Royal Columbian Hospital and Eagle Ridge Hospital



Dates: UBC will interview on January 19, 2020. 

Notification/Invitation: Program will notify all applicants

Interview Process

The Selection Committee will review applications. Short-listed candidates will be invited to an interview.

Candidates apply to each distributed site separately, and each site will submit a separate rank list.  However, the interviews will be conducted together by representatives of all the sites.  The exact plan for the two days will be communicated to applicants invited for an interview.  We make every effort to ensure candidates are given the opportunity to meet staff and residents (where applicable) from each site.  Site visits at the distributed sites are also possible, though not required. 

There is traditionally a social event during the evening for students and residents only. The exact timing of this event varies according to the travel schedule of the students as they travel from West to East or vice versa on alternate years.


Selection Criteria

The following criteria will be considered in the selection process:

  • The candidate's academic record.
  • The candidate should have demonstrated an interest in emergency medicine.
  • The candidate must have good communication and interpersonal skills.
  • It is useful to have a reference from an emergency physician working in an academic centre.

Elective Requirements: We encourage applicants to have completed at least one elective in our specialty.

On Site Elective: We do not require applicants to have done onsite electives.

Other information regarding elective requirement: The selection committee recognizes that it is difficult for out of province students to obtain an on site elective due to the number of UBC students who are doing their mandatory Emergency Medicine rotation. Students should not be discouraged from applying, as many of our current residents are from out of province, and did not complete on site electives as students.


Quick Facts

Candidates should apply to all 4 UBC EM sites separately, selecting whichever locations appeal to them. 

The Fraser Program accepts two residents per year, for a total of thirteen across the 5-year program. 

The Fraser Program is based out of Royal Columbian Hospital in New Westminster, BC, with rotations in other Fraser Hospitals such as Surrey Memorial. As you might expect, in an expanding program we realize that the exact distribution of learning events will likely evolve over the coming years. 


Here are some key points about Fraser:

  • The Fraser Health Region is part of the Lower Mainland of British Columbia.  It consists of 12 hospitals serving 1.7 million people.  Across the region, there are 700,000 emergency visits/year. 
  • The Royal Columbian Hospital is a 440 bed hospital that sees 75,000 EM visits/year.  It is also the referral centre for many services across the Fraser region.  Therefore, our hospital sees high volume and acuity, yet because of the relatively smaller number of learners, there is ample opportunity for learning. 
  • Royal Columbian Hospital is the Trauma referral centre for all of Fraser, and is among the busiest trauma hospitals in all of Canada.  We are a Level-One Trauma Centre and receive the highest number of autolaunches in BC.  The Trauma Service is run jointly by Emergency Physicians, Surgeons, and Anesthesiologists.  Despite having a designated team, trauma resuscitations are often done jointly with the trauma team as well as the emerg team.  There is also a trauma fellowship at our site.
  • We see approximately 15 – 20% pediatrics in our department at RCH.  We also send our residents to Surrey Memorial to do peds EM, because they have designated peds shift in their new pediatric emergency department. 
  • Royal Columbian Hospital is the referral centre for Cardiac Surgery and cardiac catheterization, as well as the regional stroke centre. 
  • Surrey Memorial Hospital is the other large hospital within Fraser, and sees 150,000 EM visits/year.  The facility is brand new, and our residents do Pediatric EM as well as ICU there.  There is a state-of-the-art sim centre there, and our residents do approximately 12 sessions per year in small groups. 
  • RCH and VGH are geographically quite close (about 30 minutes by car).  This means residents from Fraser and Vancouver are closely integrated.  They are easily able to do rotations at each others’ sites.  Academic day activities take place both downtown and at RCH, so residents from VGH and Fraser are often together at these times. 
  • Most of our residents live downtown and can easily take the skytrain, bike or drive to Royal Columbian Hospital.  The fabulous city of Vancouver and all its wonderful amenities are within easy reach.
  • Many of the staff at RCH (both EM and off-service) are recent grads themselves and are very happy to be involved with teaching Specialty Emergency Medicine residents.  Our residents are made to feel welcome and every effort is made to make sure their learning needs are met. 
  • In their first year, our EM residents form part of the group of first-year interns at Royal Columbian Hospital.  This program has been running for decades and has graduated more than a thousand interns. 
  • In contrast, there are only two FRCPC Royal College Programs run out of Fraser at this time (the other being Psychiatry), so beyond first year, our residents have much less competition for learning opportunities than they might in other centres. 

Program Curriculum


Emergency Medicine

Off Service

Specialty Rotations


(13 blocks)

Transition to Discipline

(3 blocks)

2 EM





(10 blocks)

1 EM


  • Internal Medicine (2)
  • General Surgery
  • Obstetrics and Gynecology
  • Psychiatry (EM)
  • Trauma


PGY 2 – 4

(39 blocks)


17 EM




  • Jr ICU at SMH
  • Sr ICU at VGH (2)
  • CCU (Coastal)
  • Anesthesia (2)
  • Ortho
  • Neurology
  • Plastics
  • Toxicology
  • Pediatric ICU (Coastal)
  • Pediatric Anesthesia (Coastal)

1 block each of:

  • Emergency Health Services
  • NERD/Research


3 blocks electives



(13 blocks)

Transition to Practice

5 EM




6 blocks Area of Concentrated Expertise (ACE)

1 block MERIT/ Education


ACE – Area of Concentrated Expertise

Under the previous curriculum, UBC residents have pursued many areas of interest, including but not limited to: sports medicine, disaster medicine, wilderness medicine, clinical epidemiology, public health, medical education, pre-hospital care, hyperbaric medicine, ICU and anaesthesia. Our goal is to tailor the program to the needs and expectations of the senior resident, with an emphasis on subspecialty interest and future career goals, while continuing to fulfill the CBD curriculum. 

Academic Days and Video-Conferencing

Residents get protected full academic days on Wednesdays. The lectures are video-conferenced with Vancouver and other UBC training sites. Each UBC site takes turns hosting academic day.  RCH hosts once per month, and VGH residents usually attend in person.  Fraser residents usually attend downtown in person as well, except when we’re at SMH for Sim. 

Academic Sessions include: Rosen’s based R1 resident seminars, Rosen’s based R2-R5 resident seminars, Radiology Rounds, Pharmacology Rounds, Trauma Rounds, Simulation Sessions, Research Rounds and Provincial Grand Rounds.


Residents can choose from a wide selection of electives. Electives in the past have included research, sports medicine, ophthalmology, radiology, hyperbaric medicine and trauma in major urban centers in the United States and South Africa. Toxicology is a core rotation offered in Vancouver; however, many residents elect to complete this rotation at the New York City Poison Centre or at Oregon Health and Science University.

Journal Club

Journal Clubs are held locally on a monthly basis. Recent relevant emergency medicine articles and topics are review, critiqued and discussed.  We follow a province wide curriculum for article selection and review, and collaborate with the other UBC sites in critical appraisal.

Academic Funding

  • $1500 from UBC for conferences and courses
  • $500 from the RCH EM Staff fund for textbooks and courses

Practice Exams

Residents write a nationally standardized practice exam in a short answer format similar to the Royal College exam once per year. Marks are collated across the country. Residents are then able to benchmark their progress.  Recently we have implemented a UBC based practice written exam in the spring season.  Practice oral exams are given twice per year. Senior residents will receive more practice oral exams as they approach the end of their training and prepare for the Royal College exams.

Research and Scholarly Activity

All residents are required to complete two scholarly projects during the course of their residency. There is considerable flexibility in the types of projects undertaken. In general, residents are expected to complete one case report or topic review with an analysis of the literature, and one piece of original clinical or educational research. These projects are undertaken with a faculty adviser in an area of mutual interest. Excellent research support is available through the department's Emergency Medicine Research Division.

The newly developed research design block, specifically targeted for our junior residents, allows them to start on the research/scholarly activity that is now mandated by the Royal College.

Senior residents are encouraged to present their research projects at the annual CAEP Conference or the annual UBC Department of Emergency Medicine research day.

Ultrasound Training

First year residents go to Vancouver in July to complete the introductory ultrasound course. Our residents are CEUS IP certified at the end of their ultrasound rotation in first year.  They are also given the opportunity to learn more advanced ultrasound skills.

Medical Education

A four-week elective in medical education was successfully introduced in 2010/11. It introduces the resident to some of the topics relevant to bedside teaching (e.g., one minute preceptor, how to provide effective feedback, how to teach procedures), and also incorporates teaching shifts allowing the residents an opportunity to put the techniques into practice. There are small group sessions for discussion and debriefing.


Training Sites

The Royal Columbian Hospital (RCH)

The Royal Columbian Hospital is a large (450 bed) community hospital located in New Westminster, southeast of Vancouver. The emergency department census is in excess of 75,000 per year with a full spectrum of all types of adult and pediatric emergencies. 

Our hospital was recently awarded the designation of a Level One Trauma Centre.  We are among the busiest trauma centres in Canada. 

There are only two Royal College Residency Programs based at our site – Fraser Psychiatry and Fraser Emergency Medicine.  Residents from other programs rotate here as well. 

Royal Columbian Hospital is the referral center for Stroke, Cath Lab, and Cardiac Surgery and Trauma. 

There is a Clinical Teaching Unit service for Internal Medicine, and there are often senior residents on GenSx and OBGYN, but other services, such as Neuro and Plastics, are run by attending physicians so our residents get one-on-one teaching with a focus on learning rather than service.

Royal Columbian Hospital is in the midst of a major site redevelopment with a new Emergency Department planned for 2022.

Surrey Memorial Hospital (SMH)

Surrey Memorial Hospital has an annual census of 150,000 patients.  Fraser Residents go there for Peds EM because their recently renovated emergency department has designated peds shifts.  Fraser residents also do rotations in the ICU there. 

The hospital has a state of the art sim centre and Fraser residents do sessions there regularly. 


Residents will have opportunity to complete rotations at other UBC Emergency medicine training sites. Please see each site’s description for details about the respective hospitals. 

            Vancouver General Hospital

            St. Paul’s Hospital

            BC Children’s Hospital

            Victoria General Hospital and Royal Jubilee Hospital

            Kelowna General Hospital

As all training sites are part of the UBC program, electives at any site are easy to arrange.