Please visit our website for more information on the program.
NOSM U-Family Medicine (http://www.nosm.ca/familymedicine)
You will find:
Additional Requirement: Situational Judgement Test (FMProC) is a required test for all applicants to NOSM University Family Medicine Program (all streams).
(Please refer to the Supporting Documentation Section)
All promotion, recruitment and selection activities will be conducted virtually, using a variety of web-based tools to help you get to know us, and us you!
Program application language: English
NOSM University offers Family Medicine training in seven streams:
Please note: If applying to more than one NOSM U Family Medicine urban stream, the same supporting documents may be used for each application. Rural streams and the Remote First Nation stream require additional documentation.
Rural streams (East, South, West): an additional document (the NOSM U FM Rural Addendum/Questionnaire) with specific questions pertaining to suitability for rural training is required.
Remote First Nation stream: a customized personal letter and additional reference are required.
Applications to additional streams (except RFN) must be completed by 11:59 p.m. E.T. on Sunday, February 4, 2024.
IMPORTANT NOTICE: As per the Ontario Provincial Eligibility Criteria, if you are submitting a Canadian Birth Certificate or Act of Birth, or Confirmation of Permanent Residence in Canada document, you MUST submit a government issued photo I.D. to accompany your citizenship documentation.
Your FMProC assessment result is sent directly to CaRMS. The FMProC assessment is only valid for one admissions cycle. If you have taken the assessment in previous years, you are expected to re-take it.
To register for the FMProC assessment visit www.fmproc.com.
The letters of reference must be written by clinical teachers and/or clinical faculty who have a reasonable knowledge of you, either through close association in clinical training situations or as your faculty advisor. References should provide an assessment of your medical knowledge, clinical skills, interpersonal skills, ability to communicate effectively, your attitudes toward learning, and commitment to Family Medicine.
Your 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.
The personal letter (maximum 250 words) should focus on the following:
We encourage you to outline your letter with bullets/numbers.
If your transcript/MSPR indicates academic difficulty, failure(s), repeat of a year or any gaps in your education or work history, please attach a supplementary statement to the END of your Personal Letter entitled "Transcript/CV Addendum" explaining the above.
Recently, the NOSM U FM program announced that the content of the Personal Letter for this cycle would be different from years past. The change was felt to be an opportunity for candidates to better highlight their experiences and attributes that make them suitable for residency in Family Medicine at NOSM U, while also simplifying their task. We understand that the change occurred after the cycle opened, and that some candidates may have already completed a Personal Letter using the previous requirements or are already in the process of completing their Personal Letter using the previous requirements. Rest assured that for this cycle, we will accept both versions of the Personal Letters and that candidates will not be penalized nor rewarded for using one over the other.
Thank you for your continued interest in NOSM U Family Medicine. We look forward to carefully reviewing your application.
Optional: you may submit abstracts of recent publications.
Applications submitted after file review has opened on December 2, 2023
Supporting documents (excluding letters of reference) that arrive after file review has opened on December 2, 2023
Letters of reference that arrive after the unmasking date on December 2, 2023
In keeping with the CanMEDs roles, please note that throughout the entire application and selection process, your interactions with NOSM University personnel may be taken into consideration by the program in their selection process and ranking decisions.
The NOSM University Family Medicine Residency Program will review candidate’s applications based on:
NOSM University (NOSM U) is committed to the education of high-quality physicians and health professionals, and to international recognition as a leader in distributed, learning-centred, community-engaged education and research.
The NOSM U Family Medicine Residency Program's vision is to educate physicians based on the CanMEDS-FM roles to develop the skills and attitudes necessary to deliver excellent, culturally respectful health care to the communities of northern Ontario, including rural and remote areas.
Through our selection process, our program aims to identify candidates who have a strong academic history with demonstrated competence and interest in family medicine (e.g. FM rotations, electives, scholarly activities, conference involvement and/or other related work or life experiences). We are seeking candidates who possess superior clinical and communication skills, and have the ability to relate to patients, their families and caregivers with compassion, empathy, sensitivity and humility.
We are looking for candidates who possess the ability and willingness to work collaboratively (within and across professional domains) in a team dynamic to secure optimal patient outcomes, while exemplifying the highest standards of professional behaviour -- inclusive of responsibility, respect, and self-awareness.
We are also looking to identify candidates who would be a good fit for our program. As a socially accountable medical university, accountable to the needs and the diversity of the populations of northern Ontario, candidates best suited to the NOSM U Family Medicine Residency Program are those with a vested interest in rural medicine, who can adapt and thrive in a hands-on, distributed residency program that requires flexibility and some travel away from their primary location of residence. At times, you will train in environments with very few learners, which affords excellent first-in-line, hands-on experiences.
We also believe that candidates who are resilient, can prioritize their personal well-being and work-life balance, and are also committed to self-reflective learning, continuing professional development, and quality improvement, are well-suited to our residency program. Through our selection process we aim to identify and successfully match candidates who possess these attributes.
Review team composition : Each application is reviewed and scored independently by two program faculty members. Members of our file review team are the Program Director, Site Directors, Assistant Site Directors and/or NOSM U Family Medicine Faculty members.
Average number of applications received by our program in the last five years : 201 - 400
We average approximately a combined total of 250 applications across all of our streams.
Average percentage of applicants offered interviews : 76 - 100 %
We interview approximately 175-200 candidates.
|CV||Academic & work background/experiences, personal/professional accomplishments, communication skills.|
|Electives||Diverse range relevant to the discipline, rural and/or northern an asset.|
|Extra-curricular||An asset to demonstrate work-life balance and wellness, personal interests. Include in CV.|
|Leadership skills||Any leadership roles held throughout training should be outlined in the CV.|
|MSPRs||Patient interactions, FM rotation competencies, any academic, personal or professionalism concerns.|
|Personal letters||Practice goals, interest/knowledge in FM and our program, personal and northern/rural suitability.|
|Reference documents||Commitment to FM, performance, knowledge/clinical skills, character, attitude towards learning, professionalism, engagement in learning.|
|Research/Publications||Past achievements/successes and interest in participating in future scholarly activity.|
|Transcripts||Strength of academic record, any red flags/concerns.|
|Other file component(s)||
If any part of your application indicates academic difficulty, failure(s), repeat of a year or any gaps in your education or work history, a supplementary statement at the END of your Personal Letter is required. Please title your statement as "Transcript/CV Addendum", explaining the above.
Interview format :
We routinely accommodate requests to re-schedule interviews for applicants.
|Collaboration skills||Demonstrated ability to work well in a team setting/multidisciplinary environment.|
|Collegiality||Personable, respectful towards others, values the importance of a supportive/collegial atmosphere.|
|Communication skills||Able to reflect and communicate responses clearly and concisely, can communicate well with others.|
|Health advocacy||Advocacy for patients, including geographically isolated or marginalized populations.|
|Interest in the discipline||Genuine passion for the discipline of Family Medicine and future practice goals.|
|Interest in the program||Knowledgeable about our program, training sites, northern Ontario patient populations and challenges.|
|Leadership skills||Qualities such as: proactive/takes initiative, accountable, innovative, motivated and goal-oriented.|
|Professionalism||Conducts themselves in a professional manner, self-aware, unbiased, morally/ethically responsible.|
|Scholarly activities||We do not formally evaluate this component during the interview.|
|Other interview component(s)||Problem-Solving Skills: Conflict resolution, ability to assess, plan, and take appropriate action.|
Our program spans the geography of northern Ontario and experiences exist across all our regions. At times, residents will travel for rotations, away from their home site, to experience the breadth of the discipline. Support is available for housing and travel costs.
Practice opportunities are extensive and diverse allowing residents to immerse themselves in the unique lifestyle of northern Ontario.
Residents are encouraged to undertake clinical electives in a wide variety of communities across the entire NOSM University geographic area.
Opportunities exist to undertake either Family Medicine or other learning experiences in the French language and experience the Francophone culture of northern Ontario.
Community rotations are available which will allow residents to immerse and familiarize themselves in the rural culture, and experience the challenges and rewards of delivery of care in rural and remote communities.
Many diverse opportunities exist to encounter, immerse and deliver care to Indigenous Peoples including travel to northern First Nation communities.
Initial block of training focused on transition to residency to ensure successful progression through the two years of training
Rotation opportunities in over 40 Northern urban, rural and remote clinical settings.
Opportunity for a wide variety of PGY3 enhanced skills options in northern Ontario.
A unique opportunity for blended hospital-based and community-based training with first call coverage in most disciplines.
Early integration as a key member of an interdisciplinary health care team dedicated to professionalism, high quality patient care and excellent medical education.
A diverse variety of inpatient and outpatient experiences emphasized from the beginning of residency.
A non-clinical curriculum with dedicated time for academic sessions mapped to the CFPC Priority Topics, including a high-quality longitudinal simulation program
Unparalleled preceptor support from physician faculty and preceptors whose primary focus is patient care and teaching.
Commitment to resident learning.
Financial support for resident travel to and from core clinical placements away from the home base and all mandatory educational activities at non home base locations.
Housing support for core rotations away from home base and primary residence for up to 6 months per academic year.
Opportunities to participate in a scholarly activity, including research and quality improvement, under expert guidance.
Funding available for research, professional development and conference participation.
Access to advanced technology and informatics that allows 24/7 access to electronic search engines, and electronic indexes, as well as an extensive collection of electronic medical/health journals and textbooks.
Exceptional lifestyle balance with a wide variety of outstanding northern Ontario recreational opportunities.
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.
The NOSM University (NOSM U) Family Medicine program is an accredited program of the College of Family Physicians of Canada (CFPC). We follow the Triple C competency-based curriculum in all of our training streams. Utilizing the CanMEDS-FM competencies, along with the CFPC's Priority Topics and Skills Dimensions, our curriculum is built with community Family Medicine in mind. All of our rotations are largely community based, with several opportunities within our hospitals. The vast majority of teaching is provided by family physicians. Comprehensiveness of practice, along with continuity of care and education are central to our work. Depending on the stream, the approach to the scheduling of clinical experiences will vary. All Family Medicine residents will receive ongoing coaching and feedback, both informally and formally through our workplace-based assessment methods. Regularly scheduled periodic reviews provide an opportunity for self-reflection and coaching from a Competency Coach. Candidates who are self-directed and engage in reflective practice are particularly suited to our residency program.
The NOSM U Family Medicine Clinical Curriculum incorporates a diversity of experience and proficiency in areas integral to community-based Family practice. Each resident will spend significant time in the community practice of Family Medicine preceptors. Residents participate in all aspects of the practice, including provision of continuous care to their own patients within the practice and participation in the care of all in-hospital patients within the practice whenever possible. Participation in the care of the practice’s patients in multiple environments including the hospital, patients' homes and other scenarios is encouraged.
|Domains of Care||Curriculum Objectives|
Across the Life Cycle
|Care of Underserved Patients||
Throughout the program, elective rotations provide additional flexibility and enable residents to tailor their training to achieve competence in the domains of care and their individual learning objectives not met by immersions in the regular core rotations. Diversity of experience during elective rotations is encouraged and recognized as being extremely valuable.
Below is the typical NOSM Family Medicine Program Clinical Curriculum, represented in weeks. Due to the needs of the communities, some of the program streams will demonstrate slight differences in curriculum.
Note: Family physicians (preceptors) who do not do hospital rounds – residents are required to do three (3) additional weeks of Internal Medicine.
|Family Medicine - Inpatient||-||-||-||-||-||-||4||-||-|
|Family Medicine Rural||8||24||24||24||8||8||8||8||16|
|Family Medicine||16||-||16||16||12 or 16||15||24|
|Family Medicine - Inpatient||-||-||-||-||4 or 8||-||-|
|Family Medicine Rural||8||24||24||24||8||8||8||4||-|
The Family Medicine academic program consists of academic sessions, courses, and a transition to residency block. Residents regularly have protected time for virtual teaching, separate from clinical duties. Additionally, there are in person sessions at the end of blocks periodically through the year. These sessions will cover the vast majority of CFPC's Priority Topics, along with some hands-on skills including simulations, procedural skills and other small group learning. In the first year of residency, all residents will participate in the Core Curriculum offered to all NOSM U residents, across all specialties, which will cover key topics such as the Resident as Teacher, Indigenous health, medical errors and patient safety, etc. In addition, specific sessions in second year will be tailored to preparation for CFPC examination.
The NOSM U Family Medicine Residency program also provides financial support for residents to obtain certification in Advanced Cardiac Life Support (ACLS) and Neonatal Resuscitation Program (NRP). Residents are also provided with some financial support through the Resident Reimbursement Fund (RRF) to attend other courses or conferences such as Family Medicine Forum (FMF) and Society of Rural Physicians Rural and Remote Medicine Conference (SRPC).
Other learning sessions, virtual or in-person, are scattered throughout the year to address learning needs.
We value the importance of wellness and encourage protected time for residents to gather and dialogue with each other on a regular basis.
The mission of the Wellness Program is to assist our residents in achieving the knowledge and skills to develop healthy and productive professional identities during this important transitional time. The framework of the program includes occupational/academic health, physical health, emotional health and social health.
Our highest priority is providing and coordinating supports for residents who have specific health needs, whether pre-existing or arising during residency. Wellness Program personnel will assist residents with finding and coordinating health resources, as well as working with residency programs to accommodate the learning and training environment if needed. The program also includes proactive components for all residents such as: a wellness curriculum, promoting safe housing and transportation, ensuring your duty hour and leave protections are respected, cultural supports, and guidance with developing a healthy and productive professional identity.
While the role of scholar will evolve throughout the two-year program, a number of activities are planned in the program:
These activities contribute to the development of effective teaching practices, formulating and investigating scholarly questions, and disseminating and communicating knowledge to professional audiences. Residents also contribute to the quality improvement of the Family medicine program by providing feedback on the clinical experiences and academic curriculum; this data is collected and utilized by the program to augment the overall program curriculum.
The city of North Bay offers a delightful balance of work and learning opportunities and resources, coupled with the lifestyle factors that keep one sane during medical residency training. We’re a small city of under 60,000 which somehow still manages to host Nipissing University, Canadore College, a military base and an airport within the city limits, a kid-friendly waterfront and public marina and a diverse industry including mining engineering and high tech electric vehicle manufacturing. All this, while living near two in-city lakes (Nipissing and Trout), two in-city forests (Duschesnay Falls and Laurier Woods), two 30km+ trail systems (The Kate Paceway and the Education Trails which actually connect to the hospital grounds) and excellent mountain biking, nordic and alpine ski facilities. From the outside, residency can seem like an exercise in packing in too much learning into too short a time. When you’re actually living it, it’s often true that it’s the life outside the walls of the hospital that get you and your family through it. There aren’t a lot of places where you can exit your day at the hospital, get into a canoe within 10 minutes, paddle for 30 minutes, moor at a dockside ice cream store with fifteen flavours and then walk up the stairs to a gas station that sells authentic Indian Food and excellent poutine!
North Bay Regional Health Centre is a 400+ bed facility and is a direct referral centre for other outlying communities. We’ve had residency trainees in Family Medicine and also Anesthesia, Emergency, General Surgery, Internal Medicine, Paediatrics, Psychiatry and Public Health. The Northeast Mental Health Centre, our psychiatric hospital, is physically attached on the same campus, facilitating the care of medically complex psychiatric patients. There is a 16-bed closed CCU/ICU and a post-28weeks NICU. Obstetrics is shared by FRCP OBs and midwives and newborn care is often done by family doctors. In other words, we might not be the ideal training site if you aim to be a neurosurgeon or plastic surgeon. For almost anything else, we pride ourselves in being a great place to learn directly, often one-on-one, from active-practice MDs.
Unusual for a community of its size, North Bay continues to have a core group of family physicians who also devote time to inpatient hospital medicine, both for their own rostered patients and for unattached patients who are admitted. For Family Medicine trainees, this means a more varied and challenging exposure to higher acuity medical care. For Specialists, both as residency trainees and staff, it can mean more sustainable on-call schedules, a closer working relationship with general medicine colleagues and more collaboration in care. Likewise, the emergency department is staffed mostly my FM-trained MDs and we strive for a friendly relationship between “the Door” and “the Floor”. If you’ve ever worked in a hospital where getting a patient admitted requires a fight or a “sales job”, North Bay Regional will be a welcome change!
There is a long tradition in our community of upholding a bedside teaching model by practicing clinicians. Unlike in the big city, there are no purely academic appointments and as a result, the day-to-day cases and study before and afterwards remain directly relevant to real world practice. Yet, we still balance it out with Resident-Led-Rounds and Workshops for the undergraduate medical students (we typically have about ten each year, some of whom are visiting from outside of NOSM University). Residents therefore can reinforce their own learning by being teachers themselves. We have access to a high-fidelity simulation lab at the Nipissing University which has also been used for workshops. Later on, learners are supported by several instalments of protected-time practice sessions and mentoring for the College exams and we hold Mock SOO (Simulated Office Orals) with experienced doctors serving as standardized patients.
We pride ourselves in the Lifelong Learning model and put our time and money where our mouth is. In addition to typical small group rounds and larger topics held within the hospital by the various departments, we are proud to have a very strong Local Education Group (LEG) and the majority of staff are members. The LEG holds several one-day symposia per year, accredited for CME and typically funded both for staff and learners to attend at no cost. Previous topics have included toxicology, sepsis, Derm, addiction and burns; basically, every once in a while, we take a day off, get together for free and, without having to travel anywhere, collect CME credits while eating.
It’s not all book learning, though. We have a stake in supporting your physical and mental health during residency while maintaining our own. The Learner’s Wellness Circle is protected time during which you are invited to kibitz with fellow students and go over trials and tribulations with your peers. We strive to find every resident and their family a primary care contact during their time in North Bay. Informal learning opportunities crop up all the time: there have been individual and group sessions presented at microbreweries, coffee roasters, trivia nights and, and maybe even one session might be held on a dock. A newsletter of factoids and info about the community is circulated monthly. And finally, we have a mentorship and competency coaching system that allows for periodic 1:1 review with an established MD tasked less with quizzing you on hyponatremia (…again…) and more with building out a sustainable, rewarding career after residency is done. We pride ourselves that even decades later, some of our senior staff still maintain in contact personally and professionally with students that they met on that first day of R1.
To learn more about northern Ontario, please visit the "Wider Campus of the Northern Ontario School of Medicine" webpage.
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