Internal Medicine
Curriculum
Our curriculum uses the Royal College of Physicians of Canada Competency-by-Design (CBD), which is a competency-based curriculum.
Residents go through stages of residency. In each stage, residents focus on gaining competency in specific tasks, called Entrustable Professional Activities (EPAs). Once they gain competency in all of those tasks, they move to the next stage.
Stages
Transition to Discipline (TTD)
EPAs
Foundation of Discipline (F)
EPAs
- F1 Assessing, diagnosing, and providing initial management for patients with common acute medical presentations in acute care settings
- F2a Managing patients admitted to acute care settings with common medical problems and advancing their care plans- Part A: Patient Assessment and Management
- F2b Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part B: Communication with Patient/Family
- F2c Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover
- F3 Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan
- F4a Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part A: Discharge plan documentation
- F4b Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part B: Discharge plan communication
- F5 Assessing unstable patients, providing targeted treatment and consulting as needed
- F6 Discussing and establishing patients’ goals of care
- F7 Identifying personal learning needs while caring for patients, and addressing those needs
Core of Discipline (C)
EPAs
- C1 Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations
- C2a Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management
- C2b Assessing and managing patients with complex chronic conditions - Part B: Patient Education/Communication
- C3a Providing internal medicine consultation to other clinical services - Part A: Patient Assessment and Decision-Making
- C3b Providing internal medicine consultation to other clinical services - Part B: Written consultation note
- C3c Providing internal medicine consultation to other clinical services - Part C: Oral Communication with referring physician
- C4a Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient Care
- C4b Assessing, resuscitating, and managing unstable and critically ill patients - Part B: Interprofessional Care
- C5 Performing the procedures of Internal Medicine
- C6 Assessing capacity for medical decision-making
- C7 Discussing serious and/or complex aspects of care with patients, families, and caregivers
- C8 Caring for patients who have experienced a patient safety incident (adverse event)
- C9a Caring for patients at the end of life - Part A: Symptom Management in End of Life
- C9b Caring for patients at the end of life - Part B: Discussion about transition away from disease modifying treatment
- C10 Implementing health promotion strategies in patients with or at risk for disease
- C11a Supervising junior learners in the clinical setting - Part A: Teaching
- C11b Supervising junior learners in the clinical setting - Part B: Running the Team
Transition to Practice (TTP)
EPAs
- TTP1a Managing an inpatient medical service - Part A: Overall Patient Care
- TTP1b Managing an inpatient medical service - Part B: Interprofessional Care
- TTP2a Managing longitudinal aspects of care in a medical clinic - Part A: Overall Patient Care
- TTP2b Managing longitudinal aspects of care in a medical clinic - Part B: Collaboration and Efficiency
- TTP2c Managing longitudinal aspects of care in a medical clinic - Part C: Patient survey
- TTP3 Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment
- TTP4 Providing consultation to off-site health care providers
- TTP5 Initiating and facilitating transfers of care through the health care system
- TTP6 Working with other physicians and healthcare providers to develop collaborative patient care plans
- TTP7 Identifying learning needs in clinical practice, and addressing them with a personal learning plan
- TTP8 Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery
Teaching Activities
Rotations
- Nephrology
- CCU
- Cardiology
- Hematology
- Microbiology
- MTU
- Respiratory Medicine
- Endocrinology and Diabetes
- Neurology
- Rheumatology
- Gastroenterology
- ICU
- ER
- Medical Consultations
- Community Medicine
- Geriatrics
- Infectious Diseases
- Allergy and Immunology
- Oncology
- Hematological Oncology
- Dermatology
- Obstetric Medicine
- Palliative Care
- Longitudinal Clinic
Weekly Site-Based Lectures
- Stroke
- DKA & HHS
- Heart Failure
- COPD
- Hepatitis
- Meningitis/Encephalitis
- Shock
- Thyroid Disorders
- ACS
- UGIB
- Seizures
- SLE
- AKI
- ARDS
- Septic Arthritis
- Anemia
- Diabetes and complications
- Pneumonia
- Acid-Base Disorders
- Bronchial Asthma
- Hypertension
- Arrhythmias/ECG approach
- Rheumatoid Arthritis
- Headache
- CKD
- Chronic Liver Disease
- OSA/OHS
- Hypo/hypernatraemia
- FUO
Onboarding and Orientation
Research Course
QI & Safety Course
R1 Academic Day
- Approach to chest pain
- Approach to shortness of breath
- Approach to shock
- WHO Patient Safety Solutions
- Approach to GI bleeding
- Impact of medical documentation and handover in patient care
- Approach to anaemia
- How to Excel as a Resident
- Approach to AKI
- Approach to electrolyte imbalance
- Common Ward Calls
- Workshop: Resident Wellness
- Approach to diabetes emergencies
- Approach to thyroid fuction test
- Workshop: Critical Appraisal
- Approach to hyponatremia
- Managing opioids prescription
- Workshop: How to read ECG
- Approach to headache
- Approach to arrhythmia
- Medical Ethics
- Lab interpretation (CBC, RFT, LFT, coags, blood gas)
- Approach to calcium disorders and bone disorders
- VTE/Hypercoagulable State
- Ice Cream Rounds
- Receiving Feedback Effectively and acting on it
- Approach to decreased LOC/dizziness
- Workshop: Communication skills
- Approach to HTN emergencies
- Approach to chronic liver disease
- Workshop: CXR & neuroimaging
- Approach to Seizures
- Approach to Fever of Unknown Origin
- Workshop: Introduction to POCUS
- Approach to delerium and agitated patients
- Antimicrobial stewardship
R2 Academic Day
- Approach to abnormal LFTs
- Malabsorptive syndromes and diarrhea
- Hypoglycemia disorders
- Anticoagulation management
- Interstitial lung disease
- Antibiotic use and misuse
- Approach to joint pain (mono and polyarthritis)
- Pleural effusion work up and results interpretation
- Lipid disorders
- Heart Failure
- Inflammatory bowel disease
- Workshop: How to read PFT
- NASH - MASLD
- Approach to glomerular disease
- Approach to Hemoptysis
- Adrenal Disease
R3 Academic Day
- Infective Endocarditis
- Hospital Acquired Infections
- Sarcoidosis
- Dislipidaemia (Workshop)
- Osteoporosis
- Obesity
- Communications Skills Workshop
- Fasting and medications management
- Approach to patient with pericardial disease
- Ice-Cream Rounds
- CANMEDS role integration
- Pituitary Disease
- Screening (Workshop)
- HIV and complications
- Dermatology Emergencies
- Septic Arthritis
- Medical Ethics and professionalism (Workshop)
- Hemeoncology for internists
- Valvular heart disease
- Managing Hajj (workshop)
- Palliative care
- Comprehensive geriatrics assessment
- Common OPD scenarios (workshop)
- TB and complications
- Vasculitis
- Approach to peripheral neuropathy
- Data Interpretation (workshop)
R4 Academic Day
R5 Academic Day
- How to navigate R5 with no stress
- Role of a senior
- Communication skills work shop
- Exam orientation
- COPD/BA guidelines
- Cardiology MCQs and case discussion
- Pre operative assessment
- Consultation workshop
- Cases in geriatric medicine
- Neurology MCQs and case discussion
- Heart Failure guidelines
- Neurology MCQs and case discussion
- OPD oral scenarios workshop
- Gastroenterology MCQs and case discsussion
- Surviving sepsis guidelines
- Cases in Obstetric Medicine
- Emergency oral scenarios workshop
- Respirology MCQs and case discussion
- Pulmonary Embolism guidelines
- Wellness check-in
- Workshop: Case-based integration of CANMEDS roles
- General Medicine MCQs and case discussion
- Nephrology MCQs and case discussion
- Nephrology MCQs and case discussion
- Station 6 workshop (brief clinical scenarios)
- Hematology MCQs and case discussion
- Atrial fibrillation guidelines
- Exam Preparation (Workshop)
- Approach to the patient with painful joint
- Rheumatology MCQs and case discussion
- Latest ADA guidleines
- Endocrinology MCQs and case discussion
- Infectious diseases MCQs and case discussion
- Wellness check-in
- KDIGO guidelines
- Oncology MCQs and case discussion