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London - Emergency Medicine

Western UniversityLondon, OntarioCMG stream

CaRMS program description, 2026 match, last approved 19 Sep 2025

From the 2026 match (R-1 2026). See the 2027 version

Positions (approx. quota)
5 positions
Length
5 years
Stream
CMG
Discipline
Emergency Medicine
Applications per year
51–200
Applicants offered interviews
26–50%
Accreditation
Accredited
CaRMS program ID
29698

Bands are 5-year averages the program reports to CaRMS. They describe past cycles, not your odds.

Summary

Western University's Emergency Medicine program in London offers a comprehensive 5-year residency training experience focused on developing academic emergency physicians. The program emphasizes collaboration, diversity, and excellence, providing residents with extensive clinical exposure across multiple hospital sites and a wide range of patient populations.

Training

Research
Residents are expected to be involved in scholarly projects, with support from research coordinators and opportunities to present at annual Resident Research Day.
Training setting
Urban tertiary care center in London, Ontario, with multiple training sites including London Health Sciences Centre (Victoria Hospital and University Hospital), Children's Hospital of Western Ontario, and St. Joseph's Health Centre.
Teaching approach
Competency-Based Medical Education (CBME) with a focus on progressive independence, collaborative learning, and holistic development of emergency physicians through diverse clinical experiences and structured educational programs.
Setting types
  • Academic medical center
  • Tertiary care center
  • Level 1 trauma center
  • Community hospital
Focus areas
  • Emergency Medicine
  • Trauma Care
  • Pediatric Emergency Medicine
  • Point of Care Ultrasound (POCUS)
  • Prehospital Medicine
  • Medical Education
  • Research
Patient populations
  • Trauma patients
  • Pediatric patients
  • Cardiac patients
  • Neurological patients
  • Obstetric patients
  • Critical care patients
  • Rural and remote patients
Highlights
  • Full academic teaching days every Thursday
  • Simulation curriculum with dedicated Emergency Medicine simulation lab
  • Flexible Areas of Focused Competency (AFC)
  • Opportunities for provincial/national/international electives
  • Moonlighting opportunities
  • Research support with dedicated coordinators
  • Quarterly resident evaluations
  • Transition to Practice curriculum
Strengths
  • Excellent research infrastructure
  • Strong diversity and inclusion commitment
  • Comprehensive clinical exposure
  • Supportive and engaged faculty
  • Flexible training opportunities
  • Large and diverse catchment area
Enhanced skills
  • Point of Care Ultrasound (POCUS)
  • Prehospital Medicine
  • Pediatric Emergency Medicine
  • Research
  • Medical Education
  • Wilderness Medicine
  • Sports Medicine
  • Toxicology

By year

PGY-1
  • Adult ERLondon Health Sciences Centre4 blocks
  • Pediatric ERChildren's Hospital of Western Ontario2 blocks
  • Urgent Care CentreSt. Joseph's Health Centre1 block
  • Anesthesia1 block
  • POCUS1 block
  • Medicine Clinical Teaching Unit1 block
  • General Surgery1 block
  • Pediatric General Surgery1 block
  • Psychiatry1 block
PGY-2
  • Adult ERLondon Health Sciences Centre2-3 blocks
  • Critical Care Trauma Centre2 blocks
  • Cardiac Care Unit2 blocks
  • Pediatric ERChildren's Hospital of Western Ontario1-2 blocks
  • Ortho Trauma1 block
  • Ortho Hybrid (sports medicine focus)1 block
  • OB/GYNWindsor1 block
PGY-3
  • Adult ERLondon Health Sciences Centre4 blocks
  • Pediatric Critical Care Unit2 blocks
  • Pediatric ERChildren's Hospital of Western Ontario2 blocks
  • Electives2 blocks
  • ER Senior Medical Resident1 block
  • Trauma1 block
  • Neurology1 block
PGY-4
  • Adult ERLondon Health Sciences Centre5 blocks
  • Electives5 blocks
  • Pediatric ERChildren's Hospital of Western Ontario2 blocks
  • Urgent Care CentreSt. Joseph's Health Centre1 block
PGY-5
  • Area of interest6 blocks
  • Adult/Pediatric ERLondon Health Sciences Centre/Children's Hospital of Western Ontario5 blocks
  • Electives2 blocks

From the program's rotation list.

Selection

What the program looks at
  • Medical Student Performance Record (MSPR)
  • Personal letter questionnaire
  • CV/Résumé
  • Structured reference letters
  • Interview performance
Applications per year
51–200
Applicants offered interviews
26–50%

Interviews

Dates (2026 match)
5 Feb 2026; Thursday February 5, 2026

Programs can change interview dates. Confirm on carms.ca.

Pay

Provincial scale, last updated 6 Jan 2025 · check the current agreement(opens in a new tab)

Contract expired, may change.

Annual salary by PGY level, Ontario
LevelAnnual salary
PGY-1
$73,367 / year
PGY-2
$79,670 / year
PGY-3
$85,564 / year
PGY-4
$92,701 / year
PGY-5
$98,567 / year

One provincial scale for Ontario, set by the resident agreement, so every program there pays the same. Showing the 5 levels this program covers.

Call

Call (provincial max)
7 nights in 28 in-house

The union agreement’s cap for all residents in the province; your program’s actual call schedule may be lighter. Check with the program.

PARO agreement, 1 Jul 2023 to 30 Jun 2026. The term has ended; its terms continue until a new agreement is signed.

Teaching sites

  • London Health Sciences Centre - Victoria Hospital
  • London Health Sciences Centre - University Hospital
  • Children's Hospital of Western Ontario
  • St. Joseph's Health Centre

Hospital facts

Hospital size and activity: Ontario doesn't publish this as open data.

Contacts

Location

London, Ontario

Loading amenities…

About the city

Public statistics for the place named by this program’s location label, each with its source and reference period. They describe the place, not the program, and are not a ranking. Check each source before you rely on it.

Climate

Canadian Climate Normals, 1991–2020. Each value comes from the nearest weather station that reports it, not from the city itself.

January average
−5.4 °C London, 10.3 km away
July average
21.0 °C London, 10.3 km away
Snowfall
152.3 cm a year Strathroy-Mullifarry, 31.2 km away
Days below −20 °C
4.5 days a year London, 10.3 km away

People

2021 Census. Figures are for the municipality of London, not the metropolitan area. Statistics Canada rounds counts, so small places are approximate.

Population
422,324 people up 10.0% from 2016
Official languages
English only 90.9% · French only 0.1% · English and French 7.1% · neither 1.9% Share of residents who can conduct a conversation in each. This is not the language spoken at home.
Immigrants
24.8% of residents arrived 2016–2021: 4.7% · non-permanent residents: 4.6%
Indigenous identity
2.6% of residents
How people commute
car, truck or van 85.9% · public transit 6.4% · walking or cycling 5.5% · other 2.2% Average commute: 20.7 minutes. Shares are of people who commute.The way Canadians commute was altered in 2021 by the pandemic, with lockdowns to slow the spread of COVID-19 and changes in how and where Canadians worked leading to 2.8 million fewer commuters, compared with five years earlier. Statistics Canada, The Daily, 30 Nov 2022(opens in a new tab)
Median household income
$76,500 before tax $68,500 after tax · income year 2020, in 2020 dollars

Rural and remote

This describes the place named by the program’s location label. Programs can train in several towns, so it is not every site.

Population centre
London, a large urban population centre (100,000 or more people) 423,369 people in 2021
Remoteness index
0.109 0 is least remote, 1 is most remote. Statistics Canada calls this index experimental.

Housing, cost and work

Each figure names the area it covers. A missing line means the source publishes nothing for this area.

Rental vacancy rate
3.8% October 2025 survey, London, Ontario (census metropolitan area). The share of purpose-built rentals (three units and over) vacant, not a rent.
Basic cost of living
$55,434 a year Market Basket Measure 2025, Ontario, population 500,000 and over, for two adults with two children. A modest, basic basket (the poverty line), not a resident’s budget. A size-class region is not the town itself.
Unemployment rate
8.4% September 2026, three-month average, seasonally adjusted, London, Ontario (census metropolitan area); standard error 0.8 points. A survey estimate.

Job outlook

Employment and Social Development Canada’s rating for the occupation in the economic region. It is not a count of jobs, and says nothing about CaRMS positions or your match.

Outlook, 2025–2027
Good The employment outlook will be Good for specialists in clinical and laboratory medicine (NOC 31100) in the London region for the 2025-2027 period.
Canada-wide, to 2033
Strong risk of Shortage ESDC’s projection for specialists in clinical and laboratory medicine, 2024–2033. Recent conditions, 2021–2023: Strong signs of Shortage.

Sources and licences

  • Contains information licensed under the Open Government Licence - Canada. Adapted from Statistics Canada, 2021 Census Cartographic Boundary Files.
  • Adapted from Canada Mortgage and Housing Corporation, Rental Market Survey, October 2025 (vacancy rates), and Statistics Canada, Table 34-10-0130-01. This does not constitute an endorsement by Canada Mortgage and Housing Corporation or Statistics Canada of this product.
  • Contains information licensed under the Open Government Licence - Canada (Employment and Social Development Canada, Canadian Occupational Projection System (COPS), 2024 to 2033 projections).
  • Data Source: Environment and Climate Change Canada (Canadian Climate Normals 1991-2020).
  • Contains information licensed under the Open Government Licence - Canada (Employment and Social Development Canada, 3-Year Employment Outlooks).
  • Adapted from Statistics Canada, Index of Remoteness (17-26-0001), 2021. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 14-10-0459-01 Labour force characteristics by census metropolitan area, three-month moving average, seasonally adjusted, reference month 2026-09. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 11-10-0066-01 Market Basket Measure (MBM) thresholds for the reference family by Market Basket Measure region, component and base year, 2025. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0011-01 Population and dwelling counts: Canada and population centres, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0002-01 Population and dwelling counts: Canada and census subdivisions (municipalities), 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0057-01 Household income statistics by household type: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0173-01 Mother tongue by knowledge of official languages: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0266-01 Indigenous identity by Registered or Treaty Indian status: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0307-01 Immigrant status and period of immigration by place of birth: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.
  • Adapted from Statistics Canada, Table 98-10-0458-01 Main mode of commuting by commuting duration, time leaving for work, age and gender: Canada, provinces and territories, census divisions and census subdivisions, 2021 Census. This does not constitute an endorsement by Statistics Canada of this product.

Independent. Not affiliated with CaRMS or the program. Programs edit their descriptions during the match; confirm on carms.ca (opens in a new tab) before you apply. Data last updated on residency.fyi 5 Oct 2026.