Rural Northern Initiative (RNI)
About the program
The Rural Northern Initiative (RNI) is a joint project between the Ministry of Health and Long-Term Care (MoHLTC) and Department of Family and Community Medicine (DFCM) at the University of Toronto.
We provide medical care in small northern Ontario communities facing a physician shortage and expose DFCM residents to the exciting and re-warding work available in northern Ontario.
How it works
DFCM faculty members visit participating communities for 2-week locum style visits along with a PGY2 family medicine resident from U of T.
Faculty members are remunerated for their participation by the Ministry of Health.
Most visits begin on a Monday morning (which means travelling on Sunday) and finish the following Friday afternoon. You will be on call one of the weekend days. Work includes clinic-based family medicine, inpatient coverage, and some ER coverage. Obstetrical coverage and Minor Surgical Services (“lumps and bumps”) are optional.
Preparing your skills and certifications for RNI
ACLS is required and ATLS strongly recommended. For faculty who commit to two trips per year the cost of recertification will be reimbursed by the program.
The Sunnybrook Health Sciences Centre (SHSC) website provides ACLS and ATLS courses. Use the links below to access their webpages about the courses, which include course schedule / dates, fees and the registration form.
In addition to the ACLS offerings at SHSC, UHN has many offerings please click the link below to see ACLS offerings at UHN:
The Postgraduate Medical Education Office (PGME) aslo has other locations where ACLS can be taken, click the link below for further details:
Additional, optional courses
The University of Toronto, Department of Family and Community Medicine, through Mount Sinai Hospital, provides a three month Supplemental Emergency Medicine Experience (SEME).
SEME is a program designed to provide family physicians with a three-month, full time, remunerated fellowship through a comprehensive, practical and hands-on EM experience. SEME includes eight weeks of rotations in emergency departments in Toronto and the option of supervised placements at rural- or semi-rural hospitals.
Finding a resident
Faculty members are welcome to choose a resident in their home pro-gram to accompany them. Residents must be in their PGY2 year and on an elective or core family medicine rotation with permission from their program director.
Bringing a resident you know and trust can make the experience more fun for both of you. However, we can facilitate finding a resident for faculty members who prefer this.
Travel and accommodation
Faculty is responsible for booking their own travel and rental cars. The RNI office will put you in contact with the administrative contact person in the community to arrange local accommodations.
As a courtesy to our residents, we ask that faculty book and pay for flights, rental cars and accommodation for themselves and the resident. Reimbursement forms for these expenses are available from the RNI office and should be completed promptly on return from your trip.
Choosing a time to go
Any 2-week period (12 days from a Monday to the following Friday) qualifies for an RNI rotation. Give us your dates as soon as you have them so we can find you a community.
All participating RNI communities accept hospital credentialing through the Ontario Hospital Association (OHA) Locum Credentialing Application Program (LCAP).
Getting your cheque
Faculty participants are paid a daily rate for clinic days worked, depending on the rurality of the community and the level of need. In addition to this daily stipend an hourly rate is paid directly by the community for ER work.
• Sharpen skills
• Teach residents
• Help communities facing physician shortages
Communities are subject to change pending community needs as determined by the Ministry of Health.
The RNI Handbook
View the PDF RNI Handbook for Faculty to help you prepare. The booklet covers:
How to prepare
About ACLS and ATLS
Applying for hospital privileges
Booking a date
Putting your Toronto life on hold
Choosing a community
Finding a resident
Travel and accommodation
Resident learning objectives
Tips on working with residents
Preparing to work in the ER
Preparing to work with inpatients
Preparing to work in clinic
Resources to bring with you
How to get your cheque
Expense form sample
Contact information for RNI
View the PDF RNI Handbook for Faculty .
RNI Administrative Contact: Fadia Ayoub
RNI Faculty Contact: Dr. Nadia Incardona
Phone: (416) 978-8530
Fax: (416) 978-8179