Remote Work
Toolkit

Information for MD Students

UPDATED: JANUARY 28, 2021


The scenario is rapidly evolving. All attempts are being made to provide as current information as possible to students.

Joint Statement to all Ontario Medical Students

General Information for MD Students

Students at higher risk of severe illness due to COVID-19 infection.

Students who have pre-existing conditions that may place them at higher risk of developing severe illness e.g. being immunocompromised may be eligible for accommodation for medical reasons.  Please contact NOSM Learner Affairs for further advice (learneraffairs@nosm.ca).

Virtual Town Halls

All Town Hall meetings will be recorded and archived for future reference. If you have any questions or concerns that you would like to be addressed at the Town Hall, please email Amanda Mihalus, Executive Assistant to AD UME at amihalus@nosm.ca.

Phase 3 (class of 2021) Town Hall – May 12, 2020

View the recorded event here.

Phase 2 (class of 2022) Town Hall – May 15, 2020

View the recorded event here.

Phase 1 Year 2 Town Hall – May 15, 2020

View the recorded event here.

Archived Town Hall Recordings:

Information for All Phases

Recordings of Class Lectures and Other Sessions

In order to aid your learning, NOSM is providing you with access to various online materials such as lecture recordings, distributed lectures with or without a scheduled online tutorial session or webcasting of live lectures.

If a recording is made available, it is intended for your appropriate use as a student, and no other purpose.  The recording is not to be shared.

The information contained in the recorded lecture is protected under federal and international copyright legislation.  You must obey the following rules:

  • The recording is not to be published, placed on the internet, or quoted without the instructor/visiting lecturer’s explicit consent, and then only if the lecturer is properly identified and credited.
  • If granted permission to have a personal copy for accessibility needs, you must destroy the recording(s) at the end of the Academic year.
  • Lecture capture may not be used in any way against a faculty member, other lecturers or classmates whose classroom comments are recorded during the normal course of the lecture.

Infringement of copyright of any lecture material will be reported and investigated by the Committee to Support Student Professionalism for violation of the NOSM Code of Student Conduct Section 1.10 which states,

“1.10 Use of Course Materials: The teaching materials (presentations, displays and other materials) delivered or provided as part of the Undergraduate Medical Education Curriculum, including any visual or audio recording thereof, are owned by the copyright holder(s). It is prohibited to record or copy by any means, in any format, openly or surreptitiously, in whole or in part, in the absence of express written permission from the copyright holder(s), any of the presentations, materials provided or published, in any form during or from this course. Students are permitted to store electronic course materials provided by, or on behalf of, faculty for their own personal use but cannot distribute them in any form or by any means to other persons.”

In addition, the Copyright Act (2020) states that, “where copyright has been infringed, the owner of the copyright is entitled to all remedies by way of injunction, damages, accounts, delivery up and otherwise that are or may be conferred by law for the infringement of a right” (Section 34).

We hope you find the recordings useful.

Information for Incoming Year 1 Students

Immunizations: Due June 30, 2020

Students should complete the immunization form as much as possible and aim to have it sent in by the June 30th deadline date.

At this time, it is OK if some vaccinations are missing.

Additional documentation for vaccinations can come at a later time. However, you will need to continue to seek out opportunities to have the remaining immunizations done as soon as possible, and ensure you send in the updated information once received.

**We are aware that we may not receive the documentation by the June 30, 2020 deadline due to delays with the mail. Therefore, we will accept the required documents past this deadline date.

Your acceptance to the program will not be delayed or denied if you are unable to provide the required documentation for the June 30, 2020 deadline.

Police Vulnerable Sector Check (VSC)

Some students have been unable to obtain hard copies of their VSC (Police Check) done by Sudbury Police Service & North Bay Policy Service, and instead have been receiving the results by email.

Please follow the steps below in how we would like you to submit your electronic VSC (only if unable to obtain a hard copy).

Forward the email that you received from the SPS informing you that your records check has been completed, and you can download the results (see example below).

When you forward the email, please attached the pdf of your record that you downloaded to the email that you are forwarding to learneraffairs@nosm.ca (CC: admissions@nosm.ca).


Example of email you received from SPS:

Your record check has been completed, and the results can be downloaded from our website when you log in to your account. The document will be available for thirty-one (31) days.

Thank you

**Please note we may require further information or action regarding your Police Records Check. Should this be the case we will contact you.

BLS Certificates: Due September 2, 2020

We realize there may be difficulty in obtaining BLS Certification before the September 2, 2020 deadline. We ask that you check in with the providers of the BLS courses and try to be certified as soon as possible.

Your acceptance to the program will not be delayed or denied if you are unable to obtain the required BLS certification as a result of COVID-19.

COVID-19 Funding

Quote from Media Release (2020-06-15):  As part of an important contribution to alleviate the pressures created by COVID-19 on medical students and residents, the Canadian Medical Association Foundation (CMAF) is collaborating with the Northern Ontario School of Medicine (NOSM) to provide direct financial support. The new grant program is available through NOSM’s financial aid offices (financialaid@nosm.ca).

Confirmation of Enrollment

A Confirmation of Enrollment letter may be required from NOSM for financial aid purposes with external institutions (ie; banks). If you require this letter please contact the Student Records & Electives Officer (records@nosm.ca).

Registration

The registration process with the Host Universities (Laurentian and Lakehead – LU) will begin in July.  It will take our Hosts approximately 2 to 4 weeks to complete your registration on their end.  Once completed, the NOSM Student Records & Electives Officer will contact you via your @nosm.ca email account to advise you of your “official” registration and to provide you with your LU (Lakehead or Laurentian) student number.

**Note:  This is different from your NOSM ID Number that was provided to you by the Admissions Office.

Your LU (Laurentian or Lakehead) student number will be required in order to pay your tuition fees.

Course Registration

You may receive communication from LU to register for your 2020/2021 courses.  Please ignore this communication.  Registration in courses is completed for you by the NOSM Student Records & Electives Officer.

The school continues to gather information to decide on the delivery format of the Phase 1 UME program. Please check this website for updates on whether we are delivering virtually, on campus, or a blend of both.

Point of contact: Learner Affairs (learneraffairs@nosm.ca)

Phase 1

UPDATE: December 3, 2020

Dear Phase 1 Students,

Phase 1 continues to deliver its academic sessions via a blended educational model in which a portion of the learning in structured clinical skills (SCS) and laboratory (LAB) sessions are delivered in-person; and, all other large group (e.g. lectures [WGS] and small group sessions (e.g. Topic-Oriented Sessions [TOS] and Case-based Learning [CBL]), are delivered online.

CBM 110:  Currently, Phase 1 is moving ahead with the rural placement of Y2 students in the ICE communities.

CBM 106 y1:  A decision regarding the CBM 106 placement of Y1 students in Indigenous Communities will be finalized by the end of December 2020.

Clinical Special Education Experience (SEE): have been reinstated.

Summer Elective applications: paused until further notice.

General Comments:

For all case-based modules (CBMs), the delivery of:

  1. Module Coordination Sessions (MCS) will continue to be remote and synchronous.
  2. All small group sessions (CBL and TOS) will continue to be remote and synchronous, delivered via Google Meet. Information regarding the curriculum, groups, and proper online etiquette is posted on “MyCurriculum”.
  3. Community Learning Sessions (CLS) will continue to be remote and synchronous, via WebEx for whole class sessions and Google Meet when there are small group activities.
  4. Structured Clinical Skills (SCS) and Lab hands-on activities will continue to be on-campus, synchronous, while other components (e.g. focused history or lab WGSs) of those sessions will continue to be delivered remotely and synchronously.
    Whole Group Sessions (WGS): Instructors have the following options:

    • Provide the previous year’s recorded session, along with your other preparation materials (in MyCurriculum).
    • Provide a voice-over PowerPoint along with your other preparation materials (in MyCurriculum).
    • Present a lecture online via videoconferencing (i.e. WebEx); presentations, as always, will be recorded for students that have accommodation needs.
    • Podcasting lectures
    • WGS sessions will continue to be delivered remotely with synchronous or asynchronous instruction.
  5. Medicine in Practice Sessions (MiPS) and TOS Consolidation Sessions (TOSC) will be delivered in a manner similar to WGSs.
  6. Critical Reflection Assessment Sessions (CRAS) will continue to be remote and synchronous (Google Meet).
  7. Medical Career and Practice sessions (MCAP – NEW this year) will continue to be remote and synchronous.
  8. Examinations will continue to be remote using ExamMonitor, a proctoring solution that continuously observes exam takers with video and audio monitoring.

Timetables and MyCurriculum:

Access to your timetable will continue to occur via Google calendar, where you will be informed of any changes, if any, in real time. Access to the calendar, links to your remote learning sessions and other important information will be through MyCurriculum.

Small Group Session rooms: are available to Phase 1 students to facilitate those who cannot travel home in time to attend other NOSM sessions.

In order to comply with University, Public Health and Provincial policies and guidelines, it is necessary for NOSM to provide a substantial margin of safety for the NOSM community members.  As such, we expect all students who use the small rooms to wear masks, respect physical distancing, exercise hand hygiene, and abide by all prescribed provincial directives. While the maximum capacity in each study room will be limited to four individuals, we ask that you make every effort to minimize that number and make use of all available study rooms in order to distribute yourselves to reduce capacity below four per room.

It is not the intent to make these rooms available for larger group study sessions or congregating. NOSM remains obligated, by Government directive, to limit the number and type of sessions that are permitted on campus. As noted above, the purpose of making study rooms available is to facilitate those who cannot travel home in time to attend other NOSM sessions.

Thank you for your continued patience, cooperation and understanding during these unprecedented times.

Sincerely,
Dr. Zach Suntres
Assistant Dean- UME Phase 1

List of Contacts:

  • For general inquiries about the Program, contact zsuntres@nosm.ca
  • For any concerns or questions regarding the curriculum, contact the Instructional Design office at instructionaldesign@nosm.ca
  • If you have an accommodation concern, contact the Learner Affairs office at learneraffairs@nosm.ca
  • For financial assistance, contact Terry Oja, Financial Aid Officer, at toja@nosm.ca

Becoming knowledgeable about PPE:

We encourage you to review the use of PPE by viewing the following videos provided by Public Health Ontario:

Phase 2

Travel

  • When making your plans, please ensure you check with your SAC/SLC about the local screening guidelines at your local clinic/hospital and understand the restrictions/procedures (e.g., self-isolate, swap, etc..) that might be in place, upon your return to your CCC community. While some components of CCC can be done virtually, or while self isolating, other aspects (e.g., clinical time) may be required to be made up, on a case-by-case basis.
  • Please consider the potential risk to yourself, colleagues, and patients. Unfortunately, there is a recent example of a person coming from a current RED zone to visit a student in a CCC community, which could have had potential consequences to patients/communities. Placing patients at risk could constitute a lapse in professionalism. Decision making about seeing friends/family is very challenging because there is what is “legally” allowed (e.g., Ministry, local rules) and being health care professional during a pandemic. It is not easy, especially at this time of year.
  • Some communities such as Thunder Bay, Sault Ste Marie and Manitoulin Island have specific travel restrictions and conditions. It is your responsibility to check your local public health recommendations as well as the policies of your CCC hospitals/clinics.  Travel restrictions may change between now and winter break, and even over the break, so please keep current with your local policies.
  • Students, NOSM, and sites will need to continually monitor current and evolving information.

 

 COVID-19 Personal Protection Equipment (PPE) Recommendations for NOSM Phase 2 Students in Clinical Settings

Version 4 – Jan 2021

  1. These recommendations are subject to change and will be reassessed on a regular basis.
  2. It is recommended that Phase 2 students not be involved in Aerosol Generating Medical Procedures (AGMP’s) (as per hospital definitions) unless supervised closely by preceptor in a safe environment wearing appropriate Personal Protective Equipment (PPE).
  3.  Phase 2 students should not be involved in the care of confirmed COVID patients other than virtual/telemedicine care.
  4. Students will be expected to follow local Public Health and/or Hospital/Clinic recommendations around COVID-19. Hospital and/or Clinic regulations and guidance will be used whenever possible and supersede these recommendations.
  5. Phase 2 Students who are exposed to a Covid-19 patient should:
    • Notify their preceptor and/or SLC/SAC
    • Notify Occupational Health and Safety (OH&S) at the site to obtain next steps
    • If OH&S is closed, the UME learner could, in consultation with their preceptor or SLC/SAC, err on the side of caution and remove themselves from the clinical learning environment, and follow-up the next day
    • Report the exposure to the confidential email covidtracking@nosm.ca
    • Complete WSIB form if necessary (ex. defective PPE)

As COVID-19 immunizations have begun to be administered to Health Care providers, we kindly ask that if you are vaccinated to please forward proof –(vaccination date, location, and type of vaccine) to records@nosm.ca. This will help UME ensure that we are accurately capturing the vaccination status of our learners.

 

Clinical Setting

 

COVID-19 not suspected or negative

 

Suspected or Probable COVID-19

 

Confirmed COVID-19

 

Community/ Clinic

 

Surgical Mask and Eye Protection*

 

Droplet/Contact**

 

Phase 2 students not to be involved in care.

 

Emergency Department

 

Surgical Mask, Eye Protection, Gown and Gloves

 

Droplet/Contact**

 

Phase 2 students not to be involved in care.

 

In-Patient

 

Surgical Mask and Eye Protection*

 

Droplet/Contact**

 

Phase 2 students not to be involved in care.

 

Operating Room

 

Droplet/Contact**

 

Droplet/Contact** and follow hospital Operating Room protocols

 

Phase 2 students not to be involved in care.

 

 *Some hospitals and clinics require Eye Protection in addition to Surgical Masks during all clinical encounters. 

**Droplet/Contact = Surgical mask, eye protection (visor, face shield, or goggles), gown, gloves 

Regional Meetings (Jan 29/30, 2021)

  • Following input from students and administration, appears that people are happy to try and arrange for people to get together in their communities. This may involve some local teachings, or simply some time to socialize and be together as a CCC group.
  • SAC/SLCs and students at each site will get together and decide what that would like to do.
  • Financially support any organized, in-person, teaching sessions with local faculty. How much teaching, what, who…to be decided locally. If no sessions are organized, that would be fine as well.
  • Financially support a non- academic activity, subject to approval. This could be a meal, an activity, an event, etc…This needs to be done according to provincial and local COVID guidelines that may, or may not be in effect at that time.
  • Format for CCC Format for CCC roundtables are being considered.

Points of contact:

Phase 3

Phase 3 COVID Information

COVID-19 and the Clinical Learning Environment:

  • Students are not to take part in the care of patients with confirmed COVID-19.
  • It is recommended that students not be involved in Aerosol Generating Medical Procedures (AGMP’s) (as per hospital definitions) unless supervised closely by preceptor in a safe environment wearing appropriate PPE.
  • Students will be expected to follow local Public Health and/or Hospital/Clinic recommendations around COVID-19.
  • Phase 3 Students who are exposed to a Covid-19 patient should:
    1. Notify their preceptor and/or clerkship lead
    2. Notify Occupational Health and Safety (OH&S) at the site to obtain next steps
    3. If OH&S is closed, the UME learner could, in consultation with their preceptor or clerkship lead, err on the side of caution and remove themselves from the clinical learning environment, and follow-up the next day
    4. Notify Academic Affairs at the site and Phase 3 Director and/or Assistant Director
    5. Report the exposure to the confidential email covidtracking@nosm.ca
    6. Complete WSIB form if necessary (ex. defective PPE)

Clinical Rotations:

  • Core rotation blocks in Phase 3 have been compressed to 3 weeks.
  • Missed time and/or missing Required Clinical Learning Experiences 6.2’s will be made up during flex time at the end of the year.
  • Now that hospitals have an adequate supply of Personal Protective Equipment, it is not anticipated that students will be pulled from their core rotations.

Electives:

Class of 2021

  • External electives have been cancelled.
  • Phase 3 students are doing electives at NOSM for the 2020-21 year.
  • Non-clinical electives have been developed.
  • The graduation requirement for electives is 12 weeks (8 weeks clinical) with at least 2 weeks in 2 different CaRMS categories.
  • Non-required electives beyond 12 weeks may need to be adjusted or cancelled based on the Public Health or Hospital precautions.

Class of 2022

  • As of January 14, 2021, the UGME Deans have determined that ongoing restrictions of clinical capacity and inter-provincial/international travel will significantly limit the reliable re-opening of visiting electives for July 2021. The UGME Deans will re-evaluate this on an ongoing basis as the Covid pandemic and the conditions to sustain visiting electives evolve. Visiting electives remain UNAVAILABLE until AT LEAST September 2021. The opening of visiting electives will next be reviewed by April 2021 for the possibility of a September 2021 reopening.
  • Non-clinical electives have been developed.
  • The graduation requirement for electives is 14 weeks (10 weeks clinical) with at least 2 weeks in 2 different CaRMS categories.
  • Non-required electives beyond 14 weeks may need to be adjusted or cancelled based on Public Health or Hospital precautions.

NOSM MCC Exam Boot Camp:

  • MCC Boot Camp is tentatively planned for April 26 to May 9 or 16 (subject to preceptor availability and delays due to possible missed time from rotations)

MCC QE Part 1 Exam:

NOSM COVID 19 Information is posted at the following links and will be updated regularly:

Points of contacts for Phase 3:

Electives

UPDATE: SEPTEMBER 8, 2020

Dear Phase 3 Students,

re: Electives Update Including Wave 3 applications

UME and the NOSM Electives Office thanks you for your patience as we are working diligently to ensure that all students have electives throughout blocks 1 through 8.

  1.  When will the 3rd wave of applications begin for Block 9-12?

The next stage of the staggered application process (for electives in Blocks 9-12) will begin Wednesday, September 9, 2020 at 18:00 (6:00 pm)

Students who have elective blocks in Blocks 9 (Dec 21-Jan 24), 10 (Jan 25 – Feb 14), 11 (Feb 15 – Mar 07), and 12 (Mar 29 – Apr 18) will be able to begin submitting elective applications on Wednesday, September 9, 2020 at 18:00 (6:00 pm)

Please note that although applications will be processed on a first-come, first-served basis, ongoing change in capacity, availability, limited PPE due to COVID19, may still continue to alter the availability of specific electives. At this time, it is too difficult to provide information on all of our northern communities’ status, considering these ongoing changes. We will continue gathering data and will let you know if availability of electives changes during your application process.

We are still asking you to continue to provide your full list of preferences and utilize all of the 3 choice options in the application, and our team will work with you to secure the best option.

Once you have submitted your elective application(s), you will receive an email confirming your application has been accepted. Please note, an “accepted” application does not mean a confirmed rotation.

  1. IMPORTANT INFORMATION : if at all possible please avoid multiple changes to your Application

Because of the pandemic, the scheduling team does not have the normal amount of time to schedule electives, it often takes 2 weeks for a preceptor to respond, and each change to an application adds a delay and is stressful for students waiting and for the team trying to book the elective. We understand that there are good reasons for changes and we also want everyone to be aware that each change increases the risk that an elective may be declined by the preceptor as the time to the elective gets shorter.

If any of you are uncertain about your career path (which we understand could be a reason for multiple changes), please seek assistance or guidance from the Learner Affairs Office, Dr. Toner, and/or Dr. Garnett before submitting your elective application. Being confident in your first application will lead to less changes.

  1. What elective disciplines are available and which are not?

NOSM is working on reviewing and updating the list of electives to ensure that all listed are available to students. During this time, if you are unsure if certain electives exist please contact electives @nosm.ca, Dr. Toner, and/or Dr. Garnett for advice before submitting your elective application. The safest route in selecting elective choices would be to select a general CaRMS discipline that can be found in the Table below.

  1. What is happening with the 14 day isolation throughout Northern Ontario?

At this time, there are no mandatory 14 day isolation periods within Northern Ontario when entering communities. Many communities will perform a self-assessment and declaration at the start of the rotation (typically performed with the Site Administrative Coordinator at the respective hospitals).

  1. Seeking elective opportunities through ROMP?

ROMP is beginning to open up their doors to help NOSM students access some elective opportunities. If students are seeking elective opportunities within ROMP please email electives@nosm.ca. Please include all the necessary information for the elective request (i.e., duration timeline, discipline, city (if known), preceptor (if known), and if housing would be required). This information will allow NOSM and ROMP to easily communicate and keep track of the elective requests. Students will also need to complete a ROMP Application on the Online Portal.

Please note that if you are seeking an elective with ROMP, please do not request an elective within NOSM for the same time period. The reason being it is disruptive for preceptors and communities to confirm an elective but then have it cancelled because other application was also confirmed at the same time. If the elective needs cannot be scheduled through ROMP, please apply through the NOSM Elective Application process. 

  1. What is happening with external electives exceptions?

As you know visiting electives across Canada have been cancelled at all medical schools. The UME Deans national group has decided that the only exceptions allowed will be for entry-level disciplines for which a school has no faculty members. For NOSM this means Medical Genetics and Genomics and Pediatric Neurology are the only electives for which a NOSM student could request an exception as we have preceptors for all the other PGY1 entry specialties.

Anatomical Pathology Internal Medicine Otolaryngology -Head and Neck Surgery
Anesthesiology Medical Genetics and Genomics Pediatrics
Cardiac Surgery Medical Microbiology Pediatric Neurology
Dermatology Neurology Physical Medicine & Rehabilitation
Diagnostic Radiology Neuropathology Plastic Surgery
Emergency Medicine Neurosurgery Psychiatry
Family Medicine Nuclear Medicine Public Health and Preventive Medicine
General Pathology Obstetrics and Gynecology Radiation Oncology
General Surgery Ophthalmology Urology
Hematological Pathology Orthopedic Surgery Vascular Surgery 
  1. How can students and Residency Programs connect to learn about each other to achieve a good match for everyone?

This is a national concern so student organizations, Postgrad Deans and Residency Program Directors are all thinking about and working on effective ways to enable students to get to know programs and programs to get to know students.  Dr Baldisera, Learner Affairs and NOSM Student Council are all involved in developing ways for NOSM students to connect to disciplines and programs of interest. Learner Affairs will communicate with the Year 4 students when there are new opportunities occurring.

 

UPDATE: JUNE 30, 2020

Electives Including Wave 2 Applications

UME and the NOSM Electives Office thanks you for your patience during these difficult times. We want to acknowledge the uncertainty of how COVID-19 will unfold and want you to know that we are here to support you and we will keeping working to streamline communication and confirmation of your electives.

When will the second wave of applications begin for Block 5, 6, 7 and 8?

The next stage of the staggered application process (for electives in Blocks 5, 6, 7 and 8) will begin Wednesday, July 8, 2020 at 18:00 (6:00 p.m.).

Students who have elective blocks in Blocks 5 (Sept 28-Oct 18), 6 (Oct 19 – Nov 8), 7 (Nov 9 – 29), and 8 (Nov 30 – Dec 20) will be able to begin submitting elective applications on Wednesday, July 8. 2020 at 18:00 (6:00 p.m.).

Please note that although applications will be processed on a first-come, first-served basis, ongoing change in capacity, availability, limited PPE due to COVID-19, may still continue to alter the availability of specific electives. At this time, it is difficult to provide information on all of our northern communities’ status, considering these ongoing changes. We will keep gathering data and will let you know if availability of electives changes

We are still asking you to continue to provide your full list of preferences and utilize all 4 options, and our team will work with you to secure the best option.

Once you have submitted your elective application(s), you will receive an email confirming your application has been accepted. Please note, an “accepted” application does not mean a confirmed rotation.

IMPORTANT: For students who have electives in Block 9, 10, 11 and 12, the Electives Office asks that you refrain from submitting your applications at this time. The Electives Office will provide you with further direction and communication via email towards the end of July 2020. We will not be able to process any applications for Blocks 9, 10, 11 and 12 so even if you apply now, you would have to resubmit at the appropriate time.

We have been asked to consider limiting elective bookings to 4 weeks for low availability/high demand electives. Right now, from the data we have, there are not oversubscribed electives. We will continue to review demand and availability and will let you know if there are bottlenecks or low availability. Please let us know if you have concerns, questions or experience difficulties.

What is happening with the TBRHSC required 14 day isolation?

You should have received a detailed email with documents attached from Dr. Garnett via Claudia Rocca on June 30.

Beginning Monday, July, 4th year medical students will no longer be required to self-isolate for 14 days after returning from outside NWO.

You will instead be required to complete a “Return to work process.”  This still requires a significant amount of planning and organization on your part, to ensure Academic Affairs is aware of your travel prior to leaving, and an appointment for screening and COVID-19 testing with Academic Affairs 1-2 business days prior to the return of clinical learning in Thunder Bay.  Please review the attached documents carefully.

This new policy should help 4th year medical students move more freely between Northwestern and Northeastern Ontario, and increase elective opportunities. 

What is happening with external electives exceptions?

As you know, visiting electives across Canada have been cancelled at all medical schools. The UME Deans national group has decided that the only exceptions allowed will be for entry-level disciplines for which a school has no faculty members. For NOSM this means Medical Genetics and Genomics is the only elective for which a NOSM student could request an exception as we have preceptors for all the other PGY1 entry specialties.

  • Anatomical Pathology
  • Internal Medicine
  • Otolaryngology -Head and Neck Surgery
  • Anesthesiology
  • Medical Genetics and Genomics
  • Pediatrics
  • Cardiac Surgery
  • Medical Microbiology
  • Pediatric Neurology
  • Dermatology
  • Neurology
  • Physical Medicine & Rehabilitation
  • Diagnostic Radiology
  • Neuropathology
  • Plastic Surgery
  • Emergency Medicine
  • Neurosurgery
  • Psychiatry
  • Family Medicine
  • Nuclear Medicine
  • Public Health and Preventive Medicine
  • General Pathology
  • Obstetrics and Gynecology
  • Radiation Oncology
  • General Surgery
  • Ophthalmology
  • Urology
  • Hematological Pathology
  • Orthopedic Surgery
  • Vascular Surgery

How can students and Residency Programs connect to learn about each other to achieve a good match for everyone?

This is a national concern so student organizations, Postgrad Deans and Residency Program Directors are all thinking about and working on effective ways to enable students to get to know programs and programs to get to know students.  Dr. Baldisera, Learner Affairs and NOSM Student Council are all involved in developing ways for NOSM students to connect to disciplines and programs of interest.

UPDATE: JUNE 18, 2020

Joint Statement to all Ontario Medical Students on Visiting Electives

Update to important questions about electives.

What is happening to visiting electives across Ontario?

As you know by now, all Canadian medical schools have decided to cancel all visiting electives due to the difficulty of predicting availability both of clinical teaching and PPE everywhere. The Ontario schools have also committed to alternative and flexible approaches to career exploration and linkage to PGME residency programs. For example, University of Toronto will make its career advising sessions available to all medical students across Ontario.

We definitely want to acknowledge that this is another major disappointment and disruption to your academic year and at the same time express our confidence in your resilience and adaptability and say again, that all of us – leaders and faculty will work our hardest to support your successful graduation and matching to residency.

Dr. Verma and Dr. Ross will continue to discuss and advocate with other schools for NOSM students to have electives in hard-to-access specialties. Thank you for providing us with the list of electives that your class are seeking and that are not available (or have limited availability) in Northern Ontario. This gives us direction.

What electives are available in Northern Ontario?

We have posted a list of available clinical and non-clinical electives in Northern Ontario on the NOSM website. Presently the lists outline about 70 opportunities and will be updated regularly.

The lists can be found here:

Scroll down and click on Phase 3 elective opportunities.

The list can also be found by going to the main NOSM website under EDUCATION > Medical Electives.

More details will also be confirmed with TBRHSC and HSN by end of next week regarding exact timing of availability, and capacity for the usual list of NOSM electives that is on the AFMC portal.

What if I can’t find a preceptor for an elective that I want?

If you have an area of interest – clinical or non-clinical – and are not able to find a preceptor, please contact Dr. Lee Toner or Dr. Meghan Garnett and they will work with you to find a preceptor.

What is the most effective way to apply for an elective in Northern Ontario?

When applying for any clinical elective please make sure you fill in 4 options for each elective that you apply for as that is the best way to ensure that you get an elective that is a high priority for you. The elective scheduler will often be able to quickly know whether your first choice is available or not and will then go to your second choice etc.  Elective requests go out weekly to preceptors.

It is possible to reach out informally to preceptors and we also want to make sure that you know that an individual preceptor cannot make a final decision ( e.g. length of elective, exact date) about a given elective as often these are made by the group and/or a group leader.

Beginning July 6, 2020, students will be able to apply for electives that begin in Blocks 4, 5, and 6.

How will NOSM ensure equity for students from Thunder Bay for electives given the 14-day isolation requirement at TBRHSC?

We will gather information every month on how many students have electives booked so that we are aware if students are having difficulty finding electives. As Dr. Toner and Dr. Garnett approve electives, they will consider equity of access for all students. If you feel that the process is not rolling out equitably, please let us know.

What is the best strategy to match to the residency of your choice?

As you know the NOSM graduating class has consistently matched very well – including to competitive specialties – and NOSM grads have a good reputation among residency Program Directors.

As you seek reference letters for your residency applications please remember that the best reference letters are those from preceptors who know you well and can attest to your clinical skills, communication, collaboration, professionalism, and work ethic.

Northern Ontario does have elective opportunities in all the R1 entry-level disciplines, except medical genetics. In some disciplines, there may be only one or two preceptors so availability could be limited. We welcome discussion with your class as to how we could allocate those limited electives fairly. Perhaps, those of you interested in a given competitive specialty could create a collaborative strategy to work with Northern Ontario preceptors to demonstrate your interest in that specialty, hone your clinical skills, and increase all of your chances for matching?

If you have questions about applying for:

Clinical electives (electives@nosm.ca)
Non-clinical electives (records@nosm.ca)

And, of course, you may always contact any of us:

Dr. Lee Toner (ltoner@nosm.ca)
Dr. Meghan Garnett (mgarnett@nosm.ca)
Dr. Tara Baldisera  (tbaldisera@nosm.ca)
Dr. Brian Ross (bross@nosm.ca; adume@nosm.ca)
Dr. Catherine Cervin (ccervin@nosm.ca)
John Friesen (jfriesen@nosm.ca)
Learner Affairs (learneraffairs@nosm.ca)

UPDATE: JUNE 4, 2020

The NOSM Electives Office would like to thank you for your patience and cooperation during these unprecedented times. We understand the feeling of uncertainty of how the situation of COVID19 will unfold in the future; however, we are here to support you and take action on how best we can streamline the communication and securement of your electives. To better serve you with the rescheduling of your electives, we would like to address how we will coordinate the processing of your elective applications.

The Electives Office will be approaching the process of applications as a staggered method. This will mean that upon receipt and review of your Final Stream Schedule on Monday, June 1, Students who have elective blocks in Block 1 (Jul 6 -26), Block 2 (Jul 27 –Aug 16), Block 3 (Aug 17 –Sept 6) and Block 4 (Sept 7 -27) will be asked to submit their elective applications, once you are in receipt of your Final Stream Schedule. This approach will allow the Electives Office to facilitate the processing of incoming elective applications and prioritize the securement of those electives within a limited timeframe. Please note that although applications will be processed on a first-come, first-served basis, ongoing change in capacity, availability, limited PPE due to COVID19, may alter the availability of specific electives. At this time, it is difficult to provide information on all of our northern communities’ status, considering these ongoing changes. Therefore, we ask that you please continue to provide your list of preferences, and our team will work together with you to coordinate your elective(s). Once you have submitted your elective application(s), you will receive an email confirming your application has been accepted. Please note, an “accepted” application does not equate to a confirmed rotation.

 IMPORTANT: For Students who have elective blocks in Block 5, 6, 7, 8, 9, 10, 11 and 12, the Electives Office asks that you refrain from submitting your elective applications at this time. The Electives Office will provide you with further direction and communication via email towards the end of June 2020. This will allow us to determine how we anticipate scheduling the next cohort of elective blocks, pending on how the situation of COVID19 unfolds. Should you submit your application, you will be forced to resubmit at the appropriate time when instructed. The Electives Office reassures that NOSM Students will not be disadvantaged as a result of the delay in submitting their application; we will continue to prioritize NOSM Students and ensure the securement of your elective efficiently.

 WHAT TYPE OF ELECTIVE CAN I APPLY FOR?

Students will have the choice to apply for a Clinical Elective (traditional elective), Research Elective and Non-Clinical Elective. Given that electives serve to develop clinical skills as well as explore career options, the intent is that at least 8 of the required 12 weeks would be in clinical disciplines. If for any reason this is difficult to achieve, given the uncertain times, there will be flexibility and we will work with each student to achieve the graduation requirements.

Note: We encourage and support all of you to take vacation at some point during your scheduled elective time. This will contribute to your resilience overall and enable you to get the most out of your core rotations and required electives.

 HOW DO I APPLY FOR A CLINICAL ELECTIVE?

The process of how to apply for a NOSM Clinical Elective remains the same. To obtain The PaNDa Learner Elective Application Reference Guide please contact electives@nosm.ca. The PaNDa Learner Elective Application Reference Guide is attached and updated on Page 2 to reflect the request of an elective rotation at a three-week duration. It is important to review and follow the step-by-step guidelines to submit your application accordingly. We recommend Students include the maximum of four preferences per elective application in order to allow the Electives Office to proceed with your alternative preferences, should your 1st preference be unavailable. As such, you will be contacted via email if we have exhausted all preferences. Upon receipt of approval from the preceptor, the Electives Office will inform you via email confirmation and provide the necessary contact information prior to your elective rotation. For Clinical Electives, the Electives Office emphasizes to try at best to prioritize the duration of clinical electives from a minimum of 2 to 3 weeks or greater.

 HOW DO I APPLY FOR A RESEARCH ELECTIVE?

To obtain the Research Elective Application form please contact records@nosm.ca and then complete the application in full and submit it to records@nosm.ca where it will be reviewed for approval. Please review the details included in the attached form carefully for more information. All research electives require a qualified faculty supervisor. A faculty member from another university may act as a supervisor as per the research policy of the faculty supervisor’s university (i.e. student may be required to apply for status as “visiting student for research”).

 HOW DO I APPLY FOR A NON-CLINICAL ELECTIVE?

To obtain the Non-Clinical Elective Application form please contact records@nosm.ca and then complete the application in full and submit it to records@nosm.ca where it will be reviewed for approval. Please review the details included in the attached form carefully for more information. Non-clinical electives will not include clinical care in any setting or research activities.  All non-clinical electives require a NOSM faculty supervisor.  (Note: the email last week asked students not to contact supervisors/preceptors directly, however for non-clinical electives you may reach directly out to potential supervisors.) As we build these new processes they will need to be changed from time to time.

Non-clinical electives might include participation in an ultrasound course, development of a medical App or teaching resource, medical education project involving Indigenous or Francophone communities and partner health organizations, completion of online learning modules, review of a history in medicine topic, human or medical sciences project, et cetera.

The assignment of the CaRMS category for non-clinical electives will happen at the time of approval of the elective in consultation with the Phase 3 Director.

 IS THERE FUNDING AVAILABLE?

Funding for NOSM Housing and Travel will be applicable only for Clinical Electives (traditional electives) that are scheduled for a minimum of three consecutive weeks or more AND within the same community.

Points of Contact:

Inquiries related to NOSM Clinical (traditional) Electives, please email: electives@nosm.ca

Inquiries related to Research and Non-Clinical Electives, please email: records@nosm.ca

Internal NOSM electives for NOSM students

The COVID-19 pandemic has resulted in many changes to the clinical learning environment.  Leaders at NOSM, and all other medical schools in Canada, are now making plans to adapt clinical education to this new reality.  It is not clear when you will be able to safely return to the clinical environment.

When that time comes, Phase 3 rotations will need to be compressed into smaller blocks and streams will need to be re-assigned to accommodate the new timelines.  As a result, all NOSM clinical electives scheduled up to and including September 26th will be cancelled.  This applies to all UME learners in all Phases.

Once the timelines become better defined, new NOSM clinical electives may be allowed prior to September 26th.  We will let you know if and when elective applications have been re-opened.   Note that we will make a determination about any confirmed electives that begin after Sept 26th at a later date.

We understand these are difficult and uncertain times, we are here to support you and we will keep working hard at NOSM and with the other medical schools to ensure your medical degree continues and you obtain the needed competencies to progress in your career.

Visiting Electives at Canadian Medical Schools

All Canadian medical schools have now cancelled visiting electives (this includes NOSM) until September 26th.  Find out more: AFMC Update April 15, 2020.

Incoming Visiting and International Electives

NOSM has decided to suspend all incoming visiting Canadian and International electives scheduled to start on Monday, March 16, 2020 until June 30, 2020. Any visiting electives currently in progress will be able to continue until the end of the block; April 5, 2020. All fees will be fully reimbursed by NOSM’s Elective Program.

Visiting Canadian Electives

NOSM is advising all Visiting Canadian Electives learner of the following:

  1. If you are currently on a visiting elective or core rotation within Northern Ontario, you may remain on rotation subject to the respective COVID-19 policies of each clinical teaching site.
  2. Be advised that the health system’s response is rapidly changing and your clinical teaching sites may prematurely end learner rotation. In such an event, you are advised to make arrangements and return to your home school.
  3. Any visiting learners, who are presently on rotation within Northern Ontario who wish to return to their home school, are advised to contact their home school program as well as electives@nosm.ca.

The intent of this directive is to limit travel and movement of people as much as possible and to support learners by contributing to nationwide efforts on mitigation.

We understand this is highly stressful to students and there are potentially unavoidable scheduling changes that would arise as the situation develops. We hope you understand the need for efforts to minimize spread of infection.

Should there be any further questions please contact electives@nosm.ca.

Visiting International Electives

Thank you very much for your recent application to the International Elective Program at the Northern Ontario School of Medicine (NOSM).

With the increasing number of countries affected by COVID-19, NOSM has made the difficult decision to suspend all incoming visiting international electives, effective immediately.

As a result of this decision, your application/rotation at NOSM has been cancelled. We know this will be very disappointing news but hope you may understand that we must prioritize the safety and best interests of patients and students.

We sincerely apologize for the inconvenience this will cause but will ensure you receive a full refund of your elective fees.

As per NOSM policy, Canadians studying abroad are allotted two applications per lifetime to the elective program. International students are allocated one application per lifetime. With this said, learners whose application is being cancelled due to the COVID-19 decision of March 11, 2020 and have reached their application allotment, will be permitted to submit a new application for a later time.

Once a decision has been made to re-open the program to international electives, the process for submitting a new request is as follows:

  1. Learners will be required to submit a request by email to internationalelectives@nosm.ca once they are ready to submit their AFMC application.
  2. Within the email please provide your name, the application ID number associated with the cancelled application/rotation, and the request for an additional application due to COVID-19 cancellation.
  3. From there, learners will be provided information regarding the next steps by return email. Should there be any further questions please do not hesitate to contact internationalelectives@nosm.ca.

MCCQE Part I and MCCQE Part II Updates

MCCQE Part I Information to Candidates – May 29, 2020

As of June 1, 2020, candidates who scheduled an exam appointment through Prometric will take the Medical Council of Canada Qualifying Examination (MCCQE) Part I either at a test centre or through remote proctoring. The exam session will run until September 20.

Please find attached some detailed information that will be sent to candidates today to assist them as they prepare for their exam.

Remote proctoring is a new delivery model for the Medical Council of Canada and we are expecting that some adjustments may be required. I will provide you with a further update as we make progress. MCC appreciates your support as we move to this novel delivery method supporting learners to complete their mandatory examinations in a timely manner.


Information about the Medical Council of Canada Qualifying Examination Part I (MCCQEI) can be found on their website.

To be notified of when applications will open, you may add your email address to their distribution list here.

Students wishing to volunteer

Across the NOSM community, learners have stepped up to give their time and energy to volunteer during this time when we all need to connect, support and care for each other.

Learn more about volunteering during the COVID-19 pandemic.

Students wishing to work

Announcements from The Association of Faculties of Medicine of Canada and The Canadian Resident Matching Service