Supporting Documentation
- Medical School Transcript
Order from your Registrar
- Medical Student Performance Record
Order from your Dean's office
- Personal Letter
In addition to the CaRMS application, a personal
letter is required. As an applicant you should discuss why they wish to
pursue anesthesia as a career and express your goals, experiences and
interests.
- Reference Letters
Three letters of reference are required (a
maximum of 5 will be accepted), written by senior residents or staff
with knowledge of your clinical and patient care skills, interpersonal
and communication skills, interests and abilities. All letters of
reference must contain the signature of the referee. Three references
must be in your file.
- Extra Documents
Our program requires that you submit a photograph via CaRMS.
Interviews
The Admissions Committee will review the
applicants' documents and schedule interviews. For all short listed
applicants a personal interview will be required.
Elective Requirements Survey Response
Our program is looking for and rewarding applicants who have completed a broad range of electives.
Program Information
The University of Manitoba Anesthesia
Program provides a balance, being large enough to offer trainees a wide
exposure to anesthesia and, being small enough to be flexible and
personal. Our residents have input into their training choices. Our
residents gain independence through their training, taking on
appropriate increases in responsibility (with any needed support), while
they work toward their personal goals and those of the program.
Elective rural rotations are available; they are not mandatory
Resources
- Health Sciences Centre (including the General Hospital, the Women's Hospital, and the Children's Hospital)
- St. Boniface General Hospital
Each teaching hospital site
has a computer with internet access with web-based literature searching
available 24 hours, close to work location. Electronic texts and
journals are available as is a library of CD ROMS. A patient simulator
(SIMMAN)and Airway Lab are accessible to Anesthesia Residents. These
will be enhanced in early 2006 with the creation of a dedication
simulation centre.
Curriculum
The University of Manitoba Anesthesia Program consists of:
A. Clinical Training:
- Anesthesia and subspecialties (including pediatric, obstetric,
cardiac, neuro, regional anesthesia, chronic pain clinic and acute pain
therapy)
- Critical Care (including medical and surgical ICU, coronary care, pediatric and neonatal ICU)
- Internal medicine (including cardiology and respirology, and choices
from nephrology, endocrinology, transfusion medicine and infectious
disease.)
B. Scholarly Activity:
- Clinical or Lab research project or critical review
- Seminar programs (primarily problem-oriented small group sessions);
Basic Series for PGY-1 to 2, and Advanced Series for PGY-2 to 5
- Rounds, including Case Discussions, formal Grand Rounds, Journal
Club, Research in Progress, and Visiting Professor Program usually with 5
(Canadian and International) experts invited to give presentations and
participate in resident teaching activity.
Training occurs at
the tertiary institutions listed above, including a dedicated Children's
Hospital and currently two community institutions in the province
serving approximately 1.1 million people. Residents have input into
their training and rotation selection. The content of the first two
years of training are well-delineated (see below). Thereafter the
resident is able to tailor training to specific individual goals within
the Royal College of Physicians and Surgeons of Canada requirements and
program guidelines. All rotations are taken as four-week blocks of
training; i.e. there are 13 rotations (periods) per year. There are four
weeks of vacation per year; these are taken in a block in PGY-1, and in
one to four week segments totaling four weeks in PGY-2 to PGY-5.
Quick Facts
- Residents have chosen to supplement local experience with elective
experience in their particular areas of interest. Residents have
undertaken elective experience in most other provinces in Canada as well
as USA and Australia.
- 120 faculty/37 residents
- Residents are slated to a particular service for each day where there may be 1 to 14 or so patients.
PGY-1
This
is a Basic Clinical Training (BCT) year and the 12 rotations (plus 4
weeks vacation) offer the resident exposure to a broad range of medical
care. This year of training forms a base to prepare the resident for the
variety of future anesthesia responsibilities while helping the
resident prepare for Part II of the Medical Council of Canada Qualifying
examinations. There are two periods each of anesthesia, general
internal medicine, obstetrics and gynecology, pediatrics and general
surgery. Of the two remaining periods, one is devoted to emergency
medicine and the other is an elective rotation. Six other programs will
also participate in this BCT year of training and an overall PGY-1
coordinator is responsible for overseeing resident education and
evaluation along with the anesthesia program director.
PGY-2
The
training requirements for this year are well-delineated and consist of
six periods of adult anesthesia, one period each of pediatric anesthesia
(at a dedicated Children's Hospital), obstetric anesthesia, cardiology,
respirology and acute coronary care. One further period can be taken in
internal medicine, critical care or adult anesthesia.
PGY-3 to 5
Residents
are able to tailor rotations to their needs and requirements within
Royal College guidelines. Specialty rotations in cardiac anesthesia,
neuro-anesthesia, regional anesthesia and acute and chronic pain therapy
are taken at this time, in addition to further exposure to pediatric
and obstetric anesthesia. Well-established Community Hospital anesthesia
rotations are encouraged on an elective basis. These provide the
resident with opportunities for independence and a different view of
practice. Elective experience in anesthesia and related areas are
encouraged. Many of our residents have undertaken International and
Canadian elective experience which they found rewarding. Critical care
training includes three periods of adult critical care (one of which may
have been taken in PGY-2) and one period each of pediatric and neonatal
critical care (which with the acute coronary care rotation taken in
PGY-2 provides the resident with six rotations of critical care
medicine). Further internal medicine rotations (totaling 6 rotations
PGY-2 - 5) are available in cardiology, respirology, nephrology,
endocrinology, infectious diseases and transfusion medicine. Of these,
two periods of both cardiology and respirology are required and the
remaining two are chosen by the resident.
Scholarly Activity
All
residents, after the PGY-2 year, are expected to complete a scholarly
activity project (clinical or basic science research, or a review) and
present this work at the annual Resident's Research Symposium. The
required work of scholarly activity is designed to facilitate
understanding of research methodology and critical appraisal, and
potentially spark interest in some to further a research career. This
work can be a research project or it can be a comprehensive analytical
review. Up to 6 periods (of 4 weeks) are allowed to undertake research
projects, or the project may be completed coincidentally with clinical
assignments. Projects are supervised by faculty in our department or in
other disciplines, and are overseen by our Scholarly Activity
Coordinator and Research Committee.
Selection
Anesthesia
is a diversely based clinical specialty with involvement across all
body systems, patient groups and ages. Within anesthesia many directions
are possible. There is an acute care orientation involving anesthetists
in ICU and Emergency, and a general and specialized care orientation
involving anesthetists in Labour suites, Pain clinic, Cardiac, Neuro,
and Pediatric OR's. This diversity offers career satisfaction to
candidates with a wide variety of interests. Applicants are encouraged
to discuss career and program choices and concerns with current
residents in the program, the Program Director, and other Staff (please
contact the Program Director for referral).
We recognize the
difficult career choices faced by many candidates. Within Anesthesia
many directions are possible. Rotations in Anesthesia as a student,
mandatory and elective, are helpful for candidates to focus choices.
However, we recognize that many good and appropriate candidates for
Anesthesia develop their interest late and we do not require elective
rotations.
Criteria for selection include: interest in
anesthesia, suitability for a career in anesthesia, and academic record,
as shown in: reference and personal letters, academic transcript and
records, and the personal interview.
Prior to the interview, the
program director and a senior resident will give a presentation about
the program. Applicants are encouraged to ask questions during and after
the presentation, and a separate session with the senior resident will
facilitate open discussion with applicants. A site tour is conducted for
interested applicants.