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Western University - Pediatrics - London

2026 R-1 Main Residency Match - second iteration
Competitive Stream for IMG

Last approved on March 03, 2026

Approximate Quota:

 click here

Accreditation status : Accredited

Provincial Criteria


Dr. Marta Wilejto
Department of Paediatrics 
Children's Hospital/LHSC  
800 Commissioners Rd E.,
London, Ontario, N6A5W9
(519) 685-8500 ext. 56427
(519) 685-8500 ext. 55113
Department of Paediatrics
Children's Hospital, London Health Sciences Center
Schulich School of Medicine and Dentistry, Postgraduate Medical Education
Our Western Paeds Program!!!
Tourism London
Love London
Provincial Criteria

Program Contacts

Dr. Andrea Ens
Co-Program Director
Andrea.Ens@lhsc.on.ca
(519) 685-8500 ext 56427

Dr. Marta Wilejto
Co-Program Director
Marta.Wilejto@lhsc.on.ca
519-685-8500 ext. 55113

Belle Smaill
Program Administrator
Belle.Smaill@lhsc.on.ca
(519) 658-8346


Important Information

First iteration

To participate in the first iteration of the R-1 match, you must be a medical student or graduate who has obtained, or is in the process of obtaining, a medical degree by July 1 of the match year from an institution that meets the criteria, as indicated on the CaRMS website:  https://www.carms.ca/match/r-1-main-residency-match/eligibility-criteria/


Return of Service

 This program has a return of service obligation attached to it.  Please review the provincial criteria for more information:  https://www.carms.ca/match/r-1-main-residency-match/eligibility-criteria/ontario/


General Instructions

Program application language: English


Supporting Documentation / Information

Canadian citizenship
CaRMS partners with third-party organizations to verify your citizenship or permanent resident status. If your status is verified by one of these organizations, you will not need to provide citizenship documents in your application. If your citizenship status is not verified, you must provide one of the documents listed below.
Document must be notarized/certified
Required
Submit one of the following documents to verify your Canadian citizenship:
• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)
• Proof of Protected Person / Convention Refugee Status
• Certificate of Indian Status / Aboriginal Status or Makivik Society Card
• Canadian Citizenship Card (both sides of card)

Must be a Canadian Citizen or Permanent Resident at the time of application.  Proof of valid current citizenship or permanent resident status must be provided by File Review Opening 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 card must be provided and legible, or
  5. Notarized/certified photocopy of Proof of Protected Person/Convention Refugee Status, or
  6. Notarized/certified photocopy of Certificate of Indian Status/Aboriginal Status or Makivvik Society Card

For more information on citizenship requirements, please visit https://www.carms.ca/match/r-1-main-residency-match/eligibility-criteria/r-1-summary-of-citizenship-requirements/

 

Language proficiency
Required
Submit one of the following documents to verify your language proficiency:
• IELTS
• Letter of language proficiency
• TOEFL - iBT
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General
• FAIMER / World Directory of Medical Schools

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

Must provide proof of English language proficiency through ONE of the following:

     

Language assessment document accepted: TOEFL-iBT, TOEFL-iBT Home Edition accepted

Document validity (not expired) by: Must be valid up to July 1, 2026

Minimum score: 93 with a minimum score of 24 on the speaking section in the same sitting

 

Language assessment document accepted: IELTS Academic

Document validity (not expired) by: Must be valid up to July 1, 2026

Minimum score: 7 in each component in the same sitting

 

Language assessment document accepted: Occupational English Test (OET) -Medicine

Document validity (not expired) by: Must be valid up to July 1, 2026

Minimum score: Minimum grade of B in each component in the same sitting

 

Language assessment document accepted: Canadian English Language Proficiency Index Program (CELPIP) – General

Document validity (not expired) by: Must be valid up to July 1, 2026

Minimum score: Minimum score of 9 in each component in the same sitting

 

Examinations
Required
NAC examination
  • Score and document(s)
  • NAC examination - Statement of results
  • NAC examination - Supplemental Information Report
  • Ontario requires all IMG candidates to complete the NAC OSCE.  Please see the CaRMS National MCC Chart for more information.

    Ontario also requires all IMG candidates to complete the NAC OSCE.  Please see the CaRMS National MCC Chart for more information.

    Medical Council of Canada Qualifying Examination
  • Score and document(s)
  • MCCQE - Statement of Results
  • MCCQE - Supplemental Information Report
  • IMGs must have written and passed the Medical Council of Canada Qualifying Examination Part 1(MCCQE1). Exam results must be provided by the File Review Opening Date. Please review specific residency program descriptions for more information. For more information on the MCCQE Part 1 click on the following link https://www.mcc.ca/examinations/mccqe-part-i/

     

    Optional - will be reviewed
    U.S. Medical Licensure Examination Step1
  • Document
  • USMLE - Step 1
  • Reference documents
    Required
    Number requested: 3

    Your referee must complete the required structured applicant support form. Please include this link within your reference request: Pediatrics Structured Reference Letter. Traditional letters of reference are no longer accepted for this program.

    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.
    4. If your transcript is in a language other than the program language of English or French, you are required to have the document translated and uploaded as well.

    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.
    3. If your MSPR is in a language other than the program language of English or French, you are required to have the document translated and uploaded as well.

    Personal Letter 
    Word count
    Minimum : None
    Maximum : 600

    The maximum length of the letter is no more than 600 words. The letter should include reasons for pursuing a career in Pediatrics, focusing on your own unique experiences and attributes.  It is an opportunity for you to highlight  for the selection committee the type of resident, and ultimately clinician, that you plan to be.   Please refrain from simply reiterating your CV, and instead provide us unique insights not otherwise apparent.  We strongly encourage you to also use this opportunity to add clarity to your application as required.

    Custom Résumé / CV 

    Curriculum Vitaes are mandatory.

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

    Medical School Diploma 

    A copy of medical school marks/transcripts and medical degree/diploma must be submitted.  Documents that are not in English must be accompanied by a notarized/certified translation.  Students applying in the last year of medical school will need to submit their most recent marks/transcripts, and will need to provide proof of their MD to CPSO prior to the start of residency training.

    All IMGs need to have their documents verified through physiciansapply.ca.  This process can take several months to complete.  Individuals are advised to visit physiciansapply.ca at the point of application.

    Conditionally required
    Undergraduate Transcript (Bachelor's Degree) 

    If your transcript is in a language other than the program language of English or French, you are required to have the document translated and uploaded as well.

    Ontario high school transcript or exemption 

    Applicants must provide an official Ontario high school transcript confirming at least two years of attendance at an accredited Ontario high school. 

    Applicants who did not attend an Ontario high school for the required duration may still qualify if their absence was the direct result of a legal guardian’s deployment or posting outside Ontario as a member of the Canadian Armed Forces, Canadian Diplomatic Service, or Department of Foreign Affairs (e.g., Global Affairs Canada).  

    Applicants must complete the attestation below and upload it, together with the required documents, in their CaRMS Online account to confirm they meet one of the above criteria. 

    International Medical Graduate Attestation Form


    Review Process

    Applications submitted after file review has opened on March 17, 2026


    Supporting documents (excluding letters of reference) that arrive after file review has opened  on  March 17, 2026


    Letters of reference that arrive after the unmasking date on March 17, 2026


    Both resident and faculty members are involved in our file review process.  All complete files will be reviewed by members of our selection team, and selected candidates will be invited for interviews.   Please note a complete file MUST include an updated Curriculum Vitae.  Unfortunately, we are not able to offer interviews to all applicants, and those who we are unable to interview, or assigned to a waitlist, will also be notified.  Once notified, requests for reconsideration of status will not be accepted.  

    Files will be reviewed from November 27, 2025 and an e-mail notification of results will be sent to candidates by January 6, 2026.  We will also update the candidates' interview status online.


    Selection Criteria

    All IMG applicant files are initially screened by results of standardized testing.  Minimum performance standards are decided by members of the selection committee (RPC) each year, and change with the variability of the applicant pool.  IMG applicants who meet minimum performance scores on standardized tests will be provided the same process of file review as described above for CMG candidates.  Each file is evaluated on a number of merits, including, but not limited to, academic potential, interest in scholarly activities, leadership in extracurricular activities, strength of reference letters, and the candidate's personal statement. Our program values a broad range of electives, both within and outside of Pediatrics.  For electives in Pediatrics, the program may contact any elective supervisor listed on your CaRMs application.  After reviewing the documents, selected applicants will be offered a virtual interview. 

    Not all applicants meeting the minimal requirements will be offered an interview.  The final ranking process is determined primarily by a combination of file review and interview scores.

    In addition,

    • Proof of MD Degree, i.e., marks, diploma, etc.

    Students applying in the last year of medical school will need to submit their most recent marks/transcripts, and will need to provide proof of their MD prior to the start of residency training.

    Graduation from medical school within the past 3 years OR graduation from medical school within the past 8 years AND active medical practice within the past 3 years.

    • Preference will be given to candidates who can demonstrate familiarity with the Canadian or North American health care system. Examples include formal practice in a Canadian or American jurisdiction (Canadian experience preferred), beyond the regular medical school program. Research experience in Canada and clinical observerships are an asset but considered less valuable than training or work experience.

    • Assessment Verification Period - All IMG candidates accepted to residency training programs (FM and specialty) will be required to undergo an Assessment Verification Period (AVP). This assessment period is 12 weeks in length and is required by the College of Physicians and Surgeons of Ontario to meet its licensure requirements. If the candidate does not successfully complete the AVP, he or she must withdraw from the residency training program.

    Program goals

    Schulich Postgraduate Training in Pediatrics focuses on training excellent, well-rounded general pediatricians. Though we value and support applicants with ultimate career goals in subspecialties, our primary promise is to have each individual trainee reach their full potential as a general pediatrician first, across all area of the CanMEDS spectrum and CBME (Competency Based Medical Education). We believe this allows our residents to thrive in a wide range of future child health careers - whether in community or academic settings, general or subspecialty practice, and across local or global contexts.

    Selection process goals

    During the CaRMS selection process, the program uses multiple selection criteria to attempt to best identify candidates who will excel in a program which stresses the global and holistic development of the general pediatrician. To best embody this, our program has defined that learners need to have demonstrated personal ownership of their education, which will be measured in academic potential, leadership contributions to medicine and/or community, and scholarship activity. Equal weight is given to multiple areas of academic and community contribution, with evidence of scholarship being awarded but not to a greater weight than other measures of personal and professional accomplishment.  The selection committee considers diverse life experience and exceptional circumstances that are well addressed in personal statements, and will be taken into account during the overall evaluation.  We have few prescriptive notions of what specific set of experiences are required for application to our program. Representation and diversity in the pediatric community are extremely important to us, and we encourage all students who are passionate about child health to apply.

    File review process

    Review team composition : Applicant files are reviewed by both faculty and resident members of our Residency Program Committee. All applications are scored by a minimum of two independent reviewers, with scoring discrepancies prompting additional review by either both or one of the Co-Program Directors.

    Average number of applications received by our program in the last five years : 201 - 400
    These numbers relate to IMG applications only on an annual basis.

    Average percentage of applicants offered interviews : 0 - 25 %

    Evaluation criteria :
    File component Criteria
    CV Curriculum Vitaes are mandatory, with all aspects being part of file review.
    Electives Elective/s in pediatrics preferred.
    Examinations MCCQE part 1 and National Assessment Collaboration (NAC)
    Extra-curricular Evidence of commitment/passion and individual contributions.
    Leadership skills Ownership of education. Demonstrated leadership in medical school and/or community considered an asset.
    MSPRs Professionalism, clinical, and interpersonal skills.
    Personal letters Interest in training at Western and Pediatrics overall. Gaps in training should be clarified.
    Reference documents Include clinical skills and suitability for a career in pediatrics
    Research/Publications Engagement in scholarly activity.
    Transcripts Overall academic performance.

    Elective criteria

    Elective/s in paediatrics preferred.
    We do not require applicants to have done onsite electives.

    Interview process

    Interview format :



    We do not re-schedule interviews for applicants after we have completed the scheduling process.

    Interview evaluation criteria :
    Interview components Criteria
    Collaboration skills Ability to work collaboratively with others towards a goal.
    Collegiality Demonstrates ability to respectfully and actively contribute to a team.
    Communication skills Ability to effectively communicate, including during challenging conversations.
    Health advocacy Not evaluated during interview unless identified by applicant in broader discussion.
    Interest in the discipline Demonstrates engagement and aptitude in the discipline of pediatrics.
    Interest in the program Demonstrates genuine interest in training at Western.
    Leadership skills Demonstrates leadership skills (i.e., altruism, conflict resolution, and personal assessment).
    Professionalism Demonstrated through the entire CaRMS selection process.
    Scholarly activities Not evaluated during interview unless identified by applicant in broader discussion.
    Other interview component(s) Critical Thinking: Demonstrates ability to provide thoughtful and directed approach to a clinical situation.

    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

    Our pediatric postgraduate training program at Western is a medium sized program that recognizes each individual learner is a unique and essential team member. We aim to guide learners to find their best professional selves, acknowledging that every individual brings a unique and diverse complement of experience, interests and skills to the program. Our faculty are engaged with the general pediatric training program, and take our responsibility to provide a stimulating, safe, and equitable learning environment extremely seriously.

    Some of the important details are listed below:

    ROTATIONS 

    Rotation schedules are created by program leadership and administration by March/April of each year.  Matched PGY1 residents will be sent scheduling options and asked to rank preferences for the PGY1 year when available. We have 13 four-week rotation blocks per academic year. This provides more rotations than needed to schedule all of the Royal College rotation requirements for training in Pediatrics and the flexibility for accommodating individual resident interests through rotation planning.

    There is an extensive elective opportunity in the program. Residents may undertake provincial, interprovincial and international electives. International experiences require early planning and appropriate training prior to departure.  All electives must be supported by Royal College Objectives with appropriate supervision and assessment.

    We have Junior Call blocks for PGY-1 and PGY2-residents, and Senior Call blocks for PGY-3 and PGY-4 residents, which provides better continuity of care and on-call learning experience compared to traditional intermittent night call. As a result, our residents have minimal post call days during rotations. In preparation for transition to practice, our PGY-4 residents run a biweekly General Pediatrics Continuity Clinic; they are assigned to the same supervisor/practice during the year and are the first point of care for their own patients. PGY-4 residents are also Junior Consultants on CTU.

    CURRICULUM

    We have a comprehensive 2.75-year teaching rounds curriculum for PGY-1 to PGY-3 residents that is based on the Royal College Pediatrics Competencies. Residents have protected time to attend noon hour teaching rounds twice weekly, and a weekly 3-hour academic halfday. In July and August of each year, our curriculum includes a daily noon hour orientation seminar series for PGY-1 residents and a separate review curriculum for PGY-2 and PGY-3 residents. This PGY-1 "Summer Series" is considered essential by the program for new residents.  It allows for consolidation of entry level pediatric knowledge, and allows designated time for our new groups of trainees to get to know each other as a cohesive group.  Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) training are organized by the program in the summer for all incoming residents and recertification for PGY-3 residents. The curriculum is reviewed and modified during biannual quality improvement cycles based on learner needs, and learner and faculty feedback.

    Late PGY3 and PGY4 residents have a separate Transition to Practice Curriculum that is developed with input from our PGY-4 residents, and in collaboration with our PGY-4 Faculty Lead(s). This Transition to Practice Curriculum focuses both on practice readiness, clinical skill refinement, and elements of Royal College certification exam preparedness. This curriculum is protected time for PGY-4 trainees and is independent of the PGY1-3 curriculum.

    Teaching sites in the program outside of London are linked by videoconferencing and online web-conferencing to enable residents to participate in the Academic Teaching Rounds and Academic Half Days.  Curriculum is delivered by a mix of in-person and virtual platform.

    CLINICAL RESPONSIBILITIES

    Patient care responsibilities are structured for each PG year to ensure a graduated increase in responsibilities. For example, PGY-1 residents are buddied with a PGY-2/3 for call. Starting in the PGY-2 year, residents are then responsible for supervising junior residents and clerks when on- call for CTU.  In July 2021, we have transitioned to Competence By Design (CBD) model, and promotion between stages is being used for CBD trainees to further guide graduated responsibility.

    Scheduling of on-call, post-call, vacation etc.  is done in accordance with PARO guidelines (http://www.myparo.ca/).

    LEARNING ENVIRONMENT

    The ratio of residents to faculty is 1 resident to 2.5 faculty, with active recruitment for a number of new faculty positions over the coming few years. We have few Pediatric subspecialty residents and fellows which gives our residents the opportunity to have primary responsibility for patient assessments and management and to work directly with faculty.

    We have a number of strategies to provide support for residents to achieve their personal best. All incoming residents are assigned a senior resident and faculty mentor to assist with the transition from medical school to residency. In addition, each resident is assigned an academic coach who is dedicated to supporting the resident in reaching their academic goals.  Our research subcommittee aids the resident group in finding faculty mentors for resident research projects, as well as tracking and supporting trainees with both short and long-term research goals. In addition, our longitudinal social pediatrics curriculum includes connection with mentors to support a successful resident advocacy project.

    The Co-Program Directors have an open-door policy to provide support to each resident. Program Leadership is formally scheduled to meet with each resident twice a year to review progress and set goals, in addition to twice-annual meetings with each PGY group, respectively, and the entire resident group.

    We have extensive resident participation in our Residency Program Committee (RPC) and subcommittees (Curriculum, Competence, Research, Professionalism, EDI-D, and Wellness). A resident representative from each PGY group is a member of our RPC and residents are represented on three RPC subcommittees. We also have 2 elected Resident Leads, who are members of the RPC. We encourage residents and faculty to provide ongoing feedback and ideas to further enhance our program. One of the important mandates of the RPC is Continued Quality Improvement of the training program itself, and recent graduates are now surveyed anonymously on an annual basis.

    Resident wellness is taken seriously by the training program. Our active Resident Wellness Subcommittee has both faculty and resident leaders. It is involved in the planning social events for residents and at time faculty and residents together, including "TGIFs" and residents' Fall and Spring retreats. However, it also shifts its focus to wellness on a more regular basis in the working environment, including a growing wellness library, call room “hotel kits”, regularly scheduled debriefing rounds, and community involvement/advocacy. The Program is also well supported by Schulich's Learner Experience Office (LEO) for both individualized resident and group learning activities.

    RESOURCES

    We have two general pediatrics Clinical Teaching Units (CTU) staffed by both academic general pediatricians and community pediatricians. The resident group consistently speaks to the value of the community perspective in the CTU environment to their learning. Each CTU team is comprised of one senior and one junior resident and three clerks.

    The program also includes Community Pediatric rotations in smaller communities in the Southwest region of Ontario (i.e. London, St. Thomas and Stratford), some within commuting distance from London. Residents receive full funding for travel and accommodation are being provided by the Schulich's Distributed Education (DE) for Community Pediatric rotations in St. Thomas, Stratford and other DE network/sites.  For Community Pediatric rotations that are less than 4wks, which are not qualified for funding, the Department of Pediatrics' Rural and Remote Pediatrics Committee has extended support to medical students and pediatrics residents, which residents can apply for.

    We have a teaching faculty of just over 100 clinicians, including general Pediatricians, Pediatric subspecialists and Pediatric general and specialist surgeons. All Pediatric subspecialties are available in our program for resident rotations.

    We have an onsite simulation center, the Michael Gunning Simulation Centre, that is dedicated to pediatrics and maternal and child health. Our residents participate in many courses and learning activities that use this space, which includes but is not limited to our mandatory simulation curriculum. The program incorporates simulation in multiple areas of the training program, and is increasingly becoming a vital tool for both curriculum delivery and assessment.  We are fortunate to have a number of faculty with formal expertise and commitment to Simulation in Education. 

    CTU-Windsor is a mandatory experience for PGY1 and PGY2 trainees, providing opportunities to attend an in-hospital consulting Pediatric clinic and provide consults to the emergency department in a community hospital setting.  Care of the well-newborn is also an integral part of this rotation.  The team consists of  one senior and one junior Pediatric resident, one Family Medicine resident and clerks.  The independence offered to residents in the Windsor setting is something frequently cited as a strength.  

    PGY3 residents are also provided the opportunity to complete their PGY3 neonatal rotation in either Windsor or London.


    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.

    Curriculum

    The core curriculum meets the Royal College of Physicians and Surgeons of Canada standards for accreditation in pediatrics. In July 2021, the Competence By Design (CBD) curriculum has been officially launched. The 4 stages of CBD are mapped over 4years, after which residents can choose to apply to a subspecialty.

    The Pediatric training program at Western is designed for trainees interested in pursuing careers in either community consulting pediatrics or a pediatric subspecialty. To facilitate the transition to residency, our program matches a senior resident and a faculty mentor to each incoming PGY-1 resident. In addition, we have a group of trained faculty coaches, with whom each of our PGY1 residents is paired with.  A comprehensive orientation seminar series is held during the first eight weeks of the PGY-1 year.

    Residents are provided with ample opportunity for hands-on clinical experience and supervised decision-making. Objective assessment of performance is an integral part of our program which includes mapped Entrustable Professional Activities (EPAs) and final evaluations for each rotation, regular observed history and physical exams, and yearly OSCE examinations. 

    Our training sites include hospitals, ambulatory Pediatric offices, community health care facilities in London and smaller regional centers in Southwestern Ontario. Under the Distributed Education (DE) network program, rotations in various specialties are available in the region. The community pediatric rotations during the PGY-1 and PGY-3 year are spent working in community pediatricians' practices in the region under the DE program, whereby accommodation and travel funds are made available by DE. 

     

    PGY-1 Rotation (as of 2025-2026)

    3 blocks - Clinical Teaching Units (CTU) - Children's Hospital, London, ON

    1 block - Clinical Teaching Unit (CTU) - Windsor Regional Hospital, Windsor, ON  

    1 block - Community Pediatric - Distributed Education (DE) sites 

    2 blocks - Neonatal Intensive Care - Children's Hospital, London, ON

    1 block - Pediatric Emergency Medicine - Children's Hospital, London, ON

    1 block - Pediatric Surgery - Children's Hospital, London, ON

    2.5 blocks - Pediatric subspecialty rotations (Endocrinology, Gastroenterology, Genetics, and Respirology) - Children's Hospital, London, ON

    1.5 Blocks - Junior Night Float 

    PGY-2 Rotation (as of 2025-2026)

    1 block - Clinical Teaching Unit (CTU) - Windsor Regional Hospital, Windsor, ON

    1 block - Level 2 - Neonatal Intensive Care - Children's Hospital, London, ON

    2 blocks - Pediatric Critical Care - Children's Hospital, London, ON

    1 block - Child Psychiatry - London, ON

    1 block - Research - London, ON

    2 blocks - Pediatric subspecialty rotations, including Hematology/Oncology, Cardiology, and Neurology - Children's Hospital, London, ON

    1 block - Pediatric subspecialty elective at Children's Hospital, London, ON

    2 blocks - Pediatric subspecialty electives - can be outside of/or within London, ON 

    2 blocks - Night Float

    PGY-3 Rotation (as of 2025-2026)

    3 blocks - Clinical Teaching Unit (CTU) - Children's Hospital, London, ON

    1 block - Neonatal Intensive Care - Children's Hospital, London, ON or Windsor Regional Hospital, Windsor, ON

    1 block - Pediatric Critical Care - Children's Hospital, London, ON

    1 block - Community Pediatrics - London or DE site

    1 block – Developmental Pediatrics – Child and Parent Resource Institute and Thames Valley Children’s Centre, London, ON

    1 block - Pediatric Emergency - Children's Hospital, London, ON

    1 block - Pediatric subspecialty elective - London, ON

    1 block - Pediatric subspecialty elective - can be outside or within London, ON

    1 block - Research or Research/Enrichment (including longitudinal research floating halfdays)

    2 blocks - Senior Call (split into 2wks across the academic year) - Children's Hospital, London, ON

    Longitudinal curriculum

    There are some objectives which the program also delivers in a longitudinal manner, with specific curriculum developed in research, social pediatrics, and patient safety. Many of these include minimum expectations of all residents, with the ability to become more involved with resident interest level.

    PGY-4 Rotation  (as of 2025-2026)

    The fourth year of training carries some individualization to meet the trainee's educational needs and career objectives, with additional rotations mapped according to the Transition to Practice EPAs. The following are expected components of the current PGY4 year, subject to review by Curriculum Subcommittee:

    NICU and other acute care (ER, PCCU, Anaesthesia, PCCOT/Transport) = minimum 2 weeks NICU and 2 weeks of other acute care

    Senior calls – minimum of 4 x 2-wk blocks, or as per determined by the PD

    CTU-Admission/Junior Consultant – 4-wk block

    Continuity Clinic – one halfday clinic per week (with a Community pediatrician) - to be assigned by the program

    Community Pediatrics (non-tertiary care) - 4-wk block, could be at LHSC or outside, but with calls.  

    Complex Care – minimum of 2 weeks, could be a combination of inpatient and outpatient.

    Rural Pediatrics – minimum of 2 weeks

    Adolescent/Mental Health – minimum 2-weeks, may be longitudinal

    Ambulatory/Mixed clinics - 8 weeks 

    Subspecialty elective - 10 weeks (in London) 

    Elective blocks - 8 weeks

    Seminars

    During the first 8 weeks of the academic year, a mandatory daily Pediatric Orientation lecture series is scheduled for new PGY1 residents. During this period, residents are also required to complete the Neonatal Resuscitation Program (NRP) and Pediatric Advanced Life Support (PALS) courses. In addition, the new residents are also required to complete Canadian London Advanced Pediatric Life Support Simulation Course (CLASSiC), and The Healer's Art session.  Additional seminars relevant to the broad CanMEDS roles are hosted by Schulich School of Medicine and Dentistry PGME. 

    The Senior Resident Summer Lecture Series is a series of lectures that take place during the months of July and August  for more senior learners/residents. The purpose of these lectures is to help facilitate residents' transition to the senior role, thus allowing for the review of important pediatric topics in a more in-depth manner.

    The late PGY3/PGY4 residents also have a separate teaching sessions, which geared towards transition to practice.

    The core curriculum teaching sessions for all residents are held from September to June.  Protected teaching time is provided for residents to attend the mandatory noon hour Academic Rounds and a weekly Academic Half Day. Additional teaching rounds are scheduled for each clinical rotation and Journal Clubs maybe held outside the hospital. Residents have protected time to attend at least two off-site resident retreats that are organized each year.

    Research

    The research component of our program was developed to ensure successful completion of a scholarly project by residents over the three core years of Pediatric residency. A research mentorship program is in place for incoming PGY-1s. Residents have access to facilities, funds and faculty supervisors with expertise in basic, clinical and translational research, medical education and health administration. Research methodology, an annual Research Proposal Day and an annual Pediatric Research Day are incorporated in our core curriculum. It is an expectation that at least one publication or abstract presentation will be completed during residency.  

    Given the longitudinal nature of research activities, research floating half-days are available to PGY2 and PGY3 residents who require extra time outside of their Research block to achieve a certain milestone. There is an approval process in place to secure a floating half-day.

    Start Date

    Residency Training Program Start Date: All programs at Western commence on July 1, 2026, with a City-Wide Orientation Day at Western University (date TBD). The Pediatrics PGY1 Bootcamp with Meet and Greet (date TBD) usually takes place within the first week of July, at Children's Hospital, in London, Ontario.


    Training Sites

    Resources

    Children's  Hospital/LHSC (CH)- 58 pediatric beds and a 51- bed tertiary-level Regional Neonatal Intensive Care Unit as well as a 14- bed pediatric critical care unit and pediatric emergency department with  over 35,000 visits  per year. CH serves as the regional pediatric trauma centre and as the only tertiary pediatric referral centre for a population in excess of 1.5 million. 

    Child and Parent Resource Institute (CPRI) - 78 bed hospital for children with psychiatric, behavioral and neurological problems with  a large ambulatory service. 

    Child Health Research Institute (CHRI) - research facility offering opportunities in a wide range of research activities located at the CHWO site.

    TVCC - The Thames Valley Children's Centre is an outpatient rehabilitation centre offering a wide range of programs and services to children and youth with physical, communication and developmental needs.

    The Schulich Distributed Education (DE) network provides students and residents with opportunities to experience learning, living, and working in Southwestern Ontario. DE is partnered with more than 45 Communities who are involved in medical training activities. 

    The Michael Gunning Simulation Centre is our onsite simulation center that is dedicated to pediatrics and maternal and child health simulations. Our residents participate in many courses and learning activities that use this space, which include but are not limited to our mandatory simulation curriculum. The program incorporates simulation in multiple areas of the training program, and is increasingly becoming a vital tool for both curriculum delivery and assessment.  We are fortunate to have a number of faculty with formal expertise and commitment to Simulation in Education. 

    Windsor Regional Hospital - CTU in Windsor is a mandatory experience for PGY1 and PGY2 trainees, providing opportunities to attend an in-hospital consulting Pediatric clinic and provide consults to the emergency department in a community hospital setting.  Care of the well-newborn is also an integral part of this rotation.  The team consists of  one senior and one junior Pediatric resident, one Family Medicine resident and clerks.  The independence offered to residents in the Windsor setting is something frequently cited as a strength.  In addition, PGY3 residents are also provided the opportunity to complete their PGY3 neonatal rotation in either Windsor or London.


    Additional Information

    Pre-residency orientation programs
    All IMG candidates accepted to all residency programs will be required to complete either the Pre-Residency Program (PRP) for Family Medicine or the Orientation to Training and Practice in Canada (OTPC) program for Specialty training, administered by the Centre for Evaluation of Health Professionals Educated Abroad (CEHPEA) prior to entering into a residency program. Matched IMGs will be expected to attend these programs in Toronto, several weeks in advance of the start of their residency program. In some cases, this may result in a delay of the start date of the residency.

    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.

    Reference:  http://www.carms.ca/en/residency/r-1/eligibility-criteria/provincial-criteria/ontario/

    A citywide Orientation Day takes place later in June or early July, and will be scheduled by Postgraduate Medical Education office for all PGY1 residents.

    All information contained is subject to change until such time as the rank order lists are filed. Please ensure you review information on a regular basis.

     


    FAQ

    Files not meeting all the eligibility criteria will not be reviewed by the Selection Committee.