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Geriatric Medicine – Residency Program

Residency Program at McMaster

Welcome to McMaster’s Geriatric Medicine Subspecialty Residency Program for the training of PGY4 and PGY5 residents after completion of core Internal Medicine. Our program is designed to prepare you for excellence in clinical care, education, and critical thinking, as well as to launch your career as a leader in the field of Geriatric Medicine.

We prioritize our responsibility as physicians to advocate for vulnerable and marginalized members of our society and strive to build a diverse and inclusive residency program. We recognize structural and individual barriers to persistent health inequities and aim to engage those traditionally underrepresented in medicine through faculty and resident-led initiatives.

Welcome

Welcome to the McMaster Geriatric Medicine Residency Program! Our mission is to train 21st-century Geriatricians who are skilled in the optimal care of older adults in all care settings (inpatient medicine, outpatient clinics, outreach, long-term care, and virtual care).

We are a mid-sized program that takes pride in having engaged and caring world-class faculty. Our residents have exposure to diverse patient populations and a variety of care systems. In addition, there are many opportunities to participate in innovative programs such as GeriMedRisk and iGeriCare. For those candidates seeking research opportunities, there are countless ways to engage in aging research through our GERAS Centre for Aging Research and McMaster Institute for Research on Aging (MIRA). We foster a supportive educational environment and our residents have ample opportunities to teach junior learners and participate in educational projects.

Entry Requirements

Applicants would apply through the CaRMS Medicine Subspecialty Match (MSM). Full requirements can be found on their website.

Application Deadline

Please refer to the CaRMS website.

Goals & Competencies

Geriatricians provide diagnosis and treatment of a broad range of presentations and conditions, in hospitalized and ambulatory older adults. Geriatric Medicine’s expertise can be described by the 5Ms: Mind, Mobility, Medications, Multi-complexity, and what Matters most to the patient and family. Geriatricians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional values in their provision of high-quality and safe patient-centred care.

Rotational blocks will be structured in such a way as to meet the new Royal College Geriatric Medicine Training Requirements while allowing for flexibility to the individual resident’s learning needs.

Transition to Discipline

This stage of training aims to introduce the trainee to the subspecialty of Geriatric Medicine and is generally 6-8 weeks. Potential rotations include Ambulatory Care, Inpatient Geriatric Consultation and Geriatric Rehabilitation Ward (GRU).

Foundations of Discipline

The Foundations of Discipline stage of training has a focus on older adults presenting with common geriatric medical conditions and syndromes, and related functional issues, presenting in different practice settings. This stage is 6-8 months. Potential rotations include Mixed Subspecialty clinics, Rehabilitation, Geriatric Psychiatry, Virtual Care and Inpatient Consultation Services.

Core of Discipline

The Core of Discipline stage of training has a focus on the comprehensive management of older adults with functional decline and multiple co-morbidities, across the spectrum of frailty, in a range of care settings. This stage usually lasts 12-14 months. Potential rotations include Clinical Pharmacology, Geri Med Risk, Palliative Care, Movement Disorders, Long Term Care, and Longitudinal Chief Clinic.

Transition to Practice

The Transition to Practice stage of training aims to focus on the consolidation of skills required to manage the caseload of a practicing Geriatrician. This stage lasts 1-2 months and consists of Administrative rotation as well as Junior attending blocks for inpatient rotations.