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Toronto Metropolitan University - Pediatrics - Peel & Surrounding Communities

2027 R-1 Main Residency Match - first iteration
IMG Stream for IMG

Last approved on November 02, 2026

Summary of changes

Approximate Quota:

 1 

Accreditation status : Accredited

Provincial Criteria


Dr. Allison Bahm
Postgraduate Medical Education - Pediatrics 
150 Central Park Drive 
Brampton, Ontario, L6T 2T9
VIDEO [1.5 min]: TMU SoM Creating Healthy Change for Communities Across Canada
TMU Postgraduate Medical Education
TMU School of Medicine Website

Program Contacts

Jess Wood
Program Administrator
pgme.peds@torontomu.ca


Important Information

At present, the School of Medicine campus in Brampton is NOT open to the public. As such, drop-ins and individual campus tours are not available.

Accreditation Status: Accredited
The Toronto Metropolitan University School of Medicine's Pediatrics Residency Program received accreditation from the Royal College of Physicians and Surgeons of Canada in October of 2024.

Virtual Information Sessions
The TMU Pediatrics Program invites you to attend one of our upcoming Virtual Information Sessions to learn more about the Program and have any questions that you may have answered by the Program Director, Dr. Allison Bahm!

The info sessions will be approximately 45-60 minutes and will be held on the following dates:

Upon registering, you will receive a confirmation email with the Zoom link.

We look forward to seeing you there!

Eligibility Criteria

In addition to meeting the CaRMS R-1 Match Basic Eligibility Criteria, all applicants must meet the Ontario Provincial Eligibility Criteria in order to be considered. Applicants are responsible for reviewing this criteria in full before applying.

U.S. Allopathic Medical Graduates (USMG)

Medical students or graduates who have obtained or are in the process of obtaining a medical degree from an allopathic medical school in the U.S can either be considered Canadian Medical Graduates (CMGs) or International Medical Graduates (IMGs) within the residency application process, depending on their graduation date. This differentiation is due to changes made in the joint accreditation process of medical schools in the U.S and Canada.

  • If you graduated from a U.S. allopathic medical school on or after July 1, 2025, you are considered an International Medical Graduate (IMG) and may only apply through this stream.
  • If you graduated from a U.S. allopathic medical school before July 1, 2025, you are considered a Canadian Medical Graduate (CMG) and are eligible to apply through the CMG stream instead.

Pre-residency Orientation Programs

All International Medical Graduates (IMG) accepted to all residency programs will be required to complete either the Pre-Residency Program (PRP) or the Pre-Residency Program for Family Medicine (PRPFM) prior to entering into a residency program. Matched International Medical Graduates (IMG) 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. Additional information on the PRP and PRP FM programs can be found at the following link: Touchstone Institute.

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 to obtain an educational license to enter a residency program. More information on the AVP policy can be found here.

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. For those who have withdrawn from an AVP, you are eligible for the same or another specialty. For more information, review the CaRMS Applicant Release Policy. IMGs who have withdrawn from a program prior to completion of an AVP must declare so upon application.

Please note that while every effort is made to accommodate a July 1st start date, there may be some applicants matched who cannot be accommodated for a July 1st start. This information will be communicated to the matched applicants directly from the matched program.


Return of Service

Ontario’s International Medical Graduate (IMG) Return of Service (ROS) program is intended to improve access to physician services across Ontario, particularly in areas with limited physician supply. The IMG ROS program offers participants a postgraduate medical training position in return for a commitment to practise medicine in an eligible Ontario community. The ROS contract is between the Ministry of Health and the successful applicant, and it is the responsibility of the applicant to confirm eligibility with respect to ROS requirements of other provinces. Ontario PGME offices are not involved in this process.

The Ministry requests all ROS agreements before July 1 of the year they were matched. All agreements should be returned to the Ministry prior to the start of residency training.

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

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

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


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)

NOTE: The following MUST be accompanied by a Canadian Government Issued Photo ID:

  • Canadian Birth Certificate or Act of Birth
  • Certificate of Canadian Citizenship
  • Confirmation of Permanent Residence in Canada

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.

All applicants must be Canadian citizens, permanent residents, or protected persons under the Canadian Immigration and Refugee Protection Act at the time of application (with the exception of Citizens of Indigenous nations as outlined above).

All applicants must have their citizenship pre-verified or provide a document as proof of Canadian Citizenship Status.

Applications submitted without one of the acceptable forms of verification will be considered incomplete and will not be considered further in the selection process. No other forms of verification are accepted.

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. 

Proof of English language proficiency must be provided through ONE of the following options:

1. Submit one of the following language assessment documents to verify your language proficiency:

  • Accepted: TOEFL-iBT / TOEFL-iBT Home Edition

    • Document validity (not expired): Must be valid up to July 1, 2027
    • Minimum score: 93 with a minimum score of 24 on the speaking section in the same sitting

  • Accepted: IELTS Academic

    • Document validity (not expired): Must be valid up to July 1, 2027
    • Minimum score: 7 in each component in the same sitting

  • Accepted: Occupational English Test (OET)-Medicine (At test venue/At home)

    • Document validity (not expired): Must be valid up to July 1, 2027
    • Minimum score: Minimum grade of B of each component in the same sitting

  • Accepted: Canadian English Language Proficiency Index Program (CELPIP) – General

    • Document validity (not expired): Must be valid up to July 1, 2027
    • Minimum score: Minimum score of 9 in each component in the same sitting

2. FAIMER / World Directory of Medical Schools

3. Letter of Language Proficiency

  •  A letter from Dean attesting that your medical school program of instruction was completed solely in English.
Examinations
Required
NAC examination
  • Score and document(s)
  • NAC examination - Statement of results
  • NAC examination - Supplemental Information Report
    • Substitution: MCCQE Part II passing score can be accepted in lieu of the NAC passing score.

    • All International Medical Graduates (IMG) need to have their exam results/report verified through physiciansapply.ca.

    Medical Council of Canada Qualifying Examination
  • Score and document(s)
  • MCCQE - Statement of Results
  • MCCQE - Supplemental Information Report
  • Reference documents
    Required
    Number requested: 3

    A total of 3 Pediatrics Structured Reference Letters are required from referees: 

    • The 3 letters must be from physicians that have observed you in a clinical setting (ideally within the past 2 years) who can speak to your clinical skills and medical knowledge.

    • Ideally one (1) letter would be from a pediatrician, but this is not mandatory. We prefer letters from physicians/staff supervisors rather than residents.
    Additional documents
    Required
    Personal Letter 
    Word count
    Minimum : None
    Maximum : 750

    1. How have your lived experiences contributed to your personal growth and desire to pursue a career in Pediatrics?

    2. What qualities do you possess that make you a good fit for a career in Pediatrics? Provide examples of times you have demonstrated these qualities.

    3. What specifically interests you about our program and why do you feel that it will best support you in reaching your personal and professional goals?

    If you've experienced any academic failures or gaps in training throughout your medical education journey that you would like to explain, this should be addressed in your personal statement and titled as “Addendum”. This information will not be included in the above word count, but should not exceed 250 words.

    Medical School Transcript 

    • Transcripts that are not in English must be accompanied by a translation.

    • International Medical Graduates (IMGs) must be graduates of an acceptable medical school on the World Directory of Medical Schools 

    • IMGs must have their documents verified through physiciansapply.ca

    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. 

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

    Regional Connection Attestation 

    ACCESS & COMPLETE ONLINE FORM HERE: TMU Regional Connection Attestation

    We understand that a number of applicants to our residency programs will have a connection to the Brampton/Peel Region and surrounding communities region, and that many applicants will also have an interest in serving culturally diverse and medically underserved communities.

    Building upon our strong foundation of social accountability, we have implemented a Regional Connection Attestation to help identify candidates who may have a connection to the region.

    All applicants are asked to complete this attestation. The information provided in the attestation will be considered in our selection process and candidates will be awarded a Regional Connection Score.

    Please note that a connection to the Brampton/Peel Region and surrounding communities is not required in order to apply. We look forward to welcoming a diverse cohort of students committed to serving communities such as these, both from the region and beyond.

    Optional - will be reviewed
    Self-identification questionnaire 

    Equity, diversity, and inclusion (EDI) are fundamental values at TMU and the School of Medicine. As the first medical school in Canada founded and intentionally built upon the foundations of social accountability, EDI, decolonization and Reconciliation. These principles have been intentionally infused throughout all facets of the TMU School of Medicine, including admissions.

    We recognize that many groups face barriers not only in applying and being admitted to medical school, but also in matching into residency programs. With this in mind, and in keeping with TMU’s mission, vision and values, our PGME Office and residency programs are asking applicants to optionally complete the CaRMS Self-Identification Questionnaire and to assign the document with their application to our program.

    This information will be used to support our goal of selecting a diverse group of candidates to interview and subsequently rank. Your information will also be used to produce aggregate data. Following the CaRMS Match, anonymized aggregate data from the CSIQ will be used to evaluate the effectiveness of our selection process in removing barriers and promoting inclusion, and to help us set EDI goals for future matches.

    All members of the TMU PGME Office, program faculty and staff, file reviewers, interviewers, and program selection committees undergo mandatory unconscious bias and anti-racism training specifically geared to admissions and selection and must also sign a Confidentiality and Conflict of Interest Agreement. Additionally, to help ensure an equitable and accessible admissions and selection process, we are committed to providing reasonable accommodations for candidates who may require them in the interview process.

    Information on how this information will be accessed and protected by TMU:

    Your information will remain confidential, but not anonymous. Only a few authorized individuals in PGME, including the Program Director and Program Administrator, will have access to individual responses from individual candidates. All personal information that is collected will be used, stored, and destroyed in accordance with TMU's Notice of Collection.

    Your self-identification information will be stored and maintained by the individuals mentioned from the Postgraduate Medical Education Office and destroyed in alignment with TMU's records retention schedule and the Ontario Freedom of Information and Protection of Privacy Act (FIPPA). No information that identifies an individual and their diversity self-identification data will be released or shared, except with the aforementioned who are required to have confidential access to the information to fulfill their responsibilities, or with the consent of the person from whom the information is collected.

    If you have any questions about the collection and use of this information, please contact pgme@torontomu.ca.

    Medical Student Performance Record 

    Medical Student Performance Record (optional) can be provided in the form of a standard MSPR or a Dean’s Letter from the Dean of the international medical school that was attended.


    Review Process

    Applications submitted after file review has opened on November 26, 2026


    Supporting documents (excluding letters of reference) that arrive after file review has opened  on  November 26, 2026


    Letters of reference that arrive after the unmasking date on November 26, 2026



    Interviews

    Dates:

    • January 22, 2027
    • February 5, 2027
    Interviews will be conducted virtually and will last approximately 30-45 minutes. Candidates will rotate between two interview stations.

    There will also be a more informal opportunity to meet with the program director prior to the interview to learn more about the program and ask any questions. Overall, the interview experience provides opportunities for candidates to assess their personal and professional fit with our program.

    Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
    Aligned with Best Practices in Applications & Selection, TMU’s PGME Office is committed to providing an application and selection process that promotes diversity of the resident body, is free of inappropriate bias, and respects the obligation to provide for reasonable accommodations, where appropriate.

    Details related to accommodations in the interview process, including the request form, will be sent to applicants who are invited for an interview. The School of Medicine has partnered with TMU’s Academic Accommodation Support (AAS) to assess candidates’ requests for accommodations and determine the appropriate accommodations required during the interview process.

    All requests for accommodations and supporting medical documentation will remain strictly confidential with AAS. AAS will only inform the PGME Office and program of the accommodations needed for implementation purposes. 

    Applicants who anticipate requiring disability-based are requesting an accommodation in the interview process (should they advance to this stage of the selection process) will be required to provide a letter from a regulated health practitioner that:

    • *is dated within the past five (5) years;
    • clearly states the health practitioner’s professional credentials;
    • confirms the presence of a disability;
    • supports the need for accommodation;
    • specifies the recommended accommodation(s);
    • provides the date of diagnosis; and
    • outlines the underlying functional impairment and restrictions.
    A diagnosis is not required.

    *Documentation that is greater than 5 years old may be accepted if it is accompanied by a letter that confirms current functional impacts and provides continued rationale for the requested accommodations.


    Selection Criteria

    • TMU’s School of Medicine is committed to improving the health and well-being of individuals, families, and communities, with a special focus on the primary care needs of diverse and underserved populations in Peel and surrounding communities. Our mission, in alignment with the Postgraduate Medical Education (PGME) office, is to provide community-engaged education, scholarship, and service. We aim to educate residents within safe and supportive environments, fostering the development of compassionate, respectful, and forward-thinking clinicians who will provide outstanding holistic care and lead in health system transformation.

      We are dedicated to upholding our commitments to equity, diversity, inclusion and accessibility, as well as ensuring that we live up to our commitments to the Truth and Reconciliation Commission (TRC) via supporting Indigenous resurgence, reconciliation, and decolonization within the Canadian healthcare context.

    • Our program goals include selecting residents who demonstrate clinical excellence, community engagement, leadership potential, and a commitment to lifelong learning and health equity. We seek residents who are capable of becoming exceptional physicians in their specialties and who share our dedication to improving healthcare access and outcomes in the communities we serve.

    • To align with our selection process goals, we emphasize the importance of recruiting a diverse population of residents reflecting the demographics of Peel and surrounding communities and are committed to advancing the principles of equity, diversity and inclusion, decolonization and Reconciliation. Our process incorporates comprehensive evaluations, including academic performance, clinical evaluations, leadership experiences, and community involvement, ensuring that our residents not only meet our high standards of clinical competence but also embody the values and mission of the TMU School of Medicine.

    Program goals

    • The TMU Pediatrics Program’s mission is to graduate outstanding consultant pediatricians who exemplify the CanMEDS roles. Through a community-based approach, our goal is for graduates to confidently practice pediatrics in any setting as consultant general pediatricians while also being well-prepared to enter subspecialty pediatric training if they choose.

    • We strive to equip our residents with the necessary knowledge and skills to deliver high-quality, evidence-based care with empathy and cultural competency. We aim to empower our learners to become leaders in the field with experience in research, education, advocacy and wellness.

    • Our program aims to cultivate growth-oriented behaviours, fostering Pediatricians with a lifelong commitment to ongoing growth and development.  Residents will be exposed to a wide range of clinical learning environments, ensuring they gain a strong appreciation for the opportunities in Pediatrics and can access mentorship from Pediatricians with diverse career paths.

    Selection process goals

    The TMU School of Medicine Postgraduate Medical Education Unit and Program are committed to selecting a diverse population of residents who will be exceptional physicians in their specialty, and who are committed to equity, inclusion, and fostering a welcoming environment within the healthcare setting. The program particularly values participation in education and leadership roles during training as well as a desire to be a future leader in medical education and community medicine. In addition, the program is committed to selecting residents with:

    • An interest in improving Pediatric healthcare access and outcomes in Peel and surrounding communities.
        
    • A connection to Peel and surrounding communities and/or an interest in practicing in culturally diverse communities.

    • An interest in helping shape the TMU School of Medicine and contributing to the continued success and growth of the program.

    • Lived experiences that have contributed to their personal growth and desire to become a Pediatrician.

    • A broad range of personal, professional, and educational experiences that reflect a passion and commitment to community engagement, advocacy, and leadership, especially in the context of marginalized and culturally diverse communities.

    Our program’s selection process goals are to identify applicants who:

    1. Have demonstrated an interest and aptitude for the practice of pediatric medicine and child health

    2. Possess personal qualities well-suited to a pediatrician, such as respect and compassion for others, professionalism, excellent communication and collaboration abilities, and leadership skills

    3. Demonstrate growth-oriented learning attitudes and behaviours

    4. Recognize the benefit of training in community and academic clinical learning environments

    5. Value a hands-on approach to learning given the absence of clinical fellows at most of our training sites

    Demonstration of pursuit of growth and development in the areas of medical education, advocacy, research and/or other forms of scholarly activity is considered an asset.

    File review process

    Review team composition : Each application will be reviewed by two independent reviewers using a standardized rubric. The file review team will consist of the Program Director and other clinical faculty members within the specialty.

    All file reviewers will complete a Confidentiality and Conflict of Interest Agreement and will undergo unconscious bias and anti-racism training.

    If a file reviewer recognizes a conflict of interest, they will flag this with the program administrator and the file will be reassigned.

    Average number of applications received by our program in the last five years : 51 - 200

    Average percentage of applicants offered interviews : 76 - 100 %

    Evaluation criteria :
    File component Criteria
    CV A custom CV is not required. The relevant information in your CaRMS Application outlining your personal, professional, educational and extracurricular experiences will be evaluated.
    Electives A broad range of electives, including the discipline. An elective in pediatrics is encouraged, but not mandatory.
    Examinations We do not evaluate this file component.
    Extra-curricular Will be evaluated, including interests both relevant and irrelevant to medicine.
    Leadership skills We value leadership qualities and will evaluate community engagement, advocacy and leadership roles and experiences, especially in the context of marginalized communities.
    MSPRs Will be evaluated to assess for competency, professionalism, or any areas of concern.
    Personal letters Will be evaluated to understand lived experiences, experiences with diversity, inequity, and/or marginalization, and to gauge interest in, and suitability for, the program.
    Reference documents A total of 3 reference documents are required and will be evaluated to assess competency, suitability, professionalism, and any areas of concern.
    Research/Publications Assessed within extra-curricular experience.
    Transcripts Will be reviewed. If your transcript shows any academic failures or gaps in training, this should be addressed in your personal statement and titled as “Addendum”.
    Other file component(s) Communication Skills
    Applicants must be able to communicate proficiently in the English language. Written communication skills will be assessed in any written submissions (e.g. personal letter), and any comments/feedback in reference documents pertaining to the candidate’s ability to communicate effectively will also be taken into consideration.

    Regional Connection Attestation
    Applicants are asked to complete the TMU Regional Connection Attestation to detail any connections that they may have to Peel and surrounding communities. The information provided in the attestation will be considered in our selection process.

    CaRMS Self-Identification Questionnaire (optional)
    Applicants are asked to complete the CaRMS Self-Identification Questionnaire. This information will be used to support our goal of selecting a diverse group of candidates. More information provided in the document section.

    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 Values teamwork and demonstrates excellent interpersonal and collaborative skills, especially within interdisciplinary team settings.
    Collegiality Demonstrated ability to have a positive rapport with others (behavioral based question and correspondence with staff on the interview team).
    Communication skills Demonstrates excellent verbal communication skills in the interview and can clearly and concisely articulate one’s thoughts.
    Health advocacy Ability to reflect on the importance of patient health advocacy and draw from experiences.
    Interest in the discipline Knowledge about the discipline and interest in child health and working with children and their families.
    Interest in the program An interest in training in diverse clinical learning environments in Peel and Surrounding Communities, and knowledge about the TMU SOM mission, vision, and values.
    Leadership skills Ability to reflect on leadership skills and draw from relevant experiences in leadership roles.
    Professionalism Conducts oneself in a professional manner in all interactions with those involved in the admissions/selection process.
    Scholarly activities This component will not be evaluated in the interview.
    Other interview component(s) Reflective skills. Experiences with diversity, inequity, and/or marginalization.

    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 Program will follow the Competence By Design model and is 4 years in length.

    • Our program is novel in that it is heavily based in the community, which exposes residents to the breadth and diversity of our specialty. We also have partnerships with Tertiary Care Pediatric Hospital sites which allow for an excellent blend of community and tertiary care exposure. We are proud to be aligned with and accountable to TMU’s mission and vision of training providers who deliver culturally competent and patient-centred care and who have an interest in working in medically underserved communities.

    • Our large community-based setting will provide unique opportunities for residents to access a high volume of pediatric presentations. There are no fellows in our program so there are more opportunities to work directly with staff. This  allows for close working relationships with supervisors, facilitating mentorship and abundant opportunities for supervised hands-on training in procedural skills and neonatal deliveries and resuscitations.

    • We have a novel program called LEARN Time (Leadership, Education, Advocacy, Research, and Non-clinical Time) will allow residents who are meeting or exceeding the standards of their program to access protected time that they may direct toward opportunities for experiential learning activities.
    • In response to the societal need for more general pediatricians, we are proud to train residents in learning environments that will foster confidence for transition to practice and increase awareness of the diversity of our specialty.

    • Our curriculum ensures longitudinal exposure to the breadth of the specialty. For example, night float shifts in our primary sites include ER consultation, OB consultation, NICU and Pediatric inpatients, which reflects the reality for most hospitalist general pediatricians. Additionally, learners will have the opportunity to be exposed to sub-specialty clinics throughout their training to facilitate attainment of advancing learning objectives.

    • We have intentionally incorporated ample opportunities for elective blocks or ‘Enrichment’ rotations designed to individualize residency training and allow learners to identify their areas for growth and development, both clinically and in the other CanMED roles.

    • In line with the rest of Canada, Pediatrics transitioned to Competency-Based Medical Education (CBME) in 2021, as per the Royal College of Canada’s mandate. Our curriculum, learning opportunities, and faculty development have been designed to ensure that learners will be able to meet the expectations of CBME and be well prepared for a career as a Pediatrician.

    • As a smaller program, TMU offers residents more individualized support and mentorship from supervising pediatricians and more hands-on learning opportunities. A small community of residents also fosters close relationships and a sense of belonging.

    • As outlined in our program goals and selection goals, our program is committed to supporting trainees to realize their individual potentials. We aim to cultivate a learning culture that is learner-focused and assists the learner in progressive development of competencies to be the best version of the Pediatrician they can be in terms of all the CanMED roles.

    • Our program fosters a growth mindset. We are committed to innovation and applying a continuous quality improvement lens to our residency program. Residents will have an important voice in program decisions, priorities and innovations. Residents will have the opportunity to contribute to the continued growth and vision of the program, helping to ensure that it remains accountable to learners, faculty, program goals, and society.


    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.

    Sample Rotation Schedule:

    PGY1 

    • Orientation- 0.5 block (2 weeks)
    • Clinical Teaching Unit- 3.5 blocks (14 weeks)
    • Night Shift- 2 blocks (8 weeks)
    • Outpatient General Pediatrics Clinic- 1 block (4 weeks)
    • Pediatric Emergency (ED)- 1 block (4 weeks)
    • Neonatal Intensive Care Unit (NICU)- Level 2- 1 block (4 weeks)
    • Community Comprehensive (CTU/NICU I/II)- 1 block (4 weeks)
    • Longitudinal Ambulatory Subspecialty Clinic- 1 block (4 weeks)
    • Pediatric Hematology/Oncology- 1 block (4 weeks)
    • Elective- 1 block (4 weeks)

    PGY2

    • Tertiary Clinical Teaching Unit (CTU)- 1 block (4 weeks) 
    • Pediatric Intensive Care Unit (PICU)- 1 block (4 weeks) 
    • PICU Night Float- 0.5 block (2 weeks)
    • Pediatric Psychiatry- 1 block (4 weeks)
    • Outpatient General Pediatrics Clinic- 1 block (4 weeks)
    • Longitudinal Ambulatory Subspecialty Clinic- 1 block (4 weeks)
    • Neonatal Intensive Care Unit (NICU)- Level 2- 1 block (4 weeks)
    • Developmental Pediatrics (Community Outpatient)- 0.5 block (2 weeks)
    • Day Shift- 1 block (4 weeks)
    • Night Shift- 1.5 blocks (6 weeks)
    • Clinical Teaching Unit (CTU)- 0.5 block (2 weeks)
    • Elective- 2 blocks (8 weeks)
    • Scholarly Project- 0.5 block (2 weeks)
    • Enrichment- 0.5 block (2 weeks)

    PGY3

    • Clinical Teaching Unit (CTU)- 1.5 block (6 weeks)
    • Night Shift- 1.5 blocks (6 weeks)
    • Neonatal Intensive Care Unit (NICU)- Level 3- 1 block (4 weeks)
    • Pediatric Emergency (ED)- 1 block (4 weeks) 
    • Child Maltreatment- 0.5 block (2 weeks)
    • Longitudinal Ambulatory Subspecialty Clinic- 0.5 block (2 weeks)
    • Pediatric Intensive Care Unit (PICU)- 1 block (4 weeks) 
    • PICU Night Float- 0.5 block (2 weeks)
    • Neonatal Intensive Care Unit (NICU)- Level 2- 1 block (4 weeks)
    • Community Comprehensive (CTU/NICU I/II)- 1 block (4 weeks)
    • Subspecialty Consults- 0.5 block (2 weeks)
    • Rural/Remote- 1 block (4 weeks)
    • Elective- 1 block (4 weeks)
    • Enrichment- 1 block (4 weeks)

    PGY4

    • Tertiary Clinical Teaching Unit (CTU)- 1 block (4 weeks) 
    • Neonatal Intensive Care Unit (NICU)- Level 2- 1 block (4 weeks)
    • Developmental Pediatrics (Community Outpatient)- 1 block (4 weeks)
    • Longitudinal Ambulatory Subspecialty Clinic- 1 block (4 weeks)
    • Clinical Teaching Unit (CTU)- Junior Consultant- 1 block (4 weeks)
    • Neonatal Intensive Care Unit (NICU)- Level 3- 1 block (4 weeks)
    • Pediatric Psychiatry- 1 block (4 weeks)
    • Night Shift- 1.5 blocks (6 weeks)
    • Complex Care- 1 block (4 weeks)
    • Mixed Clinics- 0.5 block (2 weeks)
    • Elective- 2 blocks (8 weeks)
    • Enrichment- 1 block (4 weeks)

    Mixed Clinics: Ambulatory focused rotation in which the learner designs the clinic schedule based on learning needs. Designed in order to allow the learner flexibility in getting exposure across multiple clinic opportunities as opposed to focused on one particular area.

    Enrichment: Learner/academic advisor co-constructed learning objectives to support pursuit of individual learning and career goals. Can be in the form of clinical experiences, professional development (e.g. formal courses) or scholarly activities.

    *Scholarly Project: In addition to the 2 week block of time, residents will have 4 full days (flexible scheduling) per academic year of longitudinal time to work on their scholarly project. 

    Vacation Time: as per Professional Association of Residents of Ontario (PARO) agreement. 

    PGME Foundational Curriculum

    The PGME Foundational Curriculum has been designed to address competencies that are not always fostered within the clinical learning environment with a consistent approach across PGME programs. 

    Foundations Course

    • Introduction Module 
    • Professionalism and Code of Conduct Module 
    • Foundational Module 

    Communication Course 

    • Team Based Care Module
    • Conflict Resolution/Critical Conversations Module
    • Patient and Family Centred Care Module

    Leadership Course 

    • Introduction Module
    • Wellness and Resiliency Module
    • Ethics/Choosing Wisely Module
    • Fatigue Risk Management Module

    Continuous Quality Improvement and Patient Safety Course 

    • Introduction Module 
    • Continuous Quality Improvement Module 
    • Patient Safety Module

    Research and Critical Appraisal Course

    • Research Basics Module 
    • Health Literacy Module 
    • Critical Appraisal Module
    • Elective module on Proposed Research Methodology

    Teaching Course 

    • Resident as Teacher Module 
    • Presentations Module  
    • Large and Small Group Presentation Module
    • Bedside Teaching Module
    • Virtual Delivery of Education Module

    Equity, Diversity, Inclusion and Accessibility, & Reconciliation/Decolonization/Indigenous Resurgence (EDIA-RDIR) and Anti-Racism Course

    • Equity, Diversity, Inclusion, and Accessibility Module 
    • Black Health Module 
    • Indigenous Health Module 
    • Accessibility Module 
    • Sexual and Gender Minorities Module 
    • Poverty Health Module

    LEARN Time

    A novel program called LEARN Time (Leadership, Education, Advocacy, Research, and Non-clinical Time) will allow residents who are meeting or exceeding the standards of their program to access protected time that they may direct toward opportunities for experiential learning activities.

    • It is anticipated that many residents will leverage this time to participate in work worthy of publication and scholarly work. While this program will be overseen by the Program’s Competence Subcommittees, central support for some elements of the LEARN Time program will also be provided. In particular, annual LEARN Time events will connect residents with individuals working in other areas of TMU, Peel, and surrounding committees. This will allow for some ‘scholarly matchmaking’ to happen outside of the Program to connect residents with a broader array of scholarly opportunities.
       
    • Residents may also use LEARN time to engage in other leadership and advocacy work, such as with the Ontario Medical Association, Professional Association of Residents of Ontario, College of Family Physicians of Canada, Ontario College of Family Physicians, etc.), allowing residents to engage with formal leadership and other opportunities early on in their careers. Residents may also choose to engage in formal teaching and mentorship of TMU School of Medicine undergraduate medical students. They will be provided a formal curriculum as well as informal mentorship opportunities for developing teaching skills. 


    Training Sites

    The TMU School of Medicine currently has clinical partnerships with multiple major training sites: 

    Our clinical training sites are geographically distributed across the region, and travel to various locations is an expectation of the residency program. Travel requirements will vary by rotation, with some requiring more travel than others. Access to a personal vehicle is beneficial; however, applicants should ensure they have access to any reliable means of transportation that will allow them to travel to any assigned clinical sites. Public transportation may not be available or practical for all training locations, and residents should not expect to rely exclusively on public transit to meet all program-related travel requirements.

    Additional Learning Experiences may take place at other training sites within Canada through Inter-University Affiliation Agreements. These agreements are subject to change and can result in training at sites other than those listed above.


    Summary of changes

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