Royal College Program - Outline

Clinical Rotations

Our current rotation curriculum has been in place for many years, but may change significantly in July 2018 with the start of Competency Based Medical Education. The following has previously been our suggested rotation template and other than the PGY1 year, there has been a great deal of flexibility in scheduling to allow for maximum use of elective time. For example, much of the elective time is put at the end of the residency but may be spread out or clumped in order to accomplish specific goals, such as Master's degrees or fellowships. This structure will continue for students who started residency prior to July 2018, but how it will change for those starting after July 2018 has yet to be fully outlined. For those applying to the program please see the CBD/CBME section of this web page for more details.

Sample rotations for each of the post graduate years 1 through 5 years are as follows :

  • General Surgery : 1 block adult, 1 block pediatric

  • Adult Emergency Medicine: 3 blocks

  • Emergency Ultrasound: 1 block

  • Pediatric Emergency Medicine: 1 block

  • Obstetrics and Gynecology: 1 block in community (Windsor)

  • Internal Medicine : 1 block team medicine, 1 block urgent medicine/consultation clinic

  • Psychiatry: 1 block emergency psychiatry

  • Anesthesiology: 2 blocks

  • Critical Care: 2 blocks

  • Coronary Care: 2 blocks

  • Adult Emergency Medicine: 4 blocks

  • Neurosciences: 1 block inpatient neurology / urgent neurology clinic

  • Orthopedics: 1 block trauma, 1 block emergency orthopedics / sports medicine

  • Extremity: 1 block hand and upper limb clinic / plastic surgery

  • Electives: 1 block

  • Adult Emergency Medicine: 6 blocks

  • Pediatric Emergency Medicine: 1 block

  • Pediatric Critical Care: 2 blocks

  • Trauma (Inpatient TOU): 1 block

  • Toxicology (New York): 1 block

  • Electives: 2 blocks

PGY4 (Rotations or Fellowship Year)
  • Adult Emergency Medicine: 6 blocks

  • Pediatric Emergency Medicine: 1 block

  • Pre-hospital / EMS: 1 block

  • Elective: 5 blocks

  • Adult Emergency Medicine: 6 blocks (self-schedule)

  • Pediatric Emergency Medicine: 1 block

  • Electives: 6 blocks


1 block = 4 weeks; total of 13 blocks per 1 year

1 block of Community Emergency Medicine required in 5 years


EMS Rotations & Rideouts

All FRCP residents will have an EMS orientation in July of their PGY1 year. Minimum of 4 EMS rideouts per academic year during the five year residency. CSA approved foot wear is necessary, while on shift. Helmets, visors are provided. You should also bring PPE consumables (N95 masks,gloves,gowns, safety eye wear). Objectives, resources and rideout log for EMS rotations can be found here.


Residents can setup rideouts by contacting Al Hunt (Thames EMS Duty Manager) at  The dates, hours, EMS crew and calls attended should be recorded by the resident and submitted to Susan Pierson.


Contact Paul Bradford  


Forms to be completed for each resident taking part in the program prior to your rotation.
Steve Robinson, A-EMCA
Operations Supervisor
Emergency Medical Services Department
County of Lambton
fax: 519-383-7706


Elective Opportunities

Internal and external electives available throughout the course of the residency program. Most elective opportunities are supported by the residency training committee provided they enhance the resident's education.

Click here for more information about available electives.



  • Sports Medicine

  • Critical Care

  • Anesthesia

  • Pediatrics

  • Pre-Hospital

  • Trauma

  • Toxicology

  • Ultrasound


Advanced Degrees

  • Master's in Business Administration

  • Master's in Medical Education

  • Master's in Health Administration

  • Master's in Clinical Epidemiology

  • Diploma in Tropical Medicine and Hygiene (London School of Hygiene and Tropical Medicine)


Financial Support

There are a number of ways in which the residents are supported financially. At the beginning of their residency, each resident is provided with the most current issue of Emergency Medicine by Rosen. Each resident receives $750.00 per year to use for academic purposes. This may be for deferral of conference expenses or may be for purchase of textbooks or other learning tools. In addition to this, residents who have scholarly projects accepted for presentation (poster or podium) at national meetings, will receive an additional $1 000.00 per project.In addition, residents have the LHSC airway course, ACLS instructors course and EDE ultrasound course (among many others) covered by the division. There is additional support available for residents seeking fellowships or graduate degrees in other cities, which involve meeting with the residency training committee and the division chair.


London Hospitals

Residents will have rotations at all three local hospitals during their training.

London Health Sciences Centre:

  • Victoria Hospital

  • University Hospital

St. Joseph's Health Centre