NOSM University - Anesthesiology - Sudbury

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

Last approved on November 07, 2023

Summary of changes

Approximate Quota:


Accreditation status : Accredited

Provincial Criteria

Dr. Rya Boscariol
c/o Program Coordinator 
NOSM University - Anesthesiology 
935 Ramsey Lake Rd.
Sudbury, Ontario, P3E 2C6
Northern Ontario School of Medicine - Anesthesiology

Program Contacts

Sara Cover
Program Coordinator, Postgraduate Medical Education

Important Information

Applying Competency-based Practices to NOSM University's Anesthesiology Program
To contribute to the success of Canadian physicians and the delivery of high-quality patient care, the Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competency-based medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative, called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process. 

As of 2017, residents entering a Canadian anesthesiology program will experience Competence by Design (CBD)-based learning and assessment. As such, all incoming cohorts who successfully matched to NOSM University's Anesthesiology program will be entering into a fully integrated 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, and 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. 

In 2013 NOSM University became the first anesthesiology program in Canada to implement components of a competency-based curriculum, and this curriculum has already been woven into the fabric of NOSM University's FRCP Anesthesiology program. Key components of this transition that have been effectively implemented include; competency-based assessment, high volume work-place-based assessment with frequent, authentic feedback, competency-based promotion, and individualized learning plans.

For more information on applying competency-based practices to residency education, please visit



Our program will be hosting virtual information sessions as listed below.  Both sessions will be at 7:00 PM EST.  We hope you are able to attend one of them.  If not, please reach out to the program coordinator to arrange a time to meet with one of our residents. 


Monday, November 14, 2023
 Thursday, November 23, 2023



Pre-residency orientation programs

All International Medical Graduates who match to a residency training position in Ontario are required to complete the Pre-Residency Program through Touchstone Institute prior to the start of their residency training. They may be assigned to any of the program dates and must be prepared to attend accordingly. In some cases, this may result in a delay of the start date of the residency. To find out more about the Pre-Residency Program, please visit:


Assessment verification period

All IMG candidates accepted to residency training programs will be required to undergo an Assessment Verification Period (AVP). This assessment period is normally 12 weeks in length and is required by the College of Physicians and Surgeons of Ontario (CPSO) to obtain an educational license to enter a residency program.

IMGs that have failed an AVP and are reapplying through CaRMS are ineligible to apply for training in the same specialty in Ontario, but may apply to a different specialty in the first and/or second iteration. IMGs who have withdrawn from a program prior to completion of an AVP must declare so upon application.

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 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
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:

Must be a Canadian Citizen/Permanent Resident. Proof of valid current citizenship or permanent resident status must be provided by submitting one of the following verifications to CaRMS by the Rank Order List deadline.  Failure to provide valid proof will result in your application being removed.  No other forms of verification are acceptable. 

  1. Notarized/certified photocopy of Birth Certificate issued by an authority in Canada accompanied by photo ID (must be a Canadian government-issued photo ID), or
  2. Notarized/certified photocopy of Canadian Passport, or
  3. Notarized/certified photocopy of confirmation of permanent residence accompanied by a photo ID (must be a Canadian government issued photo ID), or
  4. Notarized/certified photocopy of Permanent Resident Card/Canadian Citizen Card – copies of both sides of the card must be provided and legible.
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

    Three letters of reference are required. Reference letters must be written by physicians who are well acquainted with the candidate’s medical knowledge, communication skills, clinical performance, and professionalism.

    Additional documents
    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 

    [Note: Photograph is used as memory aid only]

    Appreciated for memory aid.

    Personal Letter 
    Word count
    Minimum : None
    Maximum : 1000

    A personal letter (maximum 1000 words) should focus on the following:

    • What has led you to pursue a career in anesthesiology?

    • What personal qualities do you possess that make you an ideal candidate for the NOSM training program and ultimately a career in anesthesiology?

    • How do you learn best, and what characteristics of the NOSM Anesthesiology Program will help facilitate this?

    • Outside of the academic world, where have you had success and how do you feel that makes you a better doctor?
    • What are some of the unique opportunities and challenges you anticipate at NOSM?

    • Any additional information about you 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

    Two different members of the resident selection committee will review and score each applicant file, including reference letters. The scoring system takes into consideration the selection criteria outlined below. These scores will be aggregated and reviewed by the selection committee. Unfortunately, we are not able to interview all of the applicants and we will offer interviews to the most competitive candidates based on these reviews.    



    • January 25, 2024
    Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.

    Selection Criteria

    Candidates for the NOSM University Anesthesiology Program are selected based on the following factors:

    • An academic record that demonstrates proficiency in subjects particularly relevant to anesthesiology

    • Evidence of an interest in anesthesia, a mature learning style, and technical suitability for the specialty

    • Strong interpersonal and communication skills

    • Suitability to learning and success in the NOSM University Anesthesiology Program

    • Demonstrated success in domains outside of academia


    Program goals

    The NOSM University Anesthesiology Program strives to be outstanding and provide an unparalleled clinical training experience for all residents within a supportive learning environment. Our program aims to ensure that residents achieve competence in the specialty of anesthesiology and that they acquire the necessary skills to prepare them for practice in any setting.

    Our program aims to ensure that upon completion of their training, our residents will have:

    • Achieved all the objectives of training in Anesthesia as outlined by the Royal College of Physicians and Surgeons of Canada

    • Assimilated all of the CanMEDS Roles (Medical Expert, Communicator, Collaborator, Manager, Health Advocate, Scholar, and Professional) into clinical practice to provide effective patient-centred care and resident-focused training.

    • Demonstrated the ability to function appropriately and effectively as an independent Anesthesiologist in urban, northern urban, rural, and remote communities.

    • Demonstrated the ability to meet the needs of the people of Northern Ontario including Indigenous and Francophone populations.


    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 anesthesia (e.g. scholarly activities, conference involvement, and other related work or life experiences). We are seeking candidates who possess superior 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 to identify candidates who would be a good fit for our program. Candidates who are well suited to our program are those 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. 

    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 program. Through our selection process, we aim to identify and successfully match candidates who possess these attributes as well.


    File review process

    Review team composition : Each application is reviewed and scored independently by two members of the file review team. The file review team consists of program faculty; including the program director, site directors, and other key faculty members.

    Average number of applications received by our program in the last five years : 51 - 200
    We receive on average around 50 applications to the program.

    Average percentage of applicants offered interviews : 51 - 75 %
    Approximately the top 10 candidates are selected for interviews

    Evaluation criteria :
    File component Criteria
    CV Academic & work background/experiences, personal/professional achievements/awards, volunteerism
    Electives Electives in anesthesia and related rotations will be considered.
    Examinations NAC and MCCQE1 are required, and candidates must submit results of NAC and MCCQE1
    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, Anes. rotation competencies, any academic, personal or professional concerns
    Personal letters Practice goals, interest/knowledge in Anes. and our program, personal and northern/rural suitability
    Reference documents Commitment to Anes., performance, knowledge/clinical skills, character/attitude towards 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) 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


    Interview process

    Interview format :

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

    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 A genuine passion for Anes., future practice goals, clear understanding of the specialty, experiences
    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 assess, plan, and take appropriate action.

    Personal Attributes: Personal characteristics and interests, 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

    The Anesthesiology program at NOSM University strives to be outstanding. We have a long history of training Royal College residents with unparalleled clinical experience and incredibly skilled and enthusiastic staff. 

    The NOSM Univeristy Anesthesia academic program is based on “active learning” utilizing a wide variety of simulation and problem-based cases.  Through an innovative, comprehensive curriculum and assessment process, residents in this program will receive frequent feedback to help acquire lifelong, reflective learning skills, ensuring clinical excellence.  In addition to the CBD framework, novel education interventions, simulation, and e-Learning are integral parts of the program.  We are highly responsive to resident feedback resulting in a process of continual evaluation and modification of the academic and clinical program. We are using a unique, modular framework to implement CBD to help organize and guide the resident's progress while adding flexibility to allow individualized progress. 

    Residents in this program will have a number of opportunities unique to Northern Ontario.  While the majority of the training takes place in Sudbury, the opportunity for clinical experiences in various centers across the North, from small rural hospitals to other major centers such as Thunder Bay, provides a unique chance to understand how anesthesia is provided outside of the major teaching center, and exposure to potential career opportunities. In addition to clinical research opportunities, residents have a unique ability to engage in medical education scholarship in this cutting-edge program.

    Residents are an integral part of the perioperative team but are not necessary for the day-to-day functioning of the hospital. This means we are all about education!  The service-to-education balance is very much in favour of the resident.

    Residents in this program will work in a collegial group, dedicated to outstanding clinical care and education, living in a growing city with lots of opportunities for "outdoor living".

    In addition to the above, other aspects of the NOSM University program that set it apart include:

    • Rapid integration as a valued member of the healthcare team
    • Community ­based, clinical learning experiences
    • Exposure to the culture and social fabric of Francophone and Indigenous communities
    • State-of-the-art technologies in both the clinical and academic setting, including a new simulation centre
    • Exceptional lifestyle balanced with a multitude of recreational opportunities in Northern Ontario

    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.

    Since 2017, residents entering an anesthesiology program have experience Competence by Design (CBD) based learning and assessment. Incoming cohorts of successfully matched applicants to the NOSM University Anesthesiology program will be entering into a CBD-based residency program.

    Below is an overview of the Competency By Design clinical map.  Working with assigned stage leads and other program leadership, you will have the opportunity to tailor it to meet your training needs as you progress through residency.

    Please refer to NOSM University's Anesthesiology Program Competency by Design Module Map for a comprehensive snapshot of our clinical curriculum. 

    The small size of the program allows for close mentorship between the faculty and the residents.  This has been frequently identified as one of the great strengths of our program and enables a rapid progression to independent activities for individual residents.  Our formal mentorship program pairs residents with staff that they have identified as mentors to support their progress and overall well-being throughout their residency.

    As a new and growing program, resident feedback is an integral part of shaping this program for the future.  This is a program that is extremely responsive to residents input throughout their training.  Program Review dinners take place twice per year, giving residents a formal arena to offer feedback.

    Academic Program

    The core academic program is heavily based on active learning techniques such as problem-based learning and simulation. Residents participate in the 3-year cycle of weekly afternoon teaching sessions as well as written, oral and simulation-based assessments to help guide them to success in their Royal College examinations.  First-year residents are part of the “Summer Series” program which is an intensive, interactive introduction to a selection of key topics in anesthesia.  In addition to the core program, our rich academic program includes Trouble Rounds, ICU rounds, Anesthesia Department Rounds and Journal club.


    Built into the core program is a comprehensive physician scholar program.  This includes an introductory course in Evidence-Based Medicine with core seminars on critical appraisal and research methods. Residents are expected to undertake a scholarly project, with guidance from faculty, structured around a series of Research Milestones.  This scholarly project can be a clinical or basic sciences research project, a quality improvement project or any other scholarly project in areas relevant to academic anesthesiology.  


    Simulation plays a major role in the active learning curriculum of the NOSM University anesthesiology residency program. Our simulation program incorporates high-fidelity simulation with mannequins, hybrid patients, and standardized patients.  Residents in the NOSM Anesthesia program take hands-on learning to the next level with state-of-the-art technology and simulation scenarios integrated throughout the training program, starting in the first week of orientation. Residents participate in approximately four full days of simulation per academic year.  Each simulation scenario is followed by a rich student-led debriefing session. The debriefing sessions focus on anesthesia non-technical skills such as teamwork, crisis resource management, situational awareness, and decision-making.

    Additional Training

    All residents acquire certification in Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS), and Neonatal Resuscitation Program (NRP) as part of the residency program. Residents receive support from the Anesthesiology program for the completion of these courses. It is expected that you complete ACLS training before entry to the program or within the first three months.  Opportunities to undertake NRP and PALS occur throughout the foundation and core years of training in the North, and this experience supplements the mandatory three-month rotation at the Hospital for Sick Children in Toronto.


    Training Sites


    • Health Sciences North (Sudbury)
    • North Bay Regional Health Centre
    • Sault Area Hospital
    • Thunder Bay Regional Health Sciences Centre
    • Toronto Hospital for Sick Children


    There are 22 other hospitals in Northern Ontario that NOSM is directly associated with including but not limited to:

    • Dryden District Health Centre
    • Lake of the Woods District Hospital (Kenora)
    • Meno-Ya-Win Health Centre (Sioux Lookout)
    • Muskoka Algonquin Healthcare
    • Riverside Healthcare Facilities Inc. (Fort Frances)
    • St. Josehph's Care Group
    • Temiskaming Hospital
    • Timmins & District Hospital
    • West Parry Sound Health Centre
    • Anson General Hospital (Iroquois Falls)
    • Notre Dame Hospital (Hearst)
    • Royal Victoria Hospital of Barrie 

    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