Sault Ste. Marie - Family Medicine integrated Emergency Medicine

NOSM UniversitySault Ste. Marie, OntarioCMG stream

Program websiteWebsite CANPREPPCANPREPP1 more link

Open on carms.ca

CaRMS program description, 2026 match, last approved 20 Oct 2025

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

Positions (approx. quota): 2 positions
Length: 3 years
Stream: CMG
Discipline: Family Medicine integrated Emergency Medicine
Applications per year: 201–400
Applicants offered interviews: 76–100%
Accreditation: Accredited
CaRMS program ID: 29363

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

Summary

The Sault Ste. Marie integrated Family Medicine/Emergency Medicine (iFMEM) program is a unique three-year training pathway designed to prepare family physicians for comprehensive patient care and high-acuity emergency room management. Residents will receive longitudinal training in both family medicine and emergency medicine, with extensive clinical exposure and opportunities for procedural skills development.

Training

Research

Scholarly activity supported by a tutor, with opportunities for research and quality improvement projects

Training setting

Sault Ste. Marie is a smaller urban community in Northern Ontario with approximately 78,000 people, offering training at Sault Area Hospital and Group Health Centre with opportunities in rural and community settings.

Teaching approach

Competency-Based Medical Education (CBME) with a focus on progressive independence, community-based learning, and comprehensive patient care across various clinical settings.

Setting types

Community hospital
Family Health Teams
Emergency department

Focus areas

Family Medicine
Emergency Medicine
Rural Medicine
Community Healthcare
Point of Care Ultrasound
Procedural Skills

Patient populations

Community patients
Rural populations
Emergency department patients
Indigenous communities
Diverse age groups

Highlights

Three-year integrated training program
Regular emergency department shifts throughout training
POCUS bootcamp training
Procedural skills labs
Simulation series
Financial support for conferences and professional development
Housing support for core rotations
Advanced resuscitation course funding
Longitudinal academic curriculum

Strengths

Comprehensive emergency medicine training
Strong rural medicine focus
Excellent hands-on clinical exposure
Low learner-to-preceptor ratio
Integrated training approach

Enhanced skills

Point of Care Ultrasound
Emergency Ultrasound
Advanced resuscitation training

By year

PGY-1

Community Family Medicine (FM)This rotation will provide the resident with exposure to comprehensive community family medicine. Time will be protected to provide exposure to emergency department shifts (1-2 per week,likely evening/weekendshifts).12
Emergency Medicine (EM)This rotation will provide the resident with regular shifts in the emergency department. Residents will return to their home FM clinic one half day every 2 weeks.4
Internal Medicine/Hospitalist MedicineTo be completed in SSM. These experiences will build skills around managing acutely unwell patients.8
Rural FM/EMThese experiences will occur outside of SSM, in a communityidentifiedby the program as providing wholesome experiences in both FM and EM.8
Obstetrics/GynecologyTo be completed in SSM, asdeterminedby capacity.4
Surgical selective (eg.Gen surgery, Orthopedics, Plastics)To be completed in SSM, withan optionof securing a selective outside of the community, as requested by the learner.4
PediatricsTo be completed in SSM.4
Mental HealthTo be completed in SSM.4
ElectiveTo be completed in or out of SSM.4

PGY-2

Community Family Medicine (FM)This rotation will provide the resident with exposure to comprehensive community family medicine. Time will be protected to provide exposure to emergency department shifts (1-2 per week,likely evening/weekendshifts).16
Emergency Medicine (EM)This rotation will provide the resident with regular shifts in the emergency department. Residents will return to their home FM clinic one half day every 2 weeks.8
Rural FM/EMThese experiences will occur outside of SSM, in a communityidentifiedby the program as providing wholesome experiences in both FM and EM.8
Intensive CareTo be completed in SSM, as capacity allows.4
Obstetrics/GynecologyTo be completed in SSM, asdeterminedby capacity.4
AnesthesiologyTo be completed in SSM.4
PediatricsTo be completed in SSM.4
ElectiveTo be completed in or out of SSM.4

PGY-3

Community Family Medicine (FM)This rotation will provide the resident with exposure to comprehensive community family medicine.4
Emergency Medicine (EM)This rotation will provide the resident with regular shifts in the emergency department. Residents will return to their home FM clinic one half day every 2 weeks.16
Rural FM/EMThese experiences will occur outside of SSM, in a communityidentifiedby the program as providing wholesome experiences in both FM and EM.8
Intensive Care4 weeks will be completed inSSMand anadditional4 weeks will be completed in a tertiary centre (either Sudbury or Thunder Bay).8
Ortho/PlasticsTo be completed in Toronto.4
TraumaTo be completed in Toronto.4
Pediatric EmergencyTo be completed in Ottawa4
ElectiveTo be completed in or out of SSM.4

From the program's rotation list.

Selection

What the program looks at

FMProC (Family Medicine Professional Choices) situational judgement test
Personal letter
Reference letters
Academic performance
Interview performance

Applications per year

201–400

Applicants offered interviews

76–100%

Interviews

Dates (2026 match): 22, 23 and 24 Jan 2026; 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
Level	Annual salary
PGY-1	$73,367 / year
PGY-2	$79,670 / year
PGY-3	$85,564 / year

One provincial scale for Ontario, set by the resident agreement, so every program there pays the same. Showing the 3 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

Sault Area Hospital
Group Health Centre

Hospital facts

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

Unfilled positions in past years

No repeated vacancies in CaRMS’s lists of open positions, 2019–2026.

Positions at this site, all streams.

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

Sault Ste. Marie, 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: −9.8 °C Sault Ste Marie, 14.6 km away
July average: 17.9 °C Sault Ste Marie, 14.6 km away
Snowfall: 324.9 cm a year Sault Ste Marie, 14.6 km away
Days below −20 °C: 20.5 days a year Sault Ste Marie, 14.6 km away

People

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

Population: 72,051 people down 1.8% from 2016
Official languages: English only 90.3% · French only 0.0% · English and French 9.3% · neither 0.4% Share of residents who can conduct a conversation in each. This is not the language spoken at home.
Immigrants: 8.5% of residents arrived 2016–2021: 0.8% · non-permanent residents: 1.3%
Indigenous identity: 11.9% of residents
How people commute: car, truck or van 90.7% · public transit 2.9% · walking or cycling 5.1% · other 1.4% Average commute: 13.2 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: $73,000 before tax $65,500 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: Sault Ste. Marie, a medium population centre (30,000 to 99,999 people) 64,923 people in 2021
Remoteness index: 0.321 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: 2.5% October 2025 survey, Sault Ste. Marie, Ontario (census agglomeration). The share of purpose-built rentals (three units and over) vacant, not a rent.
Basic cost of living: $51,047 a year Market Basket Measure 2025, Ontario, population 30,000 to 99,999, 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.

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 34-10-0131-01. 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 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 5 Oct 2026.