The residency program in general surgery is
coordinated through the Postgraduate Residency Committee in Surgery as
part of the integrated program of the McGill University teaching
hospitals. Residents rotate through the main adult teaching hospitals
(Royal Victoria, Montreal General, and Sir M.B. Davis - Jewish General
Hospitals), the Montreal Children's Hospital, St. Mary's Hospital and one or more of the
affiliated hospitals. The program is five years in duration, with
progressive graded responsibility with each year of clinical training.
The PGY3 year is a flexible year (see below) designed to meet the
ultimate career needs of the individual resident.
First and Second Year
The first two years of residency are
concerned with core training. In these years, the emphasis is on the
Principles of Surgery. During the first two years of residency, the
program provides a core of broad surgical exposure for individuals who
intend to pursue advanced training in general surgery. This involves a
didactic lecture program, clinical rotations, and surgical technique
laboratories. Appointments to the first year of residency in surgery are
made through CaRMS after successful completion of the final year of
During the core years, residents rotate
through the following disciplines:
Trauma (2 periods)
Surgical Endoscopy (2 periods)
Thoracic Surgery (1
Vascular Surgery (2 periods)
1 period available during the core years.
Radiology (not recognized by the American Board of Surgery)
The coordinator of the
Program is Dr. Kenneth Shaw.
Third Year Residents
In the PGY3 year, trainees may elect to
spend one year in surgical research on a clinical or basic science
subject. Others may elect to pursue studies in surgical education or
clinical epidemiology during that year. Another option is to design a
"flexible" clinical year in order to provide increased exposure, at a
senior level of responsibility, to rural general surgery or to surgical
subspecialties, such as operative obstetrics and gynecology,
orthopedics, or plastic surgery.
Current requirements for eligibility for
the American Board of Surgery (ABS) require that a resident spend a
minimum of 4 1/2 years in clinical rotations. Thus, a resident
electing to do a year of research would not be board eligible by the
current ABS requirements, although would comply with current
requirements of the Royal College of Physicians and Surgeons of Canada
and the Collège des médecins du Québec.
Residents selected to enter the M.Sc. or
Ph.D. track are provided personal support from non-government sources
for the duration of their graduate studies. This maintains dual
eligibility for the Royal College of Physicians & Surgeons of Canada and
American Board of Surgery Certification. Acceptance into the
surgeon-scientist program is on a competitive basis.
Fourth and Fifth Year
In the final two years of residency,
residents are given increased autonomy in patient management. They
direct the running of a surgical service, teach and supervise junior
residents, and medical students. They are involved in the initial
evaluation and management plans of patients seen in consultation in the
emergency room and in both ambulatory and inpatient settings. They
participate actively in most major surgical procedures.
Rotations in the PGY4 year include
general surgery in rural hospitals in Montreal, affiliated community
hospitals and teaching hospitals. In accordance with Government of
Quebec regulations, residents are required to do 3 months of training in
a rural hospital. In addition, rotations in vascular surgery and trauma are recommended.
In the PGY5 year, the resident will
rotate as the most senior resident on a clinical teaching unit in an
adult university teaching hospital in general or vascular surgery.
Requests for additional information
should be directed to:
General Surgery Residency Program Office
c/o Dr Paola Fata, Program Director
Montreal General Hospital
1650 Cedar Avenue, L9.424
Montreal, Quebec H3G 1A4
Tel.: (514) 843-1532
Fax: (514) 843-1503
Except for American and contract posts,
PGY-1 positions are offered through the CaRMS Match. Interviews are
required and are held in January/February. Selection of applicants for interviews
is based on academic performance, letters of recommendation, review of
curriculum vitae, Dean's letter, and autobiographical letter. Interviews
are offered to applicants with the most competitive applications. No
position will be offered without an interview. The final decision for
acceptance in the General Surgery Program is made by the Residency
Program Committee after review of the file and interview scores.
Interviews can be arranged through Dr Fata's office at the Royal
Victoria Hospital, (514) 842-1231 (31532).