Hamilton - Family Medicine - Emergency Medicine

McMaster UniversityHamilton, OntarioCompetitive stream

Enhanced skills (FM/ES) match

Family medicine residents applying for a PGY-3 year (the "+1").

Contacts and 1 more link

Open on carms.ca

CaRMS program description, FM/ES 2027 match, last approved 28 Jul 2026

Positions (approx. quota): Not stated on CaRMS page
Length: 1 year
Stream: Competitive
Discipline: Family Medicine - Emergency Medicine
Applications per year: 51–200
Applicants offered interviews: 0–25%
Accreditation: Accredited
CaRMS program ID: 34572

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

Summary

This one-year program trains family medicine graduates in emergency medicine and prepares them for the CFPC Examination of Added Competence in Emergency Medicine.
Residents are based in Hamilton, Kitchener-Waterloo or Niagara, and all train partly in Hamilton.
The year includes four emergency medicine blocks, a POCUS block leading to CPOCUS certification, and a required research project.

Training

Setting

Mixed settings
Academic / tertiary hospital
Urban community

Sites

10 teaching sites

Hamilton General Hospital
Juravinski Hospital
St. Joseph’s Healthcare Hamilton

Show all 10

McMaster Children’s Hospital
WRHN at Midtown
WRHN at Queen's Boulevard
Guelph General Hospital
St. Catharines Site
Greater Niagara General Site
Brantford General Hospital

Distributed across a region

Rural exposure

Not stated on CaRMS page

Focus areas

POCUS curriculum

Research

Required · research or quality-improvement project

Highlights

Ultrasound boot camp culminating in CPOCUS certification, followed by a dedicated scanning block.
Clinical skills sessions include cadaver-based anatomy labs, airway management and central line workshops.

By year

Not stated on CaRMS page

Other rotations

Listed by the program without a single year.

Emergency Medicine (4 blocks)
Emergency Paediatrics (1 block · McMaster Children's Hospital)
Point of Care Ultrasound (1 block)
Trauma/Acute Care Surgery (1 block)
ICU (2 blocks)
CCU (1 block)
Emergency Medicine Community Selective (1 block)
Anesthesia (1 block)
Plastics/Orthopaedics (1 block)

Selection

Application file components

CV
Electives
Examinations
Extra-curricular
Leadership skills
MSPRs
Personal letters
Reference documents
Research/Publications
Transcripts

Return of service

Required · IMGs only

Applications per year

51–200

Applicants offered interviews

0–25%

Interviews

Dates (FM/ES 2027 match)

16 Nov 2026

Mode

Virtual

Format

Traditional (one on one/two on one)
Panel
MMI or rotating station

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
Level	Annual salary
PGY-3	$85,564 / year

One provincial scale for Ontario, set by the resident agreement, so every program there pays the same. Showing PGY-3, the level FM/ES residents usually start at. Yours depends on your training so far.

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

Hamilton General Hospital (Hamilton)
Juravinski Hospital (Hamilton)
St. Joseph’s Healthcare Hamilton (Hamilton)
McMaster Children’s Hospital (Hamilton)
WRHN at Midtown (Kitchener · rural or distributed site)
WRHN at Queen's Boulevard (Kitchener · rural or distributed site)
Guelph General Hospital (Guelph · rural or distributed site)
St. Catharines Site (St. Catherines · rural or distributed site)
Greater Niagara General Site (Niagara Falls · rural or distributed site)
Brantford General Hospital (Brantford · rural or distributed site)

Hospital facts

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

Contacts

Grouped by the titles CaRMS lists. The program office (administrators and coordinators) usually answers questions about the program and applying; the director leads the training.

Program officeadministrators and coordinators

fmemerg@mcmaster.ca

Kelly Binkle · Program Administrator

Program director

Dr. Alexandra Mitcham

CaRMS lists no email for the director.

Per CaRMS. Staff change during the cycle, so check the CaRMS program page(opens in a new tab) before emailing.

Location

Hamilton, Ontario

About the city

Public statistics for the place named by this program’s location label, each with its source and reference period. They describe the place, not the program, and are not a ranking. Check each source before you rely on it.

Climate

Canadian Climate Normals, 1991–2020. Each value comes from the nearest weather station that reports it, not from the city itself.

January average: −3.1 °C Burlington Piers, 5.0 km away
July average: 21.9 °C Burlington Piers, 5.0 km away
Snowfall: 114.5 cm a year Toronto Pearson (Airport), 49.4 km away
Days below −20 °C: 0.7 days a year Burlington Piers, 5.0 km away

People

2021 Census. Figures are for the municipality of Hamilton, not the metropolitan area. Statistics Canada rounds counts, so small places are approximate.

Population: 569,353 people up 6.0% from 2016
Official languages: English only 92.3% · French only 0.1% · English and French 5.8% · neither 1.9% Share of residents who can conduct a conversation in each. This is not the language spoken at home.
Immigrants: 25.9% of residents arrived 2016–2021: 3.6% · non-permanent residents: 2.3%
Indigenous identity: 2.2% of residents
How people commute: car, truck or van 85.4% · public transit 7.4% · walking or cycling 5.2% · other 2.0% Average commute: 25.3 minutes. Shares are of people who commute.The way Canadians commute was altered in 2021 by the pandemic, with lockdowns to slow the spread of COVID-19 and changes in how and where Canadians worked leading to 2.8 million fewer commuters, compared with five years earlier. Statistics Canada, The Daily, 30 Nov 2022(opens in a new tab)
Median household income: $86,000 before tax $75,500 after tax · income year 2020, in 2020 dollars

Rural and remote

This describes the place named by the program’s location label. Programs can train in several towns, so it is not every site.

Population centre: Hamilton, a large urban population centre (100,000 or more people) 729,560 people in 2021
Remoteness index: 0.066 0 is least remote, 1 is most remote. Statistics Canada calls this index experimental.

Housing, cost and work

Each figure names the area it covers. A missing line means the source publishes nothing for this area.

Rental vacancy rate: 3.5% October 2025 survey, Hamilton, Ontario (census metropolitan area). The share of purpose-built rentals (three units and over) vacant, not a rent.
Basic cost of living: $59,504 a year Market Basket Measure 2025, Hamilton/Burlington, Ontario, for two adults with two children. A modest, basic basket (the poverty line), not a resident’s budget. A size-class region is not the town itself.
Unemployment rate: 6.9% September 2026, three-month average, seasonally adjusted, Hamilton, Ontario (census metropolitan area); standard error 0.7 points. A survey estimate.

Sources and licences

Contains information licensed under the Open Government Licence - Canada. Adapted from Statistics Canada, 2021 Census Cartographic Boundary Files.
Adapted from Canada Mortgage and Housing Corporation, Rental Market Survey, October 2025 (vacancy rates), and Statistics Canada, Table 34-10-0130-01. This does not constitute an endorsement by Canada Mortgage and Housing Corporation or Statistics Canada of this product.
Data Source: Environment and Climate Change Canada (Canadian Climate Normals 1991-2020).
Adapted from Statistics Canada, Index of Remoteness (17-26-0001), 2021. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 14-10-0459-01 Labour force characteristics by census metropolitan area, three-month moving average, seasonally adjusted, reference month 2026-09. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 11-10-0066-01 Market Basket Measure (MBM) thresholds for the reference family by Market Basket Measure region, component and base year, 2025. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0011-01 Population and dwelling counts: Canada and population centres, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0002-01 Population and dwelling counts: Canada and census subdivisions (municipalities), 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0057-01 Household income statistics by household type: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0173-01 Mother tongue by knowledge of official languages: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0266-01 Indigenous identity by Registered or Treaty Indian status: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0307-01 Immigrant status and period of immigration by place of birth: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
Adapted from Statistics Canada, Table 98-10-0458-01 Main mode of commuting by commuting duration, time leaving for work, age and gender: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.

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 8 Oct 2026.