Time Off / Calling in sick / Switching call


ALL time off requests for CTU and Internal Medicine subspecialty rotations are made through RESIDENT CALENDAR


Resident Calendar typically opens for vacation requests for the following year sometime in June (i.e. you will be able to book vacation for the 2018-2019 academic year starting in June 2018). If you are scheduled for any CTU or IM subspecialty rotations in the upcoming year, you will receive an email beforehand with specific instructions.

In accordance with the PARO –CAHO agreement, “Requests for vacation shall be submitted in writing to the department head at least four (4) weeks before the proposed commencement of the vacation.” It is recommended that all requests be submitted before the 1st day of the block prior to the block in which the requested vacation takes place (i.e. a request for vacation in block 5 is due the day before block 4 begins). This ensures that the call schedule can be made on time.

We make every effort to accommodate all time off requests submitted prior this cut-off, however we suggest that residents submit their vacation requests as early as possible (once Resident Calendar opens for the year) to ensure they get the vacation that they wish and that they fulfill the requirements of the training program in Internal Medicine.

NOTE: All time off requests relating to a period for which the call schedule has already been released require written approval from your attending to the Program Office.

Vacation time cannot be taken until approval of the Internal Medicine Program Office has been obtained. Vacation requests may be refused if professional and/or patient care responsibilities would be compromised.

NOTE: Taking time-off which has not been approved, will be considered a BREACH OF PROFESSIONAL CONDUCT.
            Residents taking unapproved time-off may be subject to disciplinary action.


As per the PARO contract, residents are entitled to:

  • 4 weeks (i.e. 28 days) of vacation
  • 7 professional days
  • 1 floating lieu day (see #1 below)
  • Lieu days earned from working a statutory holiday (see #1 below)
  • 5 days off either at Christmas or New Year (Please refer to Important Dates for assigned dates) (see #2 below)

The Core Internal Medicine program keeps track of all of your days off.

Please remember that one-week vacation requests do not guarantee so-called “bookend” weekends, and that requests for just a Friday or Monday do not automatically include the weekend. If you wish to be sure that you are not on call for a particular weekend, we recommend booking it off with either your vacation or your professional days.



The Assessment, Promotion, and Appeals Policy posted on the Postgraduate Medical Education Office’s website, (http://meds.queensu.ca/education/postgraduate/policies/apa/assessment) includes section 8.0 that states that: “In order to meet pedagogical requirements, a resident should not miss more than 1/4 of a rotation or horizontal learning experience due to illness, leave, holidays etc.”

In light of this policy, residents looking to take more than one week of vacation at once are asked to submit vacation requests involving the last week of one block and the first week of the next. This will also ensure that educational and patient care needs are met. Remember, planning early will also provide you with a higher chance of receiving approval for the time period requested.

Residents who wish to request vacation/leave outside of these guidelines are encouraged to speak to the Program Director as early as possible to review options for accommodating the request.



Generally, vacation requests are approved on a first-come, first-served basis. However, there are a few considerations and exceptions:

1. For the last week of June, priority for time off will be given to PGY3 residents leaving the program for fellowships elsewhere. Consequently, no requests will be processed for this time until after the R4 Medicine Subspecialty match in November.

2. PGY3 residents arranging for interviews for subspecialty training programs may request vacation and/or up to five (5) additional days off to attend interviews, ordinarily in September/October. These requests will be given priority over all other requests during this time. This is not a PARO contract issue, but an accommodation allowed by the Department of Medicine.

3. Residents sitting certification for North American examinations may request time to attend the examination over and above the four (4) week vacation entitlement. These requests will be given priority over other requests during this time. Proof of exam registration is required.



Please see the Emergency Leave Policy regarding Emergency Absence.

We also encourage residents to be familiar with the following document:

PARO-CAHO Agreement: http://myparo.ca/Contract/PARO-CAHO_Agreement