About NOSM Education Research Communities

NOSM Orthopedic Surgery Program

The NOSM Orthopedic Surgery Program is a developed comprehensive learning experience that is designed to prepare trainees for a successful career in orthopedic surgery.

The program provides trainees with exposure to the practices of orthopedic surgeons in regional clinical settings throughout Northern Ontario. Graduates can expect to gain valuable experience in diverse areas of clinical practice having spent a portion of their training in a Northern rural environment. Trainees will benefit from this distributed learning approach with additional experiences and proficiency in subspecialty areas that are integral to community practice.

Many aspects of NOSM's programs set it apart from more traditional residency routes, including:

  • Early surgical skill training
  • Superior hands-on learning experiences within a variety of practices and clinical approaches through multiple levels of health care delivery
  • Early integration as a key member of a health care team
  • Community-based, clinical learning experiences
  • Self-directed, and learner-centred training
  • A team of dedicated preceptors committed to enhancing resident learning opportunities and clinical experiences
  • Exceptional lifestyle balance with a multitude of recreational opportunities unique to Northern Ontario
  • Exposure to the culture and social fabric of Francophone and Aboriginal communities
  • Access to the most advanced, state-of- the-art technologies in the industry
  • Travel support and accommodation for rotations away from residents' home base
  • A strong commitment to resident education rather than resident service



The program includes core rotations in Orthopedic Surgery and subspecialty rotations selected to incorporate a diversity of experience and proficiency in subspecialty areas integral to community based practice but less commonly emphasized in traditional Orthopedic Surgery residency programs.

Based on the resident's personal learning plan, the content, sequence of training and schedule of movement between teaching sites may vary. Residents are required to provide their own vehicle. The majority of rotations will be completed in Thunder Bay depending on preceptor and clinical resources. It is strongly recommended that residents have a laptop computer. 

Sample Rotation Plan (rotations in Thunder Bay or northern hospitals unless noted otherwise; blocks are 4 weeks in length)


General Surgery/Trauma - 2 blocks
Anesthesia - 1 block
Internal Medicine - 2 blocks CTU / 1 block relevant sub-specialty
Emergency Medicine - 2 blocks
Orthopedic Surgery - 5 blocks


Surgical elective (non-orthopedic) - 1 block
Surgical elective (orthopedic or non orthopedic) – 1 block
Research - 1 block
Internal Medicine, CTU – 1 block
Orthopedic Surgery - 6 blocks
Intensive Care Unit (ICU) - 3 blocks


Pediatric Orthopedic Surgery (Toronto) - 3 blocks
Foot and Ankle - 3 blocks
Upper Limb - 3 blocks
Trauma (Toronto) - 1 block
Orthopedic Surgical Elective - 3 blocks


Hip and Knee - 3 blocks
Sports and Medicine - 3 blocks
Orthopedic Surgical Elective - 3 blocks
Trauma (Toronto) - 4 blocks


Pediatric Orthopedic Surgery (Toronto) - 3 blocks
Spine - 3 blocks
Trauma (Toronto) - 1 block
Oncologic Surgery (Toronto) – 3 blocks
Orthopedic Surgery - 3 blocks


Academic Half Days

Academic half day sessions occur weekly throughout the year during protected time from clinical duties. Residents will also have the opportunity to participate in educational rounds, presentations, journal clubs and rounds through the Ontario Telemedicine Network.

Mandatory external core courses:

Residents will be supported to attend two mandatory orthopedic courses per year as follows:

PGY1 - Basic Principles and Techniques of Operative Fracture Management Course
PGY1 - Rheumatology Board Review

PGY2 - Advanced Trauma Techniques Course
PGY2 - Principles and Treatment of Spinal Disorders

PGY3 - Foot and Ankle Course
PGY3 - Current Concepts in Total Joint Arthroplasty

PGY4 - Annual Basic Science Course
PGY4 - St. Justine Pediatric Review Course

PGY5 - Sub-Specialty Course: Upper Extremity or Sports
PGY5 - Calgary Review Course

Application Information

To apply to this program, visit www.carms.ca and select the Northern Ontario School of Medicine's Orthopedic Surgery program.

Contact Information

Dr. David Puskas
Program Director, NOSM Orthopedic Surgery

Cyndy MacKenzie
Coordinator, Postgraduate Specialty Medicine
Tel: (807) 766-7444
E-mail: cmackenzie@nosm.ca



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