Course of Training for the Pediatric Residency Program
The Montreal Children's Hospital pediatric residency program is a 4-year program fully accredited by the Royal College of Physicians and Surgeons of Canada and by the Collège des Médecins du Québec. The first 3 years comprise the core curriculum and the subsequent 2 years offer residents opportunities in subspecialty pediatrics, general consultant pediatrics, or general academic pediatrics.
Residents admitted through the Canadian Resident Matching Service (CaRMS) normally enter training in pediatrics directly from medical school. International Medical Graduates (from the Gulf States or other countries) normally have at least one year of training in pediatrics in their home country prior to entry into the program (this time is not counted towards their training in Canada).
For more details on the course of training throughout each year please visit Curriculum.
The Montreal Children's Hospital is a tertiary care pediatric hospital that serves a large multicultural population. Approximately 8,000 children are admitted to the hospital each year, with 3,200 admissions to the medical teaching units (about 10 medical admissions/day). Within the Hospital, the Emergency Department is one of the busiest in Canada, with over 82,000 visits per year. The Emergency Department sees both medical and surgical cases, and Residents rotate through both sectors.
Pediatric subspecialties represented at the Montreal Children's Hospital include:
- Adolescent Medicine
- Allergy, Immunology & Dermatology
- Emergency Medicine
- Gastroenterology and Nutrition
- General Pediatric
- Infectious Diseases
- Pediatric Intensive Care
- Respiratory Medicine
Graded responsibility is provided in all of the key Clinical Teaching Unit (CTU) areas of the program, which are discussed separately below:
General In-patient Pediatrics: Junior residents have a clearly defined role as team members on the wards. They follow their own patients, and as they gain experience, begin assuming a teaching and reviewing role with the medical students. They are never on call alone on the general inpatient wards. PGYII residents have their first taste of significant autonomous function during their night float rotation. The senior residents (PGYIII) consolidate their leadership and team management skills during their CTU months. Finally, for residents in the Advanced Academic Pediatrics streams there is a junior attending rotation where residents function in a quasi-attending role with a clinical supervisor available for back up. Each of these roles has a set of specific educational objectives.
Medical Emergency: Similar to the general inpatient wards, there is a progression in roles with specific teaching as well for junior and senior residents in the emergency room. As their training increases, residents are expected to assume a greater responsibility for patient flow in the emergency room, as well as an aggressive involvement in the critical cases. There are specific objectives for the different levels of core pediatrics trainees. The advanced trainees function as junior attendings in the ER, with staff back up.
Neonatology: As residents progress through neonatology rotations they are expected to take on a greater supervisory role over the medical students and short cycle residents. Residents rotate through neonatology in each of the 3 core years have a substantial change in role at these different times.
Pediatric Intensive Care Unit (PICU): Due to the nature of the work in PICU the rotations in the PGYI and PGYII year involve increasing consolidation of knowledge, and thus graded responsibility based upon this, but residents do not function as team leaders in general in the PICU given the complexity of the patients there.
Medical Student Electives
Medical students who are interested in clinical electives are welcome. It is highly recommended that a core pediatric clerkship be completed prior to scheduling the elective. Electives are open to non-McGill medical students in their final year only. For more information please visit the websites linked below: