Competency-By-Design (CBD) Residency
Residents have been undergoing CBD residency since 2020, similar to other Physiatry residency programs across the country. Residency remains at a 5-year training period for the Calgary program.
CBD Residency is divided into 4 stages as follows:
Transition to Discipline (TTD): Two introductory blocks of PM&R to provide residents an initial exposure to their future career. This involves primarily clinical work in inpatient and outpatient physiatry.
Residents are in TTD for the first 2 months of residency before moving on to off-service rotations in Foundations of Discipline.
During this time, they participate in physiatry home-call for the inpatient neurorehabilitation ward.
Foundations of Discipline (FOD): Seventeen blocks of off-service rotations in acute medicine, to develop a solid foundation of medical knowledge and clinical experience relevant to Physiatry (including relevant experiences to neuromusculoskeletal rehabilitation, cancer, trauma and burn rehabilitation, and providing on-call coverage for the inpatient neurorehabilitation ward).
Residents are in FOD for 16 blocks (approximately 1.5 years) before moving on to on-service physiatry rotations in Core of Discipline, typically beginning in the middle of their R2 year.
They are on-call for their off-service specialty which may be either in-house or home call, and do not participate in physiatry call unless due to exceptional circumstances it is needed by the physiatry service due to increased call coverage requirements.
Core of Discipline (COD): Thirty-six blocks of physiatry rotations spanning neurorehabilitation, MSK medicine, neuromuscular medicine & electromyography, research, cardiopulmonary and pediatric rehabilitation.
Residents are in COD for 34 blocks (approximately 3 years) prior to writing their Royal College examinations.
They are regularly on-call for the physiatry service via home call, responsible for the inpatient neurorehabilitation ward.
Residents write their Royal College licensing examinations upon completing their COD rotations prior to progressing on to Transition to Practice.
Transition to Practice (TTP): Thirteen blocks of physiatry work tailored to the residents' career interests. This involves regular clinical work with a focus on independent practice principles including shadow billing, seeing patient populations of interest, acquiring experience in specific subspecialties, skill sets and procedures, arranging follow-up, interacting with administrative staff, supervising junior residents, and engaging in research and medical education as interested.
Residents will still participate in regular program activities, including Academic Half Day and being on-call for the physiatry service.
Residents have protected time every Thursday afternoon for Academic Half Day (AHD). Typically, a 2-year curriculum cycle around key learning topics is covered during AHD, and you can view a sample schedule here.
The monthly Alberta Physiatry Rounds takes place on Wednesday mornings. Physiatry residents and staff have the opportunity to learn and discuss about a variety of topic areas relevant to our discipline.
The weekly DCNS (Department of Clinical Neurosciences) Grand Rounds takes place on Friday mornings, and consists of two clinical case presentations (30 min each), followed by a presentation from an invited speaker in the area related to the neurosciences.
In partnership with the University of Alberta PM&R program, residents have the opportunity to present their research to residents and faculty, receive ideas on their projects, and hear talks from leaders in the field of PM&R!
Every year, residents and staff have the opportunity to attend the Educational Retreat. The topics and content during the retreats have varied over the years, but will always include times of rest, wellness, and connecting with colleagues.