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Toronto - Family Medicine - Palliative Care

University of TorontoToronto, 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(opens in a new tab)

CaRMS program description, FM/ES 2027 match, last approved 14 Jul 2026

Positions (approx. quota)
Not stated on CaRMS page
Length
1 year
Stream
Competitive
Discipline
Family Medicine - Palliative Care
Applications per year
0–50
Applicants offered interviews
26–50%
Accreditation
Accredited
CaRMS program ID
34655

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

Summary

  • This 1-year palliative care enhanced skills program at the University of Toronto prepares physicians to provide primary and consultant palliative care services.
  • It includes 10.5 mandatory blocks across Toronto hospitals, including home palliative care, pediatric palliative care and a rotation caring for homeless patients.
  • Residents also attend a four-month longitudinal half-day ambulatory clinic and must complete a research, education or quality improvement scholarly project.

Training

Setting
  • Academic / tertiary hospital
  • Urban community
Sites

21 teaching sites

  • Mount Sinai Hospital
  • Toronto General Hospital
  • Toronto Western Hospital
Show all 21
  • Sunnybrook Health Sciences Centre
  • St Michael's Hospital
  • Temmy Latner Centre for Palliative Care (TLCPC)
  • Princess Margaret Hospital
  • Bridgepoint
  • Baycrest
  • Toronto Grace
  • Kensington Hospice
  • University Health Network
  • Southlake Regional Hospital
  • Trillium Health Partners-Credit Valley Hospital & Mississauga Hospital
  • Toronto East General Hospital
  • North York General Hospital
  • St Joseph's Hospital
  • William Osler Health Sciences
  • Inner City Health Associates (ICHA)
  • The Hospital for Sick Children
  • Odette Cancer Centre
Rural exposure
Not stated on CaRMS page
Focus areas
  • Underserved urban
Research
Required · research or quality-improvement project
Highlights
  • Required one-block PEACH rotation providing palliative care for homeless patients with Inner City Health Associates.
  • Four-month longitudinal half-day ambulatory palliative clinic where residents follow their own consults over time.
  • Required pediatric palliative care rotation at The Hospital for Sick Children.

By year

Not stated on CaRMS page

Other rotations

Listed by the program without a single year.

  • Inpatient Consultation Services (2 blocks · Mount Sinai Hospital, Toronto General Hospital, Toronto Western Hospital, Sunnybrook Health Sciences Centre, St Michael's Hospital)
  • Home Palliative Care (2 blocks · Mount Sinai Hospital (Temmy Latner Centre for Palliative Care (TLCPC))
  • Inpatient Palliative Care Unit (2 blocks · Princess Margaret Hospital, Bridgepoint, Baycrest, Toronto Grace, Kensington Hospice, Sunnybrook)
  • Medical + Radiation Oncology (1 block · Princess Margaret Hospital, Sunnybrook Health Sciences Centre)
  • Psychosocial Oncology (1 block · University Health Network (Princess Margaret Hospital), Sunnybrook Health Sciences Centre)
  • Community Hospital Service (1 Block · Southlake Regional Hospital, Trillium Health Partners-Credit Valley Hospital & Mississauga Hospital, Toronto East General Hospital, North York General Hospital, St Joseph's Hospital, William Osler Health Sciences)
  • PEACH (Palliative Education and Care for the Homeless) (1 Block · Inner City Health Associates (ICHA))
  • Pediatric Palliative Care (0.5 Block · The Hospital for Sick Children)
  • Non-malignant Palliative Care (0.5 Block · Toronto General Hospital or Sunnybrook Health Sciences Centre)
  • Elective (2-2.5 blocks · Negotiated individually, with approval of PD)

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
0–50
Applicants offered interviews
26–50%

Interviews

Dates (FM/ES 2027 match)
Not stated on CaRMS page
Format
  • Panel

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-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

  • Mount Sinai Hospital (Toronto)
  • Toronto General Hospital (Toronto)
  • Toronto Western Hospital (Toronto)
  • Sunnybrook Health Sciences Centre (Toronto)
  • St Michael's Hospital (Toronto)
  • Temmy Latner Centre for Palliative Care (TLCPC) (Toronto)
  • Princess Margaret Hospital (Toronto)
  • Bridgepoint (Toronto)
  • Baycrest (Toronto)
  • Toronto Grace (Toronto)
  • Kensington Hospice (Toronto)
  • University Health Network (Toronto)
  • Southlake Regional Hospital
  • Trillium Health Partners-Credit Valley Hospital & Mississauga Hospital
  • Toronto East General Hospital (Toronto)
  • North York General Hospital (Toronto)
  • St Joseph's Hospital
  • William Osler Health Sciences
  • Inner City Health Associates (ICHA) (Toronto)
  • The Hospital for Sick Children (Toronto)
  • Odette Cancer Centre (Toronto)

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

fammed.enhanced@utoronto.ca

Valerie Hilderal · Program Assistant

Program director

  • Dr. Sarah Kawaguchi

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.

More links

Links the program published on CaRMS

Location

Toronto, Ontario

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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
−3.5 °C Toronto (City), 11.0 km away
July average
22.5 °C Toronto (City), 11.0 km away
Snowfall
114.5 cm a year Toronto Pearson (Airport), 12.7 km away
Days below −20 °C
1.6 days a year Toronto (City), 11.0 km away

People

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

Population
2,794,356 people up 2.3% from 2016
Official languages
English only 86.9% · French only 0.1% · English and French 8.5% · neither 4.5% Share of residents who can conduct a conversation in each. This is not the language spoken at home.
Immigrants
46.6% of residents arrived 2016–2021: 7.2% · non-permanent residents: 5.3%
Indigenous identity
0.8% of residents
How people commute
car, truck or van 61.0% · public transit 26.2% · walking or cycling 9.6% · other 3.2% Average commute: 30.7 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
$84,000 before tax $74,000 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
Toronto, a large urban population centre (100,000 or more people) 5,647,656 people in 2021
Remoteness index
0.000 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
3.0% October 2025 survey, Toronto, Ontario (census metropolitan area). The share of purpose-built rentals (three units and over) vacant, not a rent.
Basic cost of living
$62,880 a year Market Basket Measure 2025, Toronto, 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, Toronto, Ontario (census metropolitan area); standard error 0.3 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.