CaRMS - Why Us?
Supporting Documentation
  1. Medical School Transcript
    Order from your Registrar
  2. Medical Student Performance Record
    Order from your Dean's office
  3. 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.
  4. 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.
  5. 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.