About NOSM Education Research Communities

Family Medicine Residency program

Family Medicine

Program Overview

Built on years of experience, we are a truly pan-Northern program based on well developed infrastructure and academic excellence -a program for physicians seeking a unique and challenging experience. Residents learn in a wide range of clinical settings under the supervision of practising family physicians, specialist physicians and other members of allied health care teams. 

NOSM Family Medicine Residents of the Canadian Shield (RoCS) is one program with various training streams/sites. Applicants who are interested in NOSM's Family Medicine program can apply to any, or all Family Medicine streams, which include North Bay, Sault Ste. Marie, Sudbury, Thunder Bay, Timmins, Remote First Nations, and Rural (encompassing the distributed clerkship sites of Northern Ontario and other rural and remote northern communities across Ontario). 

The NOSM Family Medicine program is implementing Triple C competency-based curriculum in all training streams. This shift will centre residency training in the discipline of Family Medicine and the achievement of competency in comprehensive Family practice, while providing continuity in the educational and clinical settings. Depending on the site, the approach to the scheduling of clinical experiences will differ.  Despite scheduling differences among sites, FM residents in all streams complete and distribute multiple assessment tools to obtain feedback from preceptors. Residents will also regularly review their progress with a designated faculty member to identify and modify their learning plans. Candidates who are self-directed and engage in reflective practice are particularly suited to our residency program.


For information on the multitude of rural training sites available to residents, please click HERE.

Many aspects of our program set us apart from more traditional residency routes, enhancing the caliber of our graduates.

Program Highlights

  • Practice opportunities are extensive, and diverse allowing residents to immerse themselves in the unique lifestyle of northern Ontario
  • Residents have flexibility and are encouraged to undertake clinical experiences in a wide variety of communities across the entire NOSM geographic area
  • Opportunities exist to undertake either Family medicine or other learning experiences in the French language and experience the Francophone culture of northern Ontario
  • Community rotations are available which will allow residents to immerse and familiarize themselves in the rural culture, and experience the challenges and rewards of delivery of care in rural and remote communities
  • Many diverse opportunities exist to encounter, immerse and deliver care to First Nations peoples including travel to northern Aboriginal Communities
  • Opportunity for a wide variety of PGY3 enhanced skills options in northern Ontario
  • A unique opportunity for blended hospital-based and community-based training with first call coverage in most disciplines
  • Early integration as a key member of an interdisciplinary health care team dedicated to professionalism, high quality patient care and excellent medical education
  • A diverse variety of 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 and 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
  • Access to advanced technology and informatics that allows 24/7 access to electronic search engines, and electronic indexes, as well as an extensive collection of electronic medical/health journals and textbooks
  • Exceptional lifestyle balance with a wide variety of outstanding northern Ontario recreational opportunities

Program Curriculum

The NOSM Family Medicine Clinical Curriculum incorporates a diversity of experience and proficiency in areas integral to community-based Family Practice.  Each resident will spend significant time in the community practice of Family Medicine preceptors. Residents participate in all aspects of the practice, including provision of continuous care to their own patients within the practice and participation in the care of all in-­hospital patients within the practice whenever possible. Participation in the care of the practice’s patients in multiple environments including the hospital, patient’s home and other scenarios is encouraged. 

Domains of Care


Curriculum Objectives

 Across the Life Cycle

 Care of Underserved Patients

 Procedural Skills

Other Curriculum Objectives 


Throughout the program, elective rotations provide additional flexibility and enable residents to tailor their training to achieve competence in the domains of care and their individual learning objectives not met by immersions in the regular core rotations. Diversity of experience during elective rotations is encouraged and recognized as being extremely valuable.

Academic Program

Family Medicine academic program consists of academic sessions, courses, and retreats. Academic sessions occur every four weeks comprised of the College of Family Physicians of Canada priority topics and select clinical topics relevant to Family Physicians practicing in northern Ontario, simulation and procedures, critical appraisal and evidence-based medicine, and research. In the first year of residency, the NOSM program schedules additional sessions covering topics such as Residents as Teachers, Indigenous health, crucial conversations, medical errors, and patient safety. Simulated Office Orals (SOOs) are offered to residents in the second year of residency as part of exam preparation.  Due to the wide geographic distribution of residents and preceptors, sessions may be augmented by the use of distance education technology, including videoconferencing.

The NOSM program also provides financial support for residents to obtain certification in Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP), and Acute Critical Event Simulation (ACES).  Residents are also provided with some financial support to attend conferences such as Family Medicine Forum and Society of Rural Physicians Rural and Remote Medicine Conference.

Residents meet annually for Family Medicine Program and/or All Resident retreats, which offer interactive learning, guest speakers and unique content specifically suited to practicing medicine in the North, and connecting with resident colleagues.

Professionalism Competencies

Professionalism is a core value for all health professionals and it is at the heart of your study and practice. Professionalism will be highlighted throughout your residency, in both academic and clinical settings, and embedded in the evaluation process as one of the fundamental roles in the CanMEDS framework. The following document describes the intended outcomes for a family medicine resident, specifically with regards to the development of professionalism competencies: Professionalism Competencies.

Scholarly Activities

Residents complete a number of scholarly activities during their training: presenting to their colleagues on medical topics, facilitating discussion for critiquing journal articles, presenting a research or scholarly inquiry to colleagues, and writing a scholarly report.  These activities contribute to the development of effective teaching practices, formulating and investigating scholarly questions, and disseminating and communicating knowledge to professional audiences.  Residents also contribute to the quality improvement of the Family medicine program by providing feedback on the clinical experiences and academic curriculum; this data is collected and utilized by the program to augment the overall program curriculum. 

Interested individuals in their final year of medical school should apply to the Family Medicine RoCS Program through the Canadian Residency Matching Service (CARMS) at www.carms.ca. 

Interested in working with our program?

Please contact us at fmacademics@nosm.ca. For a list of teaching opportunities for the program click here.

Family Medicine Program Policies

Policy on Conflict of Interest during Clinical Supervision

Policy and Procedure for FM Resident Change in Homebase


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