Foundations boot camp runs concurrently with an orthopedic rotation for first two months.    It is a combination of didactic learning and surgical simulation.   Residents will also take the ATLS Course.

In addition to the Surgical Foundations boot camp, the Orthopedics boot camp takes place in the first two weeks.

Surgical Foundations

Surgical Foundations consists of 17 blocks of orthopedics:   Hip and Knee Reconstruction, Orthopedic Trauma, Spine, Pediatric Orthopedics, Sports Medicine and Research.  Off-service rotations include 1 block each of: ICU, Vascular Surgery, Trauma Surgery, Plastic Surgery, Emergency Medicine, Internal Medicine, Radiology, and Rheumatology.

Core

Residents are based at the Royal University Hospital and Saskatoon City Hospital in Saskatoon where block rotations include Sports Medicine, Upper Extremity, Foot and Ankle, Hip & Knee Reconstruction/Orthopedic Tumour Surgery, Spine Surgery, Pediatric Orthopedics and Trauma Orthopedics.   

During fourth year residents work with surgeons in community practice such as Regina, Prince Albert, Moose Jaw and Lloydminster.   They have 2 blocks of elective time for out-of-province rotations in third year. They have 1 block of knowledge consolidation before their specialty examination.

Transition to Practice

A short period of time before finishing residency focusing on knowledge gaps and developing skills to start independent practice.

Seminars

Almost every day there are formal scheduled rounds and seminars which are mandatory for all residents.  The format varies from didactic sessions to small group interactive sessions, depending on the faculty member(s) involved.  Our weekly teaching sessions are comprehensive and cover the breadth of orthopedics.  Weekly rounds: Extremity, Fracture, Anatomy/Basic Science, Pediatrics, Spine and Orthopedic Grand Rounds.  In addition we have rounds in: M&M, Pathology, Radiology, Medicine, Anesthesia, and Journal Club.

Research

It is mandatory for residents to be involved in a research project in orthopedics or a related area in their R1, R2, R3 and R4 years.    One project is expected to be a completed manuscript.   The project, at whatever stage of completion, will be presented at the Combined University of Manitoba & University of Saskatchewan Orthopedic Resident Research Day.   There is an annual resident research day for the U of S Department of Surgery where completed papers from all surgical disciplines are presented.  

For all residents there is a protected 1/2 day of research time per week.

Many papers are also presented at the Canadian Orthopaedic Association Annual Meeting and proceed to publication. 

To give the R-5s more study time in preparation for the Royal College examination there is no research requirement.


Training Sites

Saskatoon City Hospital

Royal University Hospital

St. Paul's Hospital

Jim Pattison Children's Hospital

Saskatoon Prairieview Surgical Centre

Saskatoon Surgicentre

Regina Hospitals

Prince Albert Hospital 

Lloydminster Hospital

Moose Jaw Hospital

Northern Medical Services

Offices of the community based faculty

Distributive Learning at the University of Saskatchewan

The College of Medicine, while physically located in Saskatoon, is a provincial resource in attitude and in practice. Postgraduate medical education at the University of Saskatchewan takes seriously its role in supporting quality health care to all people of the province. This means training physicians to meet the needs of, not only urban populations, but also those of rural and remote populations. In so doing, the College of Medicine has developed, and continues to develop, rotations in Regina and other communities. These rotations are designed to provide educational experiences to enhance the resident's knowledge and skills, and take maximum advantage of unique educational opportunities in a diversity of communities. All postgraduate programs are expected to develop and incorporate into their curriculum, rotations in communities other than Saskatoon. The manner in which each program does this is not strictly prescribed by the College of Medicine - but is determined by the Residency Training Committee, taking into consideration the needs of their residents, and the excellent opportunities available in other locations. These rotations continue to evolve as we seek to build stronger and better programs.

Extensive support is available for out of town rotations. The exact nature of this support varies with location and program. The communities involved, individual programs, the College of Medicine, and the Ministry of Health work collaboratively to ensure residents are not financially disadvantaged by the need to relocate.

For residents assigned to short term rotations in Regina, fully furnished private apartments are provided (laundry facilities, wi-fi, cable TV) and are located in close proximity to the Regina General Hospital. Residents who bring their children with them for the duration of their rotation will be housed in family-friendly multi-bedroom apartments.

While all residents are strongly encouraged to take advantage of educational experiences in other communities to ensure a well rounded education, the amount and format of such time is determined by the program committee.  Our program committee feels that limited rotation exposure in Regina would best fit our educational needs.


Additional Information

Additional Comments

We believe the distinguishing strength of our program is to give each resident a great deal of personal attention. This is made possible by our relatively small size and a highly dedicated group of teaching staff.


Summary of changes

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