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NOSM University - Public Health and Preventive Medicine including Family Medicine - Sudbury

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

Last approved on March 09, 2026

Summary of changes

Approximate Quota:

 click here

Accreditation status : Accredited

Provincial Criteria


Dr. Emily Groot
NOSM U Postgraduate Education - PHPM 
935 Ramsey Lake Rd 
c/o Sonya Richard
SUDBURY, Ontario, P3E 2C6
NOSM U PHPM Program
NOSM University

Program Contacts

Applications will only be considered through submission on CaRMS.ca. Please do not apply via email to the Program Coordinator.
Sonya Richard
Program Coordinator
sorichard@nosm.ca

Dr. Reed Morrison
Associate Program Director


Important Information

Land Acknowledgement

NOSM University respectfully acknowledges that our pan-Northern campus is on the homelands of First Nations and Métis Peoples. The university buildings we occupy in Greater Sudbury and Thunder Bay are located on the territory of the Anishinabek Nation, specifically Atikameksheng and Wahnapitae First Nations and Fort William First Nation.

Transfer Applicants

If you are a resident in a current Canadian PG position using the second iteration of the CaRMS Match as a possible route to change program or specialty, In accordance with the Ontario eligibility criteria, which references the National Transfer Guidelines, you will need to upload all in-training assessments/evaluations and a summary of your training record in addition to the other required components of your CaRMS application.

Please also provide your permission for the program to speak with your current Program Director by adding "If I am shortlisted, I give permission for the program to speak with my current Program Director," at the bottom of your Personal Letter.  We will only contact your current PD if you are shortlisted.

Training Streams

NOSM U PHPM offers training through two separate streams, PHPM-FM in Sudbury and PHPM in Sault Ste. Marie.  Residents in the Sudbury PHPM-FM training stream complete two years of clinical training with the NOSM U Family Medicine Residency program, leading to certification with the College of Family Physicians.  Residents in the Sault Ste. Marie PHPM training stream complete at least one year of clinical training specifically tailored to public health practice, allowing residents to dedicate more time to fulfilling the Royal College specialty requirements in PHPM. 

  • A total of two (2) positions are available each year, with one (1) position allocated to each stream respectively.
  • Candidates considering the PHPM-FM stream are encouraged to familiarize themselves with the FM program: https://www.nosm.ca/familymedicine/.
  • Both streams lead to certification with the Royal College of Physicians and Surgeons of Canada.  
  • Regardless of training pathway, all Royal College-certified PHPM specialists can establish a clinical practice and provide direct patient care (e.g., travel medicine, sexual health). Additionally, PHPM specialists dually certified in family medicine can establish a family medicine clinical practice.

Relocation and Travel

Social accountability is one of NOSM University’s core values and the geographical area we serve is vast. In order to best prepare our residents to practice in a variety of contexts, and particularly northern, rural, and remote settings, relocation and travel are required during training. Residents receive financial support for travel to and from mandatory rotations and educational activities outside their home bases, and housing support for core rotations away from their primary residence.

Vaccination and Tuberculosis Screening Policy

Vaccination and tuberculosis screening status are not considered in the selection process and related documentation should not be submitted with your application. But successful applicants will be required to provide proof of compliance with the Council of Faculties of Medicine Immunization and Screening Policy prior to their residency start date (https://cou.ca/reports/cofm-immunization-policy/). Candidates are strongly encouraged to start the vaccination and screening process early, in advance of Match Day. Failure to provide appropriate documentation of vaccination and tuberculosis screening results after the match will result in delays in training start date, and may result in termination of the contract.


Return of Service

The Ministry of Health requests all ROS agreements before July 1st 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 ROS requirements of other provinces.

More information for IMG ROS can be found here: Return of Service

If you have further questions, please contact the Ministry of Health at PPUProgramOfficer@ontario.ca 

PLEASE NOTE: YOU ARE REQUIRED TO FULFILL A ROS COMMITMENT IN ONTARIO IMMEDIATELY UPON COMPLETION OF YOUR TRAINING.


General Instructions

Program application language: English

Applications will only be received and reviewed in 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)

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 deadline for submission and assignment of applications and documents.  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. Must be accompanied by a Canadian government-issued photo ID; or
  2. Notarized/certified photocopy of Certificate of Canadian Citizenship. Must accompanied by a Canadian government-issued photo ID; or
  3. Notarized/certified photocopy of Confirmation of Permanent Residence in Canada. Must accompanied by a Canadian government-issued photo ID; or
  4. Notarized/certified photocopy of Canadian Passport; or
  5. Notarized/certified photocopy of Canadian Citizenship Card (both sides of card); or
  6. Notarized/certified photocopy of Canadian Permanent Resident Card (both sides of card); or
  7. Notarized/certified photocopy of Proof of Protected person/Convention Refugee Status; or
  8. Notarized/certified photocopy of Certificate of Indian Status/Aboriginal status or Makivik society card:
    • Citizens of Indigenous nations where Treaties allow individuals to work and train across the USA-Canada border are eligible to undergo postgraduate medical training in Canada once their Indigenous citizenship is verified, even if they do not have Canadian citizenship. Of note, it may be necessary to obtain a work visa prior to starting postgraduate training.
Language proficiency
Required
Submit one of the following documents to verify your language proficiency:
• FAIMER / World Directory of Medical Schools
• IELTS
• Letter of language proficiency
• TOEFL - iBT
• 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 proficiency documents must be valid by (not expired) up to July 1, 2026 unless otherwise indicated below.

Language Requirements

  1. Canadian English Language Proficiency Index Program (CELPIP):
    • Must have minimum score of 9 in each of the four skills in the same sitting
  2. International English Language Testing System (IELTS)
    • Must have minimum score of 7.0 in each of the four skills in the same sitting
  3. TOEFL-Ibt
    • Must have minimum score of 93 with a minimum score of 24 on the speaking section.
    • The TOEFL iBT Home Edition will be accepted as a substitute for the TOEFL iBT.
  4. Occupational English Test (OET) -Medicine
    • Must have minimum grade of B in each of the four skills in the same sitting
  5. World Dictionary of Medical Schools / FAIMER
    • 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 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.
  6. 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 

Examinations
Required
NAC examination
  • 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) 

    Medical Council of Canada Qualifying Examination
  • Score and document(s)
  • MCCQE - Statement of Results
  • A passing score of MCCQE1 is required to apply.

    Reference documents
    Required
    Number requested: 3

    Reference letters must be written by preceptors, supervisors, or advisors who have worked with you. Reference letters written by individuals who have not directly worked with you will not be considered. References should provide an assessment of your population health, public health, and medical knowledge; interpersonal skills; ability to communicate effectively; attitude toward learning; and your abilities to complete training in PHPM.  If you have completed any residency training in Canada, a reference letter from your previous program director is required. 

    The NOSM U PHPM program accepts Family Medicine Structured Reference Letters, although reference letters specific to PHPM are preferred.



     

    Consistent with the AFMC measures established in response to the Québec physicians’ strike, we will implement the following accommodations for applicants from Québec faculties of medicine and for applicants from other Canadian faculties who had planned visiting electives in Québec during this time.

    • We will accept reference documents completed by any physician able to support the applicant’s candidacy.
    • We will not require reference letters from physicians practising in the same discipline as the program.
    • Applicants are required to submit two (2) reference documents but are permitted to submit up to the maximum of three (3).
    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.

    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.

    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

    If your MSPR is in a language other than English or French, you are required to have the document translated.

     

    For applicants from Québec faculties of medicine, as well as those from other Canadian faculties who had scheduled visiting electives in Québec during this period, we will accept incomplete MSPRs for file review and ranking purposes.

    An incomplete MSPR is one that may be missing final assessments from placements expected to be completed by the date of submission but delayed due to the strike. A complete MSPR will not be required as a criterion for file review or ranking for these applicants.

    Personal Letter 
    Word count
    Minimum : None
    Maximum : 1000

    The personal letter (maximum 1000 words) must address the following questions:

    • What led to your interest in PHPM in general, and PHPM training at NOSM University specifically?

    • Where do you see your career in 10 years, and how does the NOSM U PHPM residency program fit into your long-term career plans?

    • If accepted, what do you anticipate will be your greatest challenge in residency and how will you address that challenge? Applicants who have not provided direct patient care within the last year are invited to comment specifically on the challenges lack of recent experience may pose to training.

    If your transcript/CV indicates academic difficulty, failure(s), repeat of a year or any gaps in your education or training history please attach a supplementary statement to the END of your Personal Letter entitled "Transcript/CV Addendum" explaining the above.


    Kindly note that personal letters generated by large language models (LLMs) and consultants are often very similar across candidates. It is in your best interest to author your own personal letter. We want to get to know the real you.

    Custom Résumé / CV 

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

    Conditionally required
    Graduate Transcript (Master/PhD Degree) 

    Candidates who have completed prior graduate training are required to submit their transcripts.  Order from the relevant Registrar.


    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



    Interviews

    Dates:

    • March 30, 2026
    Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.

    Selection Criteria

    Applicants will be selected for an interview based on a file review that considers their:

    • Interest in northern, rural, remote, Indigenous, or Francophone health
    • Understanding of health equity and population health
    • Demonstrated commitment to train and practice in PHPM
    • Academic performance, including transcripts and examination scores (when applicable)
    • Critical thinking and problem solving
    • Communication, including language proficiency testing scores (when applicable)
    • Interpersonal skills and team work
    • Professionalism
    • Attitude towards learning, including ability to engage in reflective practice
    • Ability to identify and address challenges that the candidate may encounter training in a northern, distributed residency program

    Final ranking of candidates is based on the combined file review score, interview score, and program resource context. Interviewees may not all be ranked.

     

    Program goals

    Are you passionate about health equity? Or do you plan to work in lower-resource or northern, rural, or remote public health contexts? Or perhaps you want to practice full-scope public health and preventive medicine? Then consider training at the first medical university in Canada, established with an explicit social accountability mandate.

    The NOSM University PHPM program prepares physicians to practice comprehensive public health and preventive medicine in any context. Residents train at sites across Northern Ontario, as well as sites outside Northern Ontario that offer experiences relevant to NOSM U’s social accountability mandate. Our program provides an encouraging environment for residents to create sustainable, equitable improvements in health outcomes. The varied training sites offer residents exposure to a broad range of PHPM practice environments and community contexts. Funding is available for travel and accommodation for core rotations outside a resident’s home base. Our highly engaged faculty not only serve as supportive preceptors offering graded responsibility during rotations, but also supervise resident scholarly projects and deliver academic teaching.

     

    Selection process goals

    Our selection process seeks to identify diverse candidates with a wide variety of lived experiences committed to excellence in the practice of PHPM in northern, rural, remote, and global contexts, who have demonstrated:

    • Passion for improving health equity, especially for northern, rural, remote, Francophone, or Indigenous populations
    • A strong academic and scholarly record
    • Competence and interest in PHPM
    • Ability and willingness to work collaboratively

     

    Social accountability informs not only our curriculum, but also our selection process. We are committed to ethical, equitable, and transparent recruitment and selection, and look forward to meeting the real you. This includes a commitment to supporting and retaining IMGs in PHPM training and practice. 

    As a medical university with a social accountability mandate to meet the needs and the diversity of the populations of Northern Ontario, candidates best suited to the NOSM U PHPM are those who can adapt and thrive in a hands-on, distributed residency program that requires flexibility and regular travel away from their primary location of residence. Residents will be required to relocate one or more times during their training.

     

    File review process

    Review team composition : The file review team is comprised of program faculty, other PHPM specialists, and residents, and may include family medicine faculty.

    Average number of applications received by our program in the last five years : 0 - 50

    Average percentage of applicants offered interviews : 76 - 100 %

    Evaluation criteria :
    File component Criteria
    CV Interest in PHPM, scholarly activity, recency and relevancy of clinical experiences, and professional accomplishments.
    Electives PHPM elective(s) and a diverse range of non-PHPM electives relevant PHPM; electives in northern, rural, or remote contexts are a strong asset.
    Examinations Candidates who have written the NAC and/or MCCQE1 are required to submit their scores, and these scores will be considered as part of the file review process. Language proficiency testing scores will also be considered as part of the file review process if submitted by a candidate. The NOSM U PHPM Program does not use specific exam score cut-offs, but candidates applying to the PHPM-FM stream are required to meet all FM examination requirements.
    Extra-curricular Experiences relevant to PHPM or northern, rural, and remote health are considered an asset. The NOSM U PHPM program acknowledges and takes into consideration that extra-curricular activities may not be accessible to students with other commitments outside school (e.g., caregiving).
    Leadership skills Evidence of effective conflict management skills is required. Evidence of one or more leadership roles is considered an asset.
    MSPRs Evidence of professional behaviour is required. Evidence of academic excellence and strong interpersonal skills are considered assets. Any academic, personal, or professionalism concerns noted in the MSPR must be addressed by the candidate in their personal letter.
    Personal letters Ability to succinctly and coherently address the items listed under “Personal Letter” above.
    Reference documents Positive assessment of your population health, public health, and medical knowledge; interpersonal skills; ability to communicate effectively; attitude toward learning; and your abilities to complete training in PHPM-FM. Reference letters written by individuals who have not worked directly with the applicant will not be considered. If you have completed any residency training in Canada, a reference letter from your previous program director is required.
    Research/Publications Scholarly activity relevant to PHPM and interest in participating in future scholarly activity are considered assets.
    Transcripts Strength of 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 training 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

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

    Interview process

    Interview format :



    We 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 Clearly describes actions and behaviours indicative of mature and effective collaboration.
    Collegiality All interactions with the program demonstrate collegiality. Clearly describes cooperative actions and behaviours with colleagues from one or more professions.
    Communication skills Delivers clear, succinct responses in all communications with the program. Directly address interview questions. Provides examples of applying communication skills to resolve conflict.
    Health advocacy Demonstrates commitment to social accountability and health equity.
    Interest in the discipline Articulates population health strategies, and differentiates a population health approach from an individual patient care approach. Articulates how clinical training will support their future public health practice.
    Interest in the program Demonstrates interest in northern, rural, or remote settings. Candidate’s career goals align with those of the NOSM U PHPM training program.
    Leadership skills Demonstrates self-reflective leadership, meaningfully reflecting on personal leadership style.
    Professionalism Demonstrates compassion, insight, honesty, and respect for diversity during all interactions with the program. Meaningfully reflects on ability to manage conflict.
    Scholarly activities We do not formally evaluate this component during the interview.

    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

    Health equity and social accountability are foundational to the NOSM U PHPM program. Our program offers a comprehensive curriculum that integrates all the CanMEDS roles, while focusing on the knowledge and skills required to practice in northern, rural, and remote contexts, in Canada and around the world. Program highlights include:

    • Emphasis on resident wellbeing, including specific support for international medical graduates
    • A comprehensive and innovative academic curriculum, including case-based learning, in-person learning events, media training, and simulations
    • Excellent examination preparation, with regular practice written examinations and OSCEs
    • Diverse, compassionate resident colleagues
    • Annual funding for each resident for academic experiences and supplies, like software or conference attendance
    • Easy access to urban amenities and outdoor activities across beautiful Northern Ontario
    • Opportunities for elective rotations dedicated to research or examination preparation
    • Outstanding program coordination and governance
    • Strong local and international partnerships that support resident learning, including affiliations with the University of Global Health Equityin Butaro, Rwanda and the Foundation Course in Occupational Medicine at the University of Alberta

    Key components of the five-year NOSM U PHPM residency program include:

    • Weekly academic half-days, regular academic full-days, and biannual in-person learning events
    • A minimum of 12 months of clinical training
    • A minimum of 2 semesters of graduate training
    • A minimum of 18 months of PHPM training
    • A scholarly project

    Please visit our website for more information: https://www.nosm.ca/phpm/.

     


    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.

    The five-year NOSM U PHPM residency training program follows the Royal College Specialty Training Requirements, and ensures residents meet the Royal College Competencies. Training occurs in four sequential stages: transition to PHPM, foundations of PHPM, core of PHPM, and transition to independent PHPM practice.

    Transition to PHPM

    Right from the start of the NOSM U PHPM Program, our specialty is the focus of your training. The first four blocks of both the PHPM and PHPM-FM stream are dedicated to orienting residents to the program, NOSM University, residency, and the specialty of PHPM, and include rotations in Public Health and Family Medicine.

    Foundations of PHPM

    At this stage of training, residents are introduced to the clinical and academic knowledge and skills that form the foundation of PHPM practice, such as the clinical management of communicable diseases or critical appraisal of research. This stage includes clinical rotations as well as a minimum of two semesters of graduate studies. Most residents choose to complete a Master of Public Health during their training. Residents with previous graduate training may be credited, resulting in additional elective time or a reduction in training time. The length and rotations included in the Foundations stage differ according to training stream.

    Core PHPM training

    This stage of training focuses on the six core functions of public health: health protection, health surveillance, disease and injury prevention, population health assessment, health promotion, and emergency preparedness and response. Residents in both the PHPM-FM and PHPM streams complete core rotations in:

    Transition to independent PHPM practice

    In the final year of residency, NOSM U PHPM residents consolidate their skills in a Leadership and Management rotation, taking on a leadership role equivalent to an acting associate medical officer of health. This stage focuses on preparing residents for independent practice, with significant administrative and professional responsibilities.


    Training Sites

    Our residents train at sites across Northern Ontario—for example, in Thunder Bay, Sioux Lookout, or Richard’s Landing—as well as sites outside Northern Ontario that offer experiences relevant to NOSM U’s social accountability mandate, including provincial and federal agencies. Residents are required to live and work in multiple communities.

    NOSM U PHPM-FM residents are based in Sudbury, on the territory of Atikameksheng and Wahnapitae First Nations, with occasional travel and relocation required across Ontario. Sudbury is a city of almost 170,000 people, best known for mining, beautiful lakes, and blueberries. Sudbury offers excellent restaurants, hiking trails, and French language opportunities. Residents complete the majority of their clinical training at Health Sciences North and Sudbury-based clinics, and many of their public health field placements at Public Health Sudbury & Districts.

    NOSM U PHPM residents are based in Sault Ste. Marie, on the territory of Garden River and Batchewana First Nations, with occasional travel and relocation required across Ontario. Sault Ste. Marie is a city of just over 70,000 located on the St. Mary’s River, directly across the international border from Michigan.  Sault Ste. Marie offers easy access to both Lake Superior and Lake Huron, and what locals believe to be the best pizza in the world. Residents complete the majority of their clinical training at Sault Area Hospital and Sault-based clinics, and many of their public health field placements at Algoma Public Health.

    NOSM U PHPM residents pursue a wide variety of PHPM electives at the local, provincial, national, and international level.  Some examples include:

    • Office of the Chief Coroner of Ontario
    • Public Health Agency of Canada
    • Sioux Lookout First Nations Health Authority
    • Government of Nunavut
    • University of Global Health Equity in Butaro, Rwanda

     


    Additional Information

    NOSM U PHPM residents typically select the location of many of their field placements, but the residency program reserves the right to determine a resident’s training sites.

    Public transportation options are limited in parts of Northern Ontario. NOSM U PHPM residents are strongly encouraged to have a valid Ontario driver’s license and access to a vehicle.

    To learn more about Northern Ontario, please visit the Wider Campus of NOSM University webpage.


    Summary of changes

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