91社区

91社区.CA / Department of Psychiatry / Education / Residency Program

Rotations

Scheduling

All psychiatry residents follow the 13-period schedule set by the Faculty of Medicine.

2020鈥�2021

July 1, 2020 = Wed

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2021鈥�2022

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July 1, 2021 = Thursday

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2022鈥�2023

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July 1, 2022 = Friday

Period

From

To

Period

From

To

Period

From

To

1

1-Jul-20

26-Jul-20

1

1-Jul-21

1-Aug-21

1

1-Jul-22

31-Jul-22

2

27-Jul-20

23-Aug-20

2

2-Aug-21

29-Aug-21

2

1-Aug-22

28-Aug-22

3

24-Aug-20

20-Sep-20

3

30-Aug-21

26-Sep-21

3

29-Aug-22

25-Sep-22

4

21-Sep-20

18-Oct-20

4

27-Sep-21

24-Oct-21

4

26-Sep-22

23-Oct-22

5

19-Oct-20

15-Nov-20

5

25-Oct-21

21-Nov-21

5

24-Oct-22

20-Nov-22

6

16-Nov-20

13-Dec-20

6

22-Nov-21

19-Dec-21

6

21-Nov-22

18-Dec-22

7

14-Dec-20

10-Jan-21

7

20-Dec-21

16-Jan-22

7

19-Dec-22

15-Jan-23

8

11-Jan-21

7-Feb-21

8

17-Jan-22

13-Feb-22

8

16-Jan-23

12-Feb-23

9

8-Feb-21

7-Mar-21

9

14-Feb-22

13-Mar-22

9

13-Feb-23

12-Mar-23

10

8-Mar-21

4-Apr-21

10

14-Mar-21

10-Apr-22

10

13-Mar-23

9-Apr-23

11

5-Apr-21

2-May-21

11

11-Apr-21

8-May-22

11

10-Apr-23

7-May-23

12

3-May-21

30-May-21

12

9-May-21

5-Jun-22

12

8-May-23

4-Jun-23

13

31-May-21

30-Jun-21

13

6-Jun-21

30-Jun-22

13

5-Jun-23

30-Jun-23

Please note that rotations should not begin on period 7 since this period is interrupted by holidays.

Deadline for submitting rotation requests

The deadline for submitting your choice of rotations for the July 1, 2021 academic year is November 13, 2020. After that date, commitments are considered firm. A change in schedule after that date will only be allowed if there is a clear academic reason and the proposed change is approved by the training directors of the site of the initial rotation and the site of the proposed rotation, as well as the program directors. Late requests will be reviewed by the Competence Committee for approval. Since July 1, 2019 residents are required to fill out and submit the program鈥檚 CHANGE of ROTATION FORM (on one45) when requesting a change in rotation after the November 13 deadline.

Opening date for booking rotations

On November 14, 2020 PGY2 residents may begin booking their PGY4 rotations and PGY3 residents may begin booking their PGY5 rotations.

**Deadline to cancel rotation: 3 periods before start of rotation. Requests submitted after this deadline may be declined.

Junior residency rotations, R1鈥� R3

All requests for rotations of the junior residency years, PGY1鈥揚GY3, are submitted via a survey that will be sent to you directly from the program office.

Senior residency rotations, PGY4-PGY5

Residents book all of their rotations (cores, selectives and electives) directly with the training directors with the exception of the PGY4 addictions rotation (via the program office and the Addictions Unit).

Addictions psychiatry rotation, PGY4

All residents are required to complete a part-time 3鈥�4 block rotation in addictions psychiatry in their PGY4鈥�5 year. This can be combined with another mandatory or elective rotation. A survey will be sent directly from the program office in the PGY 2 year to schedule this rotation.

Minimum duration of rotations

The minimum duration of an elective is 2 periods (see details below).

The minimum duration of a selective is 3 periods (see details below).

The Inpatient Psychiatry and Outpatient Psychiatry rotations must be done as continuous 6 or 7 period rotations (periods 1鈥�7 or 8鈥�13).

The Child Psychiatry rotation may be done as a continuous 6- or 7-period rotation (periods 1鈥�7 or 8鈥�13), or as two three-month rotations (periods 1鈥�3 and 4鈥�7 or periods 8鈥�10 and 11鈥�13).

The Geriatric Psychiatry rotation may be done as a continuous 6- or 7-period rotation (periods 1鈥�7 or 8鈥�13), or as two three-month rotations (periods 1鈥�3 and 4鈥�7, or periods 8鈥�10 and 11鈥�13).

Maximum training duration at any given site

The maximum training duration at any given site is 2 years (26 blocks at one site). The PGY1 rotations, child psychiatry rotation, research, and addictions psychiatry rotation are not counted in this total. The MUHC has two sites (RVH and MGH), but is capped at a maximum duration of 3 years (not 4 years). Exceptions would require approval of the program directors and of the Competence Committee.

Core Rotations

  • Refer to the detailed rotation-specific objectives of training on one45 for each core rotation.

The program is university-based and five years in length. Each year includes 13, 4-week periods.

On July 1, 2020, the PGY1 cohort became the first cohort to transition to the CBME (Competence-Based Medical Education) curriculum.

Basic clinical training: PGY1

  • 2 periods, Stage of residency: Transition to Discipline (psychiatry)
  • 8 periods of medical rotations including:
    • 2 periods of primary care (family medicine, internal medicine, pediatrics), 1 period (minimum) family medicine
    • 1 period of neurology
    • 1 period of endocrinology
    • 1 period of emergency medicine
    • 3 periods of selectives (geriatrics, pediatrics, neuroradiology, family medicine, rural family medicine, palliative care, HIV medicine, pain clinic, social pediatrics, developmental pediatrics, oncology, adolescent medicine, memory clinic)
  • 3 periods, Stage of residency: Foundation of discipline
    • Clinical psychiatry rotations including at least 1 period of consultation-liaison

Junior residency: PGY2鈥揚GY3

The PGY2鈥� PGY3 years are the junior clinical years.

The PGY2 year consists of 12 months (13 periods) of adult psychiatry divided between inpatient and outpatient adult psychiatry (approximately 6 months each)

The PGY3 year consists of 12 months (13 periods) divided between child and geriatric psychiatry (approximately 6 months each).

Senior residency: PGY4鈥揚GY5

The PGY4鈥� PGY5 years are the senior clinical years and include 12 months of core rotations in adult complex care, 6 months of selectives, and 6 months of electives.

  • Complex Care Adult Psychiatry: In total, your complex care adult psychiatry rotations must add up to 13 periods.
    • Consultation鈥搇iaison psychiatry (minimum 3 full-time periods)
    • Severe and persistent mental illness (3 or more full-time equivalent periods)
    • Collaborative / Shared Care (2 or more full-time equivalent periods)
    • Addictions psychiatry (part-time 3 or 4 periods, for calculation purposes this counts as 1.5 or 2 full-time equivalent periods)
  • Psychiatry Selectives: 6 months (6鈥�7 periods)
    • Content area limited to child psychiatry, geriatric psychiatry, forensic psychiatry, CL psychiatry, addictions, psychotherapy, psychiatric research and/or stage-en-r茅gion (rural community psychiatry)
    • Royal College rules regarding selectives:
      • Six (6) months of selectives in psychiatry, preferably in one (1) content area but may be comprised of two (2) content areas with experience of no less than three (3) months each.
  • Psychiatry Electives: 6 months (6鈥�7 periods)
    • Any rotation relevant to psychiatry
    • Royal College rules regarding electives:
      • Six (6) months of electives in any aspect of training relevant to contemporary psychiatric practice, including research approved by the residency competence committee. The elective may consist of an approved rotation in internal medicine, neurology, or other branch of medicine relevant to psychiatry. More than one (1) practice area may be chosen, but the duration of any experience must not be less than two (2) months each.
      • Identical rotations, but at two different sites, can be accepted as a single elective.

Recommendations

Residents are strongly encouraged to complete SPMI in a continuous fashion in order to have a fuller and less fragmented experience. A minimum of 3 full-time equivalent periods is required. If a resident chooses to complete 6 part-time periods, they are encouraged to complete them in a row, at the same site.

Residents planning to complete two half-time rotations at two different sites are required to contact their two training directors at least three months prior to the start of their rotation, in order to see if the scheduling is feasible. This also includes checking how call requirement will be split between the 2 sites, which is decided by the training directors. The pairing of the 2 rotations needs to be approved by both training directors before proceeding.

The program recommends that residents select their half-time rotations at the same site to minimize travel time, improve wellness and minimize fatigue and allow for engagement in leadership positions (teaching fellow or assistant chief resident).

Planning for a successful rotation

Residents need to have an open discussion with each of their supervisors regarding expectations during any rotation. It is advisable to go over the Goals and Objectives of the rotation to see what can aspects can be achieved with the specific supervisor. Residents should share their weekly agenda with all supervisors so that everyone is aware of their clinical, administrative, and educational commitments. The program strongly encourages residents to inform their staff of any upcoming absences due to teaching, program or resident related events. Finally, the program strongly encourages all residents to keep up with their work on a regular basis. Do not accumulate a backlog of write-up and follow-up notes. Residents need to discuss acceptable delays for submitting follow-up notes (the general expectation is that these be done the same day patients are seen) and consultations (this should be discussed with staff but FIVE days is the benchmark except for during the CL rotation where consults should be written the same day patients are seen).

Addictions rotation

  • Refer to the detailed rotation specific objectives of training in research in addictions psychiatry on one45.

You will be contacted by the program office in July of the PGY2 year to schedule this rotation.

Rotation Director: Dr Dara Charney email: dara.charney [at] mcgill.ca

Description: The addictions rotation is based at the Addictions Unit (Griffith Edwards House) of the MUHC-Montreal General Hospital. As this is our only specialized addictions service, all residents rotate through the addictions unit. The rotation is part-time, integrated into the 13 periods of complex care adult psychiatry done in the senior residency years PGY4鈥� PGY5. The options for this rotation are periods 1鈥�3, 4鈥�7, 8鈥�10, or 11鈥�13. This is a 3 half-day equivalent rotation that can be matched with another part time senior residency rotation.

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Rotation Sites: Core Rotations

The following options are available for psychiatry rotations:

Core rotations

Duration

Sites
Medical rotations 9 periods JGH, MCH, MUHC (MGH, RVH), SMH, CLSCs, 13 rural settings
Inpatient psychiatry 6-7 periods CISSSO (Gatineau), DH, JGH, MUHC (MGH), SMH
Outpatient psychiatry 6-7 periods DH, JGH, MUHC (Allan Memorial Institute)
Geriatric psychiatry 3-6 periods CISSSO (Gatineau), DH, JGH, SMH
Child and Adolescent psychiatry 3-6 periods DH, JGH, MCH, CSSS de Suro卯t (Valleyfield)
Shared Care 2-6 periods JGH, MUHC, SMH, CISSSO (Gatineau)
Consultation-Liaison 3-6 periods JGH, MUHC (MGH and RVH), CISSSO (Gatineau)
Severe and Persistent Mental Illness (SPMI) 3-4 periods DH, JGH, MUHC (AMI), CISSSO (Gatineau)
Psychiatry rural rotations 3-4 periods

CISSSO (Gatineau)
CSSS de Suro卯t听 (Valleyfield)
Requires French proficiency:
unilingual Anglophones should contact the program office for alternatives
Addictions 3-4 periods MUHC (MGH)

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Core Rotations Outside our Program

All core rotations must be completed within the 91社区 Network of teaching hospitals. Residents can request to complete core rotations in other universities in Qu茅bec if they are seeking an experience not otherwise available in our network. Each request will be assessed separately by the Competence Committee. Requests should be submitted to the program office before the program鈥檚 November 13 rotation selection deadline. Please note that as per Postgraduate rules and regulations, applications for any rotations outside 91社区 need to be submitted three months (90 days) before the start of the rotation. Late submissions will be refused.

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Rotation Sites: Clinical, Selective and Elective Rotations

The following options are available for the senior residency selective and elective rotations. The minimum duration of a selective is 3 periods; the minimum duration of an elective is 2 periods.

PGY4/听PGY5 Elective/Selective Rotations

Location / Notes
Acute Care Services MCH
ADHD DH, MCH
Adult Intellectual Disability, Autism Spectrum Disorder DH, Clinique Spectrum
ACT (Assertive Community Treatment) DH, JGH, MUHC
Addictions MUHC (MGH)
Adolescent Medicine MCH
Adolescent Psychiatry DH
Anxiety Disorders MUHC (AMI)
Autism Spectrum Disorders MCH
Batshaw and Bourbonni猫re MCH
Behavioural Pediatrics MCH
Borderline Personality Disorder MUHC, JGH
Child Psychiatry MCH, DH, JGH
Cognitive-Behaviour Therapy MUHC (AMI), JGH
Community CAP Shared Care MCH, JGH
Complex Care Service MCH
Consultations to Adolescent Medicine Eating Disorders Team MCH
Consultation-Liaison: Adult MUHC (MGH, RVH), SMH, JGH
Consultation-Liaison: Child MCH
Acute Care Rotation (CL/ER/ER Follow-up/Crisis Intervention) SMH
Day Hospital: Adult MUHC (AMI), JGH
Developmental Pediatrics MCH
Dynamic Psychotherapy: Long-term JGH, MUHC (AMI)
Dynamic Psychotherapy: Short-term JGH, MUHC (AMI)
Eating Disorders DH
ECT DH, MUHC (MGH)
Emergency Psychiatry DH, MUHC (MGH), SMH, JGH
Evaluation and Stabilization
of Complex Cases		 MCH
First Episode Psychosis DH, JGH, MUHC (AMI), MCH
Forensic Psychiatry CISSSO (Gatineau), Malartic (Val d鈥橭r)
Geriatric Psychiatry Inpatient Unit DH, CISSSO (Gatineau)
Geriatric Psychiatry CISSSO (Gatineau), DH, MUHC (AMI), SMH
Inpatient Psychiatry MUHC (MGH), CISSSO (Gatineau) (as elective as well)
Psychiatry Intensive Care Unit DH, JGH
91社区 Student Wellness Hub (formerly know as 91社区 Psychiatric Services) MUHC (91社区 Campus, Brown Building)
RIM (Rapid Intervention Model) DH
Mood Disorders (Bipolar/Major Depression) DH
Neurology: Adult JGH, MGH, MNI
Neurology : Child MCH
Neuropsychiatry MNI, MUHC, MCH
Neuroradiology MGH, MNI
North-Indigenous Communities MCH, DH
Pain Psychiatry MUHC (MGH)
Palliative Care MGH
Pediatric Psychiatry Inpatient Unit MCH
Personality Disorders JGH, MUHC
Psychopharmacology DH, MUHC (AMI), MCH
Psychiatry Research: Adult DH, JGH, MUHC
Psychiatry Research: Child DH, JGH, MCH
Reproductive Psychiatry Clinical and Research Elective MUHC, JGH
91社区 Sexual Identity Center (MUSIC) MGH
Shared Care CISSSO (Gatineau) (6 months min.), JGH, SMH, DH
SPMI (Continuing Care) DH, MUHC (AMI), CISSSO (Gatineau), JGH
Transcultural Psychiatry: Adult JGH

Transcultural Psychiatry: Child

JGH, MCH 鈥� CIUSSS West Central Montreal
Community Psychiatry Lakeshore General Hospital听(for senior residents)
Youth Services (Ages15-22) JGH

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The rotations listed below are not currently active. However, if you are interested in pursuing them please contact the local training director. Our program has specialists in these areas and goals and objectives will be available if the rotations become active.

PGY4/ PGY5 Elective/Selective Rotations NOT ACTIVE

Location / Notes

Mood Disorders

MUHC (AMI)

Adolescent Psychiatry

JGH

Inpatient Psychiatry

JGH, SMH

Psychiatry Intensive Care Unit

JGH

Geriatric Psychiatry Inpatient and Outpatient Unit

JGH

Palliative Care

JGH

Family Therapy

JGH

Rural Rotation (stage en r茅gion)

  • Refer to the detailed Rotation Specific Objectives of Training in Research in Community or Rural Psychiatry on one45.

In accordance with government of Qu茅bec requirements, residents are expected to complete at least 3 periods of their psychiatric training in a non-urban and/or non-university site.

We have three designated sites for rural psychiatry rotations.

  • CSSS de Suroit in Valleyfield offers a selective rotation in rural psychiatry that can be completed in the senior years.

Rotation Directors:
Dr Henriette Kotue:听ckotue [at] yahoo.fr
Dr Paule Kemgni: paule.kemgni.cisssmo16 [at] ssss.gouv.qc.ca

  • Centre hospitalier Pierre Janet (CHPJ) in Gatineau offers the following rotations:
    • Selective in rural psychiatry
    • Core rotations available at CHPJ include:
      • in-patient psychiatry (PGY2)
      • geriatric psychiatry (PGY3)
      • All PGY4 core rotations except Addictions (CL, SC and SPMI)
      • Forensic psychiatry (PGY4-5)
  • Northern Track: Rural Rotation in Northern Qu茅bec Communities.
    • This rotation consists of week-long visits to Northern Qu茅bec aboriginal communities to deliver psychiatric services, as well as a one-month rotation in Abitibi. The 3-month equivalent rotation consists of 6鈥�8 visits spread over residency beginning in the second half of the PGY2 year. Child psychiatry visits may be done during the child psychiatry core rotation, adult psychiatry visits may be done during the second half of the PGY2 year, while the remaining visits are done as electives in the senior years. Applications for this rotation can be made along with other rotation requests in November of the PGY1 year to begin in the PGY2 year. This rotation is considered part of clinical training and is not considered time away from core rotations. If there are more residents wishing to complete this track than there is space (usually 4 spots per year), all applicants will be required to write a short essay explaining why they are motivated to complete this track, will be interviewed and selection of residents will be made by Dr. Nadeau and other Northern Track staff. The program office and the director of this rotation will select residents with the most compelling essays. Participation in the northern track is not considered an absence from clinical duties during the PGY2-3 year and should not be counted towards the 75%. If a resident on the Northern Track is experiencing difficulties during core training, the Competence Committee might recommend and/or require that the resident take a leave from this Track while addressing the areas requiring improvement. In order to remain on Northern Track, more than 75% of visits need to be completed.

Rotation Director : Dr Lucie Nadeau: lucie.nadeau [at] mcgill.ca

Residents are provided with housing and a monetary supplement to cover the cost of travel during rural rotations. Residents who are not proficient in French should contact the program office to make other arrangements. For more information on rural rotations, visit the website: /med-dme/training-sites/rural-specialty

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Malartic Rotation Funding

Distributed Medical Education (DME) office:

Faculty of Medicine, 91社区
McIntyre Medical Sciences Building
3655 Promenade Sir-William-Osler, 6th floor
Montr茅al (Qu茅bec) H3G 1Y6
Tel: 514 398 5666 / Fax: 514 398 3595
Director: Dr Dominique Archambault
Officer: Ms Paola Colapelle: dme-officer [at] mcgill.ca / Tel.: 514 398 1700
Coordinator: Ms Samantha Hanley: sersec.med [at] mcgill.ca / Tel.: 514 398 5666

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Designated Rural Rotations Sites at other Qu茅bec Universities

Other options for rural rotations include rotations at designated rural sites of other Qu茅bec universities. These can be requested as an inter-university rotation through the BCI system. The designated sites affiliated with other Qu茅bec universities can be found on the following website:

Rural rotation exemptions

The program will consider exempting residents from the rural rotation requirement under the following circumstances. In order to request exemption residents must write a request that will be presented to the competence committee.

Cases for consideration include:

  1. Complicated pregnancy (requires a physician鈥檚 note).
  2. Residents with children where the resident is the primary caregiver.
  3. Medical condition(s) requiring ongoing care from a physician (requires a physician鈥檚 note).
  4. Unique family circumstances where the resident is the primary caregiver to a sick family member (requires a physician鈥檚 note).
  5. Any other special circumstance.

Rotation outside 91社区

Inter-university rotations are less than 12 months in duration (trainees remain based and paid at their home school). Inter-university rotations to other Qu茅bec universities are available at: Universit茅 de Montr茅al, Universit茅 Laval and Universit茅 de Sherbrooke. Requests are made through the BCI system a minimum of three months in advance. A "carte mobile" is an inter-university rotation that is 12 months long and during which trainees are based and paid by the host school.

Residents may also spend up to 6 months at a non-accredited site. A non-accredited site is a site in Qu茅bec that is not affiliated with a Qu茅bec university or that is outside of Qu茅bec. For your application to be valid, the PGME office must receive the CMQ form Request for a Rotation in a Non-Accredited Site a minimum of 3 months prior to the start of the rotation. Late submissions will be declined. Please note: rotations at an unaccredited site cannot last more than 3 consecutive months (after a 3 month rotation at an unaccredited site, a resident must do a minimum of 1 month at an accredited site before doing another rotation at an unaccredited site).

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