Toronto Metropolitan University - Family Medicine - Palliative Care - Peel & Surrounding Communities

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Toronto Metropolitan University – Family Medicine – Palliative Care – Peel & Surrounding Communities

Family Medicine – Palliative Care

Contact

Dr. Karim Manji

Program Director

Justin van Lieshout & Matthew Armour

Program Administrators

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2 Available Spots

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Program Highlights

A broad range of training sites—including hospitals, patients’ homes, hospices, long-term care facilities, outpatient clinics, and community settings—ensures residents gain comprehensive, hands-on experience across the full continuum of palliative care. This diverse exposure enables residents to develop adaptability, clinical judgment, and communication skills tailored to varied care environments. It also deepens their understanding of system-level care coordination, interprofessional collaboration, and the social determinants of health that impact patients and families across settings.
The program emphasizes a comprehensive approach to palliative care that addresses both malignant and non-malignant disease trajectories. Residents are trained to recognize and manage the unique palliative needs of patients with advanced cancer as well as those with chronic progressive illnesses such as heart failure, COPD, end-stage renal disease, neurodegenerative disorders, and frailty. This broad clinical focus ensures that residents develop the diagnostic insight, symptom management expertise, and communication skills needed to deliver high-quality care across a wide spectrum of serious illnesses—regardless of diagnosis—while aligning care plans with patient goals, values, and prognostic considerations.
The program places a strong emphasis on providing compassionate, respectful care to patients and families from culturally diverse backgrounds. Residents are trained to recognize and address the cultural, spiritual, and linguistic factors that influence how individuals experience serious illness, make healthcare decisions, and express preferences around end-of-life care. Through structured teaching, reflective practice, and immersive clinical experiences, residents develop cultural humility and the skills needed to deliver equitable, person-centered care. This includes working effectively with interpreters, understanding health beliefs and practices across cultures, and fostering trust with patients and communities who may face systemic barriers to care.
Residents benefit from extensive opportunities to work with and learn from experienced interprofessional care teams, including physicians, nurses, social workers, spiritual care providers, pharmacists, occupational and physical therapists, and other allied health professionals. This collaborative environment reflects the team-based nature of palliative care and equips residents with the skills needed to communicate effectively, share decision-making responsibilities, and coordinate care across disciplines. By engaging in regular team rounds, family meetings, and interdisciplinary case discussions, residents gain a deeper appreciation for the diverse perspectives and expertise each team member brings to patient care. This fosters holistic, patient- and family-centered care and prepares residents to lead and contribute meaningfully to interprofessional teams in any clinical setting.
Unique training opportunity: Leadership, Education, Advocacy, Research, and Non-Clinical (LEARN) program allowing residents to supplement their learning experiences.

General Information

The TMU School of Medicine currently has clinical partnerships with multiple major training sites:

Residency training will leverage a distributed model, which may include training at any of these sites for learning in environments which include community and clinical settings, urban and rural environments, and inpatient and outpatient settings. While the majority of resident training will be focused in Peel and surrounding communities, additional learning experiences may take place at other training sites within Canada through Inter-University Affiliation Agreements. These agreements are subject to change and may result in training at sites other than those listed above.

Travel to various locations will be required. Access to a personal vehicle will be beneficial, though anyone with access to a reliable means of transportation is encouraged to consider this program.

Salary Information

Post graduate salaries and benefits differ by province and are determined by two things: your training year, and the province you work in. See below the salaries and benefits for Toronto Metropolitan University - Family Medicine - Palliative Care - Peel & Surrounding Communities.

Ontario
	Effective October 4th, 2023
PGY1	$73,367.35
PGY2	$79,669.97
PGY3	$85,564.01
PGY4	$92,700.65
PGY5	$98,566.96
PGY6	$104,167.39
PGY7	$109,250.12
PGY8	$115,826.24
PGY9	$120,082.47


Professional Leave	7 working days/year Additional time off provided for writing any CND or US certification exam, leave includes the exam date and reasonable travel time to and from the exam site. Additional RCPSC & CFPC Certification Examination Prep Time Subject to operational requirements and at the request of a resident, a resident will not be scheduled for call duties for a period up to fourteen days prior to a CFPC or RCPSC certification exam. Subject to operational requirements and at the request of a resident, a resident will be granted up to seven consecutive days off during one of the four weeks preceding a CFPC or RCPSC certification exam.
Annual Vacation	4 weeks
Meal Allowance	No
Frequency of Calls	1 in 4 In-hospital, 1 in 3 home
Pregnancy Leave	17 weeks
Parental Leave	35 weeks, 37 weeks if resident did not take pregnancy leave
Supplemental Unemployment Benefit (SUB) Plan	Top-up to 84% 27 weeks for women who take pregnancy and parental leave; 12 weeks for parents on stand-alone parental leave.
Provincial Health Insurance	Yes
Extended Health Insurance	Yes
Provincial Dues (% of salary)	1.3%
Dental Plan	85% paid for eligible expenses
CMPA Dues Paid	Under current arrangements, residents are rebated by Ministry of Health and Long Term Care for dues in excess of $300.
Long-Term Disability Insurance	Yes – 70% of salary, non-taxable.
Statutory and Floating Holidays	2 weeks leave with full pay and benefits; 10 stat days plus 1 personal floater. Residents are entitled to at least 5 consecutive days off over the Christmas or New Year period, which accounts for 3 statutory holidays (Christmas Day, Boxing Day and New Years Day), and 2 weekend days.
Life Insurance	Yes, 2x salary
Salary and Benefit Continuance	A resident that can’t work due to illness or injury will have salary and benefits maintained for 6 months or until end of appointment (whichever occurs first)
Call Stipend	Regular: $127.60 in-hospital; $63.80 home call or qualifying shift on shift-based services. Weekend premium: $140.36 in-hospital; $70.18 home call or qualifying shift on shift-based services.

Updated January 6, 2025

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Brampton

Brampton is a Canadian city in Ontario’s Greater Toronto Area. Its Peel Art Gallery, Museum and Archives is housed in 19th-century and contemporary buildings. In the center of downtown is the Rose Theatre, a major performing arts venue. In front, Garden Square hosts big-screen movies and live events. Green spaces include Gage Park with its floral gardens.

An initiative of