Why Apply (Residency Program Overview)
The program is fully accredited by the College of Family Physicians of Canada (CFPC). The successful completion of the program along with success on the CFPC examination leads to certification in the specialty of family medicine.
The family medicine residency program at the University of Toronto is composed of three streams:
Family medicine is the central component of learning. At present, all residents spend at least eight months of the 24-month program in family medicine. Residents see themselves as family doctors from the first day in the program. Half-days back to family medicine on all rotations promote continuity of care with patients. Seven of the teaching units operate in the horizontal model in which family medicine time is spread evenly over the two-year program, resulting in residents attending to their patients three days per week throughout the program.
Our residents also have the opportunity to tailor their program through numerous selective and elective choices.
As a leading academic department the University of Toronto Department of Family and Community Medicine (DFCM) has a strong commitment to social accountability which includes our commitment to do all we can to improve the health and well-being of Indigenous people in Canada. The DFCM needs to be a safe and respectful place that embraces this nation’s Indigenous Peoples and heritage. The DFCM is seeking to ensure that all our faculty and staff and residents are culturally aware and culturally sensitive.
One way we can contribute to improving the health of Indigenous people in Canada is by actively supporting the training of more Indigenous people as medical students and as family doctors. The DFCM seeks to become a family medicine residency training program of choice for Canada’s Indigenous medical graduates. The DFCM is inviting Indigenous applicants to our residency program to identify themselves in the personal letter included as part of their CaRMS application to any of our 3 geographical streams. Please note that there are no fixed quotas.
- 24-month comprehensive educational program with a competency-based curriculum building on the CanMEDS-FM framework and roles
- A minimum of four months of Family Medicine training in each of first and second year divided into a Block or Horizontal curriculum
- Block Curriculum includes 4 months of family medicine experience in 1-month blocks (combined as determined by each site), with one half-day of FM per week over the two-year period to provide continuity of patient care.
- Horizontal Curriculum offers equivalent exposure longitudinally as three half-days per week over two-year period
- Clinical Specialty Rotations may vary by site based on excellence of educational experience and resources
- Teaching Practices introduce residents to two months of community teaching practice in their second year of residency as part of their core FM training
- Protected Academic Half Days (AHD) with weekly teaching seminars/workshops; the majority delivered locally at the site. There is a central mandatory topic list which is supplemented by site-specific needs as determined by site leadership involving site program directors/ delegates and chief residents
- Quarterly Core Days with all FM residents present covering topics of particular importance in Family Medicine
- Quality Improvement Curriculum and Project Development
- Research/Academic Project required
- Three streams with diverse sites in each stream
- Horizontal or Block rotation schedule
- Hospital-based family medicine teaching unit (FMTU) or preceptor-based teaching models
- Tertiary centers or community hospitals
- Multiple opportunities for electives (independently arranged based on interest) or selectives (resident selects from focused list of options
- Family Medicine Residents Association of Toronto (FRAT)
- The resident-led council comprised of chief residents and PGY1 reps from each site and stream as well as committee reps & social reps
- Committee memberships (both local, provinical and national)
- Local delivery of curriculum (responsive to site directors/program assistants and site chief residents)
- Professional Association of Residents of Ontario General Council representation relative to program size
- Diverse patient population (broad range of clinical, socioeconomic, cultural issues)
- Unparalleled learning opportunities
- Excellent teacher to learner rations (does not exceed 1:4 in Family Medicine)
Strong Academic Profile
- Fully accredited by the CFPC 2013
- High pass rates for both CMG and IMG residents on national certification examination
- Scores consistently above the mean on all components of national exam
- Competency-based Curriculum
- Family Medicine Mandatory Assessment of Progress (FM-MAP) for residents to self-monitor progress on Essential FM competencies
- Opportunity and support for Research/Academic Projects
- Quality Improvement Curriculum and project support
- Protected weekly academic time at sites (Academic Half Days)
- Protected Quarterly Core Days with central core teaching with residents together from all sites
Highly rated optional and/or additional DFCM Courses
- Practice Management Curriculum with core teaching for all residents
- Teaching Residents to Teach (TRT)
- Counselling Skills Education Program (CSEP)
- Procedural Skills
- Advanced Cardiac Life Support (ACLS)
- Neonatal Resuscitation Program (NRP)
- Advances in Labour and Risk Management (ALARM)
Breadth and quality of PGY 3 Enhanced Skills Opportunities
- Addictions Medicine
- FP - Anesthesia
- Breast Diseases
- Care of the Elderly
- 6-month Clinical Palliative Care
- 12-month Palliative Medicine
- Emergency Medicine
- Clinical Environmental Health
- Clinician Scholar Program/Education Scholar Program
- Academic FM-Hospital Medicine
- Global Health and Vulnerable Populations
- Low Risk Obstetrics
- Sports and Exercise Medicine
- Women's Health
Frequently Asked Questions
1) How does the internal match work?
After matching to the Family Medicine Program at the University of Toronto, a Virtual Open House is held by web-conference to provide more information about each teaching site and as an opportunity to have additional questions about individual sites answered. Each resident will then complete a rank list of all teaching sites in the stream to which they have matched. Most residents in the CMG – GTA Match receive one of their top four choices. Electives can always be booked at different hospitals and clinics to ensure desired breadth and depth of experience is achieved.
2) What are the main differences between the teaching sites?
There are 12 family medicine teaching sites in the Greater Toronto Area stream. The Barrie or Newmarket stream is a separate choice with residents selecting either site and residents in the Rural Stream matching to one of four sites: Midland, Port Perry, Orillia or Grandvalley/Orangeville. Each hospital has a slightly different curriculum with potential for different areas of focus that can be explored by residents. However, the requirements of the College of Family Physicians of Canada are adequately met at every site. You will learn more about the individual sites at the interview day and by reading the information available on the DFCM website. For more information about the sites, you can contact the chief residents at the respective site who would be happy to help!
3) Do residents have a say in the running of the residency program?
The U of T administrative staff welcomes any suggestions for program improvement. Resident participation runs primarily through F.R.A.T. (Family Residents Association of Toronto) which is an organizational council that acts as a link between administrative staff, program directors, and residents. It is comprised of chief residents, PGY1 reps, and committee members from all sites and streams. Residents also have the option of sitting on various committees, including the governing committee (FRAT Presidents sit on the Residency Program Committee) and PARO. The Administrative bodies, from a resident perspective, are consistently responsive to resident needs and advocacy.
4) How much elective time does the program offer?
Each hospital site varies with respect to the amount of time allotted to electives. The minimum would be two or three months over the two years. As well, many of the sites include selectives in the curriculum. There is a diverse range of electives given the tremendous opportunities for clinical work in various specialities at U of T.
5) Is there formal teaching as part of the curriculum?
Teaching sites offer a half day per week for formal teaching. This Academic Half-Day is considered protected teaching time, meaning that your attendance is expected regardless of your rotation. Program directors from other specialities are aware of this protected and prioritized time and should allow you to attend. The lectures vary from week to week but always have a focus on topics important in primary care. In addition to these academic half days family medicine residents from all teaching sites will come together every few months for a focused day of seminars and lectures at the Central Core Days. Additional all residents come together a few times each year for a curriculum in Practice Management.
6) What types of opportunities are available for a 3rd year of training?
The University of Toronto offers many high-quality 3rd year enhanced skills programs; including Women's Health, Emergency Medicine, Sports and Excercise Medicine, Low-risk Obstetrics, Care of the Elderly, Clinician Scholar Program/Education Scholar Program, Addictions Medicine, Palliative Care and others. We continue to innovatively develop new programs such as our Global Health and Vulnerable Poluplations Enhanced Skills porgram. Contact: Dr Julia Alleyne (PGY3/Enhanced Skills Coordinator) via Valerie Hilderal (PGY3/Enhanced Skills/Division of Emergence/SEME Program Administrator) at firstname.lastname@example.org
7) How are U of T family residents treated on off-service rotations?
The program directors at each site work hard to ensure that the family medicine residents are receiving the respect they deserve. Overall, family medicine residents are treated very well on off-service rotations at U of T.
8) What is call like? How often and how gruelling?
The call schedule adheres to PARO guidelines and depends both on the hospital site and the specific rotation. Residents will do no more than 1 in 4 in-hospital call or 1 in 3 home call. Traditionally, rotations like internal medicine and general surgery have more rigorous call schedules, while other rotations allow for less frequent call.