Rural Northern Initiative

Looking for an adventure? Ready to shake up your routine?

In just two weeks of your time, you will be contributing to a community in desperate need of assistance and help expose DFCM residents to exciting and rewarding work available in northern Ontario. 

The Rural Northern Initiative (RNI) is a joint project between the Ministry of Health and Long-Term Care (MoHLTC) and DFCM that provides medical care in small northern Ontario communities facing a physician shortage.

How it works

DFCM faculty members visit participating communities for 2-week locum style visits along with a PGY2 family medicine resident from U of T.

Faculty members are remunerated for their participation by the Ministry of Health.

Most visits begin on a Monday morning (which means travelling on Sunday) and finish the following Friday afternoon. You will be on call one of the weekend days. Work includes clinic-based family medicine, inpatient coverage, and some ER coverage. Obstetrical coverage and Minor Surgical Services (“lumps and bumps”) are optional.

Why participate

  • Have an adventure (that's paid!)
  • Challenge yourself to expand you skills and experiences 
  • Sharpen your clinical and teaching skills 
  • Help teach and expose residents to practicing in Northern communities
  • Help communities facing physician shortages

Recent Family Medicine Graduates

  • Experience supervising residents
  • Ideal 6 months into independent practice
  • Professional development opportunities can be arranged through the DFCM RNI office (Maximum 2 month process)
  • Faculty Appointments can be facilitated through the RNI office

What skills and certifications do I need to participate?


 ACLS is required and ATLS strongly recommended. For faculty who commit to two trips per year the cost of recertification will be reimbursed by the program.

The Sunnybrook Health Sciences Centre (SHSC) website provides Avanced Life Support (ACLS) and Advance Trauma Life Support (ATLS) courses. Use the links below to access their webpages about the courses, which include course schedule / dates, fees and the registration form.


Do I need to find a resident?

Faculty members are welcome to choose a resident in their home pro-gram to accompany them.  Residents must be in their PGY2 year and on an elective or core family medicine rotation with permission from their program director.

Bringing a resident you know and trust can make the experience more fun for both of you. However, we can facilitate finding a resident for faculty members who prefer this.

Travel, accommodation and choosing a time to go

Faculty is responsible for booking their own travel and rental cars. The RNI office will put you in contact with the administrative contact person in the community to arrange local accommodations.

As a courtesy to our residents, we ask that faculty book and pay for flights, rental cars and accommodation for themselves and the resident. Reimbursement forms for these expenses are available from the RNI office and should be completed promptly on return from your trip.

Any 2-week period (12 days from a Monday to the following Friday) qualifies for an RNI rotation. Give us your dates as soon as you have them so we can find you a community.

* We recommend that you book economy flight tickets; Car rentals must be rented through the actual car rental site as the daily rate needs to be displayed


Faculty participants are paid a daily rate for clinic days worked, depending on the rurality of the community and the level of need. In addition to this daily stipend an hourly rate is paid directly by the community for ER work.

Please complete this form in order to be paid. 

Contact for more information

RNI Administrative Contact:  Fadia Bravo

RNI Faculty Contact:  Dr. Nadia Incardona


Phone: (416) 978-8530

Fax: (416) 978-8179

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