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.
Welcome to Queen's Internal Medicine
Overview of Internal Medicine
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Education & Evaluation
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.
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
There are currently 71 residents in the Core Internal Medicine Program. It is anticipated that 18 residents will be recruited for the 2020-21 CaRMS Match.
Yes, each year, approximately 4 of the Core Internal Medicine residents have had their medical school training outside of Canada.
Queen's Internal Medicine Program provides residents with an excellent opportunity for clinical training. Kingston Health Science Centre (KHSC) is a tertiary care hospital with a wide catchment area, and a referral population of over 600,000 patients. Internal Medicine residents receive the opportunity to study a variety of medical problems throughout their training, and receive significant 'hands-on' experience with critically ill patients, with nearly all acute medicine admissions coming to the Clinical Teaching Units (CTU). In addition, medical residents and faculty are able to develop meaningful relationships due to the large faculty to student ratio. There is a friendly and collegiate atmosphere throughout the program, providing a positive and supportive learning environment.
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, handing over their duties 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. CSU or Consults) they take 1:4 Cardiology call.
PARO rules dictate that any resident who is on overnight call leaves by 10:00 am on their post-call day.
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 7:45 a.m., where recent admissions are discussed. The Internal Medicine rounds (Sign-In Rounds) take place three times per 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 being held once a week for all residents. In addition, a journal club is held 8-9 times during the academic year during the evenings at a local restaurant.
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.
As Queens’ Core Internal Medicine is a medium sized program, there is a large opportunity for faculty and staff to get to know all residents very well. Residents are evaluated on an on-going basis during clinical rotations via the Queen’s School of Medicine online learning platform, Elantra. In addition, residents meet individually with their academic advisors and with the program director several times per year to discuss their progress with program evaluations and unique learning goals. 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 also participate in a 'nightmare' simulation series with their colleagues until they have achieved competence.
All residents are eligible for 4 electives over 3 years (1 in their PGY1 year, 2 in their PGY2 year, and 1 in their PGY3 year). These electives can be taken at Queen's or at another institution. In addition, residents are allocated one selective/research block per academic year where they can select a particular rotation of interest which must be completed at Queen's or decide to complete a research block. These options allow significant flexibility in the residents’ schedule, with some residents having taken the opportunity to do electives abroad. Any selective or elective block can be used for research (up to a maximum of 3 blocks).
The program provides subspecialty training in most of the major subspecialties (Cardiology, Critical Care Medicine, Gastroenterology, General Internal Medicine, Hematology, Medical Oncology, Nephrology, Palliative Care Medicine, Respirology, and Rheumatology). The program has experienced significant success in placing residents in the subspecialty of their choice, usually in the city of their choice. While we cannot guarantee any resident a particular subspecialty position when first joining the program, Queens’ residents are favourably viewed by our faculty, the program does its best to ensure all residents are provided 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.
Every year, residents are encouraged to attend a national meeting, for which 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 Queens Post-Graduate Office which focus on medical education and leadership skills, and senior residents are encouraged to apply. Residents have created a “Resident Survival Guide” available to all Internal Medicine residents.
12. Miscelleneous and Social Events:
There is a collegial and supportive atmosphere amongst the residents and faculty members. The program organizes several social events throughout the year, the highlight being a weekend retreat outside of Kingston (recent trips include Château Montebello, Blue Mountain, and Château Bromont). Resident wellness is also one of the program’s top priorities, with the Resident Wellness Committee organizing various activities for residents to engage in together as a group. These have included events such as open mics, board game nights, gingerbread house competition, etc. The program also hosts an annual welcome BBQ, and an end of year 'Last Call Ball' at the Isabel Bader Centre where awards and prizes are presented, and the graduating residents are 'roasted' by the faculty.