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Memorial University of Newfoundland - General Surgery - St. John's

2024 R-1 Main Residency Match - first iteration
CMG Stream for CMG

Last approved on September 11, 2023

Approximate Quota:

 4 

Accreditation status : Accredited

Provincial Criteria


Dr. Alex Mathieson
Discipline of Surgery 
H 1366, Health Sciences Centre  
300 Prince Philip Drive
St. John's, Newfoundland and Labrador, A1B 3V6
Discipline of Surgery

Program Contacts

Dr. Alex Mathieson
Program Director
alex.mathieson@med.mun.ca

Ms. Stacy Hicks
Program Administrator
surgical.education@med.mun.ca


Important Information

All General Surgery residents are automatically enrolled in Surgical Foundations, which is a CBD-styled program. 

Please review Memorial University's Provincial Criteria and admission requirements for postgraduate medical education. 

 

COVID-19:

Memorial University continues to follow the most up-to-date advice provided by the Government of Newfoundland and Labrador and the Government of Canada on COVID-19 response. Please refer to the University's COVID-19 website for up-to-date information. 

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Return of Service

CMGs/USMGs:

No return of service (RoS) is required for CMG seats in the first iteration.


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
• 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)
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

Exemption to English language proficiency testing

  • If you graduated from a medical school in Canada or the United States where English is the language of instruction, you are exempt from providing proof of language proficiency.  
    • If you graduated from a medical school in Canada or the United States which provides training in multiple language streams, please self-identify which stream you graduated from, e.g. English-Stream, French-Stream, Spanish-Stream, etc.

Who is required to provide English Language Proficiency?

  • If you graduated from a medical school in Canada or the United States where the language of instruction is not in English (e.g. French) you are required to provide proof of proficiency in the English language. It is important to note that this requirement extends to all such applicants, regardless of whether other secondary/post-secondary education took place in English and regardless of citizenship.

The accepted English language proficiency exams, and the required scores, are as follows:

  • International English Language Testing System - Academic (IELTS-Academic), with a minimum score of 7 in each of the components in the same sitting;
  • Occupational English Test - Medicine (OET-Medicine), with a minimum grade of B in each of the four subsets in the same sitting;
  • Canadian English Language Proficiency Index Program Test - General (CELPIP-General), with a minimum score of 9 in each of the four skills in the same sitting.

Exams must be dated within 24 months of the residency start date (July 1). Results must be available by the CaRMS document review deadline.

Examinations
Optional - will be reviewed
MCCQE Part I
  • Score and document(s)
  • MCCQE Part I - Statement of Results
  • MCCQE Part I - Supplemental Information Report
  • If applicable.

    Reference documents
    Required
    Number requested: 3

    The three reference letters should be from referees who have had direct clinical contact with the applicant in a supervisory role within two years of application. 

    Additional documents
    Required
    Custom Résumé / CV 

    Personal Letter 
    Word count
    Minimum : None
    Maximum : 500

    Ideally, the personal letter should give an idea of why you wish to be a surgeon, explain why you are interested in our program, and provide some indication that you have the necessary qualities including the ability to work hard, resilience, and good inter-personal skills. 

    Memorial Declaration for Interruptions 

    ALL applicants must submit the Declaration of Interruptions form with their application.

    Consent for disclosure 

    ALL applicants must submit the Consent to Disclose form with their application.  

    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.

    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.

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

    Conditionally required
    Medical School Diploma 

    (if available)


    Review Process

    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


    Applications are read by members of the program committee, and interviews are granted based upon the quality of the application. Following interviews, the applicants are ranked at a meeting of the program committee.  This ranked list is submitted to CaRMS.


    Interviews

    Dates:

    • February 2, 2024
    • February 3, 2024
    General Surgery interviews will be held virtually on Friday and Saturday, February 2-3, 2024. All applications are reviewed and selected applicants will be offered an interview. Local applicants may be interviewed prior to our advertised interview dates.

    Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
    Candidates will be interviewed twice. Interviews are semi-structured and conducted by faculty and residents. Each interview will be about 20-30 minutes in length, and will be scheduled on the same day, if possible. 

     


    Selection Criteria

    Candidates should have a demonstrated interest in surgery. The main selection criteria are evidence of personal attributes derived from the Medical Student Performance Record and from references which give an honest appraisal of stronger and weaker points. Personal interviews are also important.

    Program goals

    The goal of the General Surgery Residency program at Memorial University is to produce broadly-trained surgeons prepared to go to the community to practice. The rotations are designed to cover many different areas, and allow for extensive community training. 

    Upon completion of training, a resident is expected to be a competent specialist in General Surgery capable of assuming a consultants role in General Surgery. The resident must acquire a thorough knowledge of the theoretical basis of General Surgery, including its foundations in the basic medical sciences and research.

    Selection process goals

    Successful applicants should be able to achieve the following by the end of their program:

    1. Knowledge and expertise in clinical and operative management of diseases of the alimentary tract, breast and endocrine systems, trauma and critical care, General Surgical Oncology and ambulatory patient care for General Surgery.
    2. Mastery of surgical skills of open abdominal surgery, endoscopy, minimal access surgery, endocrine surgery, breast surgery, trauma surgery and soft tissue surgery including abdominal wall surgery.
    3. Effective clinical judgement and decision making in dealing with general surgical problems based on sound surgical fundamentals.
    4. The requisite knowledge, skills, and attitudes for effective patient-centered care and service to a diverse population. In all aspects of specialist practice, the graduate must be able to address issues of gender, sexual orientation, age, culture, ethnicity and ethics in a professional manner.

    File review process

    Review team composition :
    1. All members of the General Surgery Residency Committee.
    2. Surgeons who are not currently on the General Surgery Residency Committee.
    3. Residents who are not currently on the General Surgery Residency Committee.

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

    Average percentage of applicants offered interviews : 51 - 75 %

    Evaluation criteria :
    File component Criteria
    CV Broad background - interest in General Surgery, leadership skills, work/life balance
    Electives Experience and interest in General Surgery
    Examinations None outside MUN/Postgraduate requirements.
    Extra-curricular Work/life balance
    Leadership skills Ability to organize and work with a team
    MSPRs Previous medical and surgical experience and achievement
    Personal letters Interest in General Surgery, especially in a community setting, and in our specific program and area
    Reference documents Surgical skills, work ethic and interest in the field
    Research/Publications Ability to understand research findings and their application in a clinical setting
    Transcripts General academic ability

    Elective criteria

    We are looking for and rewarding applicants who have completed a broad range of electives including in our discipline.
    We do not require applicants to have done onsite electives.

    Interview process

    Interview format :



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

    Interview evaluation criteria :
    Interview components Criteria
    Collaboration skills Ability to work well with other residents, surgeons and allied professionals.
    Collegiality We do not evaluate this interview component.
    Communication skills Ability to communicate well with the interviewer.
    Health advocacy We do not evaluate this interview component.
    Interest in the discipline Why the applicant is interested, their awareness of challenges and plans to handle them.
    Interest in the program Interest in specific rotations, how the program fits with plans after completion.
    Leadership skills Expand on past experiences as in application.
    Professionalism Must present themselves in a professional manner at the interview - prompt, polite, respectful.
    Scholarly activities Ask about any research plans.
    Other interview component(s) Interviews will be conducted virtually.

    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

    There are opportunities for interprovincial and international electives while training in our program.

    There are two Community Surgery rotations, one each in the PGY 4 and 5 years.  They are usually carried out in Carbonear, Clarenville, or Grand Falls-Windsor, NL; or Charlottetown, PEI. Other sites may be arranged.

    The program is designed to optimize early operating.

    The average patient load per resident by location is 5-20 patients.

    There is access to electronic medical resources.


    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.

    PGY 1

    Rotation

    Duration

    (4-week blocks)

    Location / Notes

    Emergency

    1

    Health Sciences Centre/St. Clare's Mercy Hospital, St. John's, NL.

    General Surgery

    3

    Health Sciences Centre (Acute Care Service Team), St. John's, NL.

    General Surgery

    3

    St. Clare's Mercy Hospital (Team C), St. John's, NL.

    ICU

    1

    St. Clare's Mercy Hospital, St. John's, NL.

    Medicine

    1

    St. Clare's Mercy Hospital, St. John's, NL. 

    Pediatric Surgery

    1

    Janeway Children's Hospital, St. John's, NL.

    Thoracic Surgery

    1

    St. Clare's Mercy Hospital, St. John's, NL.

    Vascular Surgery

    2

    St. Clare's Mercy Hospital, St. John's, NL.

     

    PGY 2

    Rotation

    Duration (4-week blocks)

    Location / Notes

    Ambulatory Clinics

    1

    St. John's, NL.

    General Surgery

    3

    St. Clare's Mercy Hospital (Team B), St. John's, NL.

    ICU

    2

    Health Sciences Centre, St. John's, NL.

    Plastic Surgery

    2

    Health Sciences Centre, St. John's, NL.

    Research

    1

    St. John's, NL.

    Trauma

    1

    Sunnybrook Health Sciences Centre, Toronto, Ont.

    General Surgery

    3

    Health Sciences Centre, St. John's, NL.

     

    PGY 3

    Rotation

    Duration (4-week blocks)

    Location / Notes

    Endoscopy

    3

    St. John's, NL.

    Pediatric Surgery

    3

    Janeway Children's Hospital, St. John's, NL.

    General Surgery

    3

    Health Sciences Centre (Acute Care Service Team), St. John's, NL.

    General Surgery

    3

    St. Clare's Mercy Hospital (Team A), St. John's, NL.

    Elective

    1

    Residents' Choice

     

    PGY 4

    Rotation

    Duration (4-week blocks)

    Location / Notes

    Community Surgery

    3

    Carbonear, Clarenville, Corner Brook or Grand Falls-Windsor, NL; Charlottetown, PEI. Other sites may be arranged.

    Elective

    3

    Residents' Choice

    Endoscopy

    1

    St. John's, NL.

    General Surgery

    3

    Health Sciences Centre (Team A), St. John's, NL.

    Head and Neck

    2

    St. Clare's Mercy Hospital, St. John's, NL.

    Research

    1 St. John's, NL.

     Endoscopy, general surgery, and community surgery rotations are compulsory during the fourth year.

    PGY 5

    Rotation

    Duration (4-week blocks)

    Location / Notes

    Community Surgery

    3

    Carbonear, Clarenville, Corner Brook or Grand Falls-Windsor, NL; Charlottetown, PEI. Other sites may be arranged.

    General Surgery

    10

    Health Sciences Centre/St. Clare's Mercy Hospital, St. John's, NL.

    The fifth and final year offers Chief Resident rotations in St. John’s and at community hospitals. As part of these, all Chief Residents should complete 50 scopes in their chief year and should attend one half day clinic per week; ideally, but not necessarily, seeing new patients.

    Health Sciences Centre - HSC

    St. Clare's Mercy Hospital - SCMH

    Janeway Children's Hospital - JCH


    Training Sites

    Training Sites

    Newfoundland and Labrador

    Health Sciences Centre - General Hospital
    300 Prince Philip Drive
    St. John's, NL  A1B 3V6
     
    Janeway Children's Health and Rehabilitation Centre
    300 Prince Philip Drive
    St. John's, NL  A1B 3V6
     
    St. Clare's Mercy Hospital
    154 LeMarchant Road
    St. John’s, NL
    A1C 5B8

    New Brunswick

    Some rotations may take place in New Brunswick, usually at the Saint John Regional Hospital, Saint John, NB.

    Resources

    All of the compulsory rotations except trauma and community surgery are in one of the two adult hospitals and the pediatric hospital in St. John's. Community rotations can be arranged in Carbonear, Corner Brook, Clarenville, and Grand Falls-Windsor, Newfoundland, and Charlottetown, Prince Edward Island. Other sites, including out-of-province sites, may be used as requested and approved. The trauma rotation is at Sunnybrook Hospital in Toronto, Ontario.

    Housing is provided for core rotations in Newfoundland and Labrador, should rotations take place outside St. John's. Housing arrangements are overseen by the Faculty of Medicine's Distributed Medical Education (DME) Department.

    For residents travelling for core community surgery rotations and the required trauma rotation, it is recommended that residents contact the DME Department to obtain information regarding housing accommodation reimbursement prior to their rotation(s).  

    The trauma rotation is in the PGY 2 year, and there are senior resident rotations in a community hospital in both the PGY 4 and PGY 5 years. 


    Additional Information

    Overview

    The overall philosophy of the program is to provide exceptional training in clinical surgery for potential community surgeons while having enough flexibility to allow the development of a surgical scientist. This is a five-year CBD program fully accredited for training by the Royal College of Physicians and Surgeons of Canada.  The current enrolment is 20 residents. Residents are supervised by a total of 22 full-time and part-time faculty members during their adult and pediatric general surgical tertiary care and community centre core rotations, generally with one resident per surgical service (2-3 faculty members).

    The Program Director and Administrative Residents will be offering and hosting a virtual Town Hall/Question and Answer session, via webex (per the address below), for candidates interested in our training program.  This session will take place on:

    Date: Tuesday, December 12, 2023

    Time: 7:30PM (NST)

    https://mun.webex.com/meet/pgsurgery