1. Review of PGY1 and MSM Quotas for 2019-20
PGMEAC
September 21, 2018

2. Context for
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 Province provided 53 opportunities with RoS. 16 filled at U of T and 33 across Ontario.
Considerations for 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

3. MOHLTC Funded PGY FTEs at U of T: 2007 - 2018
Write here

4. 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

5. 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
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

6. 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

7. 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

8. Approval Steps
August/Sept Communicate draft PGY1 proposal to Program Directors
Sept 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