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NOSM Family Medicine
Emergency Medicine PGY3 Program

Emergency Medicine


Program Information

The NOSM Family Medicine PGY3 EM program is a fully accredited Emergency Medicine training program leading to Certification of Special Competence in Emergency Medicine by the College of Family Physicians of Canada—the CCFP(EM). Our intensive one-year curriculum is designed to provide CCFP graduates with the confidence and abilities to excel in any Canadian Emergency Department. We can in particular prepare physicians to practise in underserviced, rural and remote areas.

Residents in our program can decide to study primarily in either Sudbury or Thunder Bay. Most of their rotations will then be completed in or near that “home base” location.

The Health Sciences North - Horizon Santé-Nord (HSN) Sudbury Emergency Department (ED) has the second-highest patient acuity rating in Ontario, combined with a patient volume of roughly 70,000 visits per year. 

The Thunder Bay Regional Health Sciences Centre (TBRHSC) is now the busiest ED in all of Ontario, with around 100,000 visits per year and a geographically vast catchment area over 275,000. 

Both sites are designated Trauma Centres and regional Base Hospitals for pre-hospital care. We are staffed by a mix of full- and part-time physicians, with both CCFP(EM) and FRCP(C) certifications. Our teachers are enthusiastic, and dedicated to encouraging learning. 

Ontario's North is fertile territory for learning Emergency Medicine! Most procedures in our emergency departments are done by Emergency Physicians: complex laceration repair, fracture and dislocation reductions, airway management, ongoing resuscitations, etc. There is ample opportunity for residents to hone their procedural skills. Residents in our program work one-on-one with preceptors. 

Our focus is on resident learning, not service provision. 

The EM program is built on years of expertise, academic excellence, and a well-developed infrastructure. Ours is a program for physicians seeking a unique and challenging experience in Emergency Medicine.  


Rotation Schedule


Rotation 

 # of Weeks 

 Location 

Core Emergency

20

Sudbury
Thunder Bay
 

Community Emergency

4

Huntsville
Kenora
North Bay
Sault Ste. Marie
Timmins

Anesthesia

4

Sudbury
Thunder Bay

Intensive Care

8

Sudbury
Thunder Bay

Ortho/Plastics/EDUS

4

 Sudbury
Thunder Bay

Sautl Ste. Marie

Pediatric Emergency

4

Ottawa CHEO
Toronto HSC (Sick Kids)

Trauma

4

Baltimore MD
Toronto (Sunnybrook)
Ottawa

Elective

4

 




 

  













US Trauma Rotation

New in 2009, NOSM is pleased to offer a 4-week Trauma experience at R. Adams Cowley Shock Trauma Center in Baltimore, Maryland. During this high-volume rotation, residents will reinforce the basic knowledge needed for the resuscitation, diagnosis, and treatment of trauma patients, and develop an understanding of the continuum of care involved in the treatment of trauma victims. 

Advanced Life Support Training

Acknowledging the increased independence and resuscitative skills required of Northern and rural Emergency physicians, the Northern Ontario School of Medicine will provide funding for ACLS, ATLS, or PALS, to all FM/EM-RoCS residents. These courses are often available at our teaching sites, especially in Sudbury and Thunder Bay.

Emergency Ultrasound

The Sudbury Regional Hospital Emergency Department is a Centre of Excellence for Emergency Department Ultrasonography. All FM/EM-RoCS residents, regardless of their ‘home base’, will have the internationally-recognized Emergency Department Echocardiography (EDE) course provided to them. We further have a program in place to ensure full certification in EDE with the Canadian Emergency Ultrasound Society (CEUS) www.ceus.ca 

Pre-hospital Care/EMS

Residents are required to arrange a minimum of two ride-outs on land ambulance and one air-ambulance (helicopter) shift. All FM/EM-RoCS residents will be certified as base-hospital physicians to respond to calls from our local EMS.

Trauma Horizontal Elective

In addition to the Trauma rotation, our residents are encouraged to participate in Trauma Team call, during Emergency and off-service rotations, to further enhance their exposure to traumatized patients.



Evaluations

Residents are provided with written, formative feedback on a daily basis on most rotations, based on discussions with their preceptors. These assessments (of both clinical and academic performance) are compiled into oral and written summative evaluations at mid- and end-rotation. This allows residents maximal opportunities to improve their skills.


Academic Programming

Academic Rounds

Academic teaching is provided in weekly half-day rounds. The year is divided into thirteen, four-week blocks, each with a specified theme, eg Acute Coronary Syndromes, Toxicology, Urology, Trauma, etc. Each topic is explored using a problem-based, small-group learning format. The emphasis is on advanced management skills and evidence-based practice. Each academic half-day also incorporates a one-hour case-based presentation given by an EM resident, aimed at reviewing relevant evidence from the literature. Residents participate in Rounds on all rotations, using videoconference technology.

Research Project

Residents are expected to complete a small research project during the year, for presentation at Research Day in May. Options include chart audits, surveys, practice guideline development or implementation, etc. Educational and statistical support is provided for this endeavour.

Educational Resources

The hospitals have a variety of clinical and educational software, and the major information sources relevant to Emergency Medicine. Residents have access to the Northern Ontario School of Medicine Health Information Resource Centre, the Universities of Laurentian and Lakehead library systems, and also to the Northern Ontario Virtual Library (NOVL).


Application Process

Interested candidates can apply during their second year of family medicine training. (Family Physicians already in practice must apply as re-entry candidates, via the Ontario Ministry of Health.) Six positions are available each year. The program runs from July 1st to June 30th of each year.

The application deadline, FM/EM-RoCS interview date, and match day for each year is listed on the Canadian Residency Matching Service (CaRMS). Please check the CaRMS website at www.carms.ca as they will be overseeing the application process, which usually begins in August of each year with a deadline for application usually set for the beginning of September.

Supporting Documentation

1) Application form 

2) Three Reference Letters 

  • one from your primary Family Medicine preceptor
  • one from an Emergency Medicine supervisor
  • one letter of your choice
  • each letter must be accompanied by the “Referee Assessment of Applicant”.

3) Assessment by Program Director 

  • A letter from your Family Medicine Program Director which must be accompanied by the “Family Medicine Program Director’s Assessment of Applicant”.

4) Personal Letter 

  • A personal letter describing yourself and your career interests is required.

5) Curriculum Vitae 

Interviews

The selection committee is chaired by the Program Director. Each interviewing team will include Emergency Medicine preceptors from the program, and a current resident.


Program Contacts

Dr. Bill MacGregor
Program Director
 

Nina Judge-Levett
Postgraduate Coordinator
Northern Ontario School of Medicine
935 Ramsey Lake Road
Sudbury, ON P3E 2C6
Tel: (705) 662-7115
Fax: (705) 662-7143
Email: njudgelevett@nosm.ca

 

 

 

 

 

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