3rd year specializations in FM

[BluePin]

Is it possible to do multiple 3rd year "specializations" after doing your 2 years of FM residency?

For example, working off of this list (http://www.cfpc.ca/English/cfpc/education/section%20of%20residents/resource/sor3-rdyear/default.asp?s=1):
If you are interested in EM, with a leaning towards sports injuries could you do a third year in EM, then another in Sports Med, and finally one in Anesthesia?

Also, can you go "back" to do further training?

For example if you are practicing as a CCFP(EM), and find that in your area you want to become more involved with obstetrics... then can you go back to do a further year of training with obstetrics?

What is the correct terminology for further training periods once you have finished your 2yrs of FM res. plus first 3rd year of specialization res?
Is it a fellowship, residency, other?

Any links with further info would be appreciated... I've been digging around a bit, but not finding too much... as a non (yet) med student / doc, I may not be using the right terms...

[dr nomis]

CCFP = Certificant of the College of Family Practitioners
Earned by doing a residency in Family Medicine, 2 years long, after medical school, then passing the College of Family Practitioners of Canada (CFPC) Certificate exam. Maintained by completing sufficient Continuing Medical Education (CME) credits.

FCFP = Fellow of the College of Family Practitioners
Earned by maintaining a CCFP for 10 years.

CCFP(EM) = Special Competency in Emergency Program.
Earned by getting a CCFP, then passing the CCFP(EM) examination through the CFPC.
You can be eligible to write the CCFP(EM) exam through 1 of 2 ways:
a) Residency-Eligible Candidate: Successfully complete a CCFP(EM) "R-3" program at a Canadian medical school (apply to the CCFP(EM) R-3 through CaRMS)
OR
b) Practice-Eligible Candidate: Work in an emergency department (one that hires CCFP family docs without the EM designation) for 4 years, with >400 hours each year.

PGY3 = Post-Graduate Year 3 Enhanced Skills courses.
One-year courses from Canadian medical schools, for people who have earned their CCFP and would like more experience. Some are accredited and others are for personal interest. To apply to one of these programs contact the individual medical school - the CCFP(EM) is the only one administered through CaRMS.

Note:
Many family doctors 'specialize' or only work in a focused area of family medicine, many of which (but not all) have a PGY3 available (check with the individual medical schools to see what PGY3s they offer). Examples include:
- Inner city medicine
- Sports medicine
- GP Surgery
- Surgical Assist
- GP Anaesthesia
- Aboriginal Medicine
- HIV
- Obstetrics
- Palliative Care
- Self-designated PGY3
- Care of the Elderly
- Academic Fellowship in Education Research
- Rural Skills
- Women's Health
- Orthopedics
- GP-O (GP in Oncology)
- Pediatrics
- Botox injections or other cosmetic procedures

Note that only SOME of these areas require an accredited PGY3 (ie. to be a GP Anaesthetist at a Canadian hospital you must complete an accredited PGY3 program).

However, others are more focused by a doctor choosing the type of practice they would like (ie. a doctor may set up a practice in which they see only inner city patients despite never having done a PGY3 in inner city medicine or HIV).

[Satsuma]

Yes you can do more than one extra year of training. I know of someone who did +1 emerg and +1 sports med.