About NOSM Education Research Communities

NOSM Family Medicine PGY3
Remote first nations Enhanced Skills Program

FM PGY3 Remote First Nations Enhanced Skills Program

Application Deadline for 2018 Admissions Cycle Extended to November 15, 2017 11:59 p.m. ET.

Program Information

Physicians practicing in remote First Nations settings require comprehensive knowledge and skills. The Northern Ontario School of Medicine (NOSM) recognizes that some residents require additional learning opportunities beyond those provided in the family medicine residency to enhance their scope of practice and further develop competencies and skills sets. Through NOSM, the learning environments of First Nations communities are combined with academic centers to reach these goals. NOSM's PGY3 programs in enhanced skills assist learners to develop the necessary knowledge, skills, and professional behaviours to manage clinical problems outside tertiary centers in settings with fewer resources and medical specialists' support.

Equally important to the program's learning objectives are the individual learning objectives of each resident. The goals of the PGY3 Enhanced Skills program in the Remote First Nations stream are to offer practical and relevant northern-based training particularly related to cultural safety with the opportunity to learn about First Nations traditional medicines and healing practices. The program offers flexibility to encourage self-directed learning for well-focused and tailored educational opportunities.

This is a program in development so the resident who enrolls in the 2018 – 19 academic year will have considerable opportunity for input in the development of this program supported by NOSM resources.

This position comes with a one-year Return of Service (ROS) to Eabametoong First Nation or another Matawa community or communities. Any candidates with pre-existing ROS obligations must disclose these obligations at the time of application.

Program Highlights

  • Practice opportunities are extensive, and diverse allowing residents to immerse themselves in the unique lifestyle of northern Ontario.
  • Community immersion in Eabametoong First Nation which will allow residents to become embedded in Indigenous culture and traditional practices, and experience the rewards and challenges of living, working and providing health care in remote First Nations communities.
  • Other diverse opportunities exist to encounter, immerse in and provide health care to First Nations peoples within northern Indigenous communities in the Matawa Tribal Council Area.
  • Opportunity to learn about traditional healing and medicine therapies from Elders and other community members, and to undertake academic curriculum designed around Indigenous health competencies.
  • Concentrated training opportunities in cultural safety, addictions and mental health, and interprofessional team care.
  • Integration as a key member of an interdisciplinary health care team dedicated to professionalism, high quality patient care in a community context with excellent medical education.
  • A diverse variety of community based primary care, in-patient and outpatient experiences emphasized from the beginning of residency.
  • Unparalleled preceptor support from physician faculty and preceptors whose primary focus is patient care and teaching.
  • Commitment to resident learning.
  • Financial support for resident travel to and from core clinical placements away from the home base and all mandatory educational activities at non-home base locations. 
  • Housing support for core rotations away from home base/location of primary residence for up to 6 months per academic year.
  • Opportunities to participate in research under expert guidance.
  • Funding available for research, professional development and conference participation.
  • Exceptional lifestyle balance with a wide variety of outstanding northern Ontario recreational opportunities.

Important Information

Applicants who are selected for the NOSM PGY3 Family Medicine Remote First Nations Enhanced Skills Program will be assigned to Eabametoong First Nation (Fort Hope) as their primary remote First Nation community.

Applicants who are selected for this program may not choose any other community as their home-base/location of primary residence; however, residents will be required to home-base in either Thunder Bay or Sioux Lookout for the first 6 months of their training, and can expect regular longitudinal community rotations/immersion in Eabametoong First Nation, with rotations ranging from 1-3 weeks in duration during that time.

As residents will be required to spend the remainder of their training (the last 6 months) home-based in Eabametoong First Nation, secure housing/transportation will be arranged/available in the community.

Return of Service Agreement

This position comes with a one-year return of service to Eabametoong First Nation and/or other Matawa community or communities. Any candidates with pre-existing ROS obligations must disclose these obligations at the time of application.

Training Sites / Community Details

Academic sessions as well as cultural and clinical training opportunities will take place in Thunder Bay and Sioux Lookout, with longitudinal training/community immersion to take place in Eabametoong First Nation. Training opportunities in these three communities will vary based on the volume and availability of clinical and cultural experiences, and residents will work closely with the Family Medicine Remote First Nations Enhanced Skills program staff, faculty and community members to ensure that both program and individual learning objectives are met.

Residents will be required to home-base out of Thunder Bay, which will be their location of primary residence. Residents will be required to travel to Eabametoong First Nation (EFN) as their primary remote First Nation community. Residents can expect a longitudinal training experience with their community immersion in Eabametoong First Nation and will be placed with a Family Medicine preceptor, as well as community members and health professionals for various rotations and learning experiences, which will range from approximately 1-3 weeks in duration.

Eabametoong First Nation 

Eabametoong First Nation (also known as Fort Hope) is located on the shores of Eabamet Lake in the Albany River system, in Northwestern Ontario. The community location is approximately 240 km north of Beardmore and is accessible by airplane, water or winter/ice roads. The nearest road/railway town is Armstrong, 155 km southwest. Eabamet is 362-air km North of Thunder Bay; 347-air km Northeast of Sioux Lookout; & 217-air km northwest of Geraldton. 

Eabametoong First Nation Community Profile 

Eabametoong First Nation Community Website

Sioux Lookout 
Residents in Sioux Lookout have great opportunities to be placed with Family Medicine preceptors who provide the full spectrum of scope of practice, including emergency care, obstetrics, and inpatient care.

Sioux Lookout Community Profile 

Municipality of Sioux Lookout Website

Thunder Bay
Thunder Bay provides diverse hands-on training for Family Medicine residents in a closely knit medical community. You will have exposure to many different family practice styles, including solo, group, and inter-professional team based practices with many providing in-hospital care, walk-in clinics, palliative care and maternal/newborn care. Thunder Bay is a regional referral centre for Northwestern Ontario. The high volume tertiary care hospital, Thunder Bay Regional Health Sciences Centre (TBRHSC), is a 375-bed tertiary care academic centre offering a comprehensive range of services in state-of-the-art healthcare facilities with a fully integrated Regional Cancer Centre Program. Other medical facilities in the city include the St. Joseph’s Care Group which offers complex care, physical rehabilitation, long term care, mental health and addictions; Norwest CHC; and the Thunder Bay District Health Unit.

Thunder Bay Community Profile

City of Thunder Bay Website

Eligibility Criteria

To be eligible for NOSM’s PGY3 Family Medicine Remote First Nations Enhanced Skills Program:

  • Applicants must have Canadian citizenship or hold a valid Canadian permanent resident card in order to apply.

  • Applicants must have successfully completed their Family Medicine residency program and passed their CFPC certification examination to be eligible to start their FM PGY3 Enhanced Skills program within 12 months of completing their PGY2 year.

  • Physicians currently practising in Canada and meeting program funding eligibility requirements according to the Ontario Ministry of Health and Long-Term Care (MOHLTC) are eligible to apply, but must apply separately through the MOHLTC Re-Entry Program.

Application Process

Application opening date:
 September 18, 2017

Application closing date: Extended to November 15, 2017 11:59 p.m. ET

Two-Step Interviews: December 2 (Thunder Bay) and December 3, 2017 (Eabametoong First Nation) 

Offer letters: December 7, 2017

Resident Responds By: December 15, 2017

Selection Criteria

The NOSM Family Medicine PGY3 Remote First Nations Enhanced Skills Program will review candidate’s applications based on:

  • demonstrated interest in the health of Indigenous Peoples
  • Ability to fulfill all CanMEDS-FM roles
  • demonstrated interest in clinical practice in northern Ontario and/or rural medicine
  • interest in Mental Health, Addictions and Public Health issues an asset
  • strength of references 
  • excellent interpersonal and collaboration skills
  • evidence of education related to cultural competency/safety
  • evidence of resilience, self-directed learning and reflective practice 
  • desire to train in a remote First Nations community, supplemented with needed experiences in a larger Northern Ontario community
  • knowledge of Indigenous Peoples in Canada's history and challenges
  • connection to northern Ontario educationally, professionally, or personally 

We are looking for and rewarding applicants who have experience and/or demonstrated interest in:

  • Clinical practice in northern Ontario
  • Rural or remote medicine
  • Indigenous Health
  • Traditional medicines and healing practices

Interview Details

The Family Medicine Remote First Nations Stream follows a two-step interview process:

Step 1 Interview: Thunder Bay (December 2, 2017)
Candidates will participate in a 90-minute interview with an interview team comprised of both community members of Eabametoong First Nation, as well as members of the NOSM Family Medicine Enhanced Skills Program.  

Step 2 Interview: Eabametoong First Nation (December 3, 2017)
Following the step 1 interviews, candidates will be contacted by phone that evening to be advised if they are being invited to proceed to the second interview, comprised mostly of community members of Eabametoong First Nation.

Return flight from Thunder Bay to Eabametoong First Nation will be provided at no charge to those candidates invited to take part in the second interview. The flight will depart in the a.m. and will be returning to Thunder Bay the same evening.

Details regarding the interview process:
Interviews are informal and are used as an opportunity for sharing of information between you and the program. Current residents, preceptors and First Nations community members will conduct the interviews and provide insights into the Northern Ontario Remote First Nations residency.

Ojibway, Cree, Oji-Cree (or other Indigenous language) interviews may be requested by candidates, and every effort will be made by the program to accommodate these requests.

Program Contacts

Dr. Claudette Chase
Family Medicine Remote First Nations Enhanced Skills Program Director

Dr. Fred Sarrazin 
PGY3 Enhanced Skills Program Director 

Joseph Michalik
Program Coordinator, Postgraduate Education
NOSM at Lakehead Univeristy
955 Oliver Road
Thunder Bay ON P7B 5E1
Tel: (807) 766-7303
Fax: (807) 766-7483
Email: jmichalik@nosm.ca


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