As of July of 2013, all new PGY-1 residents have been trained using a Competency-Based Curriculum (CBC). This is based on the very successful pilot CBC that commenced in July of 2009. As of July, 2020, all incoming residents will be trained along the “Competence By Design paradigm”, which all orthopaedic surgery residency training programs will be implementing as per the Royal College of Physicians and Surgeons mandate. All PGY-1 residents spend the first month of training in the “”Prep” and “Surgical Boot Camps””, intensive courses that teach fundamental surgical skills including suturing, casting, bone drilling, basic orthopaedic surgical approaches and AO principles The Surgeon-Scientist Program (SSP) is available and encouraged for residents wishing to pursue a graduate degree (i.e., MSc, PhD) during their training There are currently a total of 57 residents at University of Toronto and 66 full time academic staff at 7 core teaching hospitals Community electives are available at various hospitals around the Greater Toronto Area Residents may undertake rural electives through the Rural Ontario Medical Program The University of Toronto Program underwent a Royal College accreditation site survey in April of 2015 and received full approval with no major weaknesses noted There is an excellent track record at the Royal College exams, with over 95% of our graduates passing the exam on the first attempt.