University of Toronto - Emergency Medicine - Toronto


Program Director

Dr. Nazanin Meshkat


Program Coordinator

Yana Kreminska

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The City

As Canada's largest and most diverse city, Toronto, Ontario's capital city, presents a unique opportunity for residents. Not only is our program now the largest of its kind in the country, but our core sites are among the busiest in the nation. Each site provides residents with valuable exposure to diverse patient populations (including inner city and at-risk patients) as well as to a high variety of pathology. The diversity of its population is also well-reflected in Toronto's incredible mix of unique cultural, nightlife, dining and shopping options. The city offers many natural escapes, including the Toronto Island, the Harbourfront and numerous parks and recreational facilities.

Mentorship, Support and Wellness

We have a wonderful community of residents and faculty, with a number of social activities organized throughout the year that brings our community together. PGME offers a robust Wellness office for all residents. We take Wellness seriously, and have committed Wellness sessions during our academic session.

All residents will be helped to find a staff mentor. The mentor provides support with both academic and social issues. In addition, all residents become members of a groupknown as "buddy groups" that includes at least one member from each PG year, as well as two or more faculty members, that meet several times during the year.

The PD, APD and Division Director provide overall mentorship and career support to all residents. The PD meets the residents formally twice a year.

Our Curriculum

We offer a robust curriculum during our academic day, and are committed to continue to improve the learning experience for our residents. For details on our Curriculum please refer to the section called “Program Curriculum". Our training sites offer a diverse range of patient populations, medical conditions and procedures, all under the supervision of expert faculty.

Emergency Medicine Residency Training Committee

The Emergency Medicine Residency Training Committee (EMRTC)is an advisory committee to the Program Director and provides guidance for decision-making and process issues pertaining to the residency program. The Committee has at least one resident representatives from each of the 5 post graduate years.

Competence Committee

The Competence Committee (CC) is a faculty-only committee composed with representation from our core sites, and includes the Program Director. The Assistant Program Director chairs the committee. The committee reviews resident progress on regular intervals and makes recommendations about coaching and remediation. The CC reports to the EMRTC.


The two lead residents are PGY3 trainees who are selected by the resident body, subject to approval by the Program Director, and serve for a term of 12 months. They are also EMRTC representatives for the PGY3 group, and continue to sit on the EMRTC for their PGY4 and 5 years as the representatives for their cohorts.Lead residents have responsibilities in scheduling of academic activities, and serve as liaisons between the larger group of residents and the faculty and administration. They work closely with the Program Director.

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Thank you for your interest in the Postgraduate Education program in the division of Emergency Medicine at the University of Toronto.

Our program seeks to train socially conscious practitioners with excellent clinical skills who practice efficient, safe and patient-centered care, while being advocates, leaders and specialists in emergency medicine. Accordingly we are looking for a cohort of residents with strong interpersonal and problem-solving skills, with the ability to self-reflect and exhibit continual growth, with high ethical and professional standards, and who show a track record of equitable, patient-centered approach to care.

The University of Toronto Emergency Medicine residency program offers an exceptional opportunity for residency training. The faculty is diverse and includes well-recognized experts in research, education, administration, and clinical practice. The training hospitals serve the Greater Toronto Area, providing direct care to a local population of over 6 million people, and to a referral population that is much larger. Residents will be exposed to the gamut of medical practice (from inner city primary care to complex quaternary care) and will work and train in state of the art technical facilities. In the PGY5 year (Transition to Practice), residents will have a special opportunity to train in an Area of Advanced Learning (in clinical practice or research).

The University of Toronto program in Emergency Medicine is accredited by the Royal College of Physicians and Surgeons of Canada.


How much time do you spend at different hospitals?

We rotate through five core emergency rooms — North York General Hospital, Sunnybrook, St. Mike’s, and University Health Network (Toronto General and Toronto Western)

By the end of your 5 years you spend roughly the same amount of time at each place on Emergency Medicine

Our off service rotations are often at specific hospitals. For example, orthopedics is always done at Sunnybrook because you get great exposure to orthopedic trauma. Obs/Gyn and Peds Wards are always done at North York because there are amazing bread and butter cases and a small learner: staff ratio as it is a community hospital.

What are some standout rotations?

Our trauma learning experience is incredible. We have two large trauma centers in the city that see an incredibly high volume of trauma- up to 15 traumas a day. There is nowhere better to get TTL and hands on experience.

Each emergency room has its own unique patient population that makes up a significant part of the visits:

  • St. Mike’s has a large inner city health with significant addiction medicine and mental health comorbidities.

  • Toronto General is a transplant center and sees many patients with transplant complications and comorbidities.

  • Sunnybrook has a large elderly population and oncology population.

  • North York General is a community hospital which sees a number of children, and lots of bread and butter emergency medicine.

How do you keep track of the 100s of staff?

We are lucky to have a great group of staff that are very involved with the residents! Even if you have not worked with a staff before in the ED you have likely been taught by them at academic day or met them at one of our many social events.

Even when you are off service staff will bring you into interesting cases or grab a snack with you! You always feel at home in the ED.

What is academic day like?

We have an academic full day every Wednesday! In the morning we have Rosen’s Rounds where we cover two chapters from Rosen’s and then we have resident or staff presentations after Rosen’s Rounds. Every resident does a presentation every year.

In the afternoon we have small group sessions that vary week to week but include SIM, epidemiology, ethics, QI, and geriatrics.

— Extra-curriculars —

What kind of teaching opportunities are available

There are lots of teaching opportunities to get involved in! We have the opportunity to teach medical students formally as tutors for their courses as well as less formally as part of the Emergency Medicine Interest Group.

There are lots of learners in Toronto so as you become more senior you will have the opportunity to teach medical students and junior residents on shift which is an amazing opportunity!

What kind of research is going on in Toronto?

You can find research in any topic you are interested in! Whether it be QI, EMS, toxicology, addictions, etc. there are physicians doing research in this area. We are fortunate to have access to great research resources and staff.

— Social—

What do Toronto residents do for fun?

A little bit of everything! We have incredible cuisine with new restaurants also opening up. The music scene is great with both small and big shows playing across the city every night of the week.

If you want to hit up the outdoors we have some amazing spots- bike or run on the Don Valley trail, catch a wave (yes, we’re serious) at the Scarborough Bluffs, or head just outside of the city to cottage country.

What is the social atmosphere like?

We love our big family! Our residents hang out all the time unofficially at trivia nights, pubs, or getting some exercise. Lots of our residents have dogs and families of their own so there are activities to suit everyone. If you don’t have a lot of spare time that is okay too! Because there are so many of us there is a wide variety of social involvement.

Officially each year we have a summer and a winter retreat for resident bonding. Outside of that we also have an annual golf day (it’s okay if you’ve never swung a club- lots of us haven’t either!), welcome BBQ for the new PGY1s, and more Christmas parties than physically possible to attend (each hospital has their own!).