Residents enrolled in the University of Ottawa's Obstetrics & Gynecology program in theirpost-graduate years 2-5 have a 3-month elective period. This time can be spent anywhere, pending the Program Director's approval. To obtain approval, please arrange your elective with a preceptor and e-mail the Program Director at cling@toh.ca with elective details.

Residents from outside of our Department, University of Ottawa, or Canada can apply for an elective with the Department of Obstetrics & Gynecology by first securing an elective supervisor.

All elective applicants must first obtain approval from an elective supervisor before applying through the University of Ottawa PGME website portal.The PGME office mandates that all electives must be registered through this website portal at least two months prior to the proposed elective start date.

To register for an elective with the University of Ottawa’s Department of Obstetrics & Gynecology, you must do so through the PGME website portal at least two months prior to the prospective start date of the elective and follow the General Guidelines below.

This on-line elective system is designed to formalize approvals and input documentation required to ensure formal registration in the University of Ottawa’s PGME registration and evaluation system.

Currently not offered.

Applicant

• Requests the elective with an elective supervisor and includes current C.V., Letter of Intent and Letter of Good Standing from home program, and, if accepted, forwards details required to University of Ottawa’s ObGyn Residency Training Program for final confirmation
• Once elective has been approved by University of Ottawa, ObGyn Residency Training Program, applicant must register the elective, following all policies and procedures, through the PGME University of Ottawa website portal no less than two months prior to the proposed start date of the elective.

Elective supervisor 

• An email confirmation from the elective supervisor must be received in the University of Ottawa’s ObGyn Residency Training Program

Program director/Director of PGME admin (department of obstetrics & gynecology)

• Approves/Declines the elective request through the University of Ottawa PGME website portal.

PGME office

• Applicants may contact PGME office at University of Ottawa for further guidance regarding CPSO,north_eastexternal link CMPAnorth_eastexternal link  registration and other university policies.
• For general information on elective training, please refer to the Postgraduate Medical Education (PGME) website.

To provide guidance to program directors and residents when exploring, applying for and granting waivers of training time.

The Vice-Dean, Postgraduate Medical Education (PGME), may grant a waiver of training further  to the recommendation of the resident's program director following the resident's approved  leave  of  absence in  accordance  with  the  policies  of the  Royal College of Physicians and  Surgeons of  Canada (RCPSC)  and  the  College of  Family  Physicians of Canada (CFPC}, provided that the resident meets the criteria for an "exceptional" resident set out below.

A waiver of training cannot be granted in any other circumstances.

1.1 Residents who wish to explore whether  they may be eligible to have training  waived must discuss this with their Program Director. There may be program-specific guidelines in place, in addition  to RCPSC/CFPC requirements and PGME requirements.  Residents are entitled   to  know  in  advance how  their  performance   will  be  evaluated  to  determine whether  they qualify for a waiver of training. Residents are not automatically  entitled  to a waiver of training.

1.2  A resident can be granted a waiver of training after a leave of absence if he or she has met all specialty training  requirements of the RCPSC/CFPC and all of the program's educational requirements, and the Program Director is satisfied that the resident will have achieved the required level of competence by the end date of the training. Every program must make information on the educational requirements  available to residents.

1.3 When considering a waiver of training, the Program Director must take into account:

• Any unsatisfactory, borderline or incomplete  rotation evaluations;
• Inconsistent attendance at academic activities;
• changes to training  that  resulted  in an overall dilution  of the educational experience;
• Any concerns about  the  academic, professional, behavioural  and ethical performance of the resident;
• Performance in objective evaluations (e.g., OSCE, mini CEX, multiple  choice examinations, oral examinations, short answer questions and evaluating examinations);
• Assurance that all training objectives outlined by the respective college will
  be met by the end of the training.

1.4 The Program Director  may recommend  a waiver  of  training  up to  the  maximum allowable times permitted by the RCPSC and CFPC, as noted below:

• It is the responsibility  of the College of Family Physicians of Canada {CFPC) and the Royal College of Physicians and Surgeons of Canada  (RCPSC} to set maximum  allowable  times for waivers of training  that  maintain  eligibility for certification.
• Maximum allowable times for waivers are as follows: Family Medicine- four {4) weeks.
  • One-year programs- no waiver allowed.
  • Less than one year for remediation  or enhanced skills - no waiver allowed.
  • Two-year programs (excluding Family Medicine)- six {6} weeks. Three-year programs- six {6) weeks.
  • Four-year programs- three {3) months. Five-year programs - three {3) months. Six-year programs- three {3) months.
  • For residents taking subspecialty training in the final year of a specialty  program  (e.g., Internal  Medicine  and Pediatrics}, up  to three (3) months is allowable in PGY4 only if the program directors in both the specialty and subspecialty programs agree that a waiver can be recommended.

1.5 In the beginning of the final year of training, a resident may make a request in writing to the Program Director. A decision to grant a waiver of training cannot be granted after the resident has taken the certification examinations.

1.6 If the program approves the request for the waiver, the Program Director must then submit  a letter  of support  to the Vice-Dean, PGME. The Program Director's  letter  must include the following information:

• Resident's name, program, level, dates of the  program  time  leave being waived and the recommended revised end date;
• Confirmation  that  the  resident  has successfully completed   all  training requirements of the  program, including  in-training examinations, quality assurance projects, case logs, etc.

1.7 The Vice-Dean, PGME reviews the request and if approved, writes a letter  of support to the credentials committees of the Royal College or the College of Family Physicians. Notification is made prior to submission of the Final In-Training Evaluation Report (FITER).

A decision not to grant a waiver of training cannot be appealed.

PGME Waiver of Training Application.

• CFPC policy
• RCPSC policy

NOTE: Each program can add its own criteria to define "exceptional" within the context of their specific program.

Decision responsibility:

• Program Director, based on Residency Performance Committee recommendation;
• Vice-Dean, PGME approves decision.

Criteria:

• Must be subsequent to  the  first  on-service year (with  the  exception  of family medicine):
  • Objective   assessments  (e.g.,  OSCE, mini   CEX, multiple   choice exams, oral examinations, short answer questions)
    • Must pass all exams.
    • Must  be above "meets  expectations"  at least 75% of the time.
  • ITERs - "meets expectations" or above at least 75% of the time on aiiiTERs.
• No concerns about the resident's  academic, professional, behavioral and ethical performance;
• No red or yellow zone behaviours on the PULSE 360° Survey System;
• Consistent attendance at academic activities;
• Tangible  contribution to  department, including  in  at  least  one  of  the following areas:
  • Administration (e.g., chief resident, RPC rep, PARO rep);
  • Research (e.g.,  published  papers  or  presented   posters  during residency);
  • Education  (e.g.  resident  teaching  awards,  consistent   excellent teaching evaluations).
• None of the following:
  • Extra educational  activities  as defined  in the  evaluation  policy of
  • PGME (formal or informal);
  • Remediation (formal or informal);
  • Probation;
  • Suspension;
  • Interruption in residency training exceeding 12 months;
  • Failed rotations.
• "Early consultant level competency"
  • Is prepared to challenge the certification  exam at the same time as his or her cohort of residents, despite the decrease in training time;
  • At the time the waiver is granted, would be capable of transitioning into independent practice or advanced clinical training.

Committee - Approval Date
PGEC - January 28, 2015
Faculty Council - June 16, 2015
Executive Committee of the Senate - N/A