Succeeding in Residency: Resources


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Succeeding in Residency: Resources


Useful smart phone apps and online resources by subject

 

Subject

Emergency Medicine 




Family Medicine



General









Internal Medicine


Neurology

Obstetrics

Ophthalmology

Palliative

Pediatrics



Pharmacy




Psychiatry

Smart Phone Application

ACLS Advisor 2013 (free)
WikEM – Emergency Medicine (free)
ERes – Emergency Medicine ($4.99)
Pepid (free or $299.99)

PalliCare.Ca (free WebApp)
AFP By Topic (free)
OCFP Handbook - NEW 2015!! (free)

Medscape (free)
Eye Chart Pro (free)
ImmunizeCA (free)
Lab Values Pro ($2.99)
Lexicomp (subscription)
MD on Call ($4.99)
MedCalc Pro ($4.99)
UpToDate (subscription)
5-Minute Clinical Consult (subscription)

ACC Pocket Guidelines (free)
Harrison’s Manual of Medicine (subscription)

NeuroMind (free)

Perfect OB Wheel ($1.99)

Eyehandbook (free)

Cancer Care Ontario Symptom Management Guides (free)

Pediatric Growth Chart (free)
Pedi Safe ($0.99)
Pedi STAT ($2.99)

Epocrates (free)
CPS Essentials ($39.99 annually)
Lexi-comp (subscription)
CPS RxTx (free)

STAT Depression Score PHQ-9 (free)
Psychiatry, Understanding Disease (free)

 

Helpful Reference Books


●    Guide to the Canadian Family Medicine Examination. Authors: Megan Dash and Angela Arnold
●    Family Medicine Notes Author: Danielle O’Toole
●    Canadian Guidelines Online
●    Rx Files (Objective Comparisons for Optimal Drug Therapy) 
●    Family Medicine Notes: Preparing for the CCFP Exam, Danielle O’Toole
●    Mosby’s Family Practice Sourcebook. Author: Michael Evans
●    Anti-Infective Guidelines for Community Acquired Infections
●    Hypertension Guidelines for Family Practice
●    Approach to Internal Medicine: A Resource Book for Clinical Practice. Author: David Hui
●    Drug Pocket: Clinical Reference Guide. Author: Andreas Russ
●    Tools for the Primary Care of People with Developmental Disabilities
●    The CMA offers members free access to many medical textbooks
●    American Academy of Family Physicians

 

 

Ways to Get Involved


Ways to Get Involved


Mandatory Memberships

  • CPSO The College of Physicians and Surgeons and Canadian Medical Protection Association (see section “Paperwork BEFORE You Start…”)
  • College of Family Physicians of Canada: Required to write the certification exams in PGY-2. Includes subscription to Canadian Family Physician Journal, free access to Self Learning (a study guide/CME resource) and up-to-date information on issues in family medicine. Membership must be maintained after graduation to maintain certification.


Committee Involvement


There are many opportunities for involvement within each family medicine program. Listed below are a few provincial and national committees to consider. Expect an email early in the year soliciting applications for these positions.

 

Organization

PARO


OCFP


CFPC 

 

Description

Three to four representatives per Ontario program, 
four meetings per year in Toronto 

One representative per year per Ontario program, 
two meetings per year in Toronto and two teleconferences

One representative per year per Canadian program, 
two meetings per year in Mississauga and two teleconferences

 

 

Special Courses

  • Mandatory
    • NRP (Neonatal Resuscitation Program) – offered at most schools
    • ACES (Acute Critical Events Simulation) – only at some schools 
       
  • Recommended
    • Emergency
      • ATLS (Advanced Trauma Life Support)
      • ACLS (Advanced Cardiac Life Support)
      • PALS (Pediatric Advanced Life support)
    • Obstetrics
      • ALARM (by the SOGC), also course (by the AAFP)
    • Orthopedics
      • CASTED, AMLS (Acute Musculoskeletal Limb Support)

 

  • Check the requirements for your program early on.
  • Most universities offer their own ACLS, ATLS, NRP and PALS courses. Here are a few places that offer frequent courses and flexibility.
 

Location

Michener Institute, Toronto

Sunnybrook Hospital, Toronto

Mount Sinai and North York General Hospitals

Hamilton Health Sciences

 

Description

ACLS and PALS 

ACLS and ATLS

ACLS 


ATLS, PALS and ACLS 

 

 

Resident Wellbeing


Resident Wellbeing


Residency training can be exciting, challenging and full of great opportunities for learning and growth. It can also have moments that are exhausting, stressful and emotional. It is important to try to maintain a healthy balance between work and other aspects of your life in order to maintain your personal wellbeing and to provide better patient care. Maintaining your pre-residency interests can help you to stay balanced. 

If you find yourself struggling at any point during residency, know you are not alone and that there are lots of resources available for help! The PARO website has a great section on Thriving During Residency that outlines some helpful resources available to residents here

Some highlights include: 

  • 24-Hour Toll-free Help Line: 1 866 HELP DOC (1-866-435-7362)
     
    • A confidential service to support residents, medical students, their partners and families
       
  • OMA Physician Health Program: php.oma.org
     
  • Confidential Toll-Free Line: 1-800-851-6606 (Monday to Friday 8:45am to 5:00pm) with services for students and residents.
     
  • ePhysicianHealth: www.ephysicianhealth.com
     
    • “Online health and wellness resource designed to help physicians and physicians in training to be resilient in their professional and personal lives.”
       
  • Family Doctor Roster: If you are looking for a family doctor for yourself, contact PARO and they will find one for you in your area.
     
  • Your peers, supervisors and program directors can be great support along the way. The PGME website of each school is another great resource. And lastly, don’t forget to take advantage of the Group Benefit Health Care Plan.

PARO and Call Stipends


PARO and Call Stipends


Disclaimer 

The following information in this section is not inclusive of all of the provisions under the PARO-CAHO Agreement, and provides answers to commonly asked questions. A full PDF version of the PARO-CAHO Agreement can be found on the PARO website.
 

The details provided in this package are of a general nature and may not necessarily be applicable to all residents in all situations. Please visit the PARO website for updates or feel free to contact the PARO office with any questions.

  • t: 416-979-1182 or 1-877-979-1183
  • email: paro@paroteam.ca
  • web: www.myparo.ca

Information regarding taxation, incorporation and disability is information provided from MD Management and should not replace professional advice from an accountant or financial consultant. 

 

Who Is PARO? 

The Professional Association of Residents of Ontario is the official representative voice for Ontario’s doctors in training.

PARO’s priority is to advocate on behalf of its members, addressing professional and educational concerns in order to optimize the training and working experience of Ontario’s newest doctors thus ensuring that patients receive the best possible medical care.

Members of PARO are, by definition, post-graduate medical residents training in accredited programs which lead to certification by either the Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of family Physicians of Canada (CFPC), in one of their recognized specialty or subspecialty programs.

All that to say, you are automatically a member of PARO and there is no need to register.

Salary, Call and Shiftwork Rules


Salary, Call and Shiftwork Rules


Salary:
Recent arbitration discussion has awarded a three-year Collective Agreement, retroactive to July 1 2013, and ending June 30, 2016 as detailed in the below chart:

 



PGY1
PGY2
PGY3
PGY4
PGY5
PGY6
PGY7
PGY8
PGY9

July 1, 2013

$52,629.91
$60,442.51
$64,515.22
$68,857.17
$73,752.93
$78,026.94
$81,079.08
$85,625.86
$90,172.63

 

July 1, 2014

$54,216.73
$61,288.71
$65,818.43
$70,221.17
$75,535.47
$79,869.32
$82,964.19
$87,574.62
$92,185.05

 

As of July 1, 2015

$55,825.76
$62,146.65
$67,139.89
$71,604.26
$77,342.97
$81,737.49
$84,875.69
$89,550.66
$94,225.64

 

 

Call Maximums: Based on the total days ON service (vacation and other time away are deducted from the total days, PRIOR to calculating maximum call).

It’s important to note that you can’t be scheduled to work two or more consecutive calls, unless you’ve agreed to it with your Program Director and PARO. Also noteworthy, is the fact that if you’re not on call or scheduled for work, you aren’t expected to be available on your pager, or to be in the hospital or clinic.

In Hospital Call: The maximum is 1 in 4. In hospital call maximums for rotations greater than 1 month are averaged over the length of the rotation (maximum averaging length is 3 months) with a maximum of 9 calls in any given month. The total number of calls on a rotation longer than one month can be calculated by taking the total of number of days ON service, dividing them by 4 and rounding to the nearest whole number (.5 rounds up).

Home Call: The maximum is 1 in 3, (or 10 per 30, or 11 per 31). A resident cannot be on home call on 2 consecutive weekends. Home call CANNOT be averaged over multiple months.

Blended Call: (In Hospital and Home Call): is calculated using the following formula:

HCA: Home Call Assignments
IHA: In Hospital Assignments
(Total HCA X 3) + (Total IHA X4)=Max Blended Call
Total must not exceed 30 for a 28-day rotation. For other examples please consult the PARO website.

Call Stipends: 

Recent arbitration discussions have also awarded an increase to call stipends of just over 10%, effective July 1, 2015:

Home Call: $58
In-hospital Call: $116
Qualifying Shift: $58 (shifts worked where on full hour worked on shift occurs between 11pm and 6am)

Call stipend claims must be submitted to the person(s) designated by the hospitals to receive such claims within 30 days following the end of the month in which the call was worked, save and except for circumstances reasonably beyond the control of the resident. Otherwise, ultimately call stipends will not be paid.

Shift work: On rotations where residents are scheduled in shifts, e.g. Emergency Medicine or Intensive care, total maximum hours is 60 hours/week. This includes other scheduled responsibilities, such as academic half days. There must be a minimum of 12 hours off between shifts (unless the resident desires less time off between shifts).

Weekends: Each resident must have 2 COMPLETE weekends off per 28 days; including Friday night/Saturday morning as well as Saturday and Sunday. A resident cannot be on home call on 2 consecutive weekends. Residents cannot be required to round (or perform other clinical duties) on weekends when not on call.

Post Call Relief (Home after Handover): Residents must be relieved of ALL clinical and academic responsibilities post call 24+2 hours after the commencement of the working day. The following exceptions apply:

  • Anaesthesia and OB/GYN (1 hour of handover)
  • ICU/CCU (1.5 hours of handover)
  • Any UofT Surgical Program (Home By Noon)

Home Call Conversion for Post-Call: Residents on out-of-hospital call are required to be relieved of their duties when they are in either of the following situations:

  • They are called into the hospital to perform duties between the hours of midnight and 6am.
  • They are called into the hospital to perform duties for at least 4 consecutive hours with at least one hour extending past midnight.

Family Medicine + ER Shifts: If a Family Medicine Resident works their normal weekly family medicine duties (i.e. multiple clinics or other FM responsibilities) IN conjunction with ER shifts during the same week (either on a weekday or weekend), then they are entitled to: a home call stipend if the ER shift does not extend beyond 11pm, or In-hospital call stipend if the ER shift extends beyond 11pm. Note: these rules do not apply to family medicine residents who are only scheduled for ER shifts and have no other family medicine responsibilities in the same week. If the resident were doing purely shift work for that block, then only the qualifying stipend would be applicable.

Rounding on Weekends: The 2011-2013 PARO-CAHO Agreement states that where residents who are not otherwise on-call are scheduled or required to round on weekends, and actually attend in hospital for such rounding, they will be paid the Home Call Stipend.

Family Medicine OB Call: Where a Family Medicine Resident carries a pager for obstetrics call to fulfill the requirements of the resident’s training program, you are only entitled to claim either the home or in hospital call stipend depending on the time in attendance at a delivery. If you not required or expected to respond to the page (e.g. you can opt out of carrying the pager on certain evenings), there should be no call stipend paid. Please note that if you respond to a page and are required to go to the hospital to perform clinical care, the normal conversion rules apply for post-call days.

Travel Allowance (Taxi and Parking)


Travel Allowance (Taxi and Parking)


Taxi: Residents on home call may be reimbursed up to $70 per month for taxi charges if:

  • The resident is on home call and can respond within the hospital’s Medical Advisory Committee (MAC) approved response time.
     
  • The resident does not have a parking pass.
     
  • The resident is called in for clinical duties after 6pm and before 6am.

Parking: When residents are required to travel between sites or return to a site for CLINICAL duties, the resident will be reimbursed for the cost of parking associated with the time spent at the second or subsequent sites provided the distance between sites exceeds one kilometre. 

Travel Allowance: A travel allowance will be provided on presentation of appropriate receipts to the postgraduate medical education office. 

Vacation and Leave


Vacation and Leave


 

Vacation: Residents are entitled to four weeks of paid vacation per year. A week of vacation is defined as five working days plus two weekend days. Vacation time may be delayed only where necessary, having regard for professional and patient care responsibilities. All requests must be confirmed or denied in writing within two weeks of the request being made. If denied, alternate times for vacation must be agreed to within two weeks. There can be no blanket policies restricting the amount of vacation in any rotation. You cannot be post-call on the first day of vacation. 

Professional Leave: Maximum of seven working days per year (note: weekends are not considered “working days” for this purpose.) Residents DO NOT need to be attending a seminar, course or conference to take a professional leave day, and the resident does not need to provide proof of what the day was used for. 

Residents are entitled to take paid leave for the purpose of taking any Canadian or American professional certification exam. This leave time includes the date(s) of the exam and reasonable travel time to and from the exam site.

Holiday and Lieu Time


Holiday and Lieu Time


All house staff are entitled to the following recognized holidays: 

New Year’s Day

Family Day

Easter Friday

Victoria Day

Canada Day

August Civic Holiday (Simcoe Day)

Labour Day

Thanksgiving Day

Christmas Day

Boxing Day

One Floating Holiday* 

 

 

 

 

*A floating holiday is defined as a paid holiday taken at a time chosen by the resident. A program CANNOT tell a resident when to take their floating holiday. 

Christmas/New Year’s: All house staff are entitled to five consecutive days off during the 12-day period encompassing Christmas Day and New Year’s Day. These five days account for Christmas Day, New Year’s Day, Boxing Day and two weekend days. Each resident must get either Christmas or New Year’s Day off. Residents do not get additional lieu days for working on either of the statutory holidays during the period.

Lieu Days: Where a resident works any part of one of the recognized statutory holidays, excluding Christmas Day, Boxing Day and New Year’s Day (see above), they are entitled to a lieu day to be taken at a time mutually convenient within 90 days of the holiday worked. This includes residents working home call for any portion of the 24 hours of the date of the holiday. 

Religious Holidays: If you observe religious holidays that are not specifically listed in the Collective Agreement, your program may have a duty to accommodate your religious practice to the point of undue hardship (“undue hardship” may include a number of factors, such as patient safety, the hospital’s service requirements, and the resident’s educational or training requirements). It is your responsibility to request accommodation, explain what measures of accommodation are required and allow a reasonable time for a reply.

Benefits


Benefits


Overall Benefit Maximum: Unlimited
Deductible: $15 individual & $25 family per benefit year
Benefit Year: July 1 to June 30
Benefit Percentage (Co-insurance): 100% for hospital care, drugs, vision care, professional services, medical supplies and services 

Medication

Your Pay Direct Drug Card provides your pharmacist with immediate confirmation of covered drug expenses. This means that when you present your Pay Direct Drug Card to your pharmacist at the time of purchase, you and your eligible dependents will not incur out-of-pocket expenses for the full cost of the prescription. 

Vision Care

Eye exams, to a maximum of one exam in any 24 consecutive months, purchase and fitting of prescription glasses or elective contact lenses, as well as repairs, or elective laser vision correction procedures, to a maximum of $250 in any 24 consecutive months 

Professional Services

The following services will cover $500 per benefit year:

Chiropractor
Podiatrist/Chiropodist
Massage Therapist
Speech Therapist
Physiotherapist
Psychologist\Social Worker (MSW)
Acupuncturist

Dental

Deductible: Nil
Benefit Percentage (Co-insurance): 

  • 85% for Basic Services - Level I
     
  • 85% for Supplementary Basic Services - Level II

Benefit Maximums: Unlimited for Level I and Level II (some restrictions apply, check website for more details) 

Dental Recall: Dental recall examination every nine months except for eligible dependent children age 18 and under, one examination every six months. 

How do I get reimbursed? 

At the beginning of every year, a $25 processing fee will be deducted from the first claim. This is standard and not negotiable. All required forms must be completed and signed. Option for direct bank deposit is possible. 

Please refer to the PARO website for full details or to Manulife Group Benefits (log in required). Benefits are administered by a resident’s pay centre. Residents can obtain detailed benefits booklets from their pay centre. 

Sick Leave and Accidents


Sick Leave and Accidents


As outlined in the PARO contract, a resident shall not suffer loss of salary or employee benefits because work cannot be performed due to illness or injury. 

The contract allows for continuation of salary up to six months of the end of the appointment year. In essence, this time covers anything from a single sick day up to the end of the six-month time period. Benefits will be maintained and continued until the end of the appointment during such medical disability. For further information, please refer to Article 14.1 of the PARO-CAHO Agreement. 

If you feel you are unable to report to work due to illness or injury, you should notify the appropriate team members on your rotation in sufficient time. 

What Do I Do If I Have a Needle Stick Injury? 

The majority of these cases are handled through the hospital / clinic you are working with. Protocols are usually in place through occupational health. Be sure to contact them immediately in such instances. You and the patient may be required to complete blood work. 

What About a Work Place Injury? 

Again, it would be important to report such injuries to the health centre’s occupational health department. In the event of a long-term illness or injury, the PARO contract guidelines outlined above also apply. 

Pregnancy and Parental Leave


Pregnancy and Parental Leave


Many residents may contemplate having a child before their residency is complete. If so, congratulations! You may be wondering how a pregnancy or parental leave may affect your residency and/or income. 

If you read nothing more, know that a great PARO resource exists that clarifies the PARO contract and guides you through the process. Click here to be directed to that resource.

The PARO office is also very helpful for clarifying questions related to your particular situation. 

Qualifying for Pregnancy and Parental Benefits

  • Benefits are government issued (EI).
     

  • Service Canada requires a person to have accumulated 600 insurable hours in the previous 52 weeks.
     

  • You are entitled to be credited for actual number of hours worked, rather than work hours recorded for payroll, as per Attachment 11 “Employment Insurance Hours of Work” in the PARO-CAHO Agreement.
     
  • If you do NOT meet requirements for EI, you are still legally entitled to protected time off (albeit unpaid) under the Employment Standards Act. The protected time off would be of the same duration as those of EI pregnancy and parental leave benefits.
     

Hospital’s Supplemental Unemployment Benefit Plan

  • The PARO-CAHO agreement also provides a supplemental income top-up for those residents who are eligible for EI, for a maximum of 25 weeks.

  • The top-up will ensure you receive approximately 84% of your normal weekly earnings for those 25 weeks.

Note: To be eligible for the top-up, PGY-1’s must have worked 13 weeks of continuous service.
 

Pregnancy and Parental Leave

Applying for Benefits 

  • Applications for benefits can be made online through Benefit Online Application or in person through any Service Canada Centre.
     
  • Documents needed:
    • Social Insurance Number, Record of Employment (ROE), which can be provided through your payroll department, ID, complete bank information, and expected or actual date of birth 
       
  • There is generally a two-week unpaid waiting period from the time of application approval by Service Canada and the first EI payment. www.servicecanada.gc.ca
     
  • Some other useful things to be aware of that are summarized in the link listed above include: 
     
    • You do not have to do call after 31 weeks gestation.
       
    • Call the CMPA prior to the start of your maternity leave (or soon after it starts) to put your CMPA dues on hold for the duration of your leave. You can then call them before your return to work date to restart your CMPA coverage.
       
    • Residents who take pregnancy and parental leave (e.g. biological mothers) accumulate vacation for the entire length of their leave, up to 52 weeks.
       
    • Unused vacation can be carried over into the following appointment year. This vacation, along with your accumulated vacation, can be taken immediately prior to restarting work or at a mutually agreed time (between you, your preceptor/program).
       
    • Professional days cannot be carried over and expire with each appointment (postgraduate) year.
       

Another thing to consider when planning your maternity leave is that you must give four weeks written notice of the intended timing of your pregnancy and/or parental leave. 

For further information about pregnancy and parental leave benefits, consult the PARO-CAHO 2011–13 Agreement (specifically Articles 11.5, 14.1 and 15). You may also wish to consult the Service Canada website regarding Employment Insurance benefits. 

Remediation


Remediation


No one plans for remediation to be a part of his or her career path. When it does happen, it can be extremely stressful. Fortunately, Ontario PGME programs are well equipped to deal with the process, as should you be. Below is a list of school-specific links to remediation policies outlining the process, who is involved and requirements. Also included are links to each program’s support services for residents, which may include how to obtain a family doctor and how to access wellness and mentorship programs. Many schools also offer Resident Guidebooks that include useful information. 

School-Specific Remediation Policy and Support Links 

Professional Association of Residents of Ontario 

PARO is another great resource for residents undergoing remediation 

Whether it’s offering strategic advice or acting as an intermediary, PARO can play a key role in an appeal process if necessary. While PARO won’t take sides in an academic dispute on its clinical or academic merits, we will take a position on procedural matters, helping you through the process of appealing a clinical assessment that you believe is incorrect or unfair, as well as providing some related advice. 

In some cases, where PARO believes that the underlying issues raise matters of general importance to our membership, we may independently intervene on your behalf. 

Five Ways PARO Can Help 

  1. Identify the hierarchy of people to appeal to, such as the clinical supervisor, program director, director of postgraduate education, associate dean of postgraduate education, chairman of the university, faculty of medicine appeals committee, and the governing council of the university.
     
  2. Advising you about who to approach, and in consultation with our law firm, provide preliminary and, in some cases, ongoing tactical and strategic advice, including assisting you with the preparation of written materials.
     
  3. Providing informal advice or acting as an intermediary in answering certain questions or obtaining information on your behalf. For example, PARO may phone the Royal College or CPSO for advice to ensure your anonymity.
     
  4. Keeping records of conversations, advice and correspondence and maintaining confidentiality.
     
  5. Generally, a preliminary consultation and related follow-up with our lawyers is paid for by PARO. However, save in those few cases where PARO determines the matter is one of general importance, PARO will advise you that you are responsible for any additional legal fees incurred once any formal appeal process is initiated. In other words, if PARO or its counsel have not been able to assist the resident to resolve the matter informally, without the need to formally appeal and request a hearing, further costs are the responsibility of the resident.

Certification Examinations in Family Medicine


Certification Examinations in Family Medicine


There have been recent changes to the certification examination in family medicine. In Spring 2014, residents began taking a Harmonized Exam, which combined both the LMCC Part II and the CCFP exam. However, as of 2016, the harmonized format will no longer be offered. Candidates will be required to register separately for the CFPC’s certification exam and the MCCQE Part II. Please refer to the CFPC website

Separate Exams (beginning 2016)

 LMCC Part II: OSCE (Objective Structured Clinical Exam) with eight 10-minute stations and eight 5-minute stations with 5-minute post-encounter probes.

CCFP Examination:

SAMPS (Short Answer Management Problems): 40-45 SAMPs to test recall of factual knowledge and problem solving abilities in the areas of definition and management of health problems and critical appraisal.

SOOs (Simulated Office Orals): 5 SOOs designed to simulate a real clinical encounter. East lasts 15 minutes and includes a patient (the examiner) who will present with a primary and secondary complaint, which the examinee must uncover.  The examination will assess both the definition and management of each health problem. The scoring system focuses on the candidate’s approach to dealing with patients—including their ability to understand the patient's unique experience and to establish a positive doctor-patient relationship, using a patient-centered clinical method.  Getting the "right diagnosis" plays only a minor role in the scoring. 

Examination fee (2017) = $2,902

Continuing Medical Education and International Medicine


Continuing Medical Education and International Medicine


Continuing Medical Education (CME) on the Road

Each year, the Ontario College of Family Physicians offers several venues for continuing professional development, including the Emergency Primer for Family Physicians and many others. Please refer to the CME Event Calendar at ocfp.on.ca/cme/calendar 

Each university also offers local CME workshops:

McMaster University
Northern Ontario School of Medicine
Queen’s University
University of Ottawa
University of Toronto
Western University

Online Continuing Medical Education

  • Online CMEs are a great alternative to attending courses and conferences, which can be quite expensive
     

Conferences

Major Conferences

Rural and Remote Medicine

American Academy of Family Physicians: Family Medicine Experience (FMX)

CFPC Family Medicine Forum (FMF)

OCFP Annual Scientific Assembly

PriMed Canada

International Medicine

  • Most residency programs allow international electives as part of the global health curriculum. Speak to your program coordinator about specific international connections to facilitate setting up an opportunity.
     
  • Many organizations offer international medical work (short or long term) for post-residency: 
     
  • International Medical Volunteers Association provides great general info and tips, as well as information about the major health aid organizations.
     
  • Key points to consider: 
     
    • Licensing requirements
       
    • Documentation (e.g., passports and Visas)
       
    • Pre-trip vaccinations and prophylactic medications (e.g., malaria)
       
    • Insurance: professional, health, travel, disability
    • Local language and living conditions

MAINPRO (Maintenance of Proficiency)


MAINPRO (Maintenance of Proficiency)


The CFPC program for Continuing Professional Development (CPD) allows physicians to document and maintain their continuing education and provides methods for evaluating CPD programs.

Please visit www.cfpc.ca for up-to-date details.

How MAINPRO Works

  • When you join CFPC as a member, you start your first five-year MAINPRO cycle
  • In each cycle, you must accrue a minimum of 250 credits. Minimum of 25 credits per year (starting in 2013)
  • Of those, at least 125 must be either M1 or MC (see below) and up to 125 can be M2
  • Reporting MAINPRO credits is done online.
  • Proof of participation must be provided to CFPC for MC credits, but not for M1 or M2 credits.
  • You must retain proof of participation in all types of MAINPRO credits for at least six years because members are  randomly selected for credit validation.
  • Some family practice models also provide financial compensation for participation in CME ($25 per 15 minutes).

 

MAINPRO Changes (2015)

  • Starting in 2015, the way you earn and report CME/CPD credits is changing.
  • Reporting categories are easier to understand
  • Opportunities to earn credit for more practice activities
  • Select CPD activities earn up to 3 x more credit
  • New user-friendly online portal
  • Reporting credits from your smartphone (yes, there’s an app for that!)




Group Learning



Self-Learning

 

Certified
(Formerly “Accredited”)

Conferences
Hospital Rounds
Journal Clubs, etc.

Online CPD Programs
Learning linked to Teaching, Research, etc.

 

Uncertified
(Formerly “Unaccredited”)

Non-Industry Events
AAFP Elective-Credit CPD
Uncertified Rounds, etc.

Journal Reading
Manuscript Preparation
Podcasts, CDRoms, etc.

 

Assessment

Simulation-based Activities, Practice Audits, 360° Reviews, Teaching Assessments, etc.

 

Types of MAINPRO Credits

  • M1 credits are linked to structured learning programs that focus on enhancing knowledge and skills integral to family medicine such as accredited/certified conferences, courses, and workshops; accredited hospital/clinical rounds and journal clubs; interactive, Internet-based CME; and Self Learning from CFPC).
  • M2 credits are linked to self-directed, unstructured CPD/CME activities such as reading journals, teaching and pod casts, speaking engagements, presentations, as well as non-CFPC accredited/non-certified live events, conferences, courses and workshops.
  • MC credits are linked to activities that promote performance and quality improvement and include a self-reflective component such as practice audits and accredited practice-based small-group learning (e.g., McMaster developed Problem Based Small Learning Group (PBSLG) modules).

MAINPRO and Residents

  • Residents are not required to participate in MAINPRO; however, many residents participate in MAINPRO- eligible activities, such as conferences and ACLS.
  • CFPC encourages residents to track their MAINPRO activities - credits (up to 30 M1 and 5 MC) can be carried forward for their first MAINPRO cycle.
  • To learn more about reporting these credits visit: www.cfpc.ca/reportcredits

  • Note that only activities outside of your residency program can be claimed, for example mandatory teaching at your site does not count.

The CFPC Self Learning program is free to residents, allows you to collect M1 credits, and has practice SAMPs available for exam preparation. Visit http://cfpc.ca/sli/.

MainPro C+ is coming June 27, 2016. For more information click here  

Enhancing Skills: PGY-3 Opportunities


Enhancing Skills: PGY-3 Opportunities


If you are thinking about adding a third year of residency to enhance your skills, there are a wide variety of programs to choose from across Canada.

Why do residents choose to pursue extra training through a PGY-3 program?

  • They have an area of special interest
  • They plan to devote a portion of their practice to a specific area
  • They would like more experience in a specific area
  • They plan to work in a community with a specific health-care need
  • They want to pursue a Master’s Degree or do extra research in a specific area (e.g., academic family medicine)

 

PGY-3 Quick Facts

  • Most PGY-3 years begin July 1 (some programs will make accommodations).
  • Applications usually open near the end of the summer of PGY-2.
  • Requirements typically include a cover letter, references, an up-to-date CV, an application form and a letter of support from your program director.
  • Deadlines for application are usually the end of September of PGY-2.
  • Emergency Medicine is currently the only program that requires a Canadian Resident Matching Service (CaRMS) application.
  • Programs generally range from three months to one year.
  • Many programs allow you to design your own PGY-3 program tailored to your learning needs.
  • Some programs require a Return of Service Agreement (ROSA), which requires, in most cases, a year of service to an underserviced area for a year of funded training.

 

Tips for a Successful PGY-3 Application

  • Each university and program has different timelines and requirements, so start researching them early.
  • Try to arrange an elective in the specialty and/or location of your choice.
  • Talk to current residents in your program of choice. As them if they are happy with the structure of the program.
  • Contact the program director by email or in person to ask questions and let them know you are interested in their program. Putting a face to the application can really distinguish you from other applicants.

 

Emergency Medicine

For program-specific information and exact time-lines please visit www.carms.ca.

  • Online CaRMS registration usually begins in the August prior to commencement of the program, with final submission of applications at the end of September.
  • The interview period usually spans a month, in late Fall, with the final match day sometime in mid-December.
  • Each program requires a personal letter plus three reference letters and a letter of good standing from your program director; some programs also require a CV.
  • The number of positions at each university can vary each year

Certification Programs

Certifications at the end of PGY-3 year (12 months) are offered for the following specialities:

  • GP Anaesthesia
  • Palliative Care
  •  Emergency Medicine
  • Care of the Elderly

Ontario University PGY-3 Program Descriptions

Please see program websites for complete descriptions, number of positions and application timelines.

CFPC Exam Resources


CFPC Exam Resources


Free Online

SOO Success Infographic - Free for those who signup for the Review Course Study Tips e-mail

Select Guidelines/Helpful Links - Compiled by the Review Course

99 Topics for the CCFP Study Notes - Free and updated pdf for the exam

Calgary Overview of SAMPs - Last updated in 2016

McGill Family Medicine Orientation to the Exam - Last updated in 2015

CCFP Prep - Blog by UBC resident on the 99 topics (last update 2015)

UBC Wiki-Notes on the 99 topics - Initially compiled by class of UBC 2012

U of Manitoba CCFP Exam Study Tips

 

 

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