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Prospective Residents

The Internal Medicine residency program at Queen's University is nationally respected for its collegial atmosphere, high faculty-to-resident ratio, research opportunities, and strong focus on teaching in all of the major subspecialties as well as General Internal Medicine. It is fully accredited by the Royal College of Physicians and Surgeons of Canada.

For general inquiries please email our office or call us at 613-533-2623.

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 68 residents with approximately 80 faculty (full-time, part-time, and adjunct) 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 600,000 patients in Southeastern Ontario. KGH is a tertiary care referral hospital for the region and provides the highest standards of health care.
Highlights of our program include:
 
  • Acute general medicine training is provided on 4 traditional 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 less than 4 days.
  • 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 (CTU G) for ALC patients decanted from CTU.

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.  If you have any questions, please do not hesitate to contact us.  I look forward to hearing from you soon.

David Taylor, MD, FRCPC
Program Director

Overview of Internal Medicine

Our goal is to provide our trainees with experience in all the major disciplines of internal medicine. The program is designed with a system of graded responsibility and a reducing call burden from the PGY-1 to PGY-3 years. The PGY1 year is focused mainly on inpatient ward experiences but also involves some consult rotations, ER, Airway/ICU and Community Medicine rotations. The PGY2 residents serve as team leaders on the CTUs, complete their ICU training, ambulatory and consult rotations. The PGY3 residents supervise patient care and teaching on the CTUs and continue rotations in ambulatory and consult services.

Sample schedule:

Transition to Discipline

Foundations of Discipline

Core of Discipline

3 months 9 months

24 months

Queen's IM Bootcamp

General medicine ward (2)

General medicine ward (5)
General medicine ward

Medical short stay team

ICU (2)

Subspecialty ward

Subspcialty ward

CSU

Subspecialty consult

ER

Elective (3)

 

Community medicine

Slective

 

Elective

Subspecialty (9) clinics/consults

 

Airway/ICU

GIM consults & clinics

 

Research/Selective

Cardiology ward

 

 

Night Float

 

 

Neurology

 

PGY4

We guarantee all our trainees 4 years of training in order to be eligible for the Royal College exams. All trainees MUST apply for any subspecialty programs through the nationally run PGY4 CaRMS match.

Research / Scholarly Activity

Queens has many active research programs and residents are encouraged to join with a mentor to complete a research project. Time is available for research blocks and residents who take this opportunity are expected to present at the annual resident research day. Evidence of other scholarly activities (such as Grand Round presentations, quality assurance project, case report, chart reviews) are a required part of training.

Benefits

Conference Attendance

Residents have up to 7 days of educational leave each year and the department will sponsor residents to present at national meetings.

 

Vacation & Days off
Residents are entitled to 20 days (4 weeks) vacation per year, plus 5 days off over Christmas or New Year and one floating day. We allow 5 days off for interviews for the PGY3 residents. Holiday days worked can be claimed back as a lieu day within 90 days.

 

 

Education & Evaluation

One of the major strengths of the program is the commitment to education. We have a faculty dedicated to teaching as well as clinical care and research. The program is structured so that a wide variety of teaching formats are available.

Morning Report (Sign-in rounds)

Each morning (except Wednesdays) a morning report conference is held where the CTU teams present and discuss recent admissions. These conferences are moderated by members of the faculty with a special interest in teaching.

Academic Half Days

On Wednesday afternoons (from 1 to 4pm) ALL residents attend their academic half day which consists of a schedule of core general internal medicine topics provided by each specialty.

Core Medicine Rounds

On Mondays at noon core medicine rounds are scheduled for all residents. This consists of case conferences, patient safety rounds, case of the month from CTU and a rotating schedule of presentations throughout the year.

Regular Departmental Conferences

Departmental Grand Rounds are held every Thursday morning and a weekly Morbidity and Mortality Conference occurs on Wednesdays mornings. In additional each division holds weekly subspecialty conferences that residents are encouraged to attend.

Journal Club

Critical appraisal skills are taught in a variety of settings. Over the summer Academic Half Days are dedicated to critical appraisal teaching. This is complemented by a regular journal club organized by senior residents and attended by faculty. The journal club reviews EBM concepts for a variety of different study designs relevent to the practice of internal medicine. 

Simulation Lab

Queens has a brand new, purpose built, state of the art simulation centre in the new medical school building. We also have a Harvey cardiac simulator that is regularly used. The new lab is being utilized for simulation teaching and procedural training (e.g. central lines, lumbar puncture, thoracentesis, paracentesis). There is also a smaller simulation centre in KGH itself. This site is used for code blue training when residents are on ICU rotations and the PGY1 nightmare scenarios course. Plans are in development for a senior resident simulation educational series. 

Other opportunities

Residents have many other opportunities to develop their teaching skills. Senior residents teach in the clinical clerk lecture series. Others are encouraged to participate in the clinical skills undergraduate program here at Queens. Courses such as Residents as Teachers (RaTS) and Teaching Improvement Project System (TIPS) are provided by the postgraduate office at Queens and we encourage our residents to participate.

CanMeds roles 

Please visit the Postgraduate Website to try out the online CanMeds modules that are currently available. Prior to graduation all of our resident are required to complete the 7 modules


Evaluation
  • Bi-annual meetings with Program Director or Associate Program Director
  • Mid Rotation and end of rotation In-Training Evaluation Reports (ITERs) 
  • American Board Internal Medicine (ABIM) exam annually
  • Multi-source Feedback (Peer-Peer & Nurse-Resident) Feedback
  • Annual practice OSCEs in Royal College Format
  • Resident Portfolio System
  • A formal Residency Program Committee (RPC) chaired by the Program Director and comprised of selected faculty members, the chief residents and elected resident representatives (PGY1, PGY2, PGY3) meets once a month to discuss issues related to the program. The committees' responsibilities include resident recruitment, evaluating the teaching curriculum in the program, reviewing teacher and rotation specific evaluations, planning the resident research day and the annual retreat and Last Call Ball. This committee is also responsible for reviewing resident's academic progress in the program and supervising any remediation or probation that may be recommended.

 

We are pleased that you have applied to our program and are looking forward to welcoming you in person during your interview.  Here are some links that will assist you in making your arrangements.  Click here for more information on Postgraduate Medical Education at Queen's.


Accommodation

 

Transportation

  • Air Canada operates regular service from Toronto's Pearson International Airport (YYZ) to Kingston's Norman Rogers Airport (YGK).  There are twelve flights daily in and out of Kingston and the airport is located approximately 7km from downtown Kingston.
  • Via Rail offers frequent connections between Kingston and Toronto, Ottawa, and Montreal.  The station is the fifth-busiest in Canada with 20 trains per day.
  • Toronto to Kingston schedule
  • Greyhound and Coach Canada provides scheduled bus service to and from Kingston


Maps, Directions, and Parking 


Interviews

 

Life in Kingston

  • Please refer to our Life in Kingston website for detailed information on living in Kingston.

Social Events

Welcome BBQ

Every July we hold a welcome BBQ at the University Club for all the new PGY1s and their families. It is an opportunity for our new recruits to meet their fellow residents and faculty in a relaxed and social atmosphere at the beginning of the year.


Holiday Rounds

The last scheduled Grand Rounds prior to the December holidays is replaced by a resident run presentation, typically composed of a number of humorous skits and songs. 

Resident Retreat

In February we take the residents on a weekend retreat for team-building exercises, social events and fun! The program arranges for Fellows to cover the medicine residents' call responsibilities so all residents are able to participate. Faculty who have won teaching awards or who serve on the RPC are also invited. Recent venues have included Montebello, Mont Tremblant, Bromont and Blue Mountain. These have proved to be popular and rejuvenating for all involved.

Resident Research Day

In May each year a whole day is set aside for Resident Research Day. The residents are given protected time to present their research projects, (oral presentations and posters), to their colleagues and the Faculty in the Department of Medicine. An invited speaker helps anchor the day and a panel gives feedback to the participants.  

Last Call Ball (Graduation Celebration)

At the end of each academic year, we host a special dinner to celebrate the completion of the core internal medicine training of the PGY3's. All residents and attendings are invited. There is a formal dinner and award ceremony for Faculty and Resident Awards (PGY Resident of the Year awards, Medical Student Teaching Awards, Research Day and Humanitarian Awards). This is followed by a 'roast' by a faculty member of each of the graduating residents and a party.

Subspecialty Training

The following subspecialty programs are offered at Queen's University:

All residents must apply through the PGY4 CaRMS match that occurs in the fall of the residents' PGY3 year. Interviews are generally held in September/October and positions allocated through the match.

Frequently Asked Questions

1. How many residents are there in your program?

We currently have 67 residents in the core program. We are anticipating recruiting 18 residents for the 2018-19 CaRMS Match.

2. What is the application process?

All applications are through CaRMS

3. Do you accept foreign medical graduates?

Yes. Each year approximately 4 of our residents have had their medical school training outside of Canada.

4. What are the strengths of your program?

I think Queens provides you with an excellent clinical training in internal medicine. KGH is a tertiary care hospital with a wide catchment area and a referral population of over 600,000 patients. Our residents see a great variety of medical problems throughout their training and all get significant 'hands-on' experience with critically ill patients. Nearly all acute medicine admissions come to the CTUs. In addition as we are a smaller sized program the residents and faculty get to know each other very well. There is a friendly and collegiate atmosphere which provides a positive learning environment

5. What is the call schedule like?

Call is heaviest in the PGY1 year. Residents on the CTU or cardiology services take approximately 1:4 call, mostly as emergency room call or cross covering wards at night. On subspecialty rotations this is usually 4-5 calls/block.

The PGY2/3 on CTU take 1:4 call but leave at 10:00 pm and hand over to the night float resident. The PGY2 on ICU or cardiology take is a traditional 1:4 overnight call but reduces to 2-3 calls a month on subspecialty rotations.

The PGY3s cover the DICU step down unit and provide in-house back-up for the junior residents. This call is 2-4 calls/block. If working a Cardiology block (e.g CCU or Consults) they take 1:4 Cardiology call.

PARO rules mean any resident who is on overnight call leaves by 10:00 am on their post-call day.

6. How much formal teaching is done?

The program provides several settings for formal teaching. Fixed weekly conferences include medical grand rounds and a departmental mortality and morbidity conference. Morning Report occurs daily at 7:45am where recent admissions are discussed. Core internal medicine rounds are once a week involving case presentations, patient safety rounds, resident ‘case of the month’ and lectures. Other days provide opportunities for residents to attend subspecialty conferences of their choice. Academic half days are Wednesday afternoons for ALL residents. In addition, a journal club is held 8-9 times during the academic year, during the evenings at a local restaurant.

7. Research opportunities?

Queens boasts an active research faculty and our residents are encouraged to participate in research projects with a mentor. Protected research time is available and residents are expected to participate in the annual resident research day at the end of the year

8. How do you evaluate the residents?

As we are a medium sized program we get to know all our residents very well. Formal evaluations are completed at the end of every rotation and individual observation of history taking, clinical exam and communication skills are expected. In addition, each resident will meet twice a year with the Program Director or Associate Program Director to discuss their evaluations and individual progress. We formally test medical knowledge with the American Board of Internal Medicine (ABIM) In-Training Exam (ITE) annually. A Royal College like multi-OSCE station exam is also held every year. Junior residents participate in a 'nightmares' simulation series with their colleagues until they have achieved competence. A simulation series for senior residents is being developed. Senior residents also have to complete a Journal Club presentation prior to graduation. 

9. How much elective time do I get?

All residents are eligible for 4 electives over 3 years (1 in PGY1 year, 2 in PGY2 year and 1 in PGY3 year). These electives can be taken at Queens or at another institution. In addition residents are allocated a selective block in PGY3 year where they can select a particular rotation of interest which must be completed at Queens. These options allow significant flexbility in the residents schedule. Some residents have taken the opportunity to do electives abroad. Any selective or elective block can be used for research (up to a maximum of 3 blocks).

10. Future subspecialty training?

We provide subspecialty training in most of the major subspecialties (cardiology, critical care medicine, gastroenterology, general internal medicine, haematology, medical oncology, nephrology, palliative care, respirology, and rheumatology). We have been very successful in placing our residents in the subspecialty of their choice, usually in the city of their choice. Whilst we cannot guarantee any resident a particular subspecialty position when you first join us, Queen’s residents are favourably viewed by our faculty and we do our best to make sure all residents are provided with the best career opportunities for their future. All residents are guaranteed 4 years of training in order to qualify and be prepared for the Royal College exams.

11. What other benefits are available to the residents?

Every year we encourage residents to attend a national meeting and educational stipends are available if research is being presented. The Postgraduate Medical Education Office also provides a subscription to UpToDate® for all residents for the duration of their training. Repeated code blue training sessions with varying scenarios are provided at our simulation centre, along with specific procedure based teaching in small groups. There are also a number of educational courses run by the post-graduate office here at Queens focusing on medical education and leadership skills and we encourage our senior residents to apply. Our interns have created a Queen's 'On Call' book available free to all core residents.

12. Resident morale?

Resident morale is high, and there is a very collegial and supportive atmosphere amongst the residents and faculty. The program organizes several social events throughout the year the highlight being a weekend retreat outside of Kingston (recent trips include Chateau Montebello, Blue Mountain, and Chateau Bromont). We also host an annual welcome BBQ, and an end of year 'Last Call Ball' at a Kingston Hotel where awards and prizes are presented, and the graduating residents are 'roasted' by the faculty.