Residency Rural Stream

Program Information

The Rural Residency Program (RRP) is an innovative program designed to prepare residents for rural family medicine. It combines one year (PGY1) of training in a GTA community-based teaching hospital (Toronto East Health Network – Michael Garron Hospital or North York General Hospital) with one year (PGY2) of training in one of four rural communities - Midland, Orillia, Port Perry, or Orangeville.

This program is designed for the resident who is self-directed and is interested in working in a rural environment after graduation. It is the perfect training ground for those who plan on maintaining a comprehensive practice in the future: practicing ER, OB and in-patient medicine. Those who have applied to the program will receive an invitation mid-February to attend a virtual Rural Residency Program Information Night. This session will provide a detailed program overview from the RRP program director and current residents as well as an interactive Q&A segment in advance of the Virtual Interview Sessions.

During the first-year, residents will gain the skills that will allow them to continue their education in a rural setting. They will participate with residents from the other streams in academic sessions, and come to appreciate the academic foundations of family medicine. Elective time is built into the first-year of the RRP to allow the resident to gain extra experience in an area of particular interest, and commonly residents select ICU/CCU rotations to gain advanced skills while in the GTA.

Residents in their first year, will meet with both the RRP program director and the community based hospital program director to allow input into their program as it develops, and will have the opportunity to visit the available teaching sites for their PGY2 year. Before commencing the first year, residents will be invited to the "Rural Residency Virtual Open House” where preceptors and residents from TEHN, NYGH and all rural sites will be present to answer questions and help with the site selection. Residents who go to Orillia or Midland will spend their PGY1 year at NYGH and residents who go to Port Perry or Orangeville will spend their PGY1 year at TEHN.

All RRP residents are required to live in the community to which they are assigned for their second year. During the second year, residents will typically spend six months with each of the two or three preceptors to provide exposure to differing practice styles. The first one or two months are spent focused on family medicine to allow integration into the practice and the community. The remainder of the year is spent participating in a longitudinal program including four to five half days of family medicine each week. Emergency shifts, in-patient care and intra-partum obstetrics are included as core experiences. Residents will be able to take advantage of the resources of the local community hospital and its specialists to augment their learning from rural family physicians.

Longitudinal specialty experiences (including geriatrics, MSK, outpatient psychiatry, obstetrics, internal medicine, surgery and  anaesthesia may be arranged with specialist either based in the community or visiting on a regular basis, and will account for at least two half-days weekly. One-half to one day per week is set aside for academic work with all RRP sites connected to TEHN or NYGH by video conferencing. This allows participation in regularly scheduled interactive academic rounds with their resident colleagues in the city, as well as attendance at periodic core days in Toronto (travel costs subsidized).

All university policies as well as all PARO regulations apply to rural residency program residents.


Financial assistance is provided to RRP residents to offset incurred costs during their residency. Courses such as Advance Trauma Life Support (ATLS) preferably completed before their PGY2 year and Advances in Labour and Risk Management (ALARM) is fully funded if taken during the 24 month residency. Additional funding is provided in the residents’ PGY2 year for personal high speed internet, Academic Project and Conference support from their program site. Details of all eligible RRP reimbursements are available through the Postgraduate Quercus .

Please view the Quick Facts: Rural Streams

Contact Information:

Program Director    
Dr. Jeff Golisky


Ms. Fadia Bravo,
Program Administrator 416-978-8530
Site coordinatorS SITE  Email Telephone

Dr. Peter Daniel

Orillia 705-326-4401
Drs. Stephanie and Stephen Milone Orangeville  
Dr. Jeff Golisky Midland 705-526-7956  
Dr. Amita Dayal Port Perry 905-985-2895 ext. 5420