The purpose of this study was to examine the consistency of ranking of eligible Canadian and US students applying to FM residency training sites in Canada in the first iteration of the CaRMS match. Category 2 programs are those in which training is tailored specifically to meet the objectives of individual residents. 2. The system of residency accreditation in Canada is currently undergoing a period of transition. This study found a low level of consistency of ranking of the same students applying for FM residency training by different programs or sites. Providing care for marginalized populations with complex medical and psycho-social conditions can be challenging for most family physicians, as treatments for: HIV, Viral Hepatitis, Substance Use Disorders and Mental Health conditions, are in constant evolution. Canadian applicants are doctors who are Canadian citizens or who have permanent resident status in Canada. Dr. It is strengthened by the provision of ranking data over a 6-year period by all 17 Canadian medical schools and the sharing of clarifying information on specific sites provided by current and recent FM residency program directors. Email: firstname.lastname@example.org, Dr. Tina Webber The trainee should have current PALS and NRP. The Clinician Scholar Program is one of seven across Canada. Email: email@example.com, Dr. Sally Barrio Program Lead - Nanaimo competencies for a 3 month training period. With the exception of the western province rural FM group, and one 2007 ICC, the ICC values in each of the subsets over the years demonstrate weak to fair consistency in ranking by schools of the same students applying to more than 1 FM residency site (ICC = 0.16 to 0.44). Our role is to connect our residents’ interests and skill set needs to advanced training pathways. This program is designed to prepare licensed physicians to undertake clinical and/or public health work in a resource-limited international setting. Email: firstname.lastname@example.org, Department of Family Practice | Postgraduate Program, Clinician Scholar Program (2 years part-time), http://research.familymed.ubc.ca/clinician-scholar-program-2/. The Category 1 Addictions program is new to UBC for the 2021-22 year. Thank you for your interest in spreading the word on The College of Family Physicians of Canada. for clarification. An annual review of the CaRMS match by the Canadian Federation of Medical Students 2013–2014, Assessment for selection for the health care professions and specialty training: consensus statement and recommendations from the Ottawa 2010 conference. The results show that for students who applied to more than 1 FM residency program or site across Canada, the consistency of student ranking by these sites or programs was low—ie, the same student had a low likelihood of being ranked in the same relative position on separate FM programs or site ROLs (ICC = 0.34 to 0.39). We … The question then is whether the ranking process for selection for FM residency training in Canada is fair. The SPH-IMG Residency Site is unique in Canada, and globally as well, in that it is restricted to residency training in Family Medicine for doctors who have trained in countries other than Canada or the U.S. At the core of our program is a family practice that serves as your home base, with a family physician as the primary preceptor for the full two years. SETTING: Family medicine programs in Canada. Upon request, rotations in other Fraser Health Hospitalist Program Sites can be Email: email@example.com. Copyright © 2021 by The College of Family Physicians of Canada. The distributive justice rule of equity was used to frame the project; compliance with this rule would provide evidence of a fair process in how students are ranked across programs. Family Medicine residency training programs began in Canada in 1966 and in Saskatchewan in 1971. Program Assistant - Enhanced Skills Unfilled positions after the 2021 FM/ES match. Dr. Jason Crookham Shorter training periods in hospital medicine may also be available depending upon availability and capacity. Therefore, the position on a program’s ROL can be considered an outcome of this part of the selection process and, using the distributive justice rule of equity (the outcome, ie, where ranking of a student is based on the input or attributes that the student brings to the process), the consistency of ranking of the same student by different programs could be used, for the first time, to examine the fairness of this part of the selection process for FM residency training. The outcome of the selection process for FM residency training in Canada (the location to which a student matches) depends on how each FM program ranks a student and how the student ranks each FM program. We have 20 training programs, each one providing a solid foundation in the knowledge and clinical skills of Family Medicine; but each site goes beyond, offering special opportunities to gain experience […] To assess the consistency of the ranking of a student by different programs and sites, hierarchical linear modeling, specifically a random effects model, was used to calculate the variability in rank between and within students. Associate Professor in the Department of Family Medicine and Vice-Dean of Education in the Faculty of Medicine and Dentistry at the University of Alberta in Edmonton. Explore the wide variety of specialized training programs below that our Enhanced Skills Program for third-year residents and physicians. Canadian Resident Matching Service [website]. He clearly knows a thing or two about how to get a residency in Canada. Our program includes scholarship related to: Email: firstname.lastname@example.org, Lindsay Gowland Typical methods of assessing reliability (κ, Cronbach α, or Krippendorff α) require more complete data (meaning a large number of schools ranking the same candidates) to calculate a reliability coefficient and do not take into consideration the nesting issue with the data. Selection for family medicine residency training in Canada. The hypothesis was that the degree of consistency would be high and the outcome of this part of the selection process (the ranking of students) should therefore be perceived as fair, based on evidence of compliance with the distributive justice rule of equity. Abortion education in Canadian family medicine residency programs Daniel T. Myran*, Jillian Bardsley, Tania El Hindi and Kristine Whitehead Abstract Background: Abortion has been decriminalized in Canada since 1988 and is considered an essential medical service. Work with one of the attending obstetricians while on call. The program consists of 4 months of Vancouver-based clinical training, live courses, online Global Health resources, in addition to participation in the Global Health journal club; the remaining 2 months will consist of a single placement in an approved, UBC-affiliated resource-limited, international site. Participants All 17 Canadian medical schools allowed access to their anonymized program rank-order lists of students applying to FM residency programs submitted to the first iteration of the Canadian Resident Matching Service match from 2007 to 2013. These covariance parameters were then used to calculate the intraclass correlation coefficient (ICC) for all programs. The UBC FPA year is a diverse and challenging blend of high volume/high acuity tertiary centre rotations and rural FPA educational experiences. Use the AAFP Family Medicine Residency Directory to find residency programs by location, community setting, international medicine opportunities, and more. Program Director This program includes defined objectives for each rotation, including the requirement of a completed research project: Other training locations and shorter training periods in geriatrics (no research project required) are possible via a Category 2 program. Residents in this program are mentored by faculty with focused practices in in- patient care as hospitalists, and by faculty from various sub-specialty training programs. Our goal is to develop leaders, teachers and researchers in elder care in the community. Address province specifics The Path to Residency In Canada, candidates for medical residency are matched to universities […] Subset analyses reveal similar, mostly low, levels of consistency even when examining how students who apply to sites with similar profiles or stated training focus (eg, rural FM) are ranked. Hierarchical linear modeling accounts for the issue of nesting (nonindependence of ranks within students), addresses the concern of missing data, and accommodates for the different number of rankings within students.17,18 The results of this analysis—the within-student and between-student covariance parameter estimates—were then used to calculate a consistency coefficient via an intraclass correlation coefficient (ICC). The program starts on July 1st each year. Little or no ambulatory work, but would be busy in BC Women’s high-risk LDR and Urgent Care Centre for triage, assessment and admissions. Some of these options can be combined for a more varied experience: The three-block Enhanced Skills Program in Obstetrics at BC Women’s Hospital + Health Centre usually looks like this: Please contact Lindsay Gowland, Enhanced Skills Program Coordinator for further information. Cette étude portait donc principalement sur le résultat (la similitude des rangs obtenus par l’étudiant) et non sur le processus de sélection lui-même. The community medicine residency program is a 5-year program that was accredited by the Royal College of Physicians and Surgeons of Canada. * There is a separate admission process for IMGs to Family Medicine Residency, which involves CaRMS, assignment to a cohort group, a pre-residency training program and an assessment verification period. CA205-1952 Bay Street Design Descriptive cross-sectional study. Application to the US (ERAS) Learn more about the match. The ICC was calculated as follows: In this formula, ½ day Varsity Clinic at UBC Student Health, ½ day Ultrasound clinic at Allan McGavin Sports Medicine Clinic, 2 days of Sport Medicine Clinic at the Allan McGavin Sports Medicine Clinic, and various other Sport Medicine clinic locations in Vancouver and the surrounding area, EM - RCH and ERH or Hospital Medicine RCH- 1 month, Hospital Medicine- SMH/ ERH/ BH - 1 month, Elective- RCH - Addiction/ Geriatric Medicine/ Geriatric Psychiatry / Palliative Medicine- 1 month. The first year of residency training is known as "Postgraduate Year 1" (PGY1). Family medicine residency programs and educational College committees have actively been engaged in making the changes needed for Triple C to be implemented across the country. ▸ Dans cette étude, on a voulu vérifier si on procédait d’une façon uniforme pour classer les étudiants canadiens et américains qui posent leur candidature pour une résidence en médecine familiale (MF) lors du premier tour de jumelage du Canadian Resident Matching Service. Adult anesthesia: A total of 6 blocks at Vancouver General Hospital, St. Paul’s Hospital, Lions Gate Hospital, and/or Royal Columbian Hospital. Program Assistant - Enhanced Skills Quick Find Director’s Message Hello and Welcome to UBC’s Family Medicine CaRMS Pages! Program Coordinator - RC Anesthesia Program The UBC Department of Family Practice is pleased to offer two-year, part-time, Clinician Scholar positions for family physicians in family practice scholarship starting July 1 each year. This raises concerns regarding fairness, particularly in relation to expectations around equity and distributive justice in selection processes. Training periods of up to 3 months are available in Category 2 Palliative Medicine. Should students applying to FM residency training in Canada expect to be ranked similarly by different sites, particularly when the sites might be similar; when the sites publish similar or exactly the same selection criteria; where standards for training are the same for all FM training sites21; where the expectation and intent is to train family physicians so that they are prepared to enter early professional practice anywhere in Canada; and where training is funded from the public purse? Phone: 250-370-8980 The goal of core family medicine residency programs is to train residents who are competent to enter and adapt to the independent practice of comprehensive family medicine anywhere in Canada. Will join a number of ambulatory clinics including obstetrics and some gynecology if available. The discipline of family medicine from a research perspective is at a critical juncture and in order to ensure the future of family medicine research PhD trained family physicians are fundamental. Previous trainees have completed training within various health authorities including Vancouver Coastal Health, Vancouver Island Health Authority, and Fraser Health. RJH-Coronation Annex Program Director Pediatric anesthesia: 2 blocks each at BC Children’s Hospital, Obstetrical anesthesia: 2 blocks at BC Women’s Hospital, ICU: 1 block at Royal Columbian Hospital, New Westminster, BC, Community Rotation: 1 block in Whitehorse, Yukon, To support the development and enhancement of core scholarship skills, To cultivate scholarship within family medicine, To contribute to the knowledge base of family practice and primary health care, To engage practicing family physicians in conducting scholarly work, To foster innovative, interdisciplinary, community-based scholarship. These combined programs vary from 5–6 years in length. Our alumni boast a high quality medical education, and are confident to practice in family medicine anywhere in Saskatchewan, nationally, and in the world. The red book, Long-term treatment outcomes in a First Nations high school population with opioid use disorder, Involvement of palliative care in patients requesting medical assistance in dying, Caring for children with mental health or developmental and behavioural disorders, http://www.cfpc.ca/Canadianfamilyphysician/, www.carms.ca/en/residency/match-algorithm/, www.cfms.org/files/matchbook/matchbook2013-2014.pdf, www.carms.ca/en/data-and-reports/r-1/reports-2013/, http://meds.queensu.ca/blog/undergraduate/?p=1006, www.carms.ca/assets/upload/pdfs/2007MatchResults/Discipline_Choices_of_Canadian_Applicants_en.pdf, www.cfpc.ca/uploadedFiles/Red%20Book%20English.pdf, Copyright© the College of Family Physicians of Canada. Email: email@example.com, Tatiana Parrott As with other Category 2 Programs, specific training locations are dependent on the resident's own goals and objectives. is the within-student variability, and Do you have an idea for how to improve practice, health care delivery or any aspect of community-based primary health care? All 17 medical schools have an FM residency program, and each program has a variable number of “sites” to which students can apply. Setting Family medicine residency programs in Canada. This time is typically divided between high yield clinical settings that include inpatient and outpatient Addiction Medicine, withdrawal management facilities, residential treatment centres, and culturally focused substance use disorder treatment clinics. Program Director ▸ As the intent of all Canadian FM residency programs is to train residents to practise anywhere in Canada, and therefore desired selection attributes should be similar, such a low level of consistency in ranking strongly suggests a failure to meet the distributive justice rule of equity, where the outcome of a selection process is dependent upon the attributes that each applicant brings to the process. This is a three-month program, aimed at practicing physicians and new residency graduates wishing to offer enhanced skills in Women’s Health to underserviced areas of British Columbia, that: Dr. Unjali Malhotra Where the stakes are high and when students do not always match to their preferred site or program, then there is considerable potential for a challenge to the processes employed by programs in building their ROLs that perhaps should not be ignored. Program Director The resident will gain experience on palliative care units, acute care hospital palliative consultation services and at BC Cancer and community hospice programs. We did not review CaRMS webpages for stated selection criteria for sites open to applicants between 2007 and 2012; it is possible that the selection criteria in some of the sites included in the subsets changed over this time; however, this was considered unlikely. It is possible that with more detailed analysis focused on lower-level criteria (eg, specific selection attributes), a higher level of consistency might be identified for sites expressing the same individual attributes. The distributive justice rule of equity was used to frame the project; compliance with this rule would provide evidence of a fair process for how students are ranked across programs. The CSP Mentorship Agreement guides the level and type of support the Clinician Scholar will receive. Prince George, Kelowna/Kamloops, Victoria or Nanaimo), encompasses a broad selection of Women’s Health disciplines, incorporates focused time in two individually chosen areas of skill development, offers the opportunity to spend two weeks in a Women’s Health focused clinical practice, provides training oriented around specified learning objectives. Vancouver: St Paul's: St. Paul's is a busy, fascinating and gritty tertiary-care hospital in the heart of downtown Vancouver with an annual census of 88K. For more information about training opportunities in Indigenous Health, please contact us directly. Although programs might claim individual local factors in selection that are viewed as unique to them, what level of inconsistency in ranking of the same students should be tolerated before the processes employed by programs and the resulting outcomes are viewed as unfair? There is concern that decreasing numbers of abortion providers may impair access to abortion. Dr Wycliffe-Jones prepared the first draft of the article and all authors critically revised the subsequent drafts. Students separately rank the programs they apply to based on their desire to enter a specific program or training site. With access to a network of clinics across the Vancouver Coastal Area including the Hope to Health Research and Innovation Centre, the John Ruedy Clinic (outpatient HIV primary care) and other specialist clinics at St Paul’s Hospital, this program is sure to provide a unique experience to physicians looking to increase their knowledge in these areas. Email: Anoo.Tamber@ubc.ca, Kathryn Inman There are also a variety of elective options available depending on the specific interests of the resident. It also provides opportunities for enhanced learning local global health, including refugees and new immigrants. Medical residency positions are very limited, so use our resources for the best chance at success. 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