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Curriculum & Academics

Clinical Curriculum

Internal Medicine Core Program Clinical Rotation Outline

TTD (Y1 – BL 1-3) &

Foundations (Y1 – BL4-13)


Core 1

(Y2 – BL 1-13)

Core 2

(Y3 – BL 1-13)


1 Inpatient Cardiology *

1 Cardiology

1 Nephrology* (within first 4 blocks)

3 Subspecialty**


1 Foundational ICU

1 Emergency Medicine

1 Geriatrics






2 CCU Ottawa or 2 ICU SUD and TB

1 Community GIM



2 CCU or 2 ICU (whichever not done in Core 1)

1 Ambulatory GIM (MUST be scheduled in first half of year) =>50% outpatient  To be defined


Scheduled any time during Core 1 or 2 Training:

1 Community GIM

1 Nephrology

1 Medical Oncology

1 Respirology

3 Subspecialty

5 Electives




*Blocks appropriate for scheduling during TTD Stage of training

**Gastroenterology is also appropriate to be included during TTD stage of training as part of the subspecialty core blocks*Blocks appropriate for scheduling during TTD Stage of training



  • Residents cannot be scheduled outside of their home base (Sudbury or Thunder Bay) for more than 2 consecutive blocks without program
  • TTD Block 1 must always be scheduled as MCTU
  • ICU in Core 1 or 2 must be scheduled as a two block rotation
  • ICU is also offered in Sault Marie
  • Community GIM is offered in Huntsville, North Bay, Parry Sound, Sudbury, Thunder Bay and Sault Marie, Temiskaming Shores and Timmins (PGY3/4 Residents Only)



Residents must complete one rotation in each of the following subspecialties in addition to the required rotations listed above.

  • Endocrinology (Must be completed in Core or at the end of Foundations, only one not both Endo and Rheum can be scheduled in Foundations )
  • Gastroenterology
  • Hematology
  • Infectious Disease
  • Neurology
  • Rheumatology (Must be completed in Core or at the end of Foundations, only one not both Endo and Rheum can be scheduled in Foundations)



Electives can be done in any subspecialty at any academic institution. The resident is responsible for arranging these rotations.

1 and in some cases 2 elective blocks can be used for research. To choose this option residents must complete a ‘Request for Protected Research Time Form’ and there must be a deliverable at the end of each research block.



All residents MUST complete a scholarly activity. It may be done longitudinally or during elective research blocks as outlined above.



A community experience outside of Sudbury and Thunder Bay is a key component of the NOSM IM residency program. A minimum of 2 blocks must be done in NOSM communities outside of Sudbury or Thunder Bay, and 1 block can be completed in Sudbury or Thunder Bay.


Approved Sites for Rotations:

MCTU – Thunder Bay and Sudbury

Cardiology – Thunder Bay and Sudbury

Foundational ICU – Thunder Bay and North Bay

Nephrology – Thunder Bay and Sudbury

Emergency Medicine – Thunder Bay and Sudbury

Endocrinology – Thunder Bay and Sudbury

Gastroenterology – Thunder Bay and Sudbury

Geriatrics – Thunder Bay and Sudbury

Hematology – Sault Ste. Marie and Thunder Bay

Infectious Disease – Sault Ste. Marie, Thunder Bay and Sudbury

Medical Oncology – Sault Ste. Marie, Thunder Bay and Sudbury

Neurology – Thunder Bay

Respirology – Thunder Bay, Ottawa and Sudbury

Rheumatology – Barrie and Thunder Bay

CCU – Ottawa

ICU – Sudbury, Thunder Bay and Sault Ste. Marie


Academic half day sessions occur weekly throughout the year during protected time from clinical duties. Academic half days are on a two-year topic rotation. During blocks 1-3 of each year, academic half days focus on Internal Medicine emergencies to provide an overview for new residents. Residents will also have the opportunity to participate in educational rounds, presentations, journal clubs and rounds.

Residents from both sites meet a minimum of two times each year for OSCE and Simulation sessions.


Each year, NOSM University residents gather for a weekend course designed to teach an approach to various clinical scenarios, including code leadership and core procedure skills with the help of new simulation lab and other modern technologies.


Residents participate in a summative OSCE, once a year, delivered in the same format as standard national certification and licensing examinations for the purpose of exam preparation and structured feedback on clinical skills by practicing physicians (including several certified Royal College examiners) .


Residents will participate in an evolving research curriculum. They will also have access to a Physician research advisor dedicated to Internal Medicine Residents, a research assistant, and a Research Librarian.  Residents are expected to complete a research project and present their research at the Resident Research Day, organized by the program.  Expert guidance and funding is available to provide high quality research experiences.  In consultation with the Program Director, elective time can also be arranged for research.

Ultrasound Training

Each year, all PGY1 residents are offered Ultrasound Training.