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					Turn Down the Heat!

Relieving Administrative Stress
 for You and Your Residents

     September 2010 RCPSC
Presentation Outline

1. Communication
2. Leaves and Waivers
3. Transfers
4. Part Time Residency
5. Electives
6. Questions and Discussion

              September 2010 RCPSC
Do you hear what I hear?

             September 2010 RCPSC
Communicating with Residents

• Useful information
• Easy to use
• Current
• Visually appealing

                  September 2010 RCPSC
Communicating with Residents

Mailings / Printed Material
• Don’t underestimate the
  value of printed material
• Refreshing in the
  electronic age
• Creates a stronger
  connection with the

                  September 2010 RCPSC
Communicating With Residents

• Quick & cheap
• Which email address
  to use? Encourage
  residents to forward
  their account
• Easy to scan &
• Mass emails may be
  identified as spam
                 September 2010 RCPSC
Communicating with Residents

Social Media
• Facebook / Twitter /
• Do you use? Your
  residents do!

                  September 2010 RCPSC
September 2010 RCPSC
Communicating with PGME Office

• Is there effective
  communication with
  your PGME Office?
• Ideas: regular
  meetings, webpage
  for PAs, copy you on
  important emails to
• Stop by and say
  hello (and vice
                 September 2010 RCPSC
Leaves and Waivers: What’s the
 • RCPSC has policy on a ‘Waiver of Training’
 • Residents felt entitled to this waiver (up to three
 • Only meant for exceptional residents
 • Can’t request a waiver after sitting final exams
 • Does your program/school allow waivers? Some
 • Have PDs already promised waivers? Can only be
   granted in last year.
 • Is there a process at your school? Does Associate
   Dean have to approve?RCPSC
                   September 2010
Waivers of Training
       RCPSC and CMQ Maximum Allowable Times for Waivers:

    1.One year program – no waiver allowed
    2.Less than one year for remediation or enhanced skills – no
    waiver allowed
    3.Two year program – six weeks
    4.Three year program – six weeks
    5.Four year program – three months
    6.Five year program – three months
    7.Six year program – three months
    8.In Internal Medicine and Pediatrics, a maximum of six
    weeks may be waived for these three years of training.
    Subsequently, a maximum of six weeks of training may be
    waived in the following 2 years of training under the

                     September 2010 RCPSC
Leaves and Waivers: What’s the

• Are residents and staff aware to whom they report
• Is there a Faculty or Hospital policy on minimum leave
  recorded on training record ie. does one sick day get
  recorded in training record or program file?
• What does the collective agreement say regarding
  statutory holidays, conference leave, holiday entitlement,
  religious holidays?
• What are the payroll requirements?
• What kinds of leave are there? Sick, Compassionate,
  Bereavement, Maternity/Parental, Leave without Pay (at
  some schools, there is no such thing as a leave with pay
  – what about yours?)
                     September 2010 RCPSC
What does the RCPSC say?

                                                   Section 4.3 Modifications to
                                                       Residency Training

                                            4.3.2 The Royal College and the Collège des
                                            médecins du Québec (CMQ) expect that all
                                            residents must have achieved the goals and
                                            objectives of the training program and be
                                            competent to commence independent practice
                                            by the completion of their training program. It is
                                            understood by the RCPSC and the CMQ that
                                            residents may require leaves of absence from
                                            training. The circumstances that would
                                            qualify residents for leaves of absence are
                                            determined by the university. It is
                                            anticipated that any time lost during a leave
                                            will be made up upon the resident’s return.

                           September 2010 RCPSC
Guidelines: Leaves and Waivers

  • NOTE: All core requirements are to be completed
    before a resident will be released to pursue his/her
    subspecialty training program.

  • RCPSC candidates have 6 months to complete training
    after exam (5 months for Subspecialties)

  Reporting to the Provincial College:
  • Is your PGME Office required to notify your licensing
    body of all interruptions in training greater than 1 week?
  • Ontario – yes!

                    September 2010 RCPSC
Part-Time Residency Training

• Must make application to the RCPSC,
  approved by PD and Postgraduate Dean
• Must be requested in advance
• RCPSC Credentials Committee will review,
  on a case-by-case basis, the maximum
  number of fractional years allowable to
  complete residency training
• Within any block of residency training, the
  part time commitment must equal at least 50
  percent of that of a full-time resident

                 September 2010 RCPSC
Part-Time Residency Training

• Program director must provide a syllabus for
  the applicant's entire residency program,
  including both fractional and full-time

• Program director must certify that the
  supervision and assessment of the fractional
  resident is at least equivalent to that of other
  residents in the residency program and that
  the total educational experience is fully
  equivalent to normal full-time residency.
                   September 2010 RCPSC
Transfers - Principles

• Flexibility is desirable - creates
  a more positive and dynamic
  learning atmosphere
• Reduces anxiety for medical
  students and residents who
  feel the pressure of making a
  career choice before they are
• 7-8% of residents request a
  transfer each year

                    September 2010 RCPSC
Transfers - Questions

• What is the transfer policy?
• Is there a minimum time to serve in PGY1
  before transferring?
• Should a resident tell his/her PD they want to
• Should they do an elective first to see if they
  like it?
• Compassionate/Family reasons should take
• Who funds extra training required?
                   September 2010 RCPSC

• Postgraduate Office
  needs to know
• What is your process?
  Do you or the PGME
  office have it on their
• Is there an application
• Is there a fee?

                   September 2010 RCPSC
Please fee free to contact us with comments or suggestions
               about this or future sessions:

       Sharon Cameron –
    Loreta Muharuma –
     Nicholas Snider –

           September 2010 RCPSC