Waterloo - Internal Medicine
McMaster UniversityWaterloo, OntarioCMG stream
At a glance
- Approx. quota
- 4
- Length
- 4
- Applications per year
- 201–400
- Offered interviews
- 26–50%
CMG stream · open to Canadian medical graduates
Info session
all 3 info sessions of this programWed 4 Nov 2026,5:00–6:00 pm ESTvia CANPREPP source (opens in a new tab)
Interviews
2 dates, 28–29 Jan 2027
Waterloo, 7 teaching sites
What stands out about this program
Fully funded competitive one-month elective in Uganda offered to three PGY2 residents annually.
From “Program highlights” on the CaRMS page
Research opportunities in technology and innovation are available at the Waterloo campus.
From “Program curriculum” on the CaRMS page
Residents can apply for a Longitudinal Chief role on the Kitchener-Waterloo CTU, with dedicated time for a QI project.
From “Program curriculum” on the CaRMS page
- McMaster's Waterloo Regional Campus is a community-based internal medicine residency with 4 residents per year.
- Training takes place mainly at the WRHN Midtown and Queen's sites, with some rotations at three Hamilton hospitals.
- The core program lasts three years and is organized into 13 four-week blocks per year.
- Residents complete a required quality improvement project, and each does a two-week night float block in Hamilton in PGY2 and PGY3.
Based on what the program says about itself.
- You’re open to training at sites across a region, not at one hospital.
Show the quote
What training looks like
- Setting
- Regional community
- Academic / tertiary hospital
- Rural exposure
- Not stated on CaRMS page
- Focus areas
- Small program
- POCUS curriculum
- Early independence
- Research
- Required · scholarly or quality-improvement project · protected time
- Getting around
- Travel is reimbursed
By year
- PGY-1
- Selectives4-5 blocks
- General Medicine Clinical Teaching Units (CTU)4 blocks
- Intensive Care Unit2 blocks
- Cardiology2 blocks
- Ambulatory Care Clinics/Chronic Disease Management Clinics2 blocks
- non-internal medicine specialty rotationUp to one block
- PGY-2
- Medical Subspecialties3-6 blocks
- Senior Medical Resident on General Medicine CTUs3.5 blocks
- Electivesmaximum 3 blocks (PGY2/PGY3)
- Intensive Care Unit1 block
- Ambulatory Care Chronic Disease Management Clinics1 block
- Coronary Care Unit1 block in PGY2 or PGY3 years
- Nephrology1 block in PGY2 or PGY3 years
- Research1 block
- Night Float1 two week block
- Community Elective in GIM
- PGY-3
- Medical Subspecialties4-6 blocks
- Electives3 blocks (if not taken in PGY2 year)
- Teaching Chief Medical Resident on General Medicine CTU2 blocks
- Ambulatory Care Chronic Disease Management Clinics1- 2 blocks
- Research1-2 blocks (if not taken in PGY2 year)
- Intensive Care Unit1 block
- Coronary Care UnitIf not taken in second year (1 block)
- Junior Attending or Academic Reflection1 block
- Night FloatOne 2-week block
Where you train
Waterloo, Ontario: 7 teaching sites.
- WRHN @ Midtown (Previously named Grand River Hospital) (Kitchener)
- WRHN @ Queen's (Previously named St. Mary's General Hospital) (Kitchener)
- Cambridge Memorial Hospital (Cambridge)
- Guelph General Hospital (Guelph)
- St. Joseph's Healthcare (Hamilton)
- Hamilton General Hospital (Hamilton)
- Juravinski Hospital (Hamilton)
Distributed across a region
Record systems at the listed sites: Epic at 3 of 7, MEDITECH at 1, Oracle Health (Cerner) at 2; no published record for 1.
Moving to a new system: Cambridge Memorial Hospital.
Hospital facts
What official sources say for hospitals named above, each with its source and the date we read it. They describe the hospital, not the program. We match names to the sources by name, so check each source before you rely on it.
- Clinical record
- Epic, fully electronic record since Jun 2022
WRHN @ Midtown (Previously named Grand River Hospital)
- Clinical record
- Cerner, system named (how far it goes is not stated)
Cambridge Memorial Hospital
- Clinical record
- Oracle Health Foundation, moving to a new system
Guelph General Hospital
- Clinical record
- Meditech, system named (how far it goes is not stated)
Show facts for 1 more sitesShow fewer
St. Joseph's Healthcare
- Clinical record
- Epic, fully electronic record since Nov 2024
Hospital size and activity: Ontario doesn't publish this as open data.
About Waterloo
People
121,436residents, 2021 Census
Housing
4.0%rental vacancy rate
Winter and summer
−6.3 °CJanuary mean20.2 °CJuly mean
Job outlook
Goodfor the specialty here, 2025–2027
How they choose
- Application file components
- CV
- Electives
- Examinations
- Extra-curricular
- Leadership skills
- MSPRs
- Personal letters
- Reference documents
- Research/Publications
- Transcripts
- Return of service
- Not stated on CaRMS page. Check the provincial return-of-service rules.
Interviews and info sessions
- Interview dates (2027 match)
- 28 and 29 Jan 2027
- Format
- Virtual
- Traditional (one on one/two on one)
Info sessions
Wed 4 Nov 2026
5:00–6:00 pm EST
Info session · VirtualCANPREPP source (opens in a new tab)
Tue 10 Nov 2026
6:00–8:00 pm EDT
Info session · VirtualCANPREPP source (opens in a new tab)
Fri 13 Nov 2026
12:00–1:00 pm EDT
Info session · VirtualCANPREPP source (opens in a new tab)
Pay and call
| Level | Annual salary |
|---|---|
| PGY-1 | $73,367 / year |
| PGY-2 | $79,670 / year |
| PGY-3 | $85,564 / year |
| PGY-4 | $92,701 / year |
Call
- Call (as the program states it)
- In-house and home call · night float · frequency “maximum 1:4 to as low as 1:6”
- Call (provincial max)
- 7 nights in 28 in-house
- Post-call rule (provincial)
- No new patient responsibilities after 24 hours in-hospital, except what clinical handover needs
- Max continuous duty (provincial)
- 24 hours in-hospital, then relieved after handover (up to 2 hours)
Past matches
No repeated vacancies in CaRMS’s lists of open positions, 2019–2026.
What this means
- A position can go unfilled because of where the site is, because it is open to IMGs only or to another restricted stream, or because the quota changed late.
- It says nothing about the quality of the training or how heavy the workload is.
- A site’s numbers are shown when it had positions open after round 1 in at least 2 of 8 years or at least 3 in one year.
Year by year
2027 match
| Stream | Positions | Length | Interviews | What changed |
|---|---|---|---|---|
| CMG stream | 4 | 4 years | 2 dates, 28–29 Jan 2027 | Nothing noted |
2026 match
| Stream | Positions | Length | Interviews |
|---|---|---|---|
| CMG stream | 4 | 5 years | 2 dates, 22–23 Jan 2026 |
The 2026 page of the CMG stream: our summary of its CaRMS description
- McMaster University's Waterloo Regional Campus offers a community-based Internal Medicine residency training program that combines excellent clinical training with academic and research support.
- The program aims to prepare residents for community or tertiary-site practice as generalists or subspecialists, focusing on comprehensive patient care from chronic multi-system disease to critically ill patients.
- Research
- Residents are required to complete a quality assurance project, with support from research directors and access to world-class researchers. One to two research blocks are available during training.
- Training setting
- Training occurs across multiple community hospitals in the Waterloo-Wellington Region, including WRHN @ Queen's, WRHN @ Midtown, Cambridge Memorial Hospital, and Guelph General Hospital, providing diverse clinical experiences.
- Teaching approach
- Competency-Based Medical Education (CBME) with a focus on progressive independence, evidence-based practice, and holistic development of medical expertise across CanMEDS competencies.
- Enhanced skills
- Not stated on CaRMS page
- What the program looked at
- Medical Student Performance Record
- Personal letter
- Reference letters
- CV/Electives
- Extra-curricular activities
- Leadership skills
- Interview performance
Contacts and links
- Program director
Dr. Leslie Martin
CaRMS lists no email for the director.
- Program office
Program Administrator
Per CaRMS. Staff change during the cycle, so check the CaRMS program page(opens in a new tab) before emailing. Site staff and other contacts are listed there too.
Discussed on Reddit
Public Reddit posts and comments where someone describes this program. Each one links to Reddit.
- Which IM program is best ? (opens Reddit in a new tab)
Resident on McMaster IM senior responsibility and Calgary Foothills CTU case mixTopics: service
- Which IM program is best ? (opens Reddit in a new tab)
Resident describes senior medical resident night float responsibility at McMaster IMTopics: call
Internal Medicine elsewhere
Nearest to Waterloo
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