Queen's Palliative Medicine runs up to 3 concurrent residency programs:
- A 1-year "enhanced skills" program through family medicine, leading to a Certificate of Added Competency (CAC) from the College of Family Physicians of Canada.
- A 2-year subspecialty program, entered through internal medicine, neurology, or anaesthesia, leading to a subspecialty designation from the Royal College of Physicians and Surgeons of Canada.
- A Sponsored Visa Trainee program when educational and clinical capacity allows.
Queen's Palliative Medicine residency programs have a joint administrative structure including program assistant Ruili Fang and program director Dr. Craig Goldie. Please see below for further details of the residency programs.
Our palliative medicine program provides clinical care in the following settings:
Inpatient Care (KGH)
Inpatient care at KGH is predominantly a consult-based service providing care for patients within the 440-bed tertiary care unit with complex palliative care needs. We have the ability to admit or accept in transfer up to 3 patients as most-responsible-physician (MRP) for complex palliative symptom issues.
Palliative Care Unit (PCU)
Our PCU is a 13-bed unit at Providence Care Hospital. We provide MRP service for those 13 beds for patients at end-of-life (prognosis < 3 months) with goals of care focused on maximal symptom management without escalation of aggressive medical interventions. Our PCU physicians also provide consultation services to the rest of the Providence Care Hospital: complex care, rehabilitation inpatients, and psychiatric patients.
Community Palliative Care
Our community palliative care team provides home visits to residential homes, retirement homes and long-term care facilities to support palliative care needs at home. The model is predominantly a consultant model but if a patient has complex palliative care needs we will assume MRP care from their family physician.
Outpatient Cancer Clinics
We provide 5 full-day clinics in the Cancer Center of Southeastern Ontario (CCSEO) for patients with cancer and significant palliative care needs. The model is predominantly a consultant model but with ongoing care if a patient has complex palliative care needs now or expected in the near future.
Enhanced Skills Program
Enhanced Skills 1-year program includes 13 blocks:
- 5 blocks of inpatient care at KGH
- 3 blocks of PCU combined with community palliative care
- 3 elective blocks
- 1 block of medical oncology
- 1 block of radiation oncology
The enhanced skills fellow have longitudinal exposure to our outpatient clinics at CCSEO, one half-day a week, to allow for ongoing follow-up and continuity of care for cancer clinic patients throughout the year.
Subspecialty Medicine Program
The subspecialty medicine program includes 2 years (26 blocks):
- 12 blocks of palliative care
- 6 inpatient
- 4 PCU/community
- 2 outpatient cancer clinics
- 1 medical oncology
- 1 radiation oncology
- 6 blocks of medicine within: Cardiology, Critical Care, Gastroenterology, Geriatrics, ID, Nephrology, Neurology, Respirology
- 1 pediatric palliative care
- 2 blocks of scholarly activity
- 3 blocks of selectives
Queen's Palliative Medicine Residency programs have the capacity to accept 2 Enhanced Skills PGY3 residents per year and 1 Subspecialty resident per year. These numbers are based on educational capacity as well as funding, so are subject to change.
Enhanced Skills PGY3 (1-year certificate of added competency)
Admission to the Enhanced Skills program is currently done outside of the Canadian Resident Matching Service (CaRMS). Details on application information and dates can be found on the PGY3 Enhanced Skills Program website through the Department of Family Medicine.
Subspecialty Medicine (2-year Royal College program)
Sponsored Visa Trainees
Admission to a sponsored Visa trainee is done in conjunction between the Postgraduate Medical Education office at Queen's and our program, based on capacity. More information can be found on the PGME website.
The goal of the palliative medicine programs are to develop specialist or consultant physicians in palliative medicine that can provide exceptional palliative care for all patients in all clinical settings, as well as build capacity in palliative care within a defined population or region.
Important attributes include compassion, excellent communication skills, strong foundational medical knowledge, and clear passion regarding palliative medicine as a specialty, as well as an important skill for all physicians and healthcare providers, and an interest in promoting primary and secondary-level palliative care and being a resource to those physicians.
Application files for the residency programs will be reviewed independently by members of the Residency Program Committee (RPC) which is a multidisciplinary committee. Interviews will be offered based on the scoring of the files.
Each selected candidate will undergo an interview process with a panel of 4 or more interviewers from the Residency Program Committee, including the Program Director and a current resident (either Enhanced Skills or Subspecialty). These can be done in person or via teleconference.
Candidates will have an opportunity to ask questions about the residency program at the end of the interview or to meet informally with current residents or other division members. Guided tours of the facilities may be possible but depend on availability of our residents.
Currently the Enhanced Skills palliative medicine program provides letters of offer or waitlisting on a standard date, in conjunction with all other Canadian palliative medicine programs with the goal that applicants will accept or decline offers in a timely fashion. The goal is for all offers to be completed/accepted within 1 week. This will be probably be replaced with a CaRMS matching process in the near future.
The Subspecialty program ranks and matches through the CaRMS process with more details on their website.
Academic Half Days
Our residency programs share an academic half-day schedule for the Enhanced Skills residents and the first year of the Subspecialty Medicine residency. The second year of the Subspecialty residency includes more self-directed learning, teaching of the academic half-days, research time and several modules to complete independently, as well as the opportunity to attend any half-days that were missed in first year or the half-days of other subspecialty residency programs if relevant.
Academic Half-days are Wednesday afternoons from 2-5pm. All residents are expected to attend in person or by teleconference. 4 national Academic Half-Days are arranged through the Canadian Society of Palliative Care Physicians, including 1 potential in-person meeting at the annual Advanced Learning in Palliative Medicine (ALPM) conference.
We host quarterly palliative medicine journal clubs on Friday mornings, where each palliative medicine resident presents 1 article per year.
Advanced Practice Palliative Medicine Rounds
Residents are expected to present 2 palliative medicine grand rounds with a thorough review on particular palliative care topics such as incident pain, lidocaine/ketamine evidence, palliative sedation etc on Friday mornings.
Resident Reflection Rounds
Our spiritual care advisor, Janeta Kobes, facilitates monthly resident reflection rounds for our rotating and palliative medicine residents, to discuss difficult cases, family dynamics, ethical concerns and any other challenges in dealing with palliative patients, death and dying on Friday mornings.
4-Day Course - Educating Family Physicians in Palliative Care
Our residents have an opportunity to take this 4-day educational course for family physicians, run by our program in the first half of their training, with the expectation that they will be able to teach in the course in the second half of their training.
Our program provides some funding to subsidize resident's attendance at a palliative care conferences.
Palliative Medicine Evenings & Weekends Call Schedule
Palliaitve Medicine CCSEO Clinic Schedule
Resident Presentation Schedule
Palliative Medicine Resident Weekly Schedule
Week of Nov 25-29, 2019
Week of Dec 2-6, 2019
Residents are expected to complete an original Scholarly Project during the year, supervised by a faculty member and with access to significant resources through Queen's including excellent librarians, a supportive and effective Research Ethics Board etc. The goal is to disseminate the findings of the project in a conference presentation and/or publication in a palliative medicine journal.
Other research activities will be supported and encouraged by the program, in discussion with the Academic Advisor and Program Director, and with awareness of clinical and educational expectations.
The majority of training will occur at Kingston Health Sciences Centre (KHSC) at the Kingston General Hospital (KGH) site and the Cancer Center of Southeastern Ontario (part of KGH) with another significant part of the training at Providence Care Hospital (PCH).
All of these sites are located within close proximity of one another and Queen's University in Kingston.
The Enhanced Skills program does not have mandatory out-of-town rotations. The Subspecialty Program has currently 2 mandatory rotations in Ottawa, Ontario: Pediatric Palliative Care and Geriatric Medicine, as these academic rotations are not available in Kingston at this time.
Elective rotations can be done in any setting that the program and PGME office feel is suitable. Subspecialty program selective rotations can be taken at centres accredited by the RCPSC, or at international centres that offer a strong educational contribution. The latter will require discussion and review by the program and PGME office at Queen's University to ensure suitability.
Residents are required to arrange their own licensing and liability ensurance when doing out-of-providence rotations; we will provide timely support for required documentation.
The Palliative Medicine program adheres to the Queen's Postgraduate Medical Education Postgraduate Policies, in addition to a specific policy on providing home visits. These policies are shared and discussed in orientation to the program in July.
Welcome to the Queen’s Palliative Medicine Team! Please click links below to access orientation information for your palliative medicine block rotation.
The formative Knowledge Quiz may be discussed at the Tuesday morning resident seminar during your rotation; speak to the senior resident or attending for more information.