91Ë¿¹ÏÊÓÆµ

Adult Endocrinology and Metabolism Residency Training Program (R4+)

Our Adult Endocrinology and Metabolism Residency Program is fully accredited by the Royal College of Physicians and Surgeons of Canada and follows the Competence by Design (CBD) model for trainees.

Program Overview

The 91Ë¿¹ÏÊÓÆµ Division of Endocrinology & Metabolism offers a strong and varied Residency Training Program. The Program attracts residents from 91Ë¿¹ÏÊÓÆµ, other universities in Canada, and from overseas countries. Since its original certification by the Royal College of Physicians of Canada in 1981, the program has trained residents and fellows who have gone on to prosperous academic and clinical endocrinology careers.

Teaching Hospitals

The program is based at the 91Ë¿¹ÏÊÓÆµ teaching hospitals: the Royal Victoria (RVH) and the Montreal Children's Hospitals (MCH), located at the Glen Site; the Montreal General (MGH) and the Montreal Neurological Hospitals (MNI), located each at opposite ends in the south side of beautiful Mount Royal; and the Jewish General Hospital (JGH), in the Cote des Neiges neighbourhood. In addition, we have strong ties with the 91Ë¿¹ÏÊÓÆµ Department of Obstetrics and Gynecology and the Clinical Biochemistry division to ensure in-depth exposure in reproductive endocrinology and endocrine laboratory testing.

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Academic half-days every Monday afternoon.
Endocrinology trainees trying on continuous blood glucose monitoring devices on themselves, during a teaching session.

Training Structure

The Core Endocrinology Residency Program is two years long, and interested individuals may apply to extend their clinical or basic research training through additional fellowship training. As of 2025, five one-year clinical subspecialty fellowships are currently available for selected candidates to focus on their areas of interest.

The core endocrinology program is transitioning (July 2025) to the new Canadian standard for assessment and evaluation of medical educational programs: Competency-Based Medical Education (CBME) or Competency by Design (CBD). In a CBME system, the curriculum is organized around the outcomes expected of a resident, and that resident’s advancement depends on achieving those expected outcomes.

First Year

In the CBD training structure, during the first year of the Core Endocrinology program, for the first six months, the emphasis is on helping the residents transition to the discipline of endocrinology and developing the foundations of our discipline. This is achieved through clinical training with patient care and teaching centered around our large number of subspecialty ambulatory teaching clinics and inpatient consultation services.

Second Year

From the second half of the first year and until two months before the end of the second year, the resident will be focused on the core of the discipline training. This includes rotations in pediatric endocrinology, reproductive endocrinology, laboratory medicine, community endocrinology, and more exposure to subspecialty clinics (bone, thyroid, diabetes, neuroendocrinology, adrenals, endocrine tumors, lipids). During this time, the trainee will develop proficiency in dynamic endocrine testing, ultrasound-guided thyroid fine-needle aspiration cytology, and advanced glucose monitoring and insulin delivery devices.

During the second year of the core endocrine training program, the resident will spend an eight-month clinical or basic research elective block. Our division features many internationally recognized basic and clinical research laboratories that provide an excellent range of research elective opportunities. This period, whose content is flexible and tailored to the trainee’s needs, can also be used for further enhancement in reproductive medicine, including in vitro fertilization methodologies, and in biostatistics training. Our large clinical volume represents a rich resource for clinical epidemiology research.

In-training evaluations are completed for every rotation, and composite reports are prepared every six months. Residents review and discuss these with the program director regularly. Depending on their training stage, residents must also regularly complete EPA (Entrustable Professional Activity) forms with supervising staff physicians.

The competency committee meets quarterly to review the ITERs, EPAs, and progression of each resident through the stages of training. The committee reports to the program committee and co-program directors.

Curriculum

Stage of training

Educational Experiences

Typical length

Learning Site(s)

Transition to Discipline

(Periods 1-2 of PGY-4)

2 periods of combined clinics/consults

2 periods

RVH, MGH/MNI, JGH

Foundations of Discipline

(Periods 3-6 of PGY-4)

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3 periods of combined clinics/consults

4 periods

RVH, MGH/MNI, JGH

1 period of dedicated outpatient teaching clinics at RVH

RVH

Core of Discipline

(Period 7 of PGY-4 to Period 11 of PGY-5)

1 period of Pediatric Endocrinology

18 periods

MCH

1 period of Reproductive Endocrinology

MUHC Reproductive Centre (Place Dupuis)

1 period of Laboratory Medicine

MUHC Laboratories

1 period of Community Endocrinology and Research Proposal

Community clinics (Clinic Hygea, Glen Centre for Specialized Medicine, and others)

7-8 periods of combined clinics/consults

RVH, MGH/MNI, JGH

7 periods of research

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Transition to Practice

(Periods 12-13 of PGY-5)

0-1 period of research

2 periods

RVH, MGH/MNI, JGH

1-2 periods of combined clinics/consults

Application Process

The 91Ë¿¹ÏÊÓÆµ Postgraduate Medical Education (PGME) Office has created aÌýÌýthat provides application processes for applicants. While the PGME website already has all the required information, we're providing extra support with quick links below to help you navigate the application process for Subspecialty Residency Training Programs (R4+)Ìýmore easily.

How to Apply:
  • Prospective ResidentsÌýcanÌýclick hereÌýfor a step-by-step application process.
  • International Medical Graduates sponsored by contractsÌýcanÌýclick hereÌýfor a step-by-step application process.
Deadlines:
  • 91Ë¿¹ÏÊÓÆµ deadlinesÌýcan be found byÌýclicking here
  • CaRMS deadlinesÌýcan be found byÌý
Program Descriptions:
  • 91Ë¿¹ÏÊÓÆµÌýprogram descriptions can be found byÌýclicking here
  • CaRMSÌýprogram descriptions can be found byÌý
Quick Links:

Out-Patient Clinics

Throughout the seventeen months of clinical training, the residents attend weekly subspecialty teaching clinics in diabetes, lipid metabolism, obesity, thyroid disease, bone and mineral disorders, neuroendocrinology, adrenals, endocrine tumors, reproductive endocrinology, and antenatal diabetes.

Teaching and Conferences

Interspersed with the teaching clinics and the consult service, there is a panoply of regular educational activities.

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