FRCPC Residency


Our Royal College program has a progressive approach to clinical and classroom education in Emergency Medicine, with leading edge programs in Simulation, Ultrasound, and Medical Education.

Our program was established in 1991 and we make every effort to respond to the constantly changing educational milieu. Curricular changes are at the discretion of the Residency Program Committee which consists of faculty and residents.

As can be seen from the curriculum summary below, each resident receives 24 months of training in Emergency Medicine, including five one-month rotations at the tertiary Children's Hospital. The remaining 20 months are split between the Health Sciences Centre Adult Emergency Department and St. Boniface Hospital, which sees patients of all ages. In each case, half of the Emergency training will be provided during the first two years and the remainder during the senior portion of the residency. Off-service rotations are provided at either the Health Sciences Centre or St. Boniface Hospital.

Residents are junior residents in the first 24 months of training. Junior Residents care for all types of patients in the Emergency Department and participate in resuscitation and perform major procedures under the supervision of the Attending Emergency Physician or a senior resident.

As well as providing care for all patients who present to the Emergency Department, Senior Residents function as resuscitation team leaders and review patients seen by medical students and more junior residents. In conjunction with the Attending Emergency Physician, the Senior Resident assumes responsibility for the orderly flow and disposition of all patients within the department. It is expected that the Senior Resident be able to manage the volume of patients typically seen in a busy Emergency Department while simultaneously caring for several acutely ill or injured patients.

Strengths of the Program:

  1. Large patient volumes and high rates of pathology
  2. Full Academic Day with an emphasis on interaction and knowledge application
  3. Leading edge Ultrasound Program led by Dr. Chau Pham
  4. Growing Research Program with nearly 100 publications in the last three years
  5. Integrated Simulation Program under the direction of Dr. Cheryl ffrench
  6. Toxicology Rotation provided by two respected Toxicologists with ample opportunity for clinical toxicology experiences
  7. Hands-on Trauma Team Leader rotation in a high-acuity trauma centre.
  8. Strong ties with the pre-hospital system, including the Winnipeg Fire Paramedic Service, the Provincial Air Ambulance (LifeFlight) and the STARS helicopter EMS program

Several critical care courses (ACLS, ACLS Instructor, ATLS, ATLS Instructor, PALS, Ultrasound for Vascular Access, Procedural Sedation, and AIME) are paid for under the resident contract, and residents are allowed five days of conference leave once per academic year. A stipend of $2000 CAD/year is provided to each resident to fund their scholarly activities and conferences. Additional funding is available from the Department of Emergency Medicine to support travel regarding original resident research.

We also strongly encourage resident wellness and a team atmosphere. To that end, we host an Annual Resident retreat and we have a formal Mentorship program. We also are the only program in Canada to offer the High Performance Physician program, which focuses on building the personal skills needed to function in high-intensity environments.


Curriculum:


Highlighted Programs


Research:

As per Royal College guidelines, all residents are required to produce a scholarly project that is either published in a peer reviewed publication or presented at a national or international meeting, or is considered of similar quality by the Residency Program Committee. All residents are required to present at the DEM Resident Research Day at least three times during their residency.

Residents are instructed in all aspects of a research project including study design, grant submission, implementation, data analysis, paper submission and presentation. View the Research Department's Page.


Evaluation:
Residents are required to complete 4 week block rotations as outlined in the curriculum grid above. Evaluations on each rotation are a combination of an In Training Assessment Report (ITAR) and relevant EPAs (Entrustable Professional Activities). ITARs are completed by the Rotation Coordinator or delegate and are reviewed with the resident by the assesor. EPAs are completed by senior residents or attending faculty on a rotation as applicable.



Resident write several practice examinations during their program, including the Canadian In-Training Examination, the American Board of Emergency Medicine in Training examination, review exams on academic day topics three times per year, as well as formal practice oral examinations conducted by faculty twice per year. These are used to provide feedback on their training and practice in the examination process.

Resident progress is monitored by the Competence Committee which meets quarterly. The Competence Committee makes recommendations on progression, acceleration or remediation to the Program Director and Residency Program Committee and formal written reports are provided to the residents after each Competence Committee meeting.

Finally, the Program Director meets with each resident semi-annually to provide feedback on their performance and review the resident's file. It is expected that each resident in turn will offer feedback on the adequacy of the training they are receiving


Vacation: Residents are entitled to four weeks of vacation during the year. This may be scheduled as a single four-week block or divided into two, two-week blocks and may only be scheduled in the first two or last two weeks of the rotation. If the resident chooses to divide the vacation time, these are to be taken during either rotations at St. Boniface Emergency or the HSC Adult Emergency only.

If residents have requirements for specific days off at other times during the academic year, the schedule can usually be designed to accommodate these requests.

The four weeks of vacation time is to be used in each academic year and cannot be banked or carried from year to year. The maximum time allowed for vacation during July and August is two weeks.


Training Sites: Health Sciences Centre is an adult tertiary Emergency Department which serves the core area of Winnipeg. It has a high volume of high acuity patients with significant numbers of trauma, toxicology, and agitated psychiatric patients.

The Children's Hospital, Health Sciences Centre, is situated in the core area of Winnipeg where it provides primary, secondary, and tertiary pediatric care for Winnipeg, Manitoba, NW Ontario and Nunavut. All levels of injury and illness acuity are seen in this Emergency Department with significant multiple trauma, toxicology, and child abuse.

St. Boniface Hospital Emergency Department treats patients of all ages. It serves as a community hospital for the francophone community of Winnipeg and surrounding rural francophone towns, as well as a tertiary care referral centre. Patient acuity is high with a large proportion of internal medicine, cardiology, nephrology and geriatric patients.


Contacts:

Dr. Cheryl ffrench, Director 
Cheryl.Ffrench@umanitoba.ca

Dr. Kyle Burkett, Associate Director 
Kyle.burkett@umanitoba.ca

Dr. Deborah Hill, Assistant Program Director
dhill5@exchange.hsc.mb.ca

Brenda Gerwing, Program Administrator
Brenda.Gerwing@umanitoba.ca
Phone: 204-977-5664 | Fax: 204 789-3515

Chief Resident
er.chief.uofm@gmail.com

Mailing address
Emergency Medicine, Max Rady College of Medicine
Rady Faculty of Health Sciences, University of Manitoba
S203 Medical Services Building 750 Bannatyne Ave.
Winnipeg, MB R3E 0W2

Resident Directory