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Curriculum & Academics

Broad and Immersive Clinical Experience

At HSN, you will care for patients across the full spectrum of medical oncology, from initial diagnosis to end-of-life care. Our 18-bed combined inpatient unit—shared with malignant hematology and stem cell transplant—ensures early and consistent exposure to complex cancer care. Residents manage acutely ill patients, participate in procedures like bone marrow biopsy, intrathecal chemotherapy, paracentesis, and thoracentesis, and work with emerging therapies such as BiTE therapy.

You will gain confidence in real-world medicine by working alongside general practitioners in oncology (GPOs) and an experienced oncology hospitalist team.

Resident-Focused Outpatient Clinics

HSN’s ambulatory clinics offer a busy and supportive learning environment:

  • One-on-one supervision from engaged faculty across multiple tumor types
  • A dedicated resident space with personal workstations and virtual care capacity (expanded and redesigned by 2026)
  • Consistent preceptor pairing during rotations to ensure continuity in teaching and feedback

Residents will also participate in weekly multidisciplinary case conferences, engaging with surgeons, radiation oncologists, and allied health professionals as part of truly integrated care teams.

Integrated Interprofessional Learning

At HSN, residents will collaborate with:

  • Palliative care specialists (through dedicated rotations and embedded support)
  • Experts in dental oncology, cardio-oncology, and care of the elderly in oncology
  • Allied health professionals like social workers, dietitians, psychologists, and Indigenous patient navigators

On site diagnostic tools include MRI, PET (including PSMA), interventional radiology, and nuclear medicine.

Expanding Clinical Exposure Through Our McMaster Partnership

  • While HSN offers broad exposure to common and complex malignancies, our formal partnership with McMaster University ensures residents also gain targeted experience with rare and specialized tumor types, such as sarcoma and CNS cancers, which may be less frequently encountered in Northern Ontario. Residents will travel to Hamilton for two Blocks with housing and travel financially supported by NOSM University.

Research Embedded in Care

HSN is home to a robust and resident-accessible research infrastructure. Residents will benefit from:

  • A dedicated Cancer Research Chair who mentors residents directly
  • Clinical trials across multiple disease sites (breast, lung, hematologic, GI, GU, and more)
  • Active collaboration with bench researchers through the Cancer Solutions group, linking research and clinical care
  • On-site support from research coordinators and access to unique Northern-focused funding opportunities

Clinical Training

Stage of Training Rotation Number of Blocks
Transition to Discipline Orientation to Outpatient and Ward 1 Block
Foundations of Discipline

 

Medical Oncology 3 Blocks
Hematology Oncology – Myeloid 1 Block
Core of Discipline Medical Oncology

Includes a variety of cancer sites to ensure robust clinical exposure.

12 Blocks*

 

Hematology Oncology – Lymphoid 1 Block
Palliative Care 1 Block
Research 1 Block
Radiation Oncology 1 Block
Elective 2 Blocks
Transition to Practice Elective 1 Block
Oncology Practice Management 1 Block

*NOTES:

  • Travel to Hamilton for 2 Blocks will occur as part of 12 core of discipline Medical Oncology blocks. Housing and travel are financially supported by NOSM University.
  • Medical Oncology training in Northern Ontario reflects real-world oncology practice—where oncologists manage patients across multiple tumor types. Each rotation has a disease site focus but is also designed to expose residents to a variety of malignancies under the guidance of generalist oncologists who deliver comprehensive cancer care.

Longitudinal Clinic

The longitudinal clinic is a weekly resident-led outpatient oncology experience that spans the latter 18 months of training (beginning mid-PGY4), allowing residents to follow a roster of patients over time under consistent supervision of a primary preceptor. This model supports the development of core competencies in patient-centred care, communication, and medical expertise, while reinforcing skills in multidisciplinary coordination and longitudinal decision-making.

Educational Activities

In Collaboration with McMaster University, the NOSM University Medical Oncology Residency Program offers a dynamic and well-structured academic curriculum. Residents will attend of McMaster’s weekly academic half day and molecular oncology sessions via video link and will attend in person for our locally run bread and butter rounds and wellness curriculum.

Academic Program & Exams

Residents participate in a weekly academic half-day led by McMaster University, featuring a two-year rotating cycle of core academic topics, OSCE preparation, and written exam reviews. These virtual sessions, held on Wednesdays from 1–5 PM, bring PGY4 and PGY5 residents together in a collaborative, case-based learning environment that aligns with Royal College standards.

The academic program ends early on some days to accommodate for wellness and research curricula.

Accordion Item

The program prioritizes resident well-being through a monthly in-person wellness curriculum. Held once monthly during the regularly scheduled academic program, these sessions foster peer support, self-care strategies, and resilience-building, all delivered on-site at NOSM University.

Research & Scholarly Work

To support academic scholarship, PGY4 residents engage in a weekly virtual research seminar with McMaster from August through March. These sessions, integrated into the Wednesday academic half days, nurture critical appraisal skills, mentorship connections, and resident-led research projects.

Molecular Oncology Curriculum

PGY4 residents further develop their understanding of cancer biology through the Molecular Oncology Curriculum, a weekly virtual seminar running mid-September through June. This in-depth series grounds residents in the translational science underpinning systemic therapy.

Rounds & Case-Based Learning

Clinical application is emphasized through multiple rounds:

Bread and Butter Rounds

Monthly in-person case reviews within the HSN Oncology department. Residents will present interesting cases seen in clinic along with a physician supervisor to allow for an in-depth review of the relevant literature and discussion of management.

Journal Club

Monthly Journal clubs covering important papers across a diverse range of oncology topics. Residents will be paired with a faculty supervisor to present. Journal clubs will provide opportunity for critical appraisal of evidence and discussion on applicability to Canadian practice.

Combined Oncology Rounds

Held every second Friday from 8–9 AM, these rounds feature a broad range of oncologic and topics. Speakers from across the country are invited to present at the rounds. Interested residents are invited to join the scientific planning committee to help guide topic selection

 

 

 

 

 

 

 

 

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