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University of Manitoba - Family Medicine - Emergency Medicine - Winnipeg

2023 Family Medicine/Enhanced Skills Match
Competitive Stream for All

Last approved on July 19, 2022

Approximate Quota:

 4 

Accreditation status : Accredited

Provincial Criteria


Dr. Caroline Kowal
Emergency Medicine Residency Program CFPC-EM 
S203J Medical Services Building 
750 Bannatyne Avenue
Winnipeg, Manitoba, R3E 0W2
(204) 977-5664
(204) 789-3515
http://umanitoba.ca/faculties/health_sciences/medicine/units/emergency_medicine/

Program Contacts

Dr. Caroline Kowal
Program Director
Caroline.Kowal@umanitoba.ca

Shara Werestiuk
CCFP-EM Program Assistant
shara.werestiuk@umanitoba.ca
204-977-5664


Important Information

Interested applicants must apply to the Winnipeg program, or the Brandon program, or to both programs if considering either location.

Candidates will participate in separate interviews for both the Winnipeg and Brandon programs.

Candidate interview ranking for the Winnipeg program or Brandon program will be done separately.  

Practicing Manitoban physicians are encouraged to apply. Physicians who are already in practice but reside out of province will not be considered. 

Off cycle residents may be considered. You must declare your completion date on the application form. An off cycle resident needs to be able to start the program as of July 2023. 

The Postgraduate Medical Education Orientation for all residents, which is MANDATORY, will be held on June 29th, 2023.

 To name a few highlights the program offers:

  1. Close working relationship with the FRCP program - combine learning and fun!
  2. High volume trauma center - no need to do out of province elective for trauma
  3. Exposure to high acuity patients by training at referral centers for the entire province
  4. Robust Simulation and ultrasound program, joint FR sim as well as CCFP-EM specific sim sessions
  5. Procedural preparedness program in state of the art sim lab
  6. High yield exam preparation

 

We are hosting a virtual social on Sept 8th, 6:30-8:00 pm CDT. If you are interested in attending, please email either Shara or Jocelyn (Shara is the Winnipeg program administrator and Jocelyn is the Brandon program administrator. The event is joint for both Winnipeg and Brandon, emailing either Shara or Jocelyn is all you have to do). 

Shara Werestiuk: Shara.Werestiuk@umanitoba.ca

Jocelyn Beever:   Jocelyn.Beever@umanitoba.ca

For those interested,  will email out a link and instructions to the Gathertown event one hour prior (5:30 pm CDT Sept 8th). 

 

 

 


Return of Service

Applicants must declare any Return of Service obligation at the time of application and may be disqualified if their provincial obligations preclude R-3 training.

 


General Instructions

Program application language: English

Please review instructions for reference letters and personal letters. 


Supporting Documentation

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
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)
• Canadian Citizenship Card (both sides of card)

Notarized/certified photocopied proof of citizenship must be provided. Photocopies are accepted but citizenship documents other than what is listed above are not accepted.                    

Language proficiency
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 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, French Stream in Ottawa or Quebec or the US, you are exempt from providing proof of language proficiency.

Candidates who attended medical school in Canada or the United States where the language of instruction or the primary language of patient care was not English, must fulfill the English Language Proficiency requirements.

IMG’s

  • IMG applicants must fulfill the English Language Proficiency requirements.

 Candidates are exempted from English language proficiency testing under the following circumstances:

  1. the language of instruction and patient care throughout the entire undergraduate medical education curriculum was in English. A letter of attestation obtained directly from the Dean of the candidate’s medical school confirming that the majority of the language of instruction and patient care was conducted in English is required.
  2. their undergraduate medical education was taken in English in one of the countries that have English as a first and native language (see list below)

All other candidates must have taken one of the following:

  • the Academic Version of International English Language Testing System (IELTS) with a minimum score of 7 in each component with an overall band score of no less than 7 in the same sitting.  IELTS scores will be considered valid for 2 years from the date taken
  • Occupational English Test – Medicine (OET-Medicine), with a minimum grade of B in each of the four subsets in the same sitting; or
  • Canadian English Language Proficiency Index Program – General (CELPIP-General) Test, with a minimum score of 9 in each of the four skills in the same sitting

List of countries that have English as a first and native language - Countries: 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 Attestations will not be accepted from the candidate or a third party.
  • Language Proficiency results will not be accepted by fax or e-mail.

 

Reference documents
Required
Number requested: 3
Number requested: 1

Of the reference letters, one letter must be from your primary Family Medicine preceptor and at least one letter must be from an Emergency Physician. Please ask your referees to provide examples they have observed which illustrate your strengths and weaknesses, comment on your fitness to work in the emergency department. 

If you come from a large family medicine program and you do not know your program director, please have your site director/education director complete the Program Director assessment form. The Program Director assessment form is targeted to either the program director or site director who has reviewed all of your evaluations and has given you overall feedback. 

If you are a Manitoban Physician who is already in practice - please ask your referees to write reference letters which illustrate examples of areas you excel in, what type of role you play in your work environment, comment on your interactions with fellow physicians, nurses and staff in the emergency department. 

Please ask your referees to reference:

https://www.carms.ca/match/r-1-main-residency-match/referee/reference-guidelines-r1-referee/

Additional documents
Required
Personal Letter 
Word count
Minimum : None
Maximum : 600

Please keep your personal letter brief - ideally three quarters of a page to one page.

An introductory paragraph illustrating a personal experience is not required. 

Your personal letter should describe yourself and your career interest.

 

For all candidates, please answer the following questions:

Why should you do the CCFP-EM year when you could get a job in a rural or smaller emergency department immediately after completing your family medicine residency? 

What are your long term career goals?

Specifically address why you are suited to the CCFP-EM program at the University of Manitoba (either Winnipeg or Brandon stream).

What strengths and weaknesses do you possess relevant to the practice of EM?

What will you do if you do not get into a CCFP-EM program?

 

 

 

 

Custom Résumé / CV 

Include a list of electives

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


Review Process

Applications submitted after file review has opened on September 14, 2022


Supporting documents that arrive after file review has opened  on  September 14, 2022


File review includes a scoring system which assigns a percentage for each of the following: letters of reference, personal letter, letter from program director, prior academic performance, maturity/professionalism, collegiality, overall reviewer impression. Additional points are assigned for connection to Manitoba/prior electives in Manitoba or to practicing physicians who are established in a rural Manitoban community. During the covid pandemic residents are not expected to have completed an elective in Manitoba. We understand that electives have been difficult to organize and travel is restricted. 

Family Medicine residency candidates from out of province are welcomed and are considered. 

Please note physicians who are already in practice outside of Manitoba will not be considered.

 


Interviews

Interviews will be held over zoom Nov 3rd, the 4th will be used as a back up date. 

Please do not contact the program for an interview. 

 

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
The Selection Committee is chaired by the Program Director. The committee consists of a tertiary center physician, community hospital physician and a resident representative. This committee is responsible for offering and conducting interviews of the candidates. During the covid pandemic, interviews will be conducted via zoom. 


Selection Criteria

The CCFP-EM program at the University of Manitoba aims to have a diversity of residents representing the population that we serve. We have a small program which makes it difficult to fully represent every Manitoban community. All genders, beliefs, ehtnicites, and sexual orientations are welcome in our program. The CCFP-EM program is committed to a supportive training environment which demonstrates respect, equity and inclusion. File reviewers and interviewers are selected intentionally to ensure diversity. File reviewers and interviewers must be transparent about personal connections to any candidate to ensure that no candidate is given an advantage or disadvantage by being reviewed or interviewed by a particular person.

 

Selection criteria include:

  • Strong academic record
  • Proven interest in Emergency Medicine, thoughtful review of the challenges and opportunities of training in our program
  • Professionalism
  • Maturity. resilience, and work life balance
  • Excellent interpersonal and communication skills/ team player
  • Ability to accept and work with feedback
  • Ability to develop a learning plan based on learner self assessments and faculty feedback
  • Leadership skills
  • Interest in medical education
  • In the case of currently practicing physicians returning to residency, strong preference is given to physicians practicing in Manitoba

Program goals

The goal of the University of Manitoba CCFP-EM program will cover the key priority topics outlined by the College of Family Physicians of Canada and CanMeds 2017 key competencies. We aim to provide enhanced skills in emergency medicine in order to prepare physicians who are capable of working in urban, rural or remote environments. We hope to train future leaders or teachers in emergency medicine who will contribute to their emergency medicine community and/or department. 

Selection process goals

As part of its commitment to Manitobans, priority shall be given to candidates who demonstrate intent for future practice in Manitoba (or in proximal jurisdictions served by Manitoba) as demonstrated by one or more of the following: 

1)  applicants to all programs will describe practice intentions in line with CFPC concepts of community adaptiveness 

2) letters of references or letters of support that reflect the intention to practice in Manitoba (or areas who we serve such as NWT, Nunavut, North-west Ontario)

We aim to select a diversity of candidates who will serve in urban, rural and northern centers. Our program values residents who have strong interpersonal skills, and who are team and community minded. We select candidates who are professional, mature, self reflective, have critical thinking skills and are invested in self improvement. Must be open to constructive feedback and coaching, the program is an intensive year. Candidates must be prepared to meet demands of the program.

• All positions are filled through the CaRMS process
• Strong academic record
• Proven interest in Emergency Medicine
• Professionalism
• Excellent interpersonal and communication skills
• In the case of currently practicing physicians returning to residency, strong preference is given to physicians practicing in Manitoba

File review process

Review team composition : Program director
Tertiary Center physician representatives
Community Hospital physician representatives
Resident representatives

3-5 faculty members and 1-2 residents review each resident application file. Each file reviewer completes a scoring system to assist with selecting residents to interview. The file reviewers independently review each file, then a committee meets to review candidates and narrow down the candidates selected for interview.

Average number of applications received by our program in the last five years : 51 - 200
Roughly 100 applicants annually

Average percentage of applicants offered interviews : 0 - 25 %
Interviewed 23 candidates 2021

Evaluation criteria :
File component Criteria
CV Gives an overview of the candidate, prior experiences, electives, timelines
Electives Emergency medicine, critical care, cardiology, anesthesia, MSK. Broad range of electives is acceptable.
Examinations We do not evaluate this file component.
Extra-curricular Demonstrate interests outside of medicine
Leadership skills Demonstrated through personal letter, CV, reference letters, and during interview. We are interested in knowing how your leaderships skills will assist throughout your career as an emergency physician.
MSPRs Not routinely assessed
Personal letters Introduction to the candidate and their interest in EM training, suitability to emergency medicine, career goals
Reference documents Demonstrate prior clinical experiences, clinical skill set, professionalism, collegiality, ability to work as a team, ability to accept feedback
Research/Publications Valuable, not required
Transcripts Demonstrates prior academic performance

Interview process

Interview format :



We may accommodate requests to re-schedule interviews for applicants due to weather, technology failure, or unforeseen circumstances.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Team work essential
Collegiality Demonstrates ability to respect other people's opinions and learn from the entire team
Communication skills Demonstration of communication skills during interview
Health advocacy Sensitivity towards vulnerable populations, sensitivity towards diverse patient populations.
Interest in the discipline Assessed through personal letter, CV
Interest in the program Assessed through personal letter
Leadership skills Demonstration of future plans and career development in emergency medicine
Professionalism Strong factor. Growth mindset, commitment to residency program, self initiation
Scholarly activities Assessed during file review, not a strong factor
Other interview component(s) The interview committee would like to get a sense of who you are as a person. If you are too prepared for an interview the answers appear rehearsed, less genuine.

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

Collegial, supportive, welcoming environment from the FRCP program - shared resources, educational and social activities

Engaged staff who are dedicated to the EM program, excellent on shift teaching

Academic day occurs once a week, full day. Interactive, high yield shared Academic Day with FRCP program

Robust simulation curriculum led by experts in simulation based education

CORE IP ultrasound certification, some advanced applications (renal, gallbladder, advanced cardiac scans)

- if IP certification completed prior to EM year, alternative ultrasound sessions planned

Physician wellness program incorporated into academic day

Procedure Preparedness curriculum - a chance to try out those rarely encountered stressful procedures

Mentorship program 

AIME course or in house Airway course equivalent is organized and paid for during the residency program

Opportunities to become involved with teaching medical students

Exam preparation - regular written and oral exam practice

Monthly Tintinalli rounds

Transition to practice - lectures on administrative topics, finances, departmental flow                                                                                                                                                                                                                                                                              


 


Program Curriculum

This residency program is for 1 year.

Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.

Overview

The CCFP-EM Program is a 1-year extension of family medicine residency, and is intended for those who wish to be better prepared in Emergency Medicine. The CCFP-EM Program is under the auspices of the Department of Family Medicine at the University of Manitoba, Winnipeg. It prepares residents for the CCFP-EM Certification in Emergency Medicine. Applicants must have completed the 2-year program in family medicine, prior to commencing the EM program.

Our emergency program runs parallel to the FRCPC-EM program at the University of Manitoba and as such we can offer a rich learning environment. CCFP-EM residents participate in weekly academic full-day, grand rounds, seminars, journal clubs and research activities. Pre-hospital ground and air transport EMS experiences are offered. Part of the academic program involves innovative teaching techniques including a heavy exposure to simulation training in a state of the art simulation centre. Residents complete the year with Independent Practitioner-Core Status in FAST/Cardiac/Aorta/OB/Lung Ultrasound as well as certification/recertification in ACLS, ATLS, PALS and AIME/local airway course. 

The clinical experience is shared by three central tertiary hospitals, as well as by one Winnipeg community hospital. These include Health Sciences Centre, the major regional trauma centre; St. Boniface Hospital, the regional cardiac centre; Children’s Hospital, the only pediatric referral centre in Manitoba; and the Grace Hospital, one of the busiest full-service community emergency departments.

Manitoba offers a progressive mentorship program to assist residents in all aspects of their training. This includes support with clinical, academic and personal concerns. Residents are encouraged to utilize this excellent professional resource.

Curriculum

The following is an outline of the specialty rotations (four weeks) undertaken during the R-3 year:

R-3 Rotation

Rotation Duration Location
Anaesthesia (Adult) 4 weeks Community hospital/Winkler Boundary Trails 
Emergency Medicine (Community) 8 weeks Grace Hospital
Emergency Medicine (Tertiary) 12 weeks Health Sciences Centre and St. Boniface Hospital
Pediatric Emergency Medicine 4 weeks Children’s Hospital
Medical ICU 4 weeks HSC or St. Boniface Hospital
Surgical ICU 4 weeks HSC or St. Boniface Hospital
Gold Trauma Surgery  4 weeks HSC. Out of province trauma rotations organized in discussion with program director.
Cardiology 4 weeks 4 weeks of cardiology at St Boniface Hospital required if not completed during two-year family medicine. In order to do a month of CCU, cardiology requires a month of cardiology consult service was completed during family medicine prior to starting the EM year. 
Plastic surgery/Elective 2 weeks

2 weeks of plastic surgery and 2 weeks of elective time is required. If you have completed plastic surgery FM - then you are exempt and can do an elective instead.

Vacation 4 weeks All 4 weeks together, or two separate 2-week splits

Scholarly Project

Evidence Based Medicine skills are integrated within our core curriculum academic days and journal club. As well, the resident is required to complete a small scholarly project and has an opportunity to present at the annual Dept. of Emergency Medicine Research Day at the end of the academic year. Projects are tailored to resident interest. 

Academics

There is a protected academic full day each week which combined with the FRCP program. Core curriculum is covered in an interactive format under the guidance of academic staff. Residents also participate in faculty rounds that include Dept. of Emergency Medicine Grand Rounds.  Journal Club is held quarterly. ACLS, ATLS, PALS and AIME are requirements of the program. The resident will have funded opportunity to partake in these courses. The resident is also encouraged to obtain ACLS Instructor certification and later has an opportunity to teach an ACLS course. 

The College last reviewed the program in March 2022. The Family Medicine program at the University of Manitoba was granted status of accredited program (which includes enhanced skills programs). 


Training Sites

Health Science Centre (HSC)

820 Sherbrook St.

Winnipeg, MB

R3A 1R9

 

Saint Boniface Hospital

409 Tache Ave

Winnipeg, MB

R2H 2A6

 

Grace Hospital

300 Booth Drive

Winnipeg, MB

R3J 3M7

 

 


Additional Information

A mandatory resident retreat is offered annually. The retreat is in September of each year. Protected time is created so all residents from both CCFP-EM and FRCP programs can attend. The goal of the retreat is for residents to have a weekend away for team building, developing personal and professional relationships, and resident wellness. The retreat is funded by the Department of Emergency Medicine. 


FAQ

Do you have a specific program in Quality Improvement?

We do not have specific QI programs or curriculum, if you have an interest we will assist and connect you with faculty with an interest in QI.