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Remote First Nations Northern Ontario - Family Medicine

NOSM UniversityRemote First Nations Northern Ontario, OntarioCMG RoS stream

CaRMS program description, 2026 match, last approved 9 Sep 2025

From the 2026 match (R-1 2026). See the 2027 version

Positions (approx. quota)
2 positions
Length
2 years
Stream
CMG RoS
Discipline
Family Medicine
Applications per year
201–400
Applicants offered interviews
76–100%
Accreditation
Accredited
CaRMS program ID
29969

Bands are 5-year averages the program reports to CaRMS. They describe past cycles, not your odds.

Summary

NOSM University's Remote First Nations Family Medicine stream offers a unique two-year training program designed to prepare physicians for comprehensive medical practice in remote Indigenous communities of Northern Ontario. Residents will receive specialized training that emphasizes cultural competency, Indigenous health, and comprehensive rural medical skills, with an additional six months of enhanced skills training.

Training

Research
Residents are supported in scholarly activities, including research and quality improvement projects, with dedicated time and mentorship from tutors.
Training setting
Training occurs across multiple Northern Ontario communities including Eabametoong First Nation, Sioux Lookout, and Thunder Bay, with residents home-based in Thunder Bay but required to travel extensively.
Teaching approach
Competency-based medical education using the Triple C curriculum, CanMEDS-FM competencies, and CFPC Priority Topics, with a strong emphasis on community-based learning and reflective practice.
Setting types
  • Academic medical center
  • Community hospital
  • Rural clinic
  • Remote Indigenous community settings
Focus areas
  • Remote First Nations medicine
  • Indigenous health
  • Rural and remote medical practice
  • Cultural safety training
  • Community-based primary care
Patient populations
  • First Nations communities
  • Remote and rural populations
  • Indigenous patients
  • Northern Ontario residents
  • Underserved communities
Highlights
  • Community immersion in Eabametoong First Nation
  • Elder teaching program
  • Traditional healing and medicine exposure
  • Cultural competency training
  • Dedicated scholarly activity opportunities
  • Financial support for research and professional development
  • Housing support for core rotations
  • Additional 6 months of enhanced skills training
Strengths
  • Comprehensive training for remote and Indigenous medical practice
  • Extensive community-based clinical experiences
  • Strong cultural competency focus
  • Dedicated support for rural and remote medicine
  • Flexible learning environment
Enhanced skills
  • Rural and remote medicine
  • Indigenous health
  • Elder teachings
  • Cultural safety training

By year

PGY-1
  • Family Medicine in Thunder BayThunder Bay8 weeks
  • Family Medicine RuralVarious8 weeks
  • Mental HealthVarious8 weeks
  • Internal MedicineVarious4 weeks
  • Emergency MedicineVarious4 weeks
  • Obstetrics/Women's HealthVarious4 weeks
  • PediatricsVarious4 weeks
  • Pain/AddictionsVarious4 weeks
  • HospitalistVarious4 weeks
  • ElectivesVarious4 weeks
PGY-2
  • Family Medicine in Thunder BayThunder Bay8 weeks
  • Family Medicine RuralVarious8 weeks
  • Internal MedicineVarious8 weeks
  • ElectivesVarious8 weeks
  • Emergency MedicineVarious4 weeks
  • Addictions/Pain ManagementVarious4 weeks
  • PsychiatryVarious4 weeks
  • Obstetrics/Women's HealthVarious4 weeks
  • PediatricsVarious4 weeks

From the program's rotation list.

Selection

What the program looks at
  • FMProC (Family Medicine Professional Choices) situational judgement test
  • Medical Student Performance Record (MSPR)
  • Personal letter
  • Reference letters
  • Community reference letter
Applications per year
201–400
Applicants offered interviews
76–100%

Interviews

Dates (2026 match)
8 Feb 2026

Programs can change interview dates. Confirm on carms.ca.

Pay

Provincial scale, last updated 6 Jan 2025 · check the current agreement(opens in a new tab)

Contract expired, may change.

Annual salary by PGY level, Ontario
LevelAnnual salary
PGY-1
$73,367 / year
PGY-2
$79,670 / year

One provincial scale for Ontario, set by the resident agreement, so every program there pays the same. Showing the 2 levels this program covers.

Call

Call (provincial max)
7 nights in 28 in-house

The union agreement’s cap for all residents in the province; your program’s actual call schedule may be lighter. Check with the program.

PARO agreement, 1 Jul 2023 to 30 Jun 2026. The term has ended; its terms continue until a new agreement is signed.

Teaching sites

  • Thunder Bay Regional Health Sciences Centre
  • St. Joseph's Care Group
  • Norwest Community Health Centre

Hospital facts

Hospital size and activity: Ontario doesn't publish this as open data.

Unfilled positions in past years

Open after round 1 in 8 of 8 years (2019–2026); still open after round 2 in 4 of 9 years.

Positions at this site, all streams. Site as CaRMS lists it: Remote First Nations Northern Ontario.

CaRMS’s first-round list for 2018 was not found, so round 1 is counted over 8 years and round 2 over 9.

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. Verify with the CaRMS lists. Source: CaRMS’s lists of positions open after round 1 and after round 2, as read in October 2026 (latest: 2026 round 1 (CaRMS PDF, opens in a new tab), 2026 round 2 (CaRMS PDF, opens in a new tab)). 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.

Contacts

Contacts weren't collected for the 2026 match.

The current program director and contacts are on the 2027 version of this program and on the CaRMS program page(opens in a new tab).

Location

Remote First Nations Northern Ontario, Ontario

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Independent. Not affiliated with CaRMS or the program. Programs edit their descriptions during the match; confirm on carms.ca (opens in a new tab) before you apply. Data last updated on CdnMD 5 Oct 2026.