2015
University of Toronto FRCP Emergency
Medicine Residency Training Program
[SUBSPECIALITY PROPOSAL]
Approval
 Date Submitted:
 Presented at EMRTC:
 Final Version Accepted:
Subspecialty Year Proposal
Page 2 of 10
A. Resident Details
1. Full Name: Click here to enter text.
B. Subspecialty Details

PLAN A (This is your main plan. If it contains more than one part (such as Trauma and a Master’s
degree), you may complete the below ‘Subspecialty #’ sections for each part. Add more sections if
there are more than two parts to your plans)
o Subspecialty #1:
1.
2.
3.
4.
5.
6.
Name of Subspecialty: Click here to enter text.
Institute: Click here to enter text.
Location: Click here to enter text.
Supervisors (if any): Click here to enter text.
Original Plan or previously done? Click here to enter text.
Is there a structured program already in place for all or part of the subspecialty?
a. Masters degree
Y
N
b. Other Postgraduate degree
Y
N
c. Previously developed subspecialty
Y
N
d. Structured research or academic program
Y
N
e. Other
Y
N
o Subspecialty #2
1.
2.
3.
4.
5.
6.
Name of Subspecialty: Click here to enter text.
Institute: Click here to enter text.
Location: Click here to enter text.
Supervisors (if any): Click here to enter text.
Original Plan or previously done? Click here to enter text.
Is there a structured program already in place for all or part of the subspecialty?
a. Masters degree
Y
N
b. Other Postgraduate degree
Y
N
c. Previously developed subspecialty
Y
N
d. Structured research or academic program
Y
N
e. Other
Subspecialty Year Proposal

Page 3 of 10
PLAN B (in case your main plan or ‘PLAN A’ does NOT work, please provide your alternative plan)
o Subspecialty #1:
7. Name of Subspecialty: Click here to enter text.
8. Institute: Click here to enter text.
9. Location: Click here to enter text.
10. Supervisors (if any): Click here to enter text.
11. Original Plan or previously done? Click here to enter text.
12. Is there a structured program already in place for all or part of the subspecialty?
a. Masters degree
Y
N
b. Other Postgraduate degree
Y
N
c. Previously developed subspecialty
Y
N
d. Structured research or academic program
Y
N
e. e. Other
Subspecialty Year Proposal
Page 4 of 10
C. Rationale For Subspecialty (Please answer the following in one page or less)

Rationale For Subspecialty #1
a.
b.
c.
d.
Why do you wish to spend time in this area of study?
Why is the core curriculum insufficient to meet your needs?
How will your completion of this subspecialty impact upon your career?
How will emergency medicine benefit from your completion of this
program?
Subspecialty Year Proposal

Page 5 of 10
Rationale For Subspecialty #2
e.
f.
g.
h.
Why do you wish to spend time in this area of study?
Why is the core curriculum insufficient to meet your needs?
How will your completion of this subspecialty impact upon your career?
How will emergency medicine benefit from your completion of this
program?
Subspecialty Year Proposal
Page 6 of 10
D. Goals and Objectives. If the program involves two or more discreet components,
goals and objectives should be listed for each component.
a. Goal. Broadly state the overall purpose of the subspecialty year.
(Example: EMS Fellowship: to prepare the fellow for a career of leadership in emergency
medical services at local, regional, provincial and national levels )
b. Objectives. List all of the objectives of the program. Properly stated, each objective should
be a reasonable completion to the following: “Upon completion of this program, the resident
will be able to…”
1.
2.
3.
4.
Knowledge base objectives
Skills Objectives
Organizational Objectives
Professional Objectives
Subspecialty Year Proposal
Page 7 of 10
E. General Timeline. Plot the timeline from the beginning of the subspecialty until
completion of your residency program on the following lines. Include each rotation of your
residency program and subspecialty program. (Dates are approximate)
Date
07/01/16-07/24/16
Block
07/25/16-08/21/16
1
08/22/16-09/18/16
2
09/19/16-10/16/16
3
10/17/16-11/13/16
4
11/14/16-12/11/16
5
6
EM
Sub# 1
Sub# 2
Date
Block
EM
Sub# 1
Sub# 2
12/12/16-01/8/17
7
01/09/17-02/05/17
8
02/06/17-03/05/17
9
03/06/17-04/02/17
10
04/03/17-04/30/17
11
05/01/17-05/28/17
05/29/17-06/30/17
12
13
Subspecialty Year Proposal
Page 8 of 10
F. Detailed Time Line
Please complete the following table, giving a breakdown of your weekly time
commitments over the year. Please be specific where possible. Eg: class
hours, on-line hours, research, independent study, attendance at rounds, shifts,
etc.). You can copy this table and reproduce it in landscape format, or break it
up if you need to create more space.
Estimated hours per week by Block
Blocks/
Activity
Estimated
Total
Hours per
Week
1
2
3
4
5
6
7
8
9
10
11
12
13
Subspecialty Year Proposal
G. Supervisor(s). Complete for each of your supervisors.
Name: Click here to enter text.
Qualification: Click here to enter text.
Appointment: Click here to enter text.
Role: Click here to enter text.
Page 9 of 10
Subspecialty Year Proposal
Page 10 of 10
H. Activities. The following activities will be required on the part of the resident .
a. Core Subspecialty Training. Describe the expectation for timing and amount
of workload for the core content of the subspecialty. Include location and structure of
such activity. Copy table and complete by month or rotation if appropriate.
Rotation:
Location:
Hours per
week
Description
Coursework
Structured
Teaching
Mentored
Activity
Independent
Study
Other
b.
Academic Requirement.
i.
List here the expectation for academic activity (projects, thesis, reports, etc.)
and the estimated ongoing time requirement.
Nature of
Requirement
ii.
Time Required
Expected Outcome
(eg. Report, grant, submission)
For the major academic activity of the subspecialty, provide as much detail
as possible including topic, rationale, background, methods, timeline and
expected outcomes.
c. Clinical Requirement: List here the commitment for longitudinal emergency
shifts. Include other clinical commitments that are part of the subspecialty.
Clinical Commitment
Time Required/ Design
Longitudinal Emergency Shifts
8 Hours per week