Practice Management


To practise in Quebec, you are required to have a position in compliance with the regional physician resource plans (Plans régionaux d’effectifs médicaux, or PREMs).

PREMs in all specialties are posted on the ministry’s web site. A given establishment's physician resource plan is called a PEM. The FMRQ has detailed the steps for obtaining a PEM in an establishment.

MSSS - Current and projected GIM positions in the province of Quebec for 2017 (updated 2017-02-22)

File July 2017 GIM Quebec PEM List Summary (by administrative region)

Jobs in the Rest of Canada (ROC)

There are many GIM job opportunities across Canada from sea to shining sea, as well as some job-finding resources/databases. Admittedly, the following list is not exhaustive (although you may find it exhausting). However, you will see there are many opportunities!  As said previously: there are plenty of GIM jobs across the country!

The list skews towards community hospital opportunities. Many university teaching hospital positions are not posted, and require contacting division directors (or their administrative assistant) directly.  As GIM division directors are usually at CSIM for national meetings, going to CSIM is a good way to network. That being said, a number of community hospitals have deep and active university affiliations (centre hospitalier affilié) like the JGH, Sacré-Coeur or L’Enfant-Jésus.

PDF icon GIM Jobs List in the Rest of Canada (updated August 2016)

Additional ROC GIM Job Opportunities

Even more job opportunities are posted on


  • Brantford

    PUBLISHED 21 FEB 2017. The Brant Community Healthcare System in Brantford, Ontario is now recruiting GIM’s to work in their Hospitalist Program. Brantford, Ontario is a charming town with a proud heritage in the scenic Grand River Valley. Hometown hospitality that’s just a short trek to several urban centres and major universities… just twenty minutes west of Hamilton on the 403. Brant Community Healthcare System is a fully accredited, award winning healthcare organization and an affiliated teaching site of McMaster University Michael G. DeGroote School of Medicine. BCHS is made up of the Brantford General, a regional acute care health centre, and The Willett in Paris which provides urgent care. Consider working with a dynamic team of Hospitalists to provide patient-centered, quality care from admission to discharge. Our Hospitalist service is expanding and moving toward geographical rounding. Receive excellent support from our specialist colleagues. Remuneration by daily stipend. Full-time and part-time opportunities exist. File Opportunities at the Brant Community Healthcare System

  • Brockville

    PUBLISHED 11 JAN 2017.  Opportunities exist at Brockville General Hospital (BGH) for General Internal Medicine practice providing clinical support for the Intensive Care Unit, Emergency Department, and Hospitalist programs.  Practice opportunities also exist for candidates with Specialty Certification in Cardiology, Respirology, and Endocrinology. Brockville General Hospital is a three-site, 148-bed community hospital serving the City of Brockville and surrounding areas.  National leaders in Restorative Care/Enhanced Activation, regional innovators in post-episode cardiovascular rehabilitation and pioneers in community-based hospice palliative care, BGH offers full acute care services, including emergency and intensive care, medical/surgical care, and the MacLean Maternal Child Unit. Various ambulatory clinics are also available, along with day surgery, ECG, stress testing, radiology, ultrasound, an orthopaedic clinic, the Brockville Cardiovascular Program, the BGH Stroke Clinic and an Ontario Breast Screening Clinic.  The Charles Street Site also provides acute care mental health services, including the Mental Health Crisis Team of Leeds & Grenville and the Mental Health Inpatient Unit. The hospital has academic affiliations with Queen's University and an academic appointment and teaching opportunities are available for interested staff members. See more details in the advertisement: PDF icon Opportunity at Brockville General Hospital. CSIM job posting.

  • Niagara

    PUBLISHED 29 MAR 2017. The Niagara Health is currently recruiting for General Internists in the Department of Medicine. We are seeking highly motivated physicians with a passion for providing the highest quality care in an innovative culture dedicated to advancing our position as an innovative academic community based health care system. It’s an exciting time to be a physician in Niagara. Niagara Health is one of the largest multi-site health care systems in Ontario serving 434,000 residents within the Regional Municipality of Niagara. With 700 beds, 4,500 employees, 640 physicians and a $500M budget, the NHS provides a wide range of inpatient and outpatient services across six sites encompassing operations in Fort Erie, Niagara Falls, Niagara-on-the-Lake, Port Colborne, Welland and a one million square foot state-of-the-art hospital in St. Catharines. The transformation of healthcare service delivery across Niagara continues with planning underway to build an additional ultramodern hospital in South Niagara Falls to provide accessible and quality healthcare to residents of the Southern Region. The NH is positioned, by virtue of its geography and regionally distributed resources, to exemplify the best of regional capacity with local service delivery. The NHS has a satellite campus of Michael G. DeGroote School of Medicine, McMaster University on site at our St. Catharines Hospital, with teaching and other academic opportunities across all NH Sites. As such we are looking for individuals dedicated to teaching, academics and innovative care models. PDF icon Niagara Health - Profile - General Internal Medicine - March 2017

  • Perth and Smiths Falls

    CSIM job posting.

  • Peterborough

    PUBLISHED 21 FEB 2017. Peterborough Regional Health Centre (PRHC) looking for a full-time General Internal Medicine Physician to join our expanding GIM Service. PRHC is a large multidisciplinary hospital that serves as a regional care centre for the North-East cluster of the Central East LHIN. General Internal Medicine program is growing at Peterborough Regional Health Centre. As a General Internal Medicine physician at our hospital your work will be caring for patients in Perioperative surgical services, Perioperative clinics, inpatient medicine work throughout the hospital and the General Internal Medicine (GIM) Clinic. Our GIM clinic aims to provide urgent follow-up for patients with acute medical concerns, such as those who are discharged from hospital or the Emergency Department. Over the next year we are also looking to develop a GIM outpatient clinic at our hospital. PDF icon PRHC is looking for a Full-time General Internal Medicine (GIM) Physician to join our team

British Columbia

  • Nelson (Interior Health Authority)

    PUBLISHED 21 FEB 2017. On behalf of the Interior Health Authority in BC, I would like to ask if you can share our newest GIM opportunity in Nelson BC with your GIM residents. Our sites are always keen to speak with upcoming Canadian graduates! A complete listing of the known opportunities in BC can be found on PDF icon BC Interior GIM opportunities for residents

Career Fairs

Journée carrière Québec - Quebec Career Day (medical job fair) -

The Fédération des médecins résidents du Québec (FMRQ) has been holding Quebec Career Day since 1996. This medical employment fair gives Quebec health care establishments an opportunity to make known their physician resource needs and fosters direct contact between them and medical residents. This day is generally held in October.

Visit this website to have general information on this recruitment fair, know the participating institutions, have information on the released hours and on the certificate of attendanceknow the schedule of the day, register to the SARROS team luncheon. This luncheon allows you to meet with representatives and physicians from a variety of Quebec institutions, additional registration is required for this luncheon.

Journée carrière hors-Québec - Outside Quebec Career Day -

Outside Quebec Career Day, held in February every year, plays host to some 50 recruiting establishments from other Canadian provinces and the United States.


Canadian Society of Internal Medicine (CSIM) is a non-profit professional society that promotes the health and well being of Canadian patients, their communities, and their health care systems. The CSIM website is:


L'association des spécialistes en médecine interne du Québec (ASMIQ) englobe tous les internistes qui pratiquent dans la province de Québec. Depuis la création de la Régie de l’assurance-maladie du Québec, les internistes devenez automatiquement membre de notre association et la cotisation est perçue directement à la source. De plus, l’ASMIQ dispose d’un site web:  Ils vont vous envoyer les détails qui vous permettront de visiter la section sécurisée des membres.  

Principes régissant l'octroi par la Fondation de bourses et autres formes de soutien financier à des activités de formation

Par la présente, les membres du conseil d’administration de la Fondation vous informent de la procédure d’attribution de bourses octroyées par la Fondation.  C’est sous la forme d’un concours que les internistes en pratique et les résidents IV et V peuvent soumettre leur candidature pour obtenir une bourse au montant maximal de 30 000 $. Nous vous rappelons que la Fondation pour le progrès de la médecine interne a été créée dans le but d'aider les internistes et futurs internistes à développer des habilités techniques et autres expertises utiles à une pratique de la médecine interne polyvalente.  Cette aide prendra la forme d'une assistance financière lorsque la formation nécessaire entraîne des déboursés et/ou une perte de revenu pour l'intéressé.

Formation complémentaire

RAMQ - remunerated extensions of training (formation complémentaire)

One year extension of training for recruitment purposes

New formation complementaire rules and regulations:

PDF icon fc_regles_2016_10.pdf

Inquiries should be sent to [at]

RAMQ-remunerated Medical Residents registered in a Royal College residency may be eligible to obain an extension of training to complete a RAMQ-remunerated Fellowship i.e., formation complémentaire. You must apply online and submit a complete file before September 1, 2015.  Please review the Fellowship descriptions.

An extension to complete a second Royal College residency (e.g. 2 years of Maternal Fetal Medicine)

You must apply online and submit a complete file.  Inquiries should be sent to [at]

Formation complémentaire requests have to be approved by the CVDFM (Conférence des vice-doyens des facultés de médecine du Québec) and the MSSS (see instructions). 

Once your file is complete and has been approved by the Program:

If you are a resident registered in a Quebec university and are being recruited by a Quebec Faculty of Medicine other than McGill, please contact one the:

  • Université de Montréal: marie.galibois [at]
  • Université Sherbrooke: alina.mihaila [at]
  • Université Laval: guy.labrecque [at]

If you are a McGill resident or a resident registered in a Quebec University and you wish to complete your training at McGill and are being recruited by a Quebec non-University hospital, please complete the formulaire de formation complémentaire in full and submit via email with a firm letter of job offer from the recruiter to:

  • For section 1: [at]
  • For section 2: [at]

Please note that the formation complémentaire cannot be done in an institution affiliated with the recruiting university.

If you are a resident registered in a Quebec University and are being recruited by the McGill Faculty of Medicine please note that you must complete the training and the process at another university network. 

  • Bursary from the Fonds de Recherche du Québec - Santé (FRQS):  The Faculty of Medicine PGME Officer at the target university (for McGill: [at] requires a copy of the award letter.  The formation complémentaire form needs to be completed as part of the FRQS application.  Once the award has been granted by FRQS, CVDFM approval is automatic.
  • Trainees applying to and accepted by the McGill CIP must complete the formation complémentaire form up to section VIII (sections IX, X, XI and XII to be left blank).  Forms are to be sent to Nafeesa Durgahed at [at]
  • Trainees applying to and accepted by the McGill CSP must complete the formation complémentaire form up to section VIII (sections IX, X, XI and XII to be left blank).  Forms are to be sent to Nathalie Allen at [at]

Clinician Investigator Program (CIP)

The McGill Clinical Investigator Program (CIP) is a Royal College of Physicians and Surgeons of Canada (RCPSC) accredited program that provides 2 years of formal research training to residents who want to pursue a career in clinical or basic science research and academia. CIP is a great opportunity for residents to develop their passion for research. Each research project is unique and tailored to the resident’s interest and their subspecialty program. 

Residents must select their research supervisor and project prior to applying to CIP. The research goals for each resident are tailored to their research question and hypothesis, which are different for each project. The roles of the research supervisor, the CIP director and the CIP residency committee are to foster this research interest and to provide mentorship and guidance. Compared to the graduate programs, CIP provides residents with a structured curriculum and close supervision that closely monitors the residents’ progress. This is to ensure that the residents complete their objectives during the time they spend in CIP. Residents within CIP also benefit from having protected research time and the necessary resources to acquire all the basic requirements to become a successful clinician scientist.

Key documents:

CIP Application Process

CIP Registration Form

CIP Reading List

Billing Documents

RAMQ Official Billing Manual for General Internal Medicine:

Practice Management: Billing Session
This academic ½ day is a practical CanMEDS Manager role session which addresses key challenges residents will face in setting up their practice.  This session is held yearly in June and is presented by Dr. Patrick Willemot.  Attendance is mandatory. Topics include:  

  • How To Bill 1 - Theory
  • How To Bill 2 - Hands-On Case-Based Exercises "facturation à l'acte" 
  • "mesures incitatives"

Click here to download the billing documents from the GIM workshop


The Canadian Medical Protective Association (CMPA) is a service that provides assistance, advice, professional development and public policy relating to medical-legal issues that impact physicians' practice and safe medical care. Their mission is "to protect the professional integrity of physicians and promote safe medical care in Canada."'

The CMPA's official website is:

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