CAPE BRETON INTEGRATED FMEM
The heart of Gaelic culture in Canada, Cape Breton Island is a truly magical place—physically, culturally, and socially. Here, lively kitchen parties are balanced with world-class golf and hikes on breathtaking trails. Where the cliffs of the Highlands meet the sea, the Cabot Trail winds its way from stunning view to stunning view. Besides being the island’s only city, the area boasts cozy seaside towns and welcoming inland communities.
CNN named the Cabot Trail “One of 49 journey’s that’ll change your life”
Rich in Mi’kmaq, Acadian, and Celtic culture
Hike, bike, sail, kayak, ski, and golf some of the worlds best golf courses
Countless historic sites and nature parks
A hidden gem with stunning landscapes and historical wonders.
Discover Cape Breton
135,000
POPULATION
Cape Breton - Sydney facilities
Located on beautiful Cape Breton Island, Nova Scotia, the Sydney program is comprised of four acute care facilities and five rural facilities within the major referral center, Cape Breton Regional Hospital (CBRH).
162 acute care beds
36 emergency beds
23 intermediate and critical care beds
40 maternal child beds
52 mental health and addictions beds
9 palliative care beds
The Cape Breton Regional Hospital serves both as the community hospital for Sydney and surrounding area.
They are the second busiest healthcare facility in Nova Scotia
Over 47,000 emergency department visits/year. Again, only second to the QEII in Halifax,
They have the highest patient care mix (degree of patient complexity) in the province. Sixty-six per cent of emergency patients at the site have a CTAS score of 1-3.
They have a dedicated staff of more than 3,500 health care providers who work with 270 hospital and community-based physicians
They provide care to approximately 130,000 people.
Each resident develops a panel of patients that they will follow for three years
Salary and benefits
During your residency in Cape Breton, as with all our residency sites, your salary will be very competitive.
$77,038 – $87,708
PGY1 - PGY3 SALARY AMOUNTS
The curriculum
This innovative program is designed to prepare family physicians for comprehensive patient care while fulfilling valuable leadership roles. Family physicians in smaller communities, who frequently staff emergency rooms, are required to be highly trained and equipped to deal with situations that their colleagues in larger centres often don't encounter. To better integrate the training required of a physician practicing family and emergency medicine concurrently, this program combines the two aspects of practice in a more cohesive manner.
The program covers core competencies currently addressed with the two-year family medicine and the one-year emergency medicine programs. The two components are integrated, resulting in competencies being accumulated over the three years.
The resident will spend a large portion of their time in a rural setting where they will work with a comprehensive family physician who also works in the rural emergency department. Residents in this program share curriculum with the residents of the core family medicine program as well as having curriculum designed specifically for this program. Residents work in the emergency department on a regular basis during their core family medicine rotations and experience both comprehensive family medicine and emergency medicine integrated throughout all of their three years.
Discussion and feedback will occur between resident and preceptor at each stage using a field note format. Tools such as benchmarking exams, presentations skills assessment, and other methods will be part of program.
Residents attend both Family Medicine and Emergency Medicine Academic sessions including:
Practice based small group learning sessions
Family medicine and emergency medicine evidence based medicine rounds, as well as 2 PEARL newsletters per year.
Shared Simulation/case based learning modules
Core faculty presented seminars
In PGY2 & 3 will participate in delivering Continuous Quality Improvement and Morbidity and Mortality rounds.
Exam preparation (written and practical) for LMCC Part II and both the CFPC Family Medicine and Emergency Medicine certification exams
Simulation experiences
During PGY1 & 2, residents will participate in shared simulation and procedural skills curriculum with their FM cohort. This curriculum is designed to meet the CCFP simulation needs set out in the Residency Training Profile resulting in what would have been a tentative 3-year curriculum concentrated into 2-years. Residents will receive approximately 100-hours in simulation through a mixture of: high fidelity scenarios, procedural skills sessions, task trainers, augmented reality, PoCUS curriculum and flipped classroom workshops, to name a few. iFMEM residents will also participate in annual cadaver labs hosted by our Saint John campus.
In PGY3, senior residents will complete their own simulation and procedural skills curriculum designed to target High Acuity Low Opportunity scenarios, such as transvenous pacemaker insertion, awake intubation etc. PGY3s will also have the opportunity to participate in Simulation Facilitation, by getting involved as facilitators and content experts teaching our medical students and junior residents.
Clinical experiences
PGY1 ROTATIONS
Core family medicine
Emergency medicine
General medicine (hospitalist)
General surgery
Obstetrics/gynecology
Orthopedics
Pediatrics
Community family medicine
Critical care
PGY2 ROTATIONS
Critical care
Core family medicine
Geriatric medicine (geriatrics + MTU)
Palliative care
Community family medicine
Emergency medicine
Electives
Pediatric emergency medicine
PGY3 ROTATIONS
Emergency medicine
Core family medicine
Critical Care (ICU, anaesthesia, and CCU)
Community Family Medicine
Trauma
Electives
Sample schedule
To cross reference and compare the sites in our program, find more information by clicking below.
Dr. Anthony Miller
PGY3
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Sydney, NS
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Like anywhere in Canada, finding accommodation can be tricky. Thankfully, the community was very welcoming and eager to help. Hospital staff as well as upper year residents helped me to find a place to live.
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I was drawn to Sydney because it offers the best of both worlds - a program large enough to provide exposure to a wide range of specialties, yet small enough that I’m often the only resident, which allows for more hands-on experience and direct mentorship. On a personal level, the natural beauty of Cape Breton, especially the views along the Cabot Trail, makes it an incredible place to live and train.
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My favourite thing about the Sydney site is the people. I really value both the welcoming community in Cape Breton and the supportive group of co-residents I get to work alongside.
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It felt like the right fit because I was looking for a program that offered strong clinical exposure while still being small enough to provide a close-knit learning environment. From the start, I felt welcomed by both the faculty and the community, and I could see myself thriving here both professionally and personally.
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The relationship with preceptors and program leadership is very supportive. Everyone I work with is friendly and welcoming, and there is a strong emphasis on teaching, often in a one-on-one setting. Because we are not a service-based program, the focus is truly on learning and growth as a resident.
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Yes, I play a very active role in patient care. Often I am the only resident, which has given me the chance to take on significant responsibility, gain valuable learning experiences, and develop strong critical thinking skills that I know will benefit me as a staff physician.
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A typical day or week can vary depending on the specialty, as we are block-based. I really like this structure because it allows me to focus and hone my skills in a particular area. For those of us in the iFMEM program, every week includes a day back in either family medicine or emergency medicine, which keeps us connected to both core areas of training.
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The work-life balance is excellent. Because we are not a service-based program, our focus is truly on learning. We also have a strong sense of community outside of work. Our running club meets weekly and socializes afterward, and residents organize several yearly trips, including a cross-country ski trip to a cabin in rural Cape Breton and a downhill ski trip to Newfoundland.
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Resident wellness is supported both formally and informally. Formally, the program ensures protected time for learning and avoids service-based demands, which helps prevent burnout. Informally, there is a strong sense of community among residents and faculty, with social activities
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The patient population in Cape Breton is diverse, including people from both urban and rural communities, many with low socioeconomic status, as well as newcomers to Canada. This mix provides residents with a broad and meaningful range of experiences.
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Yes, there are opportunities to work in rural areas. Residents complete required blocks outside of Sydney, which provides exposure to a variety of practice settings and the chance to develop skills in delivering care where resources may be limited.
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Take full advantage of the hands-on learning opportunities and the close-knit environment. Don’t be afraid to ask questions or take initiative. The faculty and community are incredibly supportive, and the experiences you gain here will be invaluable for your future practice.
Sound like a good fit?
If you want to learn more about a residency in the community of Sydney, get in touch. Our Sydney staff would be happy to answer all of your questions.
Site Director, FMEM Program
Dr. Mike MacDonald
MacDonaldMJ@me.com
(902) 567-7741
Associate Resident Co-Leaders
Dr. Anthony Miller
anthony.miller@dal.ca
Site Administrator
Jacquie Heading
jacquie.heading@nshealth.ca