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NOSM University - Psychiatry - North Bay

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

Last approved on January 19, 2024

Summary of changes

Approximate Quota:

 1 

Accreditation status : Accredited

Provincial Criteria


Dr. Scott Carmichael
c/o Program Coordinator 
935 Ramsey Lake Rd 
955 Oliver Road
Sudbury, Ontario, P3E2C6
807-766-7303
Northern Ontario School of Medicine

Program Contacts

Joe Michalik
Program Coordinator
jmichalik@nosm.ca
8077667303


Important Information

NOSM UNIVERSITY PSYCHIATRY INFORMATION SESSION
Dates:
Monday October 16
https://nosm.webex.com/nosm/j.php?MTID=m1092062ca460794e7492f2459ba4f779
 
Tuesday November 7
https://nosm.webex.com/nosm/j.php?MTID=me6c8c55b5123643b750d43a978e4ff29
 
Thursday November 23
https://nosm.webex.com/nosm/j.php?MTID=mdf91142108b76bdbd539928e87d9e6ff
 
Wednesday December 6, 2023.
https://nosm.webex.com/nosm/j.php?MTID=m8422cc21802c99c0f1e5486cedc33b4b
 
Time:
7:30 pm (EST)
 
A warm welcome to the NOSM University's Psychiatry Program! We are excited to introduce you to our Program. We are seeking people who are motivated, self-directed and enthusiastic about practicing Psychiatry in unique settings. NOSM Psychiatry Residents live in the northern environment, and thrive in 1:1 individual mentorship model of clinical supervision. Our Residents benefit from accredited core training, while enjoying the northern cultural charm of our training sites. 

Please join us at one of the information sessions to meet current residents, faculty and Program leadership from all NOSM University Psychiatry training sites and to find out more about the CaRMS selection process at NOSM U.
 
Please RSVP to attend with psychiatry@nosm.ca
 
 
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NOSM University is one psychiatry program, distributed across three main sites: North Bay, Sault Ste Marie, and Thunder Bay. We excel at training future psychiatrists who are competent to work in underserviced, rural and remote regions; we work with some of the most vulnerable populations with complex, acute addictions and mental health needs.

For CaRMS 2024, there will be a total of four available positions: one residency position in each of North Bay and Sault Ste Marie, and two positions in Thunder Bay (one CMG and one IMG). 

Applicants who successfully match to the NOSM U Psychiatry Program will be matched to either North Bay, Sault Ste Marie, or Thunder Bay. To be matched for a particular site, applicants must apply to the site specifically (e.g., the application to Thunder Bay site does not automatically transfer to Sault Ste Marie site). Applicants are encouraged to apply to all three sites.  Residents are required to establish a home-base in their primary community (site) where they have matched. Core and elective rotations may occur in their primary (home) site, and at the other training sites.

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, 2024.   

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.  

 


General Instructions

Program application language: English

Applications will only be accepted through the CaRMS R-1 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
Required
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)

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.

Reference documents
Required
Number requested: 3

Number of reference letters requested: 3

 

Referees may comment on the following (though not limited to):

a) Context / setting and how know the applicant (e.g. clinical, research, volunteer, observer)

b) Duration of contact

c) background and context of referee (e.g. specialty, academic position, experience teaching)

d) specific comments clinical work including: clinical skills, medical knowledge, work habits, professionalism, etc.

 

Additional documents
Required
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]

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.

Custom Résumé / CV 

You CV should highlight:

  • your academic and work training history
  • personal, professional, academic accomplishments
  • prior interest in mental health or related field
  • previous interest or connection to Northern Ontario

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.

Personal Letter 
Word count
Minimum : None
Maximum : 750

In 750 words or less, answer the questions:

1. What gives you joy in your work life?

2. How does Psychiatry residency lead to a meaningful career for you?

3. An experience (work or personal) where you were pushed out of your comfort zone.

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. (This addendum will not count towards the 750 word limit.)

Optional - will be reviewed
Abstract/Publications 


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


Each application is reviewed and scored independently by at least two faculty members and a resident using standard assessment rubric. The rubric is based on CanMED roles and NOSM University values.

File review scores will be averaged for each applicant and the program will offer interviews to approximately the top 30 candidates based on their average file review score. We will continue to include community members in the independent scoring of file reviews.


Interviews

Interviews will take place virtually.

Dates: Saturday January 20, 2024, Sunday January 21, 2024

Platform: ADMIT

 

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Notification/Invitation: Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.

Details regarding the interview process: The interview half-day will include an 1:1 question/answer session with the Program Director, 5-8 interviews up to 15 min each. Applicants will also have the opportunity to spend time with residents, be introduced to faculty and obtain additional information on areas of special interest to you.

The interviewers will be current faculty, residents, and community members.

Applicants will only be required to participate in ONE interview, regardless of which stream(s)/site(s) they've applied to.



Selection Criteria

Applicants will be selected for an interview based on:

Demonstrated interest in Psychiatry; academic record; strength of references; strong interpersonal and problem-solving skills; self-directed learning; and a desire to provide service in a variety of health care settings.

An interest in future Northern urban, rural or remote practice will be a key consideration.

 

Program goals

The NOSM University Psychiatry residency program  delivers a comprehensive clinical curriculum which includes core rotations in psychiatry and subspecialty rotations selected to incorporate depth and diversity of experience and proficiency in specialty areas integral to community-based practice.

Our program prepares our residents with the necessary skills/competencies to become well-rounded, general psychiatrists who are trained to deliver excellent, culturally respectful health care to all patients in a wide variety of settings, such as emergency, inpatient, outpatient, and community settings, including northern urban, rural, and remote communities.

With one-on-one preceptor support, we aim to provide our residents with ongoing support to meet the program training objectives, as well as their own individual learning/career goals. Upon completion of training, our residents will be prepared to begin their careers as general psychiatrists in any setting, and/or be well-positioned to pursue subspecialty training.

Selection process goals

Through our selection process, our program identifies candidates who have a strong academic history with demonstrated competence and interest in psychiatry (e.g. psychiatry rotations, electives, scholarly activities, conference involvement and other related work or life experiences). 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 have the ability and willingness to work collaboratively (within and across professional domains) in a team to secure optimal patient outcomes, while exemplifying the highest standards of professional behavior -- inclusive of responsibility, respect, and self-awareness.

As a medical school with social accountability as our cornerstone, accountability to the needs of the diverse populations of Northern Ontario, candidates best suited to the NOSM U Psychiatry Program are those with an interest in future northern urban, rural, or remote practice, who can adapt and thrive in a hands-on, distributed northern residency program that requires flexibility and some travel away from their primary location of residence. 

Candidates who are resilient, can prioritize their personal well-being, and are also committed to self-reflective learning, continuing professional development, and quality improvement, are well-suited to our program. Through our selection process we identify and successfully match candidates who possess these attributes.

File review process

Review team composition : Each application is reviewed and scored independently by at least two faculty members and a resident using a standard assessment rubric. The rubric is based on CanMED roles and NOSM U values. The file review team includes two faculty members, a resident and a community member.

Average number of applications received by our program in the last five years : 0 - 50
We average approximately a combined total of 30-35 applications across all of our program streams.

Average percentage of applicants offered interviews : 76 - 100 %
We typically offer interviews to approximately the top 80% candidates.

Evaluation criteria :
File component Criteria
CV Academic and work training/history. Personal, professional and academic accomplishments. Prior interest in mental health or related field. Previous interest and connection to Northern Ontario.
Electives Not mandatory to have Psychiatry elective. Also acceptable are diverse range of electives (that are explained in personal letter how relevant to Psychiatry career). Interest and connection to Northern Ontario an asset.
Examinations Solid academic record, even in non-Psychiatry fields.
Extra-curricular Personal interests, social accountability activities. Able to also demonstrate work-life balance and wellness.
Leadership skills Any leadership roles held throughout training should be outlined in the CV, especially leadership in student government (before and during medical school).
MSPRs Solid MSPR overall. Excellent MSPR in Psychiatry and related fields such as Family Medicine, ER, Internal Medicine.
Personal letters In 750 words or less, answer the questions: 1. What gives you joy in your work life? 2. How does Psychiatry residency lead to a meaningful career for you? 3. An experience (work or personal) where you were pushed out of your comfort zone. Letters will be rated based on clear rationale, enthusiasm for choice of Psychiatry as future career. Congruence of experiences and interest evident over time. Authenticity.
Reference documents Context that referee knows applicant (e.g., clinical, research, community service, observer), duration of contact, and background of referee. Please have referee comment on (if applicable): clinical skills, professionalism, work habits and interest in pursuing practice in Northern Ontario.
Research/Publications Scholarly activities such as within university grand rounds, journal club presentations, scientific presentation at local, provincial or national meeting. Publication in peer reviewed journal.
Transcripts More weight will be assigned to a strong academic record.
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. (This addendum will not count towards your 750 word count for personal letter.)

Elective criteria

We are looking for and rewarding applicants who have completed a broad range of electives including in our discipline.

We are looking for broad range of electives including in Psychiatry, with explained rationale how the elective may contribute to your career in Psychiatry. We consider electives in northern communities a key asset.

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 and multidisciplinary environment.
Collegiality Personable, respectful towards others, and values the importance of a supportive/collegial atmosphere.
Communication skills Able to reflect and communicate responses clearly and concisely, can communicate well with authenticity.
Health advocacy Evidence of health advocacy in responses, and the role of social accountability in health advocacy.
Interest in the discipline Genuine passion for Psychiatry, possible subspecialty interests and future practice goals.
Interest in the program Knowledge about NOSM U values, and strategic direction. Specific knowledge about our program, training sites, and Northern Ontario patient populations.
Leadership skills We are looking for leadership qualities such as: initiative, accountability, able to recognize/promote others in the team, innovative, motivated and goal-oriented.
Professionalism Applicants conducts themselves in a professional manner, self-aware. We place high importance on ethical and professional behaviour and judgement.
Scholarly activities Enthusiasm and able to be specific about any interest in scholarly activities.

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

The following represent the highlights of our program:

  • A comprehensive understanding of the cultural, geographic and socioeconomic determinants of mental and addiction disorders in a Northern urban, rural or remote clinical setting.
  • A core value and focus on social accountability.
  • An unique and challenging learning experience.
  • Unparalleled preceptor support from physicians committed to practicing in Northern Ontario.
  • Early integration as a key member of a health care team dedicated to professionalism, high quality and accessible patient care.
  • Commitment to excellence in medical education and Resident learning.
  • Self-directed, learner-centered training to meet your career goals.
  • Exposure to the culture and social fabric of Francophone and Indigenous communities.
  • Financial support from NOSM U for Resident travel to and from core clinical placements away from the primary site and all mandatory educational activities at non home site locations.
  • Housing support from NOSM U for core rotations away from primary residence.
  • Opportunity to participate in research under expert guidance.
  • Funding available from NOSM U for research, professional development and conferences.
  • Access to advanced technology and informatics in residency training.
  • 24/7 access to electronic 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.


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.

NOSM University Psychiatry Program is 5 years. 

The program includes core rotations in Psychiatry and subspecialty rotations selected to incorporate a diversity of experience and proficiency in subspecialty areas integral to Northern Ontario based practices.

All rotations may be completed in distributed Northern sites, including Thunder Bay, North Bay, and Sault Ste. Marie. Based on the resident’s personal learning plan, the content, sequence of training and schedule of movement between teaching sites may vary. 

Rotations are supervised (often 1:1) by highly experienced and committed clinical faculty and the resident will have an opportunity to be involved in the care and management of patients in a wide variety of clinical areas.

Starting 1 July 2020, incoming cohorts of successfully matched applicants to NOSM U Psychiatry program will be entering into a Competence by Design (CBD) based residency program. 

CBD will use time as a framework rather than the basis for progression, and it is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages (Transition to Discipline, Foundations, Core, and Transition to Practice). Each stage will have a series of milestones based on required competencies. These milestones 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. 

Key components of this CBD include; competency-based assessment, high volume work-place based assessment with frequent, authentic feedback, and competency based promotion.

As we are in the fourth year of CBD implementation, we want your feedback as we move along this journey together to help us build an even better program for you and those who will follow in your footsteps.

Residents in this program will have a number of opportunities unique to Northern Ontario. While the majority of the training takes place in your home base (Thunder Bay, North Bay or Sault Ste. Marie), there is opportunity to have clinical experiences in various centers across the North. From small rural hospitals to other major centers, our program provides a unique chance to understand how Psychiatry is provided outside the major teaching center, and exposure to potential career opportunities. 

The small size of the program allows for close mentorship between the faculty and the residents. This has been identified as a strength of our program and enables a rapid progression to independent activities for individual residents. 

As a growing program, resident feedback is an integral part of shaping this program for the future. Our program is extremely responsive to resident input throughout their training.  Regular meetings with our Site Directors and meetings twice a year with our Program Director, gives our residents a formal arena to offer feedback.

At present, our current clinical curriculum is structured as listed below. NOSM U rotation schedule works in blocks. There are 13 blocks in an academic year, with 4 weeks in each block.

 Transition to Discipline (first 3 blocks PGY1)

  • combination of Psychiatry Inpatient/Outpatient

 Foundations I (last 10 blocks of PGY1)

  • 1 Block of Addictions
  • 1 Block of Emergency Medicine
  • 1 Block of Internal Medicine
  • 1 Block of Neurology
  • 1 Block of Family Medicine
  • 1 Block of Emergency Psychiatry
  • 4 Blocks of Selectives/Elective

 Foundations II(aka PGY2)

  • 1 Block of Personalized Learning in Psychiatry
  • 6 Blocks of Inpatient Psychiatry
  • 6 Blocks of Outpatient Psychiatry

 Core of Discipline (aka PGY3-4)

  • Longitudinal Psychotherapy training will occur on a weekly basis during the entirety of Core.
  • 6 Blocks of Geriatric Psychiatry (scheduled during first 12 blocks of Core)
  • 6 Blocks of Child and Adolescent Psychiatry (scheduled during first 12 blocks of Core)
  • 6 blocks of SPMI training (3 blocks inpatient and 3 blocks community/outpatient)
  • 2-3 blocks of Addictions medicine/psychiatry (this may be scheduled as psychiatry for 1-1.5 days a week with the remaining days of the week spent in an FM/RAAM clinic)
  • 3-4 blocks of Consultation Liaison Psychiatry
  • 2 blocks of Collaborative/shared care

There is opportunity to arrange for longitudinal experiences in addictions medicine, consultation liaison, and collaborative/shared care based on educational needs and availability of clinical services. The resident will need to work with their site director and academic advisor to arrange and ensure EPAs/objectives can be met with their alternative plan.

 Transition to Practice (aka PGY5)

  • Personalized learning year in Psychiatry. Suggested clinical experiences include:
    Addictions Psychiatry
    • Child and Adolescent Psychiatry
    • Consultation Liaison
    • Development Disabilities
    • Forensic
    • Geriatric Psychiatry
    • Inpatient Psychiatry
    • Outpatient Psychiatry
    • Psychotherapies
    • Research
    • Rural and Remote Psychiatry
    • SPMI

The above noted list is not exhaustive, you will work with a faculty lead to determine the best course of training for your needs. 

 

Psychotherapy Training

 

Residents will be provided with training in CBT (Cognitive Behaviour Therapy), Psychodynamic Psychotherapy, Interpersonal Therapy, Supportive Psychotherapy, Crisis Intervention, Family Therapy, Dialectic Behaviour Therapy, Motivational Interviewing, and Group Therapy. You will meet regularly with Psychotherapy Coordinator (faculty member) who will guide you through the psychotherapy milestones.

 

Academics

 

Academic half-days occur weekly throughout the year during protected time from clinical duties in the PGY1 year and full day in PGY2-4 years. Academics in PGY5 year will be structured for transition to practice. Residents will also have the opportunity to participate in local community educational rounds, presentations, journal clubs and rounds.

 

 

Research

 

Residents are expected to complete a research project or a scholarly activity during their residency. There is opportunity to present yearly at the annual Resident Research Day. The supports available to you include: the Program’s Research Coordinator (faculty member), Research Milestones and research curriculum that is woven through the Academics days.


Training Sites

Applicants who match to the North Bay site will be required to select this community as their home-base/location of primary residence.

The NOSM U Psychiatry program is one Psychiatry Program, currently offered at three main sites: North Bay, Sault Ste. Marie, and Thunder Bay.

Our Program is a distributed model, and all Residents may spend up to 18 months at Program sites (which is not their primary site) to complete core or elective rotations. 

North Bay

North Bay is conveniently located in the Nipissing District, in northeastern Ontario, with a population of 70,000. North Bay is a short 1.5-hour drive to Sudbury.

Comprehensive medical services in North Bay are provided by a fully-accredited medical hospital, the North Bay Regional Health Centre, which is a 401-bed facility that offers numerous outpatient and outreach services in North Bay and throughout the northeast region. It provides acute care services to North Bay and its surrounding communities, and it is the district referral centre, providing specialist services for smaller communities in the area, and it is the specialized mental health service provider serving northeast Ontario. 

Thunder Bay

Thunder Bay is situated on Lake Superior, in northwestern Ontario. The city has a population of approximately 121,000 and serves as a regional referral centre for northwestern Ontario and many rural and remote Indigenous communities.

The high volume tertiary care hospital, Thunder Bay Regional Health Sciences Centre (TBRHSC), is a 395-bed tertiary care academic & research centre offering a comprehensive range of services in state-of-the-art healthcare facilities.

A second major teaching hospital in Thunder Bay is St Joseph’s Care Group (SJCG). SJCG has over 2400 staff is the long-term care facility, providing services in Addictions & Mental Health, Rehabilitative Care and Senior’s Health.

Sault Ste. Marie

Sault Ste. Marie (also known as the Sault or the Soo) is a city located on the St. Mary’s River in Ontario, in the Algoma District. With a population of approximately 78,000, Sault Ste. Marie is the third largest city in Northern Ontario.

Sault Area Hospital (SAH) is a 291 bed state-of-the-art facility that opened in March 2011. SAH provides emergency, primary, secondary, selected tertiary and long-term care healthcare services to the city and the District of Algoma with a catchment population of approximately 120,000.


Additional Information

For additional community information, visit the NOSM U website: 

https://www.nosm.ca/our-community/wider-campus-of-the-northern-ontario-school-of-medicine/ 


Summary of changes

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