Welcome to Queen's Internal Medicine
Queen's University is proud to offer one of Canada's leading programs in Internal Medicine. Fully accredited by the Royal College of Physicians and Surgeons of Canada, our core program currently trains 70 residents with approximately 110 (full-time, part-time, adjunct) faculty in the Department of Medicine. The program is predominantly based at Kingston General Hospital (KGH) which serves the City of Kingston and a large catchment area with approximately 500,000 people in Southeastern Ontario. KGH is a tertiary care referral hospital for the region and provides the highest standards of health care.
We have implemented a number of changes to the program over the last several years in a process designed to improve the educational experience for the residents.
Highlights of our program include:
- Acute general medicine training is provided through Clinical Teaching Units (CTUs) which expose the residents to the fundamentals of inpatient care. Residents are responsible for emergency room consults and admissions, and each team provides medical care for approximately 20-25 patients on the medicine wards and in the step down unit (Davies 4 ICU).
- A separate CTU E / Medicine Short Stay Unit (MSSU) is a unique rotation that provides complimentary training. This team staffs a 10-14 bed medical short stay unit where the expected length of stay is <72hours. They provide care in a high-volume, rapid turn over unit with specially trained nurses. This team also covers Emergency room consults from 7:30 am until 1pm daily when the regular CTU call team takes over.
- Subspecialty training is based on rotations through inpatient consultation services and ambulatory clinics. Residents rotate through each of the major specialties and have a number of selectives and electives available for additional experience as desired.
- Training in intensive care is currently scheduled as an introductory Airway/ICU block in the PGY1 year, and then 2 blocks of the PGY2 year. Experience in managing critical care patients is vital before residents become PGY3 in the program. Residents receive simulation training and a separate educational curriculum during their ICU blocks.
- Longitudinal clinics in general medicine are introduced in the PGY2 and run until the completion of the PGY3 year. Residents are divided into 4 groups and matched with one of the GIM Attendings. They remain with this preceptor for 2 years and are expected to attend clinics regularly over this time in order to obtain a true continuity experience.
- Night Float shift (R2/R3) in the ER from 10pm-8am (+2hrs for handover) for acute Medicine call.
- Hospitalist Service (IMU H) for ALC patients decanted from CTU (no residents).
- Generous Elective Opportunities: Four in total. One in PGY1 and PGY3 and two in PGY2.
In addition to providing an outstanding clinical experience, our program is also committed to providing a high quality educational experience throughout the 3 years of training in preparation for the Royal College Exams and the practice of medicine.
I hope that you will take this opportunity to learn more about the Internal Medicine residency program at Queen's. I look forward to hearing from you soon.
David Taylor, MD, FRCPC
Core internal Medicine Residency Program