NOSM University - Internal Medicine - Northern Ontario

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

Last approved on November 29, 2023

Summary of changes

Approximate Quota:


Accreditation status : Accredited

Provincial Criteria

Dr. Sandra Cameron
c/o Program Coordinator 
Postgraduate Education - Internal Medicine 
935 Ramsey Lake Road
Sudbury, ON P3E 2C6, Ontario
Northern Ontario School of Medicine

Program Contacts

Melanie Desloges
Program Coordinator (Sudbury)

Important Information

Dec 5, 2023 7pm EST
Join the NOSM University Internal Medicine Team and learn details about our Internal Medicine Program provided by program leadership, faculty, and residents present at the event.
There will be time for Q&A with the presenters, including a residents-only Q&A.
Click here on Dec 5
Dec 12, 2023 7pm EST
Join the NOSM University Internal Medicine Team and learn details about our Internal Medicine Program provided by program leadership, faculty, and residents present at the event.
There will be time for Q&A with the presenters, including a residents-only Q&A.
Click here on Dec 12

Applicants who successfully match to the NOSM Internal Medicine residency program will be required to home-base in the community/stream they've matched to (e.g. if you've applied and matched to the Internal Medicine Sudbury stream, Sudbury will be your home-base/location of primary residence).

While the majority of the training will occur from the home-base location, you will be expected to experience different training sites throughout Northern Ontario, in discussion with the program director and site directors.

COVID-19 vaccination policy

Please be aware the Ministry of Health has mandated all hospital and health care employers establish, implement and ensure compliance with a mandatory COVID-19 vaccination policy.  The Ministry directive can be reviewed here. Residents matched to any Ontario residency program must ensure they are able to comply with the Ministry directive in order to start training July 1, 2023.   

It is important to understand this is an evolving issue. You are required to review Provincial, Hospital, University and Program information to ensure you are in continued compliance with directives.  

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 THE ROS requirements of other provinces.

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

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

General Instructions

Program application language: English

Applications will only be accepted through the CaRMS R-1 Main Residency Match application process.


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
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)

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.

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

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

Language Requirements

  1. International English Language Testing System (IELTS)
    • Document validity (not expired) by: Must be valid up to July 1, 2024

    • Minimum score: 7 in each component

  2. TOEFL-Ibt
    • Document validity (not expired) by: Must be valid up to July 1, 2024

    • Minimum score: 93 with a minimum score of 24 on the speaking section

  3. Occupational English Test (OET) -Medicine
    • Document validity (not expired) by: Must be valid up to July 1, 2024

    • Minimum score: Minimum grade of B in each component

  4. Canadian English Language Proficiency Index Program (CELPIP) – General
    • Document validity (not expired) by: Must be valid up to July 1, 2024

    • Minimum score: Minimum score of 9 in each component

  5. Candidates for whom their primary and secondary, or medical school education was conducted in English or French, the Ontario medical schools will accept Language Proficiency Attestations as follows:

a)Primary and Secondary Education: Mailed directly from the Senior Academic Administrators of both schools to the program confirming that all of the candidate’s primary and secondary education was conducted completely in English or French.

b) Medical School: Mailed directly from the Dean of the candidate’s medical school confirming that the language of instruction and patient care was conducted completely in English or French 

c) World Directory of Medical Schools Language Option - If the instruction and the language of patient care at the undergraduate medical school was conducted completely in English or French, then a candidate can submit to the Program a copy or printout of the World Directory of Medical Schools website listing the medical school which clearly states that the language of instruction is English or French.

  • Score and document(s)
  • NAC examination - Statement of results
  • NAC examination - Supplemental Information Report
  • A passing score of NAC is required to apply.  MCCQE part II passing score can be used to apply instead of the NAC passing score.

    (for those whose latest attempt at the NAC was prior to September 2020 or in 2021) 

    MCCQE Part I
  • Score and document(s)
  • MCCQE Part I - Statement of Results
  • A passing score of MCCQE1 is required to apply.

    Reference documents
    Number requested: 3

    Reference letters must be written by clinical teachers and/or faculty who have 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, professionalism, and your attitudes toward learning.

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

    Appreciated for memory aid.

    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 account.

    Medical Student Performance Record 

    For International (IMGs) and United States (USMGs) medical graduates, you can submit your MSPR through either of the methods below:

    1. Upload your MSPR directly into your CaRMS Online account; or
    2. Ask your medical school to upload your MSPR through their CaRMS Undergraduate Portal account.
    If your MSPR is in a language other than the program language of English or French, you are required to have the document translated.

    Custom Résumé / CV 

    Personal Letter 
    Word count
    Minimum : None
    Maximum : 1000

    The personal letter (maximum 1000 words) focusing on the following:

    • experiences that led to your interest in Internal Medicine;
    • aspects of the NOSM Internal Medicine program that interest you;
    • personal qualities that make you an ideal candidate for practice in Northern/remote settings;
    • how you anticipate this program will assist you in becoming an excellent Internal Medicine specialist;
    • your greatest challenge if you are accepted into this program;
    • additional information about yourself that should be considered by the Selection Panel.

    If your transcript/CV 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.

    Optional - will be reviewed

    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



    • January 24, 2024
    • January 25, 2024
    • January 27, 2024

    Virtual Interviews will be held on the evening of January 24th, January 25th and all day January 27th. 

    Virtual Fireside Chats

    Our program, staff, faculty and residents, will be hosting a virtual fireside chats, in order to answer any candidate questions and provide candidates with any and all information that they may need about the program and training sites. These virtual socials will be held on December 5 at 7 p.m. and December 12, 2023 at 7 p.m.

    Please note that only successful applicants will be notified of a third virtual fireside chat.

    Our program uses a different interview notification and scheduling system.
    As our program uses a different system to notify and schedule interviews during the first iteration, applicants will be notified by email via this system if they have been successful in obtaining an interview, and will have the ability to schedule their interview directly through this system as well.

    Interview Process:
    Applicants will participate in a two-part panel-style interview process, with two separate interview teams. Each part of the interview will be approximately 20 minutes, for a total duration of 40 minutes. Interview teams will be a combination of program and site directors, clinical faculty, and current residents of the program. 

    Further details will be provided upon selection and acceptance of interview.

    Selection Criteria

    Applicants will be considered by the program based on:

    • demonstrated interest in Internal Medicine
    • academic record
    • strength of their references
    • demonstrated strong interpersonal skills
    • evidence of self-directed learning, reflective practice, professionalism, and resiliency
    • desire to train in various clinical settings and with health care teams
    • demonstrated interest/commitment to northern Ontario and/or rural (non-urban) training/practise
    • suitability to northern Ontario educationally, professionally, or personally

    Applicants are assessed through the following:

    • A personal interview

    • The review of the personal letter

    • The review of performance assessments from clinical rotations in medical school and electives

    • The review of letters of reference

    Program goals

    The NOSM Internal Medicine residency program delivers a comprehensive clinical curriculum which includes core rotations in internal medicine and subspecialty rotations selected to incorporate a diversity of experience and proficiency in subspecialty areas integral to community-based Internal Medicine practice.

    Our program aims to equip our residents with the necessary skills and competencies to become well-rounded general internists who are trained to deliver excellent, culturally respectful health care to patients in a wide variety of clinical settings, such as emergency and critical care units, inpatient wards, outpatient clinics, and community settings, including northern urban, rural, and remote communities.

    We provide our residents with ongoing support to meet the program training objectives, as well as their own individual learning/career goals. Our goal is that upon completion of training, our residents will be prepared to begin their careers as general internists in any setting, and/or be well-positioned to pursue subspecialty training to further meet their career goals.


    Selection process goals

    Through our selection process, our program aims to identify candidates who have a strong academic history with demonstrated competence and interest in internal medicine. We are seeking candidates who possess superior clinical 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 behavior -- inclusive of responsibility, respect, and self-awareness.

    We are also looking for candidates who will be a good fit for our program. As a socially accountable medical school, accountable to the needs and the diversity of the populations of Northern Ontario, candidates best suited to the NOSM Internal Medicine Program are those with a vested interest in rural medicine, who can adapt and thrive in a hands-on, distributed rural residency program that requires flexibility and some travel away from their primary location of residence. 

    We believe that candidates who are resilient, can prioritize their personal well-being and work-life balance, and are also committed to self-directed learning, reflective practice, continuing professional development, and quality improvement, are well-suited to our program. Through our selection process we aim to identify and successfully match candidates who possess these attributes.


    File review process

    Review team composition : Each application is reviewed and scored independently by one or two of the file review team members. Members of our file review team are the program director and other Internal Medicine faculty in our program.

    Average number of applications received by our program in the last five years : 51 - 200
    We average approximately a combined total of 100 to 300 applications between both streams.

    Average percentage of applicants offered interviews : 51 - 75 %
    We typically offer interviews to approximately the top 50-60 candidates.

    Evaluation criteria :
    File component Criteria
    CV Academic & work background/experiences, personal/professional accomplishments/achievements
    Electives Internal Medicine elective(s), diverse range relevant to discipline, rural &/or northern an asset
    Examinations We do not evaluate this file component
    Extra-curricular Personal interests, volunteerism, demonstrate work-life balance & wellness
    Leadership skills Any leadership roles held throughout training should be outlined in the CV
    MSPRs Patient interactions, I.M. rotation competencies, any academic/personal/professionalism concerns
    Personal letters Practice goals, interest/knowledge in I.M. and our program, personal suitability for northern/rural training and practice.
    Reference documents Performance, knowledge/clinical skills, character, attitude towards learning, suitability
    Research/Publications Any scholarly activities, including academic or research awards, published or presented work
    Transcripts Strength of academic record, any red flags/concerns
    Other file component(s) Transcript/CV Addendum:

    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 entitle your statement as "Transcript/CV Addendum", explaining the above.

    Elective criteria

    Demonstrated interest in Internal Medicine would be a benefit.

    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 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 We do not formally evaluate this component during the interview
    Interest in the discipline Genuine passion for internal 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: Overcoming challenges, conflict resolution, ability to rationalize and take appropriate action.

    Personal Attributes: Personal characteristics and interests, experiences, learning style/attitude towards learning.

    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

    Since its inception, the Internal Medicine program has grown and developed in response to resident feedback. Northern Ontario offers residents a rare opportunity to develop the broad-based knowledge and skills of a true general internist, in an environment with a wide variety of patient problems, diseases and conditions. Residents gain skills quickly in an environment with high clinical responsibility backed up by strong support from preceptors.

    With a diverse exposure to all subspecialty procedures and clinical scenarios, residents completing NOSM’s program can expect to practice as highly trained, competent and confident Internal Medicine generalist. 

    • Unmatched opportunities to develop and learn technical and practical subspecialty skills early in your residency
    • Unparalleled preceptor support with lower learner to preceptor ratios, often working solely with your preceptor
    • Early integration as a key member of a health care team dedicated to professionalism, high quality patient care and excellent medical education
    • Commitment to resident learning
    • Self-directed, learner-centred training to meet your career goals
    • Exposure to the culture and social fabric of Francophone and Indigenous communities
    • Housing and support from NOSM for rotations away from primary residence
    • Opportunity to participate in research under expert guidance
    • Access to advanced technology and informatics in residency training
    • 24/7 access to electric search engines, 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
    • Ultrasound Training
    • Simulation events/training

    Program Curriculum

    This residency program is for 4 years.

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

    The program includes core rotations in Internal Medicine and subspecialty rotations selected to incorporate a diversity of experience and proficiency in subspecialty areas integral to community based Internal Medicine practice.  

    Based on the resident's personal learning plan, the content, sequence of training and schedule of movement between teaching sites may vary. 

    Each resident will have a solid foundation in Internal Medicine training (Core IM) by the end of year 3 to allow competitive application to subspecialty programs or continued training as an excellent Internist.

    The program is organized according to the CBD guidelines from the Royal College.


    Transition to Discipline (Y1 - Blocks 1-3) & Foundations (Y1 – Blocks 4-13)

    This year will be scheduled to include the following rotations:

    • 4 MCTU (Medical Clinical Teaching Unit) rotations

    • 2 Cardiology*

    • 1 Nephrology* (within first 4 blocks)

    • 3 Subspecialty** (see below)

    • 1 Foundational ICU

    • 1 Emergency Medicine

    • 1 Geriatrics

    Core 1
     (Y2 – Blocks 1-13)
     This year will include the following plus a combination of 6 blocks of Electives/Selectives chosen by the resident (see "Other rotations" below:

    • 4 MCTU-one block may be completed at the opposite site

    • 2 CCU or 2 ICU 
    • 1 Community GIM

    Core 2
     (Y3 – Blocks 1-13)
     This year will include the following plus a combination of 6 blocks of Electives/Selectives chosen by the resident (see "Other rotations" below:

    • 4 MCTU-one block may be completed at the opposite site

    • 2 CCU or 2 ICU (whichever not done in Core 1)

    • 1 Ambulatory GIM (MUST be scheduled in first half of year)

    Other rotations which must be scheduled any time during Core 1 or Core 2 Training:


    • 1 Community GIM (2nd rotation)

    • 1 Nephrology (2nd rotation)

    • 1 Medical Oncology

    • 1 Respirology

    • 3 Subspecialty **(see below)


    • 5 Electives


    **Subspecialty Core Rotations:

    Residents must complete a rotation in each of the following subspecialties, in addition to the required rotations listed above.

    • Endocrinology 
    • Gastroenterology
    • Hematology
    • Infectious Disease
    • Neurology
    • Rheumatology 



    Electives can be done in any subspecialty at any academic institution. The resident is responsible for arranging these rotations through the host universities.

    One and in some cases two elective blocks can be used for research. In order to choose this option residents, residents are required to complete an internal request form (Request for Protected Research Time Form), and there must be a deliverable at the end of each research block.


    Scholarly Activity:

    All residents MUST complete a scholarly activity, either a research project or another acceptable scholarly project. It may be done longitudinally or during elective research blocks as outlined above.  Scholarly activities are presented by each resident to the faculty and their peers in their PGY3 year during the annual Research Day.


    Community IM Experience:

    A community GIM experience outside of Sudbury and Thunder Bay is a key component of the NOSM IM residency program. A minimum of 2 blocks must be done in NOSM communities outside of Sudbury or Thunder Bay, and 1 block can be completed in Sudbury or Thunder Bay.  Community GIM rotations are offered in Huntsville, North Bay, Parry Sound, Sault Ste. Marie, Kenora and (Temiskaming Shores and Timmins (PGY3/4 Residents Only)).

    Approved Sites for Rotations:

    • MCTU – Thunder Bay and Sudbury
    • Cardiology – Thunder Bay and Sudbury
    • Foundational ICU – Thunder Bay and North Bay
    • Nephrology – Thunder Bay and Sudbury
    • Emergency Medicine – Thunder Bay and Sudbury
    • Endocrinology – Thunder Bay and Sudbury
    • Gastroenterology – Thunder Bay and Sudbury
    • Geriatrics – Thunder Bay and Sudbury
    • Hematology – Sault Ste. Marie and Thunder Bay
    • Infectious Disease – Sault Ste. Marie, Thunder Bay and Sudbury
    • Medical Oncology – Sault Ste. Marie, Thunder Bay and Sudbury
    • Neurology – Thunder Bay, Sudbury
    • Respirology – Thunder Bay, Sudbury, and Ottawa*
    • Rheumatology – Barrie and Thunder Bay
    • CCU – Sudbury, Ottawa*
    • ICU – Sudbury, Thunder Bay and Sault Ste. Marie
      *Ottawa will only be scheduled if NOSM is unable to provide the rotation within a NOSM community.
    • Community GIM - Huntsville, North Bay, Parry Sound, Sault Ste. Marie, Kenora, Sudbury, Thunder Bay and (Temiskaming Shores and Timmins (PGY3/4 Residents Only))

    Transition to Practice (Y4 - Blocks 1-13)

    After completing the three core years of Internal Medicine, residents may choose to continue in a 4th year of NOSM General Internal Medicine. Previous residents have been successful in either route - completing 4th year NOSM General Internal Medicine or applying to subspecialty fellowships at other institutions.

    The fourth year NOSM General Internal Medicine program will be designed to meet the particular interests of individual applicants.

    The fourth year of training in Internal Medicine consists of 13 blocks of four weeks duration. 

    Clinical Responsibilities & On-Call:

    The TTP resident is generally expected to function at the level of a junior consultant not at the level of a senior medical resident.  Clinical responsibilities are defined by the preceptor in each block and described in the rotation description.

    Call for core rotations should be 1 in 4 to 1 in 5 (5-7 calls per 28 day block) PARO guidelines will be followed.

    Rotation Objectives:

    Specific rotation objectives are defined for all core and strongly recommended rotations.

    For all elective rotations, the resident is expected to develop objectives based on their own learning goals. These require preceptor and program approval. Objectives must be received by the program 4 weeks prior to the start of the rotation. In addition to the resident developed objectives, there are also general objectives that will apply to elective rotations.

    Procedural Training for the TTP resident:

    Training in the following procedures can be arranged. The TTP resident must identify this goal prior to the beginning of their academic year. 

    • Exercise stress testing
    • Ambulatory ECG monitoring (e.g. Holter monitors)
    • Pulmonary Function Testing
    • Bone marrow biopsy and aspiration 

    If the resident requires training in other procedures due to a need in their expected community of practice, the program may be able to accommodate.

    Procedures requiring more extensive training (e.g. echocardiography, endoscopy) are now included in the scope of a subspecialty GIM fellowship and cannot be accommodated in our TTP IM year.


    Academic half day sessions occur weekly, on Wednesdays, throughout the year during protected time from clinical duties. Academic half days are on a 2 year topic rotation. At the commencement of the residency, academic half days focus on Internal Medicine emergencies to provide an overview for new residents. Residents will also have the opportunity to participate in educational rounds, presentations, journal clubs, M&M rounds. Academic half days are held virtually.

    Residents from both sites meet face to face a minimum of 1 time each year for OSCE (Objective Structured Clinical Examination) and Simulation events.

    Simulation – Each year, NOSM residents gather for a weekend course designed to teach an approach to various clinical scenarios, including code leadership and core procedure skills with the help of new simulation lab and other modern technologies. 

    OSCE – Residents are given the opportunity each year to participate in a formative OSCE delivered in the same format as standard national certification and licensing examinations for the purpose of exam preparation and structured feedback on clinical skills by practicing physicians in a non-intimidating setting.  

    Research - Residents will participate in an evolving research curriculum. They will also have access to a Physician research advisor dedicated to Internal Medicine Residents, a research assistant, and a Research Librarian. All residents will do two four-week rotations in research or scholarly activity. Residents are expected to complete a research project and present their research at the Resident Research Day.  Expert guidance and funding is available to provide high quality research experiences.  In consultation with the Program Director, elective time can also be arranged for research.

    Training Sites

    Applicants who successfully match to the program will be required to home-base in the community (stream/site) they've matched to.

    NOSM’s Internal Medicine residency is one program, with two main training sites in Sudbury and Thunder Bay. Four spots are available at each site. While, residents will match to either the Sudbury and Thunder Bay sites, opportunities exist to complete rotations throughout NOSM's vast distributed list of training sites based on the resident's learning objectives and consultation with the Program Director.


    Health Sciences North is a modern tertiary health care facility located adjacent to Ramsey Lake in the heart of Sudbury that serves as the major referral centre for a large number of communities in Northeastern Ontario. Similar to Thunder Bay, the resident experience in Sudbury involves a mix of inpatient care (including medical and cardiac critical care), and outpatient clinics (general medicine and subspecialty). Due to the relatively small number of post-graduate trainees compared with most training centres, all rotations in Sudbury involve regular daily 1 on 1 interaction with preceptors and the opportunity to participate directly in the care of complex, undifferentiated medical cases. Residents working in Sudbury will discover that they quickly develop close relationships with staff and other residents from all departments. 

    The Medical Clinical Teaching Unit (MCTU) is an inpatient general medicine service at Health Sciences North comprised of one rotating staff physician (General Internist or Subspecialist trained in Internal Medicine), 1-2 Senior Medicine Residents (PGY2 or PGY3, Internal Medicine), 2-4 Junior Residents (PGY1 Internal Medicine or other programs), and 2-4 Clinical Clerks (4th year medical students from NOSM). Compared to other teaching hospitals where there may be 3 or 4 MCTU teams, there is only one MCTU team at HSN.  The MCTU will typically be responsible for the care of 20-25 patients with a variety of acute medical illnesses. During your time on MCTU, you will encounter patients with a wide range of clinical problems including complex multisystem diseases. The primary objective of this rotation is to train our residents to become comfortable recognizing and dealing with complex medical problems and the many underlying issues that exist in these patients and contribute to their admission to hospital. Residents learn how to approach the most commonly encountered problems in Internal Medicine, a skill that is practical and will serve them well for the rest of their careers. 

    We do not have many subspecialties who admit, so the majority of interesting medical cases admitted through the emergency department will come to the MCTU service.  You will care for patients admitted to the other subspecialty groups who do admit (Cardiology, Oncology, Nephrology) when you are on those rotations.  There is something to be learned from each and every patient.

    Most residents consistently say that they learn more in one week on the MCTU in Sudbury than in an entire block on other services!

    Internal Medicine patients who are more unstable or require ICU step-down of care (patients with DKA requiring pressors, acute BiPAP) are also admitted to MCTU.  The MCTU has access to step-down level beds for these patients and you will provide care to this very acute, unstable group, acquiring invaluable experience with the back-up support of the senior residents and staff.

    We make every effort to make resident learning the priority. The senior staff physicians and senior medicine residents are passionate about internal medicine and will do everything they can to make the experience on MCTU a good one. Our goal is to create a collegial and supportive environment where as residents we can teach and learn from one another.

    Sudbury is similar to Thunder Bay in that its residents have immediate access to hiking, camping, downhill skiing, cross country skiing, boating, rock climbing, fishing and much more all within the city limits. Health Sciences North is situated adjacent to beautiful Ramsey Lake which offers swimming, sailing, rowing, kayaking, and a 3 km ice skating path in the winter. Sudbury is home to the Ontario Hockey League (OHL) Sudbury Wolves and is a concert stop for many top performers. Sudbury is located less than 4 hours driving distance from Toronto and 5.5 hours from Ottawa. It also has an international airport served by Air Canada, Porter, and Bearskin Airlines. Sudbury offers a range of popular restaurants and is home to a large student population with Laurentian University, Cambrian College and College Boreal located within the city. 

    Thunder Bay:

    Our Medical Clinical Teaching Unit (MCTU) is staffed by both sub specialists and general internists. Your team will have the unique opportunity to care for a roster of 10-15 Most Responsible Physician (MRP) patients and consult patients admitted to other services (e.g. general surgery, oncology). Your team will consist of a senior medical resident, junior medical resident as well as  residents in PGY1 or PGY2 from other specialties and 2-4 medical students. Senior residents and Staff will lead noon rounds, regular teaching sessions and bedside physical examination.

    Weekly Scheduled Teaching is as follows:

    Mondays - Chest Rounds

    Thursdays - ICU Rounds

    Fridays - Subspecialty Lunch Teaching (including rheumatology, geriatrics, oncology, dermatology)

     There will be many opportunities for you to teach as a PGY1 on MCTU as well as at the medical school.

     In the evening you will be on call by yourself overnight with support of your preceptor over the phone. In the first 6 months of PGY1 the staff will be triaging consults overnight. You will see on average 4-6 consults in a shift. In addition, we provide a procedure service to the hospital including paracentesis, thoracentesis, joint aspiration and lumbar puncture.

     Our hospital divides consults with a hospitalist service. This assures that we see the most interesting and more acute patients to suit the learning needs of the residents. Our Gastroenterology, Respirology, Rheumatology, Endocrinology, Infectious Disease, Geriatric Medicine services do not admit patients so you will get the opportunity to care for the most complicated, interesting and unusual cases from these specialities. We also accept regional referrals from community hospitals. These patients tend to be quite complicated and present in later stages of their disease.

    Thunder Bay is an outdoor paradise located on the shore of Lake Superior the world's largest fresh water lake. It is adjacent to beautiful landscapes such as the iconic Sleeping Giant Provincial Park. You have hiking, camping, downhill skiing, cross country skiing, boating, sailing, rock climbing, ice climbing, fishing and much more at your door step. Thunder Bay is located 60 km from Minnesota USA, and 700 km from Winnipeg MN. It has an international airport served by Air Canada, Porter, West Jet, US Airways and Bearskin Airlines with 6-8 flights per day to Toronto. Thunder Bay has many great restaurants in any price range. It has a large student population with both Lakehead University and Confederation College. A physician recruiter is available to answer any further questions you may have.  


    Additional Information

    To learn more about northern Ontario, please visit the "Wider Campus of the Northern Ontario School of Medicine" webpage. 

    Summary of changes

    SUMMARY ID Section Summary of changes Updated on NOTIFY APPLICANTS SECTION NAME Actions