Postgraduate Medical Education

The Department of Medicine Postgraduate Medical Education provides support for postgraduate year 1 (PGY1) entry level programs including Internal Medicine, Dermatology, Neurology, Nuclear Medicine and Physical Medicine and Rehabilitation.  The Department also offers 13 Royal College accredited subspecialty programs for postgraduate year 4 to 6 residents and fellowship opportunities for further specialization in specific fields such as thrombosis and renal transplantation.  Further information can be obtained directly from specific Divisions of the Department.

The Director of Postgraduate Education, Dr. Stephanie Hoar, works with the program directors to establish shared curriculum including lectures and workshops on varied topics such as professionalism, quality assurance, patient safety, ethics and critical appraisal with a strong focus on the Royal College of Physicians and Surgeons of Canada’s CanMEDS roles.  The director also facilitates the development of assessment tools for resident evaluations and oversees the Department’s Royal College accreditation processes.

In response to frequently asked question by medical students about our sub specialties, our Program Directors have prepared a FAQ document that can be downloaded here. FAQ Booklet for Medical Students

The Internal Medicine Residency Training Program

University of Ottawa Internal Medicine Residency Training Program is a fully integrated program in cooperation with the three campuses of the university’s teaching hospital: The Ottawa Hospital: General Campus (including the Ottawa Regional Cancer Centre) and the Civic Campus (including the University of Ottawa Heart Institute) and the Riverside Campus. The patient resources, available to support residents in their learning, are excellent in terms of volume, variety and complexity. The University of Ottawa offers three years of Internal Medicine as entry into a medicine subspecialty program.

The general medicine experience is provided on inpatient clinical teaching units (CTUs) led by general internists. Trainees complete rotations on the CTU in the PGY 1 year as a junior and then as a senior resident in the PGY2 year . As senior residents they supervise medical students and PGY1′s from the basic clinical training program and the general medicine program. In the PGY3 year, residents are assigned to a consultation/triage rotation providing consultation in general medicine under the direction of a general internist to the inpatient services and emergency room. Ambulatory care experience is obtained on various subspecialty rotations and on ambulatory care rotations. Selectives are chosen from a variety of subspecialty rotations.

The program is designed to provide increasing responsibility to the trainee through all years. As a PGY1, the trainee is assigned to inpatient units under the supervision of a senior Resident and an attending physician. The senior resident role is provided by PGY 2 or PGY 3 resident. In the 3rd year, the resident also gains experience and responsibility by participating in the consultation/triage service, the ambulatory care rotation, and a community based General Internal Medicine rotation.

PGY-1

Internal Medicine – 16 weeks of general internal medicine, 4 weeks of cardiology, 4 weeks of ICU and 4 weeks of emergency medicine are mandatory. The remainder of the rotations is in any of the following subspecialty rotations: endocrinology, geriatrics, hematology, nephrology, neurology, medical oncology, palliative medicine and rheumatology. An additional four weeks in cardiology may also be completed.

PGY-2 to 3

PGY-2 residents complete 20 weeks of General Internal Medicine as senior resident on one of six CTUs and senior on the General Medicine Consult service, 8 weeks of electives (community, external, research), 16 weeks of subspecialty rotations and 8 weeks of either CCU or ICU.

The PGY-3 year consists of 16 weeks of General Internal Medicine on the General Medicine Consult service, 4 weeks of electives (community, external, research) and 24 weeks of subspecialty rotation. The other 8 weeks are either CCU or ICU rotation (whichever was not completed during the PGY-2 year).

One 4 week rotation in Community GIM and at least one 4 week Ambulatory GIM rotation are completed during the PGY2/3 year.

Research

Residents are required to complete at least one research project during their training. The faculty in the Department of Medicine are very supportive of resident research. Faculty research activities are collated and provided to residents as a resource. The Department of Medicine is proud to have a new Director of resident research to assist in developing the curriculum to promote and mentor residents to achieve excellence in research.

In July and August, protected academic time is available to PGY2 and PGY3 residents so that they may work on their scholarly projects. Residents are expected to present at least one research project at the Department of Medicine’s annual Research Day during their training.

Formal Academic Teaching

Morning Report occurs daily for all PGY1, PGY2 and PGY3 residents assigned to the General CTU’s and Internal Medicine Consult Service. Noon hour subspecialty rounds occur on a regular basis. Medical Grand rounds occur once a week as do weekly senior and junior bedside rounds. M&M rounds occur monthly as does resident Journal Club.

Academic Half-Day sessions are held and protected for all residents on Wednesday afternoons from September to June every academic year. In July and August, structured Academic Half-Day sessions continue for PGY1′s with content of these sessions geared at their level. During these summer months, as mentioned above, PGY2 and PGY3 residents are offered protected time to devote to approved scholarly projects.

Funding to attend conferences is provided annually by the program. The program also provides each resident with an educational stipend to assist with covering the cost of educational materials. Formal educational seminars are also provided through the Postgraduate medical education office including sessions on conflict resolution skills and Residents as teachers skills.

Each trainee is evaluated by end of rotation evaluations (ITERs), 360 degree evaluations, an annual Comprehensive OSCE Examination, an annual ACP IMITE examination, a Procedural Skills OSCE and as we move towards Competency based education, an observed clinical assessment tool (OCAT) for the ambulatory rotation and clinical portion of subspecialty rotations.

Selection Criteria

PGY-1 residents are selected on the basis of a solid academic record, excellent reference letters, strong interpersonal skills, and extracurricular success. A strong interest in Internal Medicine and the University of Ottawa must be evident. Research experience is considered an asset. All applications will initially be reviewed and interviews offered based on the initial review of the CaRMS application.

Resident Testimonial:

“The training opportunity given to residents by the University of Ottawa Internal Medicine program is above par. All of our CTUs are staffed by general internists rather than subspecialists; we are given early responsibility within the program and are now granted earlier access to outpatient care. As we progress in our training, we build on our consultant skills and learn the broad scope of what a career in internal medicine can lead us towards. The environment in Ottawa is friendly and beyond collegial. The program is large enough that you have ample resources and fellow residents to lean on, yet small enough that you get to know the staff well and become a colleague rather than a trainee who gets lost in the shuffle. Most of the residents who train here ultimately choose to pursue fellowships and attending positions in Ottawa. I highly recommend this program – if you are considering coming to Ottawa, you will not be disappointed by your choice!” – PGY3 Resident

The Program Director for the Core Internal Medicine Program is Dr. Cathy Code, Co-directors Dr. Chris Johnson and Dr. Loree Boyle. Program Administrator is Odile Kaufmann.

Department of Medicine SubSpecialty Programs

The Department of Medicine offers Postgraduate Programs in each of our 17 sub-specialties. More information on individual programs can be found on the following Division specific pages: