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NOSM Family Medicine PGY3
Care of the Elderly Enhanced Skills

Care of the Elderly Enhanced Skills

Program Information

The Northern Ontario School of Medicine offers a 12-month PGY3 residency in Care of the Elderly. The program is offered under the Enhanced Skills in Family Medicine program. This program is an innovative residency offered throughout the north to prepare family physicians to work in a focussed care of the elderly practice. As with other NOSM residencies this program will also prepare residents to practice outside tertiary care centres where there is less specialist support. Geriatric care is an area of medicine that is undergoing rapid development in the north and this is an exciting opportunity for residents to be a part of newly developing and evolving programs. Physicians will acquire the knowledge and skills necessary to assess and manage geriatric issues such as atypical presentation of disease, functional decline, neurocognitive disorders, depression, delirium, falls, frailty, osteoporosis, and end-of-life care. 

Clinical Care

Residents in the Care of the Elderly program will work in interdisciplinary settings throughout their training in the main teaching centres (Sudbury, Thunder Bay and North Bay) and rural communities (New Liskeard, Elliot Lake, Timmins, Huntsville), providing them with  broad-based exposure to a variety of practices. Teaching faculty include focused practice care of the elderly physicians, geriatric psychiatrists, geriatricians and allied health professionals. The residency will provide a broad exposure and experience in the variety of practice styles and settings applicable to a focused practice in care of the elderly in hospital and community-based settings. 

Clinical rotations include inpatient and outpatient geriatric assessment, geriatric rehabilitation, geriatric psychiatry, day hospital, and community outreach team assessments. Electives will be individualized to meet the learning needs and career goals of the individual resident. There will be a core longitudinal experience within the long-term care setting with clinical preceptors identified in each geographic area. 

Rotation    Duration
In-Patient Geriatric Assessment    8 weeks
Emergency/Acute Care Consultation    4 weeks
Out-Patient Community Assessment    8 weeks
Psychogeriatric Service    8 weeks
Geriatric Rehabilitation    8 weeks
Research    4 weeks
Long-Term Care    Longitudinal
Electives    12 weeks

Scholarly Activities

Residents in the Care of the Elderly program may attend a variety of rounds and academic courses.  Residents must attend the NOSM CEPD Care of the Elderly monthly rounds that connects residents with NOSM faculty members with focussed practices in care of the elderly.  Selected from a defined list of topics, residents will be expected to present rounds to their resident and faculty colleagues at least once during their residency year. Residents are encouraged and supported to teach junior residents and undergraduate medical students on topics related to the care of the elderly.  Residents as Teachers (RaTS) preparation sessions are also available to residents for developing teaching skills.

Depending on learning needs, residents may attend additional related rounds available through NOSM, University of Calgary, University of Alberta, and University of Toronto.  Residents are also be supported by the program to undertake a 5-week Care of the Elderly certificate course offered by the University of Toronto. 

Completion of scholarly project is also a mandatory component of the Care of the Elderly residency program.  Residents are provided with a number of supports to complete their scholarly project. In addition to the four weeks allotted as part of the clinical curriculum, they are provided with some financial support and connected with faculty members with similar interests.  Depending on the type of project, residents may also complete the project longitudinally and replace the research rotation with an elective.  The scholarly project may also be presented at the NOSM CEPD Care of the Elderly rounds or other appropriate conference or academic session. 

Residents in the Care of the Elderly program participate in program administration by sitting on the Enhanced Skills Residency Program Committee and the NOSM CEPD Care of the Elderly Program Planning Committee.  Interviews between the Program Director and residents, once they have completed training, are important for guiding overall program planning.  

Application Process:

Application Eligibility:

To be eligible for NOSM’s Enhanced Skills Programs candidates must be:

  • Currently enrolled as a PGY2 in a Canadian Family Medicine Residency Program at the time of application. Residents must start their PGY3 within 12 months of completing their PGY2 year.
  • Physician currently practising in Canada and meeting program funding eligibility requirements according to the Ministry of Health and Long-Term Care (MOHLTC).

Note: Practising physicians interested in taking the program must apply separately through the re-entry program of the Ministry of Health and Long-term Care. 

Application opening date: August 21, 2017

Application closing date: October 6, 2017

Interview period: October 9 to December 6, 2017

Offer letters: December 7, 2017

Resident Responds By: December 15, 2017

Care of the Elderly Application Form

Program Director Reference Form

*If you are unable to open the application or program director reference form, please email the Program Coordinator to request a copy.

The application form, personal letter, CV, and the names of two preceptors are required to accompany your application.  Applicants will be notified by email of the success of their application.

Program Contacts

Dr. Susan Lane
Care of the Elderly Enhanced Skills Program Director

Marie Parkkari
Postgraduate Coordinator
Northern Ontario School of Medicine
955 Oliver Road
Thunder Bay, ON, P7B 5E1
Tel: (807) 766-7310
Fax: (807) 766-7483
Email: mparkkari@nosm.ca 


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