Review of PGY1 and MSM Quotas for 2019-20 PGMEAC September 21, 2018
Context for 2019-20 To date, 25 PGY1 residency cuts in Ontario for CMGs continuing in 2018 – U of T share is 9. In 2019 – there are 986 provincially and 337 at U of T. No changes to IMG positions – 200 PGY1 provincially and 70 at U of T Unmatched CMGs – AFMC report released Feb 2017. Province provided 53 opportunities with RoS. 16 filled at U of T and 33 across Ontario. Considerations for 2019-20 PGY1 Allocations Re-allocation of 9 PGY 1 residency cuts are based on a 2015 baseline of quota allocations (before the reductions) We are now in the fourth year of reductions The MOHLTC has not yet updated it needs-based model for physician planning to guide decisions Reductions are are being rotated to minimize negative impact on programs, opportunities for medical students and service considerations and reviewed in provincial context Quota reductions are mitigated through CaRMS reversions, opportunities for sponsored residents, transfers and re-entry
MOHLTC Funded PGY FTEs at U of T: 2007 - 2018 Write here
PGY1 Positions Quota Allocations survey of all PDs conducted in Spring 2018 to assess requests and identify current information on supply and demand. QA Subcommittee met July 3rd to review requests and consider allocation scenarios: CMGs – Psychiatry, Medical Genetics, Internal Med and Pediatrics requested increases IMGs – Cardiac Surgery and Internal Medicine requested increases. PMR requested decrease Proposed 2019 quotas compared to 2018: CMG increases: Anesthesia, Plastics, IM, Med Gen, Adult Neurology, Psychiatry, Public Health CMG decreases: FM, Diag Rad, Neurosurgery, Lab Med, PMR and Rad Onc IMGs: increases in Cardiac Surg and IM, decreases in Neurology and PMR
CMG PGY1 Positions: Changes compared to 2015 baseline 1-time 2016 Reductions: Internal Medicine: -3 Dermatology: -1 General Surgery: -1 Adult Neurology -1 Obs/Gyn -1 Ortho Surgery -1 Psychiatry -1 Net Reduction: -9 1-time 2017 Reductions: Family Medicine -2 Ophthalmology -1 Otolaryngology -1 Urology -1 Diagnostic Rad: -1 Continued Reductions: Internal Medicine -3 Dermatology -1 Ortho Surgery -1 Psychiatry -1 1-time 2017 Additions: Pediatrics: +2 Lab Med: +1 Net Reduction: -9 1-time 2018 Reductions: Anesthesia -1 Plastics -1 General Surgery -1 Neurology -1 PHPM -1 Continued Reductions: Internal Medicine: -4 Dermatology -1 Ortho Surgery -1 Psychiatry -1 1-time 2018 Additions: PMR +1 Pediatrics +1 Lab Med +1 Net Reduction: -9 1-time 2019 Reductions: Family Medicine -1 Diag Rad -1 Neurosurgery -1 Rad Onc -1 Gen Surg -1 Obs/Gyn -1 Continued Reductions: Internal Medicine: -3 Dermatology -1 Ortho Surgery -1 1-time 2019 Additions: Med Gen +1 Pediatrics +1 Net Reduction: -9
Total PGY1 Positions: Provincial Changes 2019 vs. 2018 Increases compared to 2018 Cardiac Surgery +3 Adult Neurology +2 Anesthesia +1 Emergency Medicine Ophthalmology Plastics Urology Internal Med Medical Genetics Neuropathology Nuclear Medicine Decreases compared to 2018 Neurosurgery -4 Psychiatry -2 Radiation Oncology -1 PMR Pediatrics Obs/Gyn - North Medical Microbiology Lab Medicine General Surgery Family Medicine
Proposed MSM MOH funded Quotas 2019 vs. 2018 Medical Subspecialties 2018 2019 Proposed Change Cardiology 8 9 +1 Clinical Allergy and Immunology 2 Clinical Pharmacology and Toxicology Endocrinology and Metabolism 4 Gastroenterology (including Research Track) 5 General Internal Medicine 7 Geriatric Medicine Hematology =1 Infectious Diseases 3 Medical Oncology 6 Nephrology Occupational Medicine 1 -1 Respirology Rheumatology Subtotal 58 Adult Critical Care Palliative Medicine Pain Medicine
Approval Steps August/Sept 2018 - Communicate draft PGY1 proposal to Program Directors Sept 2018 - Communicate draft PGY1 proposal to PG COFM => MOHLTC Sept 2018 Confirm and approve PGY1 quotas for entry to CaRMS through PGMEAC Confirm and approve MSM quotas for November CaRMS MSM through PGMEAC