Queen’s University - Adult Respirology - Kingston

2023 Medicine Subspecialty Match - first iteration
Competitive Stream for All

Last approved on August 15, 2022

Summary of changes

Approximate Quota:


Accreditation status : Accredited

Provincial Criteria

Dr. Christina Liak
Department of Medicine  
Division of Respirology and Sleep Medicine 
102 Stuart St.
Kingston , Ontario, K7L 2V6
(613) 548-2300
(613) 549-1459
Division of Respirology

Program Contacts

Hayley Stitt
Program Assistant

Important Information

Institution-wide CBME Implementation within PGME at Queen’s University

Queen’s University received approval to adopt a Competency-based Medical Education model in all specialty programs, effective July 1, 2017. Residents attending Queen’s in July 2017 and beyond will use time as a framework rather than the basis for progression. It is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages, and each stage will have a series of entrustable professional activities (EPAs) based on required competencies. These EPAs will create more targeted learning outcomes and involve more frequent, formative assessments within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need.

The changes at Queen’s University align with the Royal College of Physicians and Surgeons’ broader, national Competence by Design initiative to introduce CBME in all faculties and all disciplines.  

Further information on CBD can be found on the Royal College of Physicians and Surgeons of Canada website at: CBD implementation 



COVID-19 vaccination requirements (added October 6, 2021):

Please refer to the 'Restrictions' section of the Ontario eligibility criteria for messaging regarding COVID-19 vaccination requirements.

Return of Service

The Ministry requests all ROS agreements before June 1 of the year they were matched. All agreements should be returned to the Ministry prior to the start of residency training. It is the responsibility of the applicant to confirm eligibility with respect to ROS requirements of other provinces.


More information for IMG ROS can be found here: Return of Service


Information about the Ministry’s ROS programs is available at: Return of Service Program


A letter of release from existing return of service agreements must be submitted as part of application.

General Instructions

Program application language: English

Applicants must be able to communicate in the language of instruction and patient care of the matching school and training hospital.


Our main mode of communication will be email. However, we would like to have your mobile phone numbers to call if we need to reach you with any urgency. This is particularly true for the interview day. Please provide your cell number in an email to the program assistant if you are selected for an interview.

Supporting Documentation / Information

Applicants are advised to only provide the documents requested by the program. No other documents submitted will be reviewed.
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
Submit one of the following documents to verify your Canadian citizenship:
• Canadian Birth Certificate or Act of Birth
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)
  • Notarized/certified photocopy of Birth Certificate issued by an authority in Canada accompanied by photo ID (must be Canadian government issued photo ID)
  • Failure to provide proof of citizenship will result in the removal of your application. No other forms of verification are acceptable.
  • Documents must be notarized/certified photocopies. Notarized/certified copies must not be older than two years from the date of application submission deadline; otherwise, a new notarized/certified copy is required.
  • Confirmation of permanent residence must be accompanied by photo ID (must be a Canadian government issued photo ID).
Reference documents
Number requested: 3
Number requested: 1

The letter from your program director may be included in the total of the 3 required letters of reference. 

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

Custom Résumé / CV 

Uploaded directly to your CaRMS Online account as an Extra Document.

Personal Letter 
Word count
Minimum : None
Maximum : 750

Detailing why you are choosing Respirology and why the Queen’s Training Program is a good fit for you.

Medical School Transcript 

MCCQE Part I - Statement of Results 

Additional required IMG documents
Medical School Diploma 

Review Process

Applications submitted after file review has opened on August 24, 2022

Supporting documents that arrive after file review has opened  on  August 24, 2022

Applications submitted after the file review has opened will be considered up to August 31, 2022.
References and other supporting documents which arrive after the file review has opened will be considered up to August 31, 2022.



  • September 19, 2022
Candidates invited for an interview should be notified on or before September 05, 2022.

Date of interview: Monday September 19, 2022.

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Interviews will be held by video conferencing software. On the day of interviews, candidates will have an opportunity to interview with members of the selection committee. Candidates taking part in the interview process will also be invited to take part in a virtual orientation and question and answer session and with current trainees in the Program. 

Selection Criteria

Queen's Respirology program uses a standardized scoring system to score the file review and interview components. Following the interviews, members of the Selection Committee will meet to discuss the preliminary Rank Order List. Candidates will be ranked based on cumulative scores obtained on file review and during the interview. The selection committee has discretion to add or subtract a small number of points based on the collective discussion. Additionally, the selection committee reserves the right to choose not to rank any particular candiate independant of the scoring system.

Program goals

The goal of the Queen’s University Respirology Training Program is to produce knowledgeable, highly competent respirologists. The program recognizes and respects the need for both academic and community-based respirologists, and is designed to facilitate training in both of these major career pathways. The program aims to achieve this objective through a combination of intense formal education utilizing a variety of teaching strategies and methodologies, abundant practical clinical experience, and curricular flexibility.

Selection process goals

The selection goals of the Queen's Respirology training program are to select excellent people to be excellent respiratory medicine physicians. We are looking for intelligent individuals with strong interpersonal and problem-solving skills who have high ethical and professional standards. Candidates must have demonstrated a comittment and success in all CanMEDS roles in prior training. Candidates should have a strong knowledge of medicine and the ability to apply that knowledge clinically. Candidates should have a history of seeking and responding to feedback in a productive manner and a committment to doing so in the future.

File review process

Review team composition : File review: At least one attending physician and one current resident in the program.

Interview: Two interviews each with two members of the Respirology Division or Training Program Committee.

Note that the Program Director may additionally review and score any application or attend any interview.

Average number of applications received by our program in the last five years : 0 - 50

Average percentage of applicants offered interviews : 51 - 75 %

Evaluation criteria :
File component Criteria
CV Demonstration of an interest in pulmonary medicine or work in the area of pulmonary medicine. Demonstration of a commitment to education, medicine, and community.
Electives Completion of at least one or more electives in pulmonary medicine is encouraged. Electives at Queen's University are noted.
Examinations Satisfactory scores on standardized examinations. (For example: MCCQE I)
Extra-curricular Demonstration of a commitment to personal and community wellness.
Leadership skills Demonstration of leadership roles, preferably within healthcare or education.
MSPRs Demonstration of a strong academic record.
Personal letters Demonstration of an interest in, and commitment to, pulmonary medicine and clear statement of career goals.
Reference documents Opine on knowledge, clinical skills, maturity, interpersonal skills, and suitability for pulmonary medicine.
Research/Publications Demonstration of an interest in pulmonary medicine or work in the area of pulmonary medicine preferred.
Transcripts Demonstration of a strong academic record.
Other file component(s) We will consider your performance on the MCCQE I. Please note we do not evaluate or consider attached publications, research abstracts, or miscellaneous certificates/course participation unless explicitly listed in the application requirements above. Such items should be noted on your CV and in your CaRMS application.

Interview process

Interview format :

We routinely accommodate requests to re-schedule interviews for applicants.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Commitment to promotion of high quality care through working in a team environment.
Collegiality Demonstrate appropriate behaviour, attitude and ability to work well with others.
Communication skills Ability to communicate clearly in English. Ability to convey empathy and compassion.
Health advocacy Commitment to promotion of health advocacy.
Interest in the discipline Demonstrated enthusiasm for Pulmonary Medicine and an appreciation of what the practice entails.
Interest in the program Demonstrated knowledge of and interest in Queen's Respiratory Medicine Training Program.
Leadership skills Involvement in continued development and improvement of medical care.
Professionalism Interactions with the public, staff, and residents during interview.
Scholarly activities Interest in pursuits of scholarly work in Pulmonary Medicine.
Other interview component(s) Interviewers will observe for the ability to participate in conversation and normal human interaction.

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

Above all, our Program provides a high-quality and flexible educational experience that fully and successfully prepares our trainees for a career in either academic or community respirology.

By virtue of a highly flexible Core of Discipline Phase that is tailored to the needs of the individual trainee, trainees are able to choose from a variety of elective/selective experiences that serve to achieve individual career goals. Our faculty are dedicated to ensuring that our trainees are exposed to all aspects of general and subspecialty respirology. Subspecialty experience, supervised by experts in the field, is gained from regular attendance at clinics in cystic fibrosis, COPD, ILD, TB, pleural space management, sleep, asthma, pulmonary rehabilitation, and the lung diagnostic program. Queen's Respiratory Medicine Program has a rich exposure to pulmonary procedures with an EBUS program, pleural space clinic with indwelling pleural catheter management, and an active inpatient service that routinely manages complex pleural spaces and infections. Our program has two ultrasounds for procedural activities. The center has state-of-the-art simulation facilities with a bronchoscopy simulator.  

Trainees interested in academia have opportunities to take part in research projects in collaboration with our faculty, many of whom are internationally renown. Trainees are supported to attend scientific meetings and symposia to present original research. On an individual basis, residents wishing to pursue concurrent part-time master's programs of study relevant to the field of Respiratory Medicine, Medical Administration, or Medical Education will be considered.

Queen’s University, located on the shores of Lake Ontario in picturesque Kingston, Ontario, is one of Canada’s leading academic institutions. As a city, Kingston offers larger-city amenities with a smaller-city feel. In addition to world-class water sports, Kingston and the surrounding area allows easy access to camping, biking and nature trails. Located in the heart of the Thousand Islands, Kingston is also within easy driving distance to the major urban centres of Toronto, Ottawa, Montreal, and Syracuse.

Program Curriculum

This residency program is for 2 years.

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

Longitudinal Experiences:

Throughout the training program, our trainees receive longitudinal experiences in bronchoscopy and other thoracic procedures such as tube thoracostomy. The program maintains an urgent referral clinic/fellow's clinic that sees the majority of the urgent referrals for the Division and provides a venue for Fellows to follow these patients longitudinally. This clinic is supervised at arm’s length by faculty, provides graded responsibility, and allows the development of the managerial skills required for transition into clinical practice. PFT interpretation also occurs on a recurring fashion throughout training.

The formal academic program consists of a weekly academic half day that covers all aspects of core respirology. In addition, there are weekly Grand Rounds (attended by all members of the Division of Respirology), weekly tumour board, monthly Journal Clubs, and biweekly ILD Rounds (held in conjunction with Respirology, Radiology, Pathology, and Thoracic Surgery). There are routine teaching sessions dedicated to radiology, lead by our Chest Radiologist that coincides with academic half day, as well as a dedicated block of radiology. Principles in pulmonary physiology are taught using a core group of lectures offered at the beginning of each academic year, with concepts further reinforced and applied to the clinical setting during academic half days.

Trainees with an interest in medical education will have the opportunity to contribute to a variety of teaching formats provided to students in both undergraduate and postgraduate medical education. Formal or virtual instruction, modules, mentorship and in-person programs occurring in Kingston and regionally are accessible through the University. To review these programs and opportunities, please refer to their website -

Transition to Discipline / Foundations of Discipline  (Approximately First Year - PGY 4):

The first year of training is designed to provide a broad exposure to general respirology, through both inpatient and ambulatory patient encounters. Depending on career path, 1-2 months of ICU and an elective month round out the first year. The PGY 4 trainees are responsible for interpreting PFTs throughout the year, and are assigned to at least one half-day of bronchoscopies per week. Procedural training, including the use of ultrasound-guided thoracentesis and tube thoracostomy, is provided throughout the year.

Core of Discipline / Transition to Practice (Approximately Second Year - PGY 5):

The second year of training builds on the foundations of general respirology that were developed in the first year. In the second year, trainees receive more focused exposure to subspecialty respirology by taking part in weekly subspecialty clinics. Additional rotations in chest radiology, lung cancer, thoracic surgery, and lung transplantation are also included, as is a block spent as a senior resident in the Intensive Care Unit. A minimum of 2 blocks will be spent in sleep medicine. Skills in bronchoscopy are further developed with the use of more advanced techniques such as transbronchial fine-needle aspiration and EBUS. Our ILD program has a cryobiopsy probe that residents may see employed. Final year trainees also spend a block as Junior Attending Staff on the busy inpatient respiratory consultation service, which allows further refinement of consultancy skills. During this year, the Core of Discipline trainees are responsible for the interpretation of all cardiopulmonary exercise tests and spend time in the PFT lab to learn aspects of quality control and assurance related to pulmonary function testing. Up to 5 elective/selective blocks are available during the PGY 5 year, allowing the trainee the flexibility to pursue a career path that is tailored to individual career goals.

Optional Additional Training (PGY 6+)

For trainees who have completed the core training program, and contingent on the receipt of ongoing funding, we are able to offer ongoing Fellowship opportunities in Research, ILD, and Sleep Medicine. Additional experiences may be organized on an individual basis. Please note that the Royal College of Canada no longer allows for concurrent training in Respirology and Critical Care Medicine; thus, ongoing training in Critical Care requires a separate application to the Critical Care Medicine Program at Queen’s University.

Training Sites

The majority of clinical training is completed at the Kingston General Hospital Site of the Kingston Health Sciences Centre (KHSC), a 450-bed acute care facility that serves a catchment area of close to a million people. Ambulatory clinics in respirology are held primarily at Hotel Dieu Hospital Site of KHSC with some clinics at Providence Care Hospital, Kingston. Outreach clinics in respirology are held at Napanee and Picton, Ontario.  Mandatory rotations in lung transplantation are completed in Toronto, Ontario.

Summary of changes

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