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Electives by Quebec Trainees

QUEBEC INTER-UNIVERSITY ROTATIONS

There are two types of rotations possible within the Quebec university network:  inter-university rotations of less than 12 months duration (trainees remain based and paid at their home school) and "carte mobile" which is 12 months or longer in duration (trainees are based and paid by the host school).  Inter-university rotations to other Quebec faculties are available at:  Université de Montréal, Université Laval and Université de Sherbrooke

Please note that this applies ONLY to clinical rotations, and not to formal courses given by those universities.  All other courses taken outside of the Faculty of Medicine of McGill University are the responsibility of the trainee who applies and registers in those courses which are taken outside of their residency program.

1) ELIGIBILITY FOR ROTATIONS TO OTHER QUEBEC UNIVERSITIES

a) Residents: These rotations must meet the pedagogical requirements of the program as approved by the program director. Only exceptionally are inter-university rotations done at the beginning of training.  

b) Super Fellows: Trainees registered and completing a fellowship at McGill University should normally complete all the training requirements at McGill University. In exceptional circumstances, an elective rotation at another Quebec university may be approved with the explicit authorization of the Program Director and the Associate Dean.

The evaluation regulations and forms of the host university are used during these rotations.

2) PROCEDURE AND APPLICATION

1. To apply for an inter-university rotation, the resident must make a formal request to his Program Director. Arrangements are then made between the Program Director and the "host" university Program.

2. Once preliminary approval is obtained, the Program Director's office emails the faculty residency coordinator (email should include rotation title, rotation site and rotation dates).

3. At the same time, the trainee submits a rotation request via the CREPUQ system (click here for instructions).

4. Once the request is in the CREPUQ system, the faculty residency coordinator approves the rotation on behalf of the "home" university and submits it to the "host" university for approval.

5. Once the rotation is approved by the "host" university, the faculty residency coordinator emails the Program Director’s office, who then confirms the inter-university rotation to the resident.

Residents must ensure that they have received confirmation from their Program Director prior to arriving at the new site, to ensure that they are covered to perform the required medical acts.  Trainees who arrive at a "host" university without prior approval will be returned to the "home" university.

The faculty residency coordinator must receive the request at least three (3) months beforehand.  Requests made with shorter notice may be refused. 

Trainees can also request a "carte mobile", which allows a resident already registered in a training program in one faculty of medicine of Quebec to apply for training in another faculty of medicine of Quebec in order to complete a one year required rotation as part of an associated complete program or to encourage inter-faculty exchange. 

To apply for a "carte mobile", the trainee must submit a written request to his Program Director, which must include details of the pedagogical plan for that year of training.  The letter needs to be discussed at the Conférence des vice-doyens des facultés de médecine (CVDFM) to obtain approval. 

3) REMUNERATION

In the case of inter-university rotations, the home faculty will continue ensuring the resident's salary.

While on a "carte mobile", remuneration is the responsibility of the host hospital who, in turn, will bill the RAMQ according to the usual procedure.  Please note that in the case of Fellows, funding will continue to be provided by the approved sponsor, since the stipend is not paid by the RAMQ (Régie de l'assurance maladie du Québec). 

4) ADMISSION

The admission criteria are those of the host faculty. The resident must be included in the pedagogical quota. Residents on "carte mobile" for one academic year may register at the "host" university. The evaluation guidelines and forms of the "host" faculty are used during these rotations.

5)  VACCINATION/IMMUNIZATION POLICY

A record of vaccinations and immunizations is obligatory for all students/trainees accepted in McGill's residency/fellowship programs. Trainees are required to have a health care provider (nurse or physician) complete this document on their behalf.  The document which is required upon admission is the Immunization Record.

TRAINING OUTSIDE QUEBEC

Training can be taken outside of the Province of Quebec.  Within North America, training can be done in university and affiliated programs approved by the Royal College, the College of Family Physicians of Canada or the American Medical Association.  Training can also be undertaken outside of North America, and may be recognized by the Collège des médecins du Québec and by the McGill University programs. Requests for credit for training done prior to admission to McGill should be submitted in writing to the Associate Dean's office 3 months in advance and be accompanied by supporting documents. A letter of recommendation for credit towards the residency training program from the Royal College submitted by the Program Director to the Associate Dean for approval will be acceptable. 

As of July 1, 2002, some of these rotations may be remunerated, in accordance with article 2.1 of the Resident Collective Agreement. Please consult the FMRQ for details.

NON-ACCREDITED SITE ELECTIVES

An elective is defined as a discretionary non-mandatory component of resident training. There is now an extra step for electives completed in the USA (please see below).  The following guide can be a useful tool when planning an elective outside of North America:  Planning a Foreign Elective. 

A rotation undertaken in a non accredited setting in Quebec or outside of Quebec can occur and be recognized by the Collège des médecins du Quebec (CMQ) under the following conditions:

1.  The total duration of rotations in non accredited sites must not exceed: three (3) months for trainees registered in a specialty, and one (1) month for Family Medicine trainees.

2.  Rotations in a non accredited setting can be approved by the CMQ only if a minimum of one-half of the residency program was completed satisfactorily.

      a) For a two-year family medicine program, a non accredited site rotation cannot be approved during the first six months of training. During the second half of the first year, a non accredited site rotation can be approved on the condition that the trainee has first completed three months in a Family Medicine Unit (FMU).

      b) For core programs in Pediatrics and Internal Medicine, a non accredited site rotation can be approved after 18 months of training.  

3.  Trainees registered and completing a Fellowship at McGill University should normally complete all training requirements at McGill University.  In exceptional circumstances, an elective rotation at another university outside of Quebec may be approved with the explicit authorization of the Program Director and the Associate Dean.

4.  The CMQ "Request for a Rotation in a Non Accredited Site" form needs to reach the Associate Dean’s office three months prior to the elective.  The Postgraduate Office needs to obtain approval from the CMQ so that the resident receives credit for his/her training in a non-accredited site. Late requests may be refused.

5.  This elective period needs to be recognized by the Program Director and Associate Dean as acceptable in the fulfillment of residency training requirements for the discipline.

6.  Trainees will be supervised and evaluated according to the University’s Evaluation and Promotion Guidelines, and will ensure that a rotation in-training evaluation form is completed and submitted to the Program Director upon completion of the rotation.

7.  The resident should not finalize travel and accommodation plans until the elective is approved by the CMQ.

8.  For electives in the USA:  Once approved by the CMQ, the trainee needs to apply for a Category A ST (Short-Term Training) Statement of Need in order to  obtain a J-1 Visa.  Please go to our J-1 Visa link for further information.

9.  Trainees should be advised that it is possible for residents to remain remunerated by the RAMQ for rotations undertaken in a non accredited setting outside of Quebec, providing the CMQ approves the request as a rotation which has limited availability or which is not available in Quebec. 

10.  Trainees completing "formation complémentaire" may complete non-accredited site rotations as long as they did not exceed the maximum allowable time during their residency (see point 1 above).

11.  During this time, medico-legal coverage is available for rotations undertaken anywhere in the world, if approved by the CMQ, even if approved without remuneration.

 

This page was last edited on 04 February, 2010