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RCPS Residency Program

Do your emergency medicine training at Dalhousie

Dalhousie Medical School offers a five-year residency program in emergency medicine that promises to develop you into a competent, skilled, well-rounded physician.

Why Dal?

  • Small program where you get to know the faculty well 
  • An array of fourth-year opportunities: Critical care, masters degrees, airway education, EMS, wilderness medicine, inner city health
  • Faculty expertise in airway management, EMS
  • Flexibility in rotation schedule
  • Great medium-sized city with lots of amenities and good quality of life 
  • Seven beaches within a 40-minute drive 

The program

At Dalhousie, we aim to produce leaders in emergency medicine; physicians who'll be active not only as clinicians, but in non-clinical areas as well.

Clinically, residents will progress in the following ways:

Year 1: Learn to properly assess and establish treatment plans for individual patients.

Year 2: Acquire the skills to be able to manage any one patient, no matter how unstable, with staff present to supervise/educate. To this end, residents will spend six months of this year in ICU settings (neurosciences, ICU, MICU, and CCU).

Year 3: Learn to manage multiple patients efficiently, without compromising patient care.

Year 4: Continue management of multiple patients while being involved in clinical teaching of more junior house staff.

Year 5: "Run" the department: handle multiple patients while maintaining teaching and attending to administrative issues required of a practising physician while on duty.

Academic/research

There's a formal research curriculum with objectives stratified by year. Residents from the PGY-2 level and up are required to present their research at the annual emergency medicine research day. Residents not completing a masters program are required to complete an original scholarly project during their training suitable for presentation at a national meeting.

You'll have access to an evidence-based medicine (EBM) course designed by experts within our department and focused on emergency medicine. At the end of the PGY-2 year, you're expected to submit a critically appraised topic (CAT) suitable for publication.

Administration

You'll undertake a longitudinal modular-based administration rotation composed of core and selective components, and you'll be assigned roles on various departmental committees. We feel that being exposed to the theory during a one-month rotation doesn't allow residents the chance to learn the dynamics of administrative issues.

As part of this rotation, you'll complete a project germane to the functioning of the academic department under close faculty supervision.

Education

We have three faculty members cross-appointed in medical education in our department, so this is an important area in this program.

You'll complete a one-month rotation in medical education that is offered and designed by faculty members of the Department of Emergency Medicine. This core month will be centered on didactic teaching methods, clinical teaching skills and evaluation methodology. You'll also spend time teaching medical students at the skills lab as well as during their clinical shifts in the emergency department.

Pre-hospital care

The Dalhousie Department of Emergency Medicine is recognized nationally as a centre of excellence for pre-hospital care.

Core time is spent learning under direct supervision of the division head about the organization and coordination of EMS, understanding the challenges and benefits of ground and air transport, the response to land and marine disasters, participating in ride-alongs and the teaching of Paramedics.

Specific clinical rotations


Rotation Objectives
  [2,803KB]

(Each rotation serves as 4 weeks)

PGY 1

Rotation # Rotation Location
1 Internal Medicine QEII/SJRH
2 Internal Medicine QEII/SJRH
3 Psychiatry QEII
4 Surgery QEII
5 Surgery QEII
6 Pediatric Emergency Medicine IWK
7 Pediatric Anesthesia IWK
8 Emergency Medicine QEII
9 Emergency Medicine SJRH
10 Emergency Medicine SJRH
11 Adult Anesthesia SJRH
12 Plastics QEII/SJRH
13 Plastics QEII/SJRH

PGY II

Rotation # Rotation Location
1 ICU QEII
2 ICU QEII
3 ICU QEII
4 Emergency Medicine QEII
5 Emergency Medicine QEII
6 Emergency Medicine QEII
7 CCU QEII
8 Neurosciences (Neurology) QEII
9 Neurosciences (Neurology) QEII
10 Pediatric Emergency Medicine IWK
11 Pediatric Emergency Medicine IWK
12 Orthopedics QEII
13 Orthopedics QEII

PGY III

Rotation # Rotation Location
1 Pre-hospital QEII
2 Research QEII/SJRH
3 Medical Education QEII
4 Elective TBA
5 Pediatric ICU IWK
6 Pediatric Emergency Medicine IWK
7 Community Emerg Med DGH
8 Emergency Medicine QEII/SJRK
9 Emergency Medicine QEII/SJRH
10 Emergency Medicine QEII/SJRH
11 Plastics SJRH
12 EDTUS/EM QEII
13 Trauma Various

PGY IV

Rotation # Rotation Location
1 Administration QEII
2 Research QEII
3 Toxicology QEII
4 Emergency Medicine QEII
5 Emergency Medicine QEII
6 Emergency Medicine QEII
7 Anesthesia QEII
8 Elective TBA
9 Elective TBA
10 Elective TBA
11 Elective TBA
12 Elective TBA
13 Elective TBA

PGY V

Rotation # Rotation Location
1 Emergency Medicine QEII
2 Emergency Medicine QEII
3 Senior Trauma QEII
4 Emergency Medicine QEII/SJRH
5 Emergency Medicine QEII/SJRH
6 Emergency Medicine QEII/SJRH
7 Pediatric Emergency Medicine IWK
8 Pediatric Emergency Medicine IWK
9 Research QEII/SJRH
10 Research QEII/SJRH
11 Elective TBA
12 Elective TBA
13 Elective TBA

Trauma will be learned in emergency rotations, with a senior resident covering trauma call during emergency rotations in Halifax.

Toxicology will be based at Dalhousie under the supervision of a fellowship-trained toxicologist, with ample time available in electives for those who wish to pursue further training in this area.

The strengths of our program are education and pre-hospital care. We have an expectation that graduates will be strong clinicians. We also expect that residents will aim to develop an expertise in one of these fields, go on to sub-specialize in their fifth year, or stream into a masters program followed by a career in research.

The Royal College of Physicians and Surgeons program provides protected time for original research as well as more in-depth exposure to topics such as pre-hospital care and administrative management. For residents wishing to pursue a masters degree, elective and research blocks can be grouped together in the PGY-4 year to allow time for completion of course work.

Application process

Canadian Resident Matching Service (CaRMS)
151 Slater Street, Suite 802
Ottawa, ON  K1P 5H3
Phone: (613) 237-0075
Fax: (613) 563-2860

Transfer from another residency program to Royal College emergency medicine program

Every year, there are several requests from residents to transfer from a residency program into the emergency medicine program. In order to make the process both fair and transparent, the following process is in place:

  1. We'll only consider residents who've been in their program for at least 17 months.

  2.  a) A letter of interest that explains the reason for transfer request must be sent to the emergency medicine program director on (or about) December 1st.
     b) A meeting to discuss the transfer will then be arranged as soon as possible.
     c) If the letter and meeting support further consideration of a transfer, you'll be asked to discuss the matter with your current program director (if not already done) and the associate dean of postgraduate medical education.

  3. a) Transfer of funding from one program to another will have to be clarified before proceeding.
    b) If there are no procedural restrictions to the transfer, you'll be asked to provide similar materials to the CaRMS match including transcripts, CV, a minimum of three references and a letter of support from the program director.
    1. The application will be reviewed by the Department of Emergency Medicine application/interview committee; the committee will decide if it'd like to meet with you during the annual CaRMS interview process in February.

This structure maintains a standard approach and ensures that residents are at least comparable to candidates we would invite for interviews in the CaRMS match.

Following the interview, you'll be quickly notified of the decision to continue or end the transfer process.

If you're accepted into the program, the Royal College and Dalhousie Medical School's Postgraduate Medical Education Office have a standard process for evaluating training credits and selecting the PGY training level.

Program contacts

Dalhousie University
Department of Emergency Medicine
Halifax Infirmary Hospital
1796 Summer Street, Suite 355
Halifax, Nova Scotia  B3H 3A7
Canada

Jennifer Day
Postgraduate Education Coordinator
Phone: (902) 473-4220; Fax: (902) 473-3617
E-mail: jennifere.day@nshealth.ca

Dr. Janet MacIntyre, MD, FRCPC
Program Director, Royal Collage Residency
Phone: (902) 473-4220; Fax: (902) 473-3617
E-mail: jkmacint@dal.ca