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Program Curriculum

The 鶹ýվ General Internal Medicine Residency Program, like all RoyalCollege-accredited GIM programs, fully transitioned to the Royal College Competence by Design(CBD) framework in July 2019. The minimum amount of training time is 2 years, with funding for extension of training being assured in cases where the 鶹ýվ GIM Program Competence Committee and Faculty Program Promotions Committee/Competence Committee deems necessary.

The 鶹ýվ GIM Program includes all of the training experiences required by the Royal College in order to provide the basis for achieving competence in all of the GIM Entrustable Professional Activities (EPAs). These are available on the Royal College website.

Practically, residents must complete required training experiences nested within stages of training. As befits a generalist specialty, there are extensiveelective opportunities and these provide breadth and depth to subspecialty consultant expertise and/or procedural and/or academictraining, tailored by the resident themselves to theirchosen career path. Times within specific CBD stages of training may be adjusted by the Program Competence Committee depending on the resident's academic portfolio.

Four core teaching hospitals: 鶹ýվ Health Centre (Montreal General Hospital and Royal Victoria Hospital-Glen site), the SirMortimer B. Davis Jewish General Hospital and St. Mary's Hospital Centre provide training, as do a large number of collaborating hospital sites which offer rich training opportunities in community ICU and non-metropolitan.non-tertiary "community" GIM.

Required Training Experiences by stage of training:

Transition To Discipline (TTD) (4 weeks)

  • General Internal Medicine Consults Service (GIMCS) at the Jewish General Hospital (Inpatient or ERC), Royal Victoria Hospital-Glen site (ED), Montreal General Hospital (Inpatient), Lakeshore General Hospital (Inpatient/ED), hopital Notre Dame (Inpatient/ED), Valleyfield (Inpatient/ED), Verdun (Inpatient/ED)
  • Hospitalist/Clinical Teaching Unit (CTU) at the JGH, RVH, MGH, St. Mary's Hospital Centre, HND, Verdun

Foundations of Discipline (FoD) (8-12 weeks)

  • Longitudinal GIM consultant clinic
  • GIMCS
  • Hospitalist/CTU

Core of Discipline (CoD) (approx. 18 periods)

  • 8 weeks GIMCS with 4 or more weeks in a community centre with few non-GIM medical specialists
  • 4 weeks Hospitalist/CTU
  • 8 weeks Critical Care at JGH, MGH, RVH-Glen, St. Jerome, Hull, HND, Pierre Boucher
  • 8 weeks Obstetrical Medicine (max. 4 weeks at MUHC)
  • 4 weeks Perioperative Outpatient GIM clinics
  • 4 weeks Exercise Stress Testing
  • Longitudinal GIM consultant clinic
  • Electives as guided by future career plans and personal learning needs

Transition To Practice (TTP) (12 weeks)

  • 4 or more weeks nearly fully autonomous GIMCS and/or CTU

Rotation specific details below:

Jr Attending Team Leader Rotation

The resident will spend 8 weeksas a Jr Attending on one of the Clinical Teaching Units (CTU) (atJGH, MUHCor St. Mary’s) and/or on one of the ED GIMCS services (at JGH or RVH)during the two-year training period. The rotation can be done as a combination of 2-week blocks (i.e. 4 times 2 weeks or 2 times 4 weeks, or combinations thereof).

The faculty attending mustbe a member of the Division of Internal Medicine (exceptions must be reviewed and authorized by the Program Director).

The second 4 weeks must occur in a different site than the first rotation so as to ensure a broader experience in terms of CTU settings and academic staff. The resident will receive the CTU Attending schedule of the four hospitals as soonas they are available in the spring and will indicate their top four choices for co-attending site and period to the coordinator of the General Internal Medicine Program (Audrey Weizmann, 514-340-8222, ext. 23942, aweizman [at] jgh.mcgill.ca).Every effort will be made to honor the resident’s preferred sites and periods for Jr attending. Once the schedules are finalized, the resident will be notified of where they will be Jr attending and during which periods, as will the respective CTU attendings.

It is the resident’s responsibility to contact the attending with whom he or she will be working with at least 2-3 months prior to the start of the rotation in order to review their role on the CTU (please refer to goals and objectives for Jr Attending Team Leader rotation). The resident should also be familiar with the Department of Medicine Guidelines for Attending Physicians at their respective hospitals. Please see Appendix “B” describing the attending physician and trainee expectations for the Jr Attending Team Leader rotation.

It is the resident's responsibility to advise the attending 1 week before the start of the rotation of which homecall days they will take, including weekends/stat days at the 3 sites (JGH, MGH, RVH). It is also the resident's responsibility to notify Locating/Call Centre on the weekend/stat days in question to say that they are first call for that day.

The resident is expected to continue with his/her weekly half-day ambulatory clinic (JGH and MUHC), and attend all academic activities including the Clinical Scholars Program and the academic/division rounds presented at the sites of theirrotation.

CTU Directors:

  • JGH Dr. Joe Raffoul (7W) Contact: Audrey Weizmann aweizman [at] jgh.mcgill.ca
  • MGH Dr. Dev Jayaraman (15E) Dr. Laurence Green (17E) Contact: Karen DiRaddo karen.diraddo [at] muhc.mcgill.ca
  • RVH Dr. Joyce Pickering (C9 & D9) Contact: Victoria Plarinos victoria.plarinos [at] muhc.mcgill.ca
  • SMH Dr. Bruce Campbell Contact: Caroline Mackereth caroline.mackereth [at] ssss.gouv.qc.ca

GIM Consults Service Contacts:

  • JGH ED GIMCS Michelle Laurin mlaurin [at] jgh.mcgill.ca 514-340-8222, ext. 25634
  • RVH GIMCS Antoinette Sevensma antoinette.sevensma [at] muhc.mcgill.ca 514-934-1934, ext. 34132

Jr Attending Rotation - expectations :

Critical Care (ICU/CCU)

The resident is expected to complete 8 weeks of critical care medicine during their 2 years of GIM training and can begin to do so in the Core of Discipline stage of training. These can either be in ICU or CCU. The ICU rotation has to be booked through the Program office. The resident will be asked to submit their request by mid-May indicating a choice of periods and sites. As for the CCU rotation, it is the resident’s responsibility to arrange this rotation and to notify the Program office once it has been booked. This should be done early in the academic year. The resident will generally function as Critical Care Fellow during that period, supervising or co-supervising (i.e. if there is a cardiac or critical care fellow also assigned that month) the team of residents.

CCU: At the JGH and RVH, the GIM residents may be expected to participate in junior call. At the MGH, GIM residents will be scheduled for call duties from home, with the understanding that the resident is expected to be in-house when patient care requires it and is expected to return to the hospital for unstable admissions and at any time when the more junior trainees need support. The resident who has spent most of the night in hospital will be granted leave on the following day, in accordance with the resident’s collective agreement. It is highly recommended that the resident not take any leaves while on the CCU rotation. The CMR at each site is responsible for the call schedule and all call requests go to them (CMR.JGH [at] gmail.com, CMR.MGH [at] gmail.com or CMR.RVH [at] gmail.com).

ICU: During the 1st month in the ICU, the GIM resident will be scheduled for night duty in-hospital. This applies to all three sites (JGH, MGH & RVH). The resident will be scheduled for night duty from home in subsequent rotation months. Please see Appendix “A”, the new ICU rotation scheduling policy document prepared by Dr. Hornstein. The site-specific critical care unit administrator and not the Program office will be responsible for the call schedule (JGH: Antoinetta Maglio, amaglio [at] jgh.mcgill.ca; MGH/RVH: Diana Sarcone, diana.sarcone [at] muhc.mcgill.ca).

Please see below for contact information to arrange this rotation.

ICU CCU
JGH Dr. Dev Jayaraman
Contact: Audrey Weizmann
aweizman [at] jgh.mcgill.ca
Tel: 514-340-8222, ext 3942

Dr. Annabel Chen Tournoux
Contact: Alexandra Hauck / residency.cardiology [at] mcgill.ca
Tel:514-934-1934, ext 36151

MGH Dr. Dev Jayaraman
Contact: Audrey Weizmann

Dr. Murray Kornbluth
Contact: residency.cardiology [at] mcgill.ca

RVH Dr. Dev Jayaraman
Contact: Audrey Weizmann

Dr. Jacques Genest
Contact: residency.cardiology [at] mcgill.ca

Hull

Dr. Thomas Low

Contact: Audrey Weizmann

Notre Dame

Dr. Aurélie Chapdelaine

Contact: Lorraine Auclair / lorraine.auclair.chum [at] ssss.gouv.qc.ca

St. Jérôme

Dr. Véronique Busque

Contact: Marie-Claude Huot/marie-claude.huot.cissslau [at] ssss.gouv.qc.ca

Pierre Boucher

Dr. Ramzy Wahhab

Contact: Mélissa Turgeon/melissa.turgeon.cisssme16 [at] ssss.gouv.qc.ca


ICU rotation scheduling policy :

g

General Internal Medicine Consult Service

The resident can complete 4 weeksin general internal medicine consultation service (GIMCS) during the Transition toDiscipline (TTD) stage of training;8-12 weeks in theFoundations of Discipline (FoD); and 8 weeks in the Core of Discipline (CoD) stage of training with a minimumof 4 weeks in a communitycentre with few non-GIM medical subspecialists. ThisRequired TrainingExperience (RTE)can be done at any of the primary training sites, or other sites while in CoD stageupon approval of the Program Director, with no more than 4 weeks at any one site. The resident will be asked a choice of periods and every attempt will be made to honor these choices when the Program Office books the rotations. Rotations can be done as combinations of 2-week blocks (i.e. 6 times 2 weeks, 3 times 4 weeks, or combinations thereof).

Home call is expected during rotations at JGH, MGH, RVH and Lakeshore General Hospital. The scheduling varies at the three sites. The regulations for the maximum number of home calls, including the maximum number of weekends, is clearly outlined in the FMRQ collective agreement. This maximum should not be surpassed.

At the JGH, the GIMCS rotation incorporates 2 week-end calls. The resident can request which week-end they would like off. The week-end call will consist of call on both Saturday and Sunday. It is expected that the resident come in the morning, round on the service, see new consults and review with staff on call. The coordinator at the JGH will ask for call requests 2 weeks prior to the start of the rotation. There is no week-day home call at the JGH.

At the MGH, the resident is required to do 1 week of evening call (Monday to Friday). The resident is also required to do 1 week-end call which begins on Friday evening until Sunday night. The resident has the choice of which week and week-end they would like to do their call duties and can let the coordinator at the MGH know.

At the RVH, the GIMCS rotation incorporates 2 week-end calls. The resident can request which week-ends they will work. The week-end call will consist of call on both Saturday and Sunday. It is expected that the resident come in the morning, round on the service, see new consults and review with staff on call. The week-ends on call should be selected 1 month prior to the start of the rotation and emailed to the director of the service at emily.mcdonald [at] mcgill.ca. During a 4 week block the resident is encouraged to select 4 evenings where they will take home call. These do not need to be selected in advance of the rotation.

At the Lakeshore General Hospital, the resident is required to do two weeks internal medicine consultation service in the ER as well as two weeks of consultation service on the wards. The resident is required to do one weekend call; no evening call.

Directions to Lakeshore:

Public transit to Lakeshore:

It is the resident’s responsibility to advise the weekly attendings 1 week before the start of the rotation of which home call days they will take, including weekends/stat days at the 4 sites (JGH, MGH, RVH, Lakeshore). It is also the resident’s responsibility to notify Locating/Call Centre on the weekend/stat days in question to say that they are first call for that day.

Please remember that attendance at all academic activities and GIM clinic is mandatory during this rotation. The resident is also encouraged to attend teaching rounds organized at the site they are rotating at.

Below are the contact names and numbers of thesite rotation and clinic coordinators.

MGH
Contact:Dr. Amal Bessissow/ Karen DiRaddo
karen.diraddo [at] muhc.mcgill.ca
Tel.: 514-934-8054

RVH
Contact:Dr. Emily McDonald / Antoinette Sevensma
antoinette.sevensma [at] muhc.mcgill.ca
Tel.: 514-934-1934, ext. 34132 and/or Carol Seguin at ext. 35921

JGH
Contact:Michelle Laurin / mlaurin [at] jgh.mcgill.ca
Tel.: 514-340-8222, Ext. 25634

Lakeshore Contact: Dr. Jacynthe Harvey/jacynthe.harvey [at] mcgill.ca

STACER which can be completed during this RTE:

  • Journal Club

Pre-Operative Medicine

A one month rotation in outpatient preoperative medicine clinics is mandatory.

There is no inpatient component and the rotation will consist of daily ½ day clinics where the resident will see patients scheduled for elective surgeries.

The clinics are integrated across the following sites: JGH, Lachine, MGH, MNH, RVH and St. Mary’s. The template below indicates the time and site of the various preoperative outpatient clinics, as well as the contact persons at each site. You are required to attend the various teaching sessions organized at each site.

A reading list of relevant articles for the rotation can be found on the GIM website along with a perioperative reading repository in the GIM OneDrive folder (a link to which has been sent to all GIM residents) The resident is expected and strongly encouraged to read and review these articles during the rotation.

The Perioperative Medicine Journal Club takes place once per month on Thursdays at 7:30 am. GIM residents are required to attend the Journal Club while on their Preop rotation and may be asked to present.

Monday Tuesday Wednesday Thursday Friday
AM

8:00-1:00 RVH Vascular surgery DS1.2428 RVH-Glen Brent Martin or Emma: Ext. 34913

MGH Cancer surgery Pav. L10.509 Nancy Jodoin : 934-1934, Ext. 43778

RVH Vascular/Gener al Surgery DS1.2428 RVH

Or

MNI Neurosurgery in week 4 only Rm 145 MNI Danielle Rivard: 514-398- 1529

7:30 Journal Club (1 per month)

8:00-12:00 St. Mary’s G-300 Patient Assessment Centre Caroline Mackereth: 514-734-2660

MGH Mix Pav. L10.509 Nancy Jodoin: 514-934- 1934, Ext. 43778

PM

Lachine room 3D3 514-637-2351, ext. 777156

OR1 to 4 PMTuesday Academic Half DayWks 2&4

JGH Mix Room A-616 Dana Porubska: 340-8222, ext. 26776 Pager: 514-413- 1023

12:00-1:00 Journal Club @ MGH or Division Rounds @ JGH

Attendance in longitudinal GIM clinic in weeks 1 and 3 alternating with preoperative medicine outpatient clinic in weeks 2 and 4 is mandatory. The resident is expected to notify the clinic site coordinator and/or supervisor once booked for the rotation of any expected absences (eg. vacation or study leave; attendance at a session at the simulation center). GIM residents are strongly encouraged not to book vacation or study leave during this rotation so as to maximize exposure to preoperative medicine.

Community GIM

The resident is required to complete at least 4 weeks in a community centre with few non-GIM medical subspecialists in the CoD stage of training. The resident will be askedfour months before the start of the PGY4 year to select three choices for theircommunity GIMsites and the periods during which the resident would want to go. The CHIME Internal Medicinecoordinating office (which is administered by Ms. Maureen Dowd) will take these into consideration when finalizing the CHIME schedule for all levels of internal medicine residents (PGY1-5). Any requests for schedule changes must first be communicated to the GIM Program administrator who will determine if they get forwarded to the CHIME Internal Medicine coordinating office for consideration. Once the community GIMsite rotations have been scheduled, the resident will receive instructions from the Distributed Medical Education Office (DME)in conjunction with the Program Office on how to arrange for lodging and travel, which will involve communicating with the CHIME site specific coordinators and administrators. Residents are expected to take call duties while on their community GIM required training experience. It is the resident’s responsibility to contact the CHIME site administrators at least 3 weeks ahead of time to submit their requests and get the call schedules. Please see the descriptions below for the contacts for each site.

STACERs which can be completed in this rotation include the following:

  • Journal Club

Hull

鶹ýվ accredited site

Site: Centre hospitalier de Hull

/med-dme/training-sites/rural-specialty

Address: 116 Blvd. Lionel-Émond, Hull, QC J8Y1W7

Supervisor: Dr. Dan Tatu :dan.tatu [at] sympatico.ca

Dr. Kim Nguyen

Dr. Jean-François Brouillette

Dr. Janelle Jones

Dr. Maxime Labelle

Dr. Erica Rubin

Activities: Peri-operative medicine: in and outpatient

Internal medicine consultations: in and outpatient
Hemodialysis
Intensive care unit consultations
Exercise stress testing

Languages: French (English spoken by supervisors); charting in French.

Housing provided: Yes (reimbursement will NOT be provided for residents who organize their own housing arrangements)

Fees reimbursement: Travel as per standard government agreement

For information, please contact: Ms. Karine Cousineau ou Ms. Julie Fortin at (819) 966-6100, poste 333281 (07_cissso_stages_en_medecine [at] ssss.gouv.qc.ca)

Accredited Site: Yes (you do NOT have to apply to the Collège des médecins for a transfer of your training card)

Maximum number of Residents per academic period: 2

Gatineau

鶹ýվ accredited site

Site: Centre hospitalier de Gatineau

/med-dme/training-sites/rural-specialty


Address: 909 Blvd. La Vérendrye West, Gatineau, QC J8P 7H2


Supervisor: Dr. Moez Tajdin

Dr. Ron Starra
Dr. Mario Dallaire
Dr. Maxime Labelle

Dr. DieudonnéValcourt

Dr. Luc Moleski (Division head)

Dr. Marie-Hélène Verreault

Dr. Janelle Jones


Activities: Internal Medicine consultations: in and outpatient
Intensive Care Unit consultations
Oncology (Dallaire)
Bronchoscopy (Dallaire, Starra)

Languages: French (English spoken by supervisors);charting in French

Housing provided: Yes (reimbursement will NOT be provided for residents who organize their own housing arrangements)

Fees reimbursement: Travel as per standard government agreement

For information, please contact: Ms. Karine Cousineau or Ms. Julie Fortin at (819) 966-6100, psote 333281(07_cissso_stages_en_medecine [at] ssss.gouv.qc.ca)


Accredited Site: Yes (you do NOT have to apply to the Collège des médecins for a transfer of your training card)

Maximum number of Residents per academic period: 2

Amos

鶹ýվ accredited site

Site: Centre hospitalie rHôtel-Dieu d’Amos


/med-dme/training-sites/rural-specialty

Address: 622 4rth Street West, Amos, QC J9T2S2
Telephone: (819) 732-3341(hospital)

Supervisors:

Dr. B. Govig : bert govig.ca
Dr. Sepehr Javaheri : sepehr javaheri.org

Dr. Pierre-Olivier Roy

Dr. Benoit Thériault


For information, please contact: M. Marie-Eve Nadeau at (819) 732-3341 ext. 2160, m-e_nadeau [at] ssss.gouv.qc.ca
Activities: Internal medicine consultations: in and outpatient
Pacemaker clinics
Intensive care unit consultations
Exercise stress testing
Bronchoscopy, intubations +/- central lines with anaesthesia
Exposures: Cardio-pulmonary rehab unit, palliative care home-care
Mock oral examinations

Languages: French (English spoken by supervisors); charting in French.

Housing provided: Yes

Fees reimbursement: Travel as per standard government agreement

Accredited Site: Yes (you do NOT have to apply to the Collège des médecins for a transfer of your training card)

Maximum number of Residents per academic period: 1

Cowansville

鶹ýվ accredited site

Site: CSSS La Pommeraie - Brome-Missisquoi-Perkins Hospital

/med-dme/training-sites/rural-specialty

Address: 958 rue Principale, Cowansville, QC J2K1K3

Telephone: (450) 266-4342 (hospital)
(450) 263-8669 (fax)

Supervisors: Dr. Daniel Macek :daniel.b.macek [at] gmail.com
(secretary Catherine James ext. 5312)
Dr. Marcus Gottke
Dr. Jennifer Nguyen (GIM Div Director)
Dr. Daniel Amzallag

For information, please contact: Ms. Linda Bellerose at (450)-266-4342+5+5535 (stagemedecine.ciussse-chus [at] ssss.gouv.qc.ca )

Activities: Internal medicine consultations: in and outpatient
Exercise stress testing
Diabetic clinic
Sleep apnea studies (home studies)
Gastroscopy and Colonoscopy

Schedule:
Monday: Hospital consults
Tuesday: External consultation clinic (excl. summer months)
Wednesday: Stress tests and Hospital consults
Thursday: Off
Friday: Stress tests and Hospital consults

**Hospital consults: ER/Observation, ICU, all hospital wards, acute medicine clinic

Languages: French and English

Housing provided: Yes

IMPORTANT HOUSING DETAILS:
Please contact Ms. Linda Bellerose by e-mail for arrangements and details about housing. You must do this at least 3 weeks before your arrival. Please be prepared with the following information: tell her that you will be doing internal medicine with Dan Macek, tell her your arrival and departure dates, and whether you will need a parking pass. Once you've arrived in Cowansville, please meet with her during the first week to fill out some paperwork. Please consult the RULES & REGULATIONS OF THE APARTMENT in Cowansville.

Fees reimbursement: Travel as per standard government agreement

NEW: A new process has been put in place for residents who are scheduled to complete a rotation at the Brome-Missisquoi-Perkins Hospital. Residents now have to fill out a form authorizing a background check and waiver of confidentiality. See the link below and fill out the form one month prior to rotation.

Maximum number of Residents per academic period: 2-3

Salaberry-de-Valleyfield

鶹ýվ accredited site

Site: Centre hospitalier régional du Suroît

/med-dme/training-sites/rural-specialty

Address: 150, Saint-Thomas, Salaberry-de-Valleyfield, QC J6T 6C1

Telephone: (450) 371-9920 (hospital)

Supervisors: Dr. Christina Kempf (supervisor)
Dr. Élise Gilbert
Dr. Richard Kennedy
Dr. Thuc Bao Lam
Dr. Jian Wang

Dr. Martine Chicoine LeBel
Dr. Majd Tahan

Dr. Paul Tran

Dr. Dan Tuan Tran

Dr. Mireille Sayegh

Dr. Geneviève Beaulieu-Boire

Dr. Suzie Fujioka

For information, please contact: Ms. Sonia Rochefortat (450) 371-9920 ext. 2019 or by e-mail at sonia.rochefort.cisssmo16 [at] ssss.gouv.qc.ca

Activities: Internal medicine consultations: in and outpatient
Exercise stress testing
ICU exposure
Pacemaker clinics (occasionally)
Gastroscopy, colonoscopy, and bronchoscopy

Languages: French; charting in French

Housing provided: Yes
Fees reimbursement: Travel as per standard government agreement

For information, please contact: Ms. Sonia Rochefortat (450) 371-9920 ext. 2020 or by e-mail at sonia.rochefort.cisssmo16 [at] ssss.gouv.qc.ca, and please read this information prepared by the internists in Valleyfield for 鶹ýվ residents.

Accredited Site: Yes

Maximum number of Residents per academic period: 1

Thetford Mines

Accreditedto Universite Laval - Resident MUST fill an interuniversity BCI request form *

Site: Centre hospitalier de la région de l’Amiante

Address: 1717 rue Notre Dame North, Thetford Mines, QC G6G2V4

Telephone: (418) 338-7777 (hospital)

Supervisor: Dr. C. Lauzon : claude.lauzon4 [at] sympatico.ca

Activities: 1 week rotations paired with 1 of 5 internists, varying content:
Internal medicine consultations: in and outpatient
Intensive care consultations
Academic activities include journal clubs

Languages: French

Housing provided: Yes

Fees reimbursement: Travel as per standard government agreement

For information, please contact Dr. Lauzon or:
Martine Walker at (418) 338-7729 for reimbursement of fees
Sylvette Vachon at (418) 338-7777 ext. 7740 for lodging
(support may also available through the ARM/FMRQ)

Maximum number of Residents per academic period: 1 *

* This site regularly receives Residents from Laval University, and access to this site by 鶹ýվ trainees may be limited as a result. The exact number of rotations will vary each year. *

Magdalen Islands

This site is not available in 2020-2021

Site: CSSS des Iles - Centre hospitalier de l’archipel (CHA)


Telephone: (418) 986-2121 (hospital)

Supervisors: Dr. Veronique Poirier

Administrative Contact: Ms. Sara Leblanc, Office of the Director of Professional Services (sara.leblanc.archipel [at] ssss.gouv.qc.ca)

Activities: Internal medicine consultations: in and outpatient
Chemotherapy for oncology patients
Intensive care unit consultations
Exercise stress testing

Exposure to various procedures: PICC lines, central lines, bone marrow biopsies, thoracentesis.
Languages: French (English spoken by supervisors).
Housing provided: Yes

Fees reimbursement: Travel and food as per standard government agreement.Reimbursement of air travel costs.Standard amount for food and other expenses

For information, please contact: Ms. Sara Leblanc at (418) 986-2121 ext. 8317

Accredited Site: Yes accredited to 鶹ýվ.

Maximum number of Residents per academic period: 1

* This site is experiencing physician manpower shortages, so access to this site will depend on the physician manpower situation each year. *

Maria

Accredited to Universite Laval - Resident MUST fill an interuniversity request form (BCI)*

Site: Hopital de Maria

Address: 419, boul Perron, Maria, Québec G0C 1Y0

Telephone: (418) 759-3443

Supervisors: Dr. Richard Audet :ricaudet globetrotter.net
Dr. Pierre Carignan
Dr. Claude Girard
Contact :carole.appleby globetrotter.net

Activities: Internal medicine consultations: in and outpatient
Intensive care consultations
Oncology
Bronchoscopy, colonoscopy, gastroscopy
Diabetic clinic
Academic activities include journal clubs

Languages: French (& English) 20% of the local population speaks English.Teaching and charting generally done in French, but may be done in English in certain cases.

Housing provided: Yes
Fees reimbursement: Travel as per standard government agreement

Maximum number of 鶹ýվ Residents per academic period: 1 *
* This site regularly receives Residents from Université Laval and is experiencing physician manpower shortages, and access to this site by 鶹ýվ trainees will be limited as a result. The exact number of rotations permitted will vary each year. *

Baie Comeau

鶹ýվ accredited site

Site: Hôpital Le Royer

Address: 635, boul Joliet, Baie-Comeau, Québec G5C 1P1

Telephone: (418) 589-3701

/med-dme/training-sites/rural-specialty

Supervisors: Dr. Yves Girard

Dr. Veronique Lapointe

Dr. Natalie Lebel

Contact for trainees: Ms. Chantal Hebert (418) 589-3701 ext.302607, chantal.hebert.09cisss [at] ssss.gouv.qc.ca

Activities: Internal medicine consultations: in and outpatient
Intensive care consultations
Exercise stress testing, echocardiograms, sleep studies
Academic activities include journal clubs

Language: French - written and spoken

Housing provided: Yes
Fees reimbursement by site:Travel as per standard government agreement

Maximum number of 鶹ýվ Residents per academic period: 1

Kuujjuaq

鶹ýվ Accredited Site

Site: Centre de santé Tulattavik de l’Ungava

( )

Telephone: (819) 964-2905 (hospital)

Supervisor:Dr. Patrick Willemot

Administrative contact: Ms. Genevieve Gosselin uthc.dsp.secretariat [at] ssss.gouv.qc.ca or at (819) 964-2905, ext. 321

Activities: Internal medicine consultations: 95% outpatient

Exercise stress testing

Echocardiography

Occasional bone marrow biopsies

Languages: English (most of nursing staff and family physicians speak French)

Housing provided: Yes

Fees reimbursement: Travel and food through Regional health board

For information, please contact: Patrick Willemot patrick.willemot [at] mcgill.ca.

Accredited Site: Yes, accredited to 鶹ýվ.

The rotation is done as three to four 1-week blocks intercalated amidst the rest of your schedule: this takes planning ahead of time!

Chisasibi and Mistissini

鶹ýվ Accredited Site

Site: Chisasibi Hospital

Mistissini Hospital

(h.org)

Telephone: (819) 855-9001 (Chisasibi hospital)

(418) 923-3376 (Mistissini hospital)

Supervisors:Dr. Romina Pace

Dr. Patrick Willemot

Activities: Internal medicine consultations: 95% outpatient

Echocardiography

Occasional bone marrow biopsies

Languages: English

Housing provided: Yes

Fees reimbursement: Travel and food through Regional health board

For information, please contact: Patrick Willemot patrick.willemot [at] mcgill.ca.

Accredited Site: Yes, accredited to 鶹ýվ.

The rotation is done as three to four 1-week blocks intercalated amidst the rest of your schedule: this takes planning ahead of time!

Training Sites

Primary Training Sites:

  • MUHC - Royal Victoria Hospital - Glen site
  • MUHC - Montreal General Hospital
  • CIUSSS de l'Ouest-de-l'Ile-de-Montréal - Jewish General Hospital
  • CIUSSS de l'Ouest-de-l'Ile-de-Montréal - St. Mary's Hospital Centre
  • CIUSSS de l'Ouest-de-l'Ile-de-Montréal - Lakeshore General Hospital
  • CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - Hôpital Notre Dame
  • CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - Hôpital Verdun
  • CISSS des Laurentides - Hôpital Saint-Jérôme
  • CISSS de la Montérégie-Ouest - Hôpital Anna Laberge
  • CISSS de la Montérégie-Ouest - Centre hospitalier régionale du Surôit
  • CISSS de la Montérégie-Est - Hôpital Pierre Boucher
  • CSSS de Gatineau - Centre hospitalier de Gatineau

Established community GIM training sites:

  • CSSS Les Eskers de l'Abitibi - Centre hospitalier Hôtel Dieu d'Amos
  • CSSS La Pommeraie - Brome-Mississquoi-Perkins Hospital
  • CSSS des Iles - Centre hospitalier de l'Archipel
  • CSSS de la Baie-des-Chaleurs
  • CSSS de Manicouagan - Centre hospitalier régional de Baie-Comeau
  • Cree Board of Health and Social Services of James Bay - Chisasibi, Quebec
  • Ungava Tulattavik Health Centre - Kuujjuaq, Quebec

With possibility of many others upon discussion with the Program Director.

Global Health Initiative

鶹ýվ Global Health elective to Haiti for the core IM residents was expanded to include GIM residents.

Mike Quon was our first resident to participate and provided clinical teaching and care alongside staff Internists from 鶹ýվ and Haiti for 鶹ýվ core IM residents and Haitian Family Medicine residents. The experience was extremely rewarding, both personally and professionally, for all of the participants.

The elective is open to R5s and can be counted as one of the required Jr Attending periods. Anyone interested should contact Audrey Weizmann at aweizman [at] jgh.mcgill.ca.

If you have any questions, feel free to email Drs Willemot (patrick.willemot [at] mcgill.ca).

Obstetrical Medicine at MUHC

Eight weeks ofobstetric medicinemust be completed in the CoD stage of training, with at least 4 weeksdone outside 鶹ýվ. Please contact Audrey Weizmann (aweizman [at] jgh.mcgill.ca, 514-340-8222, ext. 23942) to arrange a rotation at the MUHC (MGH and RVH-Glen). Another 4 weeks can be done at non-鶹ýվ sites such as Ste Justine and the CHUM. The Program administrator will book this required training experience as she becomes advised of the number of spots available for training of 鶹ýվ GIM residents. The sites outside Quebec and the CMQ need advance notice so please inform the Program admin at least 4 months ahead of time.

Clinical requirements for residents at the MUHC include attendance at ALL scheduled clinics described below, as well as round on the inpatient pregnancy consultation service at RVH and participate in Obstetrical Medicine/Maternal-Fetal Medicine rounds.

Link to 鶹ýվ Obstetric Medicine

Teaching in addition to Clinical Case Review

A reading list will be provided at the start of the rotation. Residents are expected to read all “important” obstetrical medicine topics and encouraged to read other articles.

There is a Medical Obstetrics Journal Club held every 3rd Friday of the academic period at the RVH. The content and topic of choice is to be decided by the Internal Medicine Attending and fellow at the beginning of the rotation.

There will also be an Obstetric Medicine/Maternal-Fetal Medicine Academic session where GIM residents may be asked to present clinical cases. These will occur the 4th Friday of each period. Attendance and participation is mandatory.

Interactive online (CANCOM) cases are encouraged and may be reviewed/discussed with staff (). You can also find dates of upcoming GEMOQ meetings and past web conferences on this site.

In-Patient Consulting Service

You will be first call for obstetrical medicine consultations and follow ups weekdays Monday-Friday. You should liaise with the Obstetrics/Gynecology resident early in the rotation and regularly (each morning) to discuss cases.

Joint in-patient Obstetrics/MFM/Obs Med rounds will occur Friday mornings at 7:30am.

Please add new patients/update the Obs Med in-patient list on Oacis (can be found by searching lists that were created by Leora Birnbaum). Please do not delete any names from the list as it is also used for research purposes. Your name must be added as a list user in order for you to add names to the Oacis list - this should be done before the start of your rotation. Please contact Dr Natalie Dayan if you find your list privileges inaccurate.

Administrative Notes

One or both Obstetric Medicine RTEs can be done outside 鶹ýվ at any hospital with an established Obstetrics Medicine Program. The program administrator will book this rotation as she becomes advised of the number of periods for the training of 鶹ýվ GIM Residents.

The sites outside Quebec and the CMQ require advance notice. Audrey will need at least 4 months notice.

Attendance at GIM Clinic at the JGH and MUHC will continuein weeks 1 and 3 only and clinic day can be changed if itconflicts with a scheduled Med Obs clinic. It is the resident’s responsibility to contact the GIM Clinic director and administrator about such conflicts.

Please remember that attendance at all academic activities (Obstetrical Medicine and GIM program) is mandatory during this rotation.

STACERs which can be completed in this rotation include the following:

  • Journal Club
Doctor / Contact Info. Monday Tuesday Wednesday Thursday Friday

Dr. Tiina Podymow tiina.podymow [at] muhc.mcgill.ca

Nephro & Hypertension complications
RVH-Glen, room D02.3312
Stephanie.campanelli [at] muhc.mcgill.ca
(514) 934-1934, Ext. 32757

PM

Dr. Tricia Peters
Dr. Agnieska Majdan

Perinatal Clinic- Diabetes
JGH, Room H-308,
Heidi Hirsimaki (514) 340-8222, Ext. 22332

9:00-12:00

!st Tuesday of the period

Dr. Patricia Pelletier

Antenatal Clinic, RVH C 6
Hem. Disorders of pregnancy
(514) 843-1558
Sandy Fostaty-Elkaim
(514) 934-1934, ext. 36138

13:00-16:00

Dr. Vicky Tagalakis Vicky.tagalakis [at] mcgill.ca

JGH, CETAC B-304

Thrombosis Clinic (514) 340 8222, ext. 23444 (Moira)

9:00-12:00 (call ahead to verify if pregnancy cases are booked)

Dr. Natalie Bottega nataliebottega [at] yahoo.ca

Congenital heart disease
Glen-RVH MAUDE Unit, CRC 2017
(514) 934-1934, Ext. 42691
Lara.yalman [at] muhc.mcgill.ca

9:00-12:30

13:00 Multidisciplinary clinic 1st Wed of month

Dr. Natasha Garfield natasha.garfield [at] muhc.mcgill.ca

Diabetes – RVH-Glen,Room C06.5218
934-1934, Ext. 31659
Nadia Marchetti Nadia.marchetti [at] muhc.mcgill.ca
(514) 843-1659,Fax (514)938-7704

9:00-15:00

Dr. Genevieve Genest

Reproductive Immunology

genevieve.genest [at] mail.mcgill.ca

8:00 wks 2&4

MGH A6.125

Dr. Natalie Dayan natalie.dayan [at] mcgill.ca

Dr. Khue Ly khue.ly [at] mcgill.ca

Dr. Isabelle Malhamé

Dr. Emily McDonald emily.mcdonald [at] mcgill.ca

Dr. Tiina Podymow tiina.podymow [at] mcgill.ca

Dr. Patrick Willemot patrick.willemot [at] mcgill.ca

MOM clinic RVH-Glen room C06.5218

MatCH clinic, room B2 poly clinic at MGH room B2.132

13:00MOMClinicsat RVH-Glen C06.5218 weekly

9:00–12:00 MatCH @ MGH B2.132

q2 wks Dr.Dayan

8:00 AMMOM clinic weeklyRVH-Glen C06.4152

13:00-14:00 Journal Club every 3rd Friday of the period in the F2 conference room at RVH-Glen C05.1172

13:00-14:00 Obstetric Medicine/Maternal-Fetal Academic Session every 4th Friday of the period at RVH-Glen C05.1172

Dr. Rachel Bond rachel.bond [at] mcgill.ca

Dr. Ji Wei Yang

Antenatal Diabetes Clinic RVH C6, Pod 2 room 4 nadia.marchetti [at] muhc.mcgill.ca (514) 843-1659

13:00
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