The internal Medicine Training Program consists of two tertiary and two community hospitals in Winnipeg. The catchment area for these hospitals includes all of Manitoba, Northwestern Ontario, and Nunavut. This large and varied catchment area consists of 1.5 million people ensuring that residents receive a wide variety of clinical experience.
With emphasis on becoming a strong clinical physician, the Internal Medicine program is specifically designed to provide residents with the broadest clinical experience that will afford them the best opportunity to attain the knowledge, skills and attitudes to practice internal medicine in the most exemplary manner.
As residents progress through the program, they assume increasing responsibility under appropriate supervision while given the flexibility to be self- directed in defining their own educational needs. We emphasize ambulatory care in our program to expand the patient spectrum upon which to learn.
The program consists of three core years with each year divided into 13 four week periods:
- PGY-1 (core)
- Clinical Teaching Unit Intern- 8 weeks
- Clinical Teaching Unit Resident- 4 to 8 weeks
- Cardiology Wards – 4 weeks
- Cardiology Consult Service – 4 weeks
- Emergency Medicine – 4 weeks
- Night Float – 2 two week blocks
- Elective Subspecialty Rotations** – 20 to 24 week periods
- Vacation – 4 weeks
- PGY-2 (core)
- Clinical Teaching Unit Ward Resident- 16 to 20 weeks
- Coronary Care Unit – 4 weeks
- Elective Subspecialty Rotations** – 16 to 20 weeks
- Night Float – 2 two week blocks
- Vacation – 4 weeks
- PGY-3 (core)
- Clinical Teaching Unit Ward Resident – up to 8 weeks
- Medical Intensive Care Unit – 8 weeks
- Night Float – 2 weeks
- Senior Rotation* – 24 weeks
- Elective Subspecialty Rotations** – 10 to 14 weeks
- Vacation – 4 weeks
The senior rotation includes:
Ambulatory Care Clinics – 8 weeks including a ‘continuity clinic’ that runs the entire 6 months, the general internal medicine consult service and screening in the emergency rooms (16 weeks).
Elective Subspecialty Rotations:
Our elective subspecialty rotations are offered in every subspecialty of internal medicine and related fields while residents may do elective rotations in other centres. Residents may also a 1 to 2 period research elective in place of doing a subspecialty rotation. We offer opportunities for doing rural internal medicine electives in several smaller Manitoba communities, as well as short visits to the Northern Medical Units in remote health centres in Manitoba and Nunavut.
There are opportunities to become involved in research in all areas of internal medicine. Faculty members are always looking for residents to aid in their research projects.
Open to both residents and fellows, a research proposal is submitted to the Program Director. Upon approval, one to two subspecialty rotations can be devoted entirely to research. This allows for dedicated time to both clinical and science endeavours, and meetings, including national ACP conferences. The research project(s) must in turn be presented at Resident Research Day in either the basic or clinical science category. Prizes are awarded to the best presentation in each category. Residents from Manitoba have presented and won competitions at large.
Residents also present a clinical vignette or clinical investigation in each of their Core years at the annual departmental Resident Research Day.
On Call and Night Float System
The General Internal Medicine program does not require residents to do one in four in-house calls while on rotations at the two teaching hospitals. They are instead required to do two weeks of “night float”. This entails working from 7:00 pm to 8:15 am five days a week. This system is extremely advantageous as it removes most of the call responsibilities from residents who are running the clinical teaching units. This allows them to be more available for both patients and housestaff during the day and they have more time to teach and study. There are also less “guest call” requirements for residents on subspecialties.
On cardiology, in-house call is covered in a traditional one in four manner (two periods), coronary care unit rotations (one period) and as a PGYI intern on the clinical teaching units (two periods in PGY1). The intensive care unit also has a one in four call schedule (two periods). All remaining subspecialties require from home call. A few weekend days per year are required for residents while on subspecialties as “guest call”.
At the two community based hospitals, Grace Hospital and Victoria Hospital, the ward resident is required to stay until 11:00 pm when a clinical clerk is on call. This occurs two or three times per week and does not include weekends. As a PGY3 on Senior Block, residents provide in-house back-up until 11:00 pm on weekdays and 8:00 pm on weekends one to two times per week. They subsequently back up junior residents and both sites from home.
Why U of M
The University of Manitoba is the region’s largest and only research intensive university offering over 100 degrees, diplomas and certificates.
Our university community has a diverse population of close to 30,000 students, 8,700 faculty and staff, and 190,000 alumni. representing close to 104 countries, close to 13 per cent of our current students are international,
Located on Anishinaabe and Métis traditional land, the University of Manitoba boasts one of the largest indigenous student bodies in the country, and a thriving community of indigenous researchers and staff call our university home. Our indigenous population includes over 2,000 First Nations, Métis and Inuit students, including over 150 graduate students.
The University stimulates over $1.8 billion in economic activity in the province, and we are leaders in Manitoba’s knowledge economy with ground breaking research in several areas.
With a strong legacy of excellence to guide us, the University of Manitoba and its dynamic community of researchers, students, teachers and staff, are addressing the challenges facing Canada and the world in the 21st century.
The University of Manitoba is a coeducational, nondenominational, government-supported institution. It is a member of the Association of Commonwealth Universities and of the Association of Universities and Colleges of Canada.
Residents of the General Internal Medicine Program will find some excellent resources and opportunities at the University of Manitoba.
Our Medicine Clinical Teaching Units (CTUs) accept admissions in all areas of internal medicine. With few sub specialty wards, the majority of patients are admitted to general medicine CTUs. This means that your time spent on medicine CTU’s gives you the broadest exposure to all aspects and areas of internal medicine.
Our Program Faculty consist mostly of full-time members in all Royal College certified sub specialties. GIM is now a Royal College 5 year specialty program.
The Academic Half Day is scheduled for every Tuesday afternoon. This half day consists of topics that are chosen by a committee of residents with input from the program director.
Our Semi-Annual Resident Retreat takes place in the spring and late summer. This retreat affords the residents the opportunity to leave the hospital environment as a group. This retreat is aimed at discussion of issues directly related to internal medicine training but may not necessarily be clinical in nature.
Conference Leave and financial assistance is offered for travel to attend meetings or conferences.
The University of Manitoba General Internal Medicine program has some very distinctive features including reports, rounds and the availability of resources for residents.
Morning Report is run every weekday from 7:30-8:15 am with a goal of providing interactive Royal College style case-based discussions to junior residents on the CTU and Night Float services. The emphasis is on core internal medicine concepts. Attending physicians frequently contribute to the morning discussion. There is also a focused handover from the prior night.
Senior Rounds occur every Friday at noon. These rounds are given by and R3 on their senior block to a group of attending physicians and senior residents. Topics will be based on a specific clinical question and the evidence supporting the answer.
Grand Rounds are held every Tuesday morning. Guest speakers and local faculty present relevant topics related to their area of expertise.
We have numerous Resources for Residents. This includes Residents’ Rooms at both teaching hospitals. Each room is furnished with numerous resource books for all subspecialties of Internal Medicine. The Residents Rooms are open 24 hours and also serve as an informal meeting place. Computers and full internet access are available in these rooms and, also on all Clinical Teaching Units.
All electronic journal subscriptions are accessible from home or the Residents Rooms. Residents also have access to PubMed-based document delivery. The medical library is attached to the Health Sciences Centre for access to print journals and clinical librarians are available to assist with searches.
We have a comprehensive Night Float call system for residents covering emergency, ward consults and the clinical teaching units. Our system dramatically reduces the number of overnight call shifts residents must fulfill.