Policies & Guidelines

PGME Processes	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Guidelines for the Review, Approval and Dissemination of PGME Policies	PGME	Oct 2021	Feb 2024
Medical Trainee Academic Records & Data Guidelines	PGME	Aug 17, 2022	Aug 2024		McMaster University Data & Info Classification Policy McMaster University Statement on Collection of Personal Info & Protection of Privacy
Processes internal to PGME can be found through the password protected PGME Headquarters Please note residents are employees of HHS and SJHH and specific hospital policies may apply.
Key Guidelines	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
CMPA Good Practices Guide	CMPA				Good Practices Faculty Guide
PARO-The Ontario Teaching Hospitals contract (OTH)	PARO				Collective Agreement 1-page Highlights Top Things To Know About Your Contract
Appointments, Selection & Training	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Residency Allocation	PGEC	Mar 22, 2023	Jan 2024		Enhanced Skills Positions/Funding
Resident Selection	PGEC	July 2020	Sept 2023		Match Violation (CaRMS 2020)
Moonlighting for Postgraduate Trainees	PGEC	Feb 2021	Feb 2024		Restricted Registration (COFM 2018)
Service to Education Balance	COFM	2015
Assessments, Evaluations & Appeals	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Assessment of Trainees	PGEC	Nov 23, 2022	Sept 2025		Education Advisory Board Terms of Reference EEP/ Remediation/ Probation Grid Remediation Plan Template Enhanced Education Plan Template
Appeal of Assessment Decisions	PGEC	Nov 23, 2022	Sept 2025		Appeals Process Flows Level 1 Program Appeals Committee ToR Template Level 2 Program Appeals Committee ToR Level 3 Program Appeals Committee ToR
Pre-Entry Assessment Program (PEAP)	PGEC	May 2022	May 2024	PEAP Detailed Assessment Form PEAP Final Assessment Form	Pre Entry Assessment Program (PEAP) Exemption (CPSO)
Pre Entry Assessment Program (PEAP)	COFM	2014
Assessment Verification Period (AVP)	COFM	2020			Key Distinctions between AVP & PEAP
Faculty Evaluation Guidelines	PGEC & UME Exec	March 2023	March 2024
Health, Safety & Wellness	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Guidelines for Resident Wellness	PGEC	Nov 16, 2022 *new policy	Sept 2025
Accommodation of Trainees with Disabilities	PGEC	Nov 23, 2022 *new policy	Sept 2025
Supervision of Clinical Activities of PGME Trainees	PGEC	Jan 20, 2021	July 2024
Health & Safety	PGEC	Oct 21, 2020	Oct 2024		FRM Health & Safety Guidelines FRM Task Force CPMA Social Media Guide CMPA Good Practices Guide SJHH Reporting Processes Workplace Health and Safety Incident Report Process PGE:COFM The Role of Residents During Medivac/ Ambulance Transports
Discrimination and Harassment	McMaster University	2020			McMaster Policy Overview – Discrimination & Harassment
Sexual Violence	McMaster University	2020
Violence in the Workplace	McMaster University	2010			Sexual Violence Prevention & Response Office
Immunizations, Communicable Diseases & Emergency Preparedness	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Health Screening Requirements	FHS			Postgraduate Medical Education Health Screening Record
Immunizations Policy	COFM	2022
Communicable Diseases & Occupational Health for Applicants to and students in McMaster University FHS Health Professional Education Programs	FHS	2019			Blood Borne Viruses (COFM 2022) Blood Borne Viruses (CPSO 2015) Blood Borne Infections (PHO)
Guidelines on the prevention of transmission of bloodborne viruses from infected healthcare workers in healthcare settings	GOC	2019
Guidelines for the Support of Learners in Clinical Placements During an Influenza Pandemic or Localized Outbreak move to last	FHS	2020			PGME Learner Redeployment Guidelines
Residents & Public Health Emergency Preparedness	COFM	2021
Leaves, Part-Time Training & Transfers	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Leaves from Program Policy	PGEC	Jul 2021	Jan 2024	Leave of Absence Request Form	RCPSC CBD Technical Guide on Leaves
Waiver of Training Requirements After a Leave of Absence from Residency Training	PGEC	Nov 2021	Nov 2023	Waiver Request Form – Completed by Program Director	RCPSC CBD Technical Guide on Exam Readiness
Leaves from Ontario Postgraduate Residency Programs	COFM	2015
Part-Time Residency Training Guidelines	PGEC	Mar 2022	Mar 2024	Request for Part-time Training Form – completed by Program Director
Part-time Residency Training Guidelines	COFM	2017
Time Off/Vacation	PGEC	Feb 2022	Feb 2024
McMaster Transfer Process	PGEC	Nov 2021	Nov 2023	Internal Resident Transfer Request Form (due Jan 31)	RCPSC CBD Technical Guide on Transfers
National Transfer Guidelines	AFMC	2022		National Resident Transfer Request Form (due March 31)
Professionalism	Owner	Date Approved	Next Review	Forms	Additional Relevant Information
Social Media Policy	CPSO	June 2022			Advice to the Profession: Social Media (CPSO) Top 10 Tips for Using Social Media in Professional Practice (CMPA) Social Media: the Opportunities, the Realities
Guidelines for Interaction with Industry	PGEC	2013	Under Review
Promoting Professionalism in PGME	PGEC	2014	Under Review		Professionalism in Practice Medico-legal Handbook for Physicians in Canada (CMPA)
Professional Behaviour Code of Conduct for Graduate Learners	FHS	2014			FHS Office of Professionalism
Code of Ethics & Professionalism	CMA	2018
Maintaining Appropriate Boundaries & Preventing Sexual Abuse	CPSO	2019
Medical Records Management	CPSO	2020
Information & Records Management Guideline	HHS	2011
Physician Behavior In the Professional Environment	CPSO	2016
Privacy Policy	CaRMS	2021
Practice Guide: Medical Professionalism & College Policies	CPSO	2007
Professional Responsibilities in Medical Education	CPSO	2021
Legislation		Owner
Freedom of Information & Protection of Privacy Act		Government of Ontario
Guide to Your Rights & Responsibilities under the Human Rights Code		Government of Ontario
Occupational Health and Safety Act – Violence & Harassment in the Workplace		Government of Ontario
Personal Health Information Protection Act		Government of Ontario
Regulated Health Professions Act		Government of Ontario

Policies & Guidelines

PGME Processes

Key Guidelines

Appointments, Selection & Training

Assessments, Evaluations & Appeals

Health, Safety & Wellness

Immunizations, Communicable Diseases & Emergency Preparedness

Leaves, Part-Time Training & Transfers

Professionalism

Legislation