91Ö±²¥

Dear students,  

On Tuesday, the Fédération des médecins omnipraticiens du Québec called on its members to stop teaching and supervising medical students as of October 1, 2025.  

As we make decisions in a situation with a lot of uncertainty and many moving parts, our first principle is to ensure that you are prepared to care for patients safely, humanely, and effectively. The curriculum you are following is intentionally designed. It aligns with national standards and accreditation requirements, while bringing 91Ö±²¥â€™s own unique approach that reflects our values and educational philosophy.  

With these general principles in mind, we are working to support your progress as flexibly as possible, within still-evolving practical constraints.  

We want to acknowledge that the uncertain situation creates anxiety, particularly for Med-4 students worried about the impact on residency match and graduation. We appreciate the suggestions that students have made. Some responses are below and further information will be shared at the Town Hall for Med-3 and Med-4 students today at noon.  

For all students: Implications of the FMOQ pressure tactics 

If the government and federations do not come to an agreement before October 1, the FMOQ pressure tactics will have additional impacts on students, particularly Med-3 and Med-4.  

Regarding next week, we will send specific instructions to each class, but in general, you can expect that: 

• Most classes for Med-1 and Med-2 will continue with some adjustments – details will be posted on one45.  

• As of October 1, most clinical sites, including at Campus Outaouais, will not be supervising students.  

• Students currently doing a rural rotation in family medicine should remain onsite for now. We will reach out directly to you with instructions.  

For Med-4 students 

Contingency planning:  

• Medical students in their fourth year at 91Ö±²¥ follow flexible and individualized pathways considering their electives weeks during that time.  

• As a result, our approach to contingency planning includes reviewing the situations of each individual student, for example, looking at alternative assessment opportunities in the case of a missed EPA or patient encounter.  

• The framework and constraints of the curriculum and standards will ultimately dictate what is possible. 

• This is a complex undertaking, and we appreciate your patience and your flexibility as we work to find solutions for each of you 

Completion of core rotations and electives:  

Students have asked if they will need to repeat a full rotation or elective if it is incomplete.  

• For core rotations , we are looking at solutions where students can make up the time missed, if necessary, rather than repeating the full rotation.  

• For longer electives, we anticipate that four-week rotations will be shortened to three weeks and three-week rotations will be shortened to two. Two-week electives cannot be shortened to one week, however. We are still working on a plan for two-week electives. 

Residency Matching: 

Students asked if we could facilitate AFMC or CaRMS sending a detailed notice to all Canadian Residency Program Directors, to ensure they are aware of the situation. 

• As mentioned during the last Med-4 town hall, we are working with the other three Quebec faculties of medicine on a letter that will either be sent to all residency program directors and PGME offices or that will be directly included in each student’s MSPR.  

MSPR: 

Students have asked if the MSPR can indicate which elective they had planned on completing:  

• Electives that are approved and confirmed in the MDCM360 Portal do appear on your MSPR.  

• For that reason, we ask you to not cancel upcoming electives prematurely and to continue to book future electives where needed. 

• Contributor narrative assessments cannot be included in the MSPR as they are not final narrative assessments.  

Graduation: 

We hear that students want to know contingency plans in the event that the pressure tactics persist. First, we continue to advocate with decision-makers in the government and the Federations, as well as in the public sphere, to ensure everyone understand what is at stake if these tactics continue. Second, we are reviewing all avenues to increase scheduling flexibility, while ensuring you are adequately prepared for the next steps in your training. We know how important it is for students to graduate on time.  

We will continue to communicate updates as new information becomes available and to hold Town Hall meetings to address your questions as much as possible. In the meantime, we thank you for your continued understanding, patience and adaptability. 

Mélanie Mondou, MDCM 
Associate Dean 
Undergraduate Medical Education