Clinical placements

Clinical placements at Grand River Hospital (GRH) and/or St. Mary’s General Hospital (SMGH) must be approved by the Chief of Staff office. Medical learners (medical students, midwifery students, residents, and fellows) must complete a registration form and confidentiality agreement. Learners must also complete the privacy awareness and accessibility courses, and request a letter of good standing from their home university. All documents must be submitted to the Chief of Staff office at least one month prior to the rotation start date.

Placements for students of McMaster University’s Michael G. DeGroote School of Medicine - Waterloo Regional Campus are arranged via the REL/Administrative Assistants of the Waterloo Region Campus in collaboration with the Chief of Staff Office.

Out-of-town learners from McMaster or another Canadian university must apply through the Mac-Care program for all placements within the McMaster University catchment area. Click here to visit the Mac CAREwebsite (opens in new window) for more information.

International medical students or residents seeking a clinical placement at Grand River Hospital and/or St. Mary’s General Hospital must register with McMaster University.

Undergraduate medical learners should visit the AFMC Student Portal (opens in new window) to apply for a clinical placement.

Postgraduate medical learners should email to arrange clinical placements.

If you have questions regarding clinical placements at GRH, please email the medical education coordinator (opens in new window).

Internal medicine clinical teaching unit

GRH launched an innovative academic internal medicine program in July 2015. GRH hosts a clinical teaching unit (CTU) in close partnership with St. Mary’s General Hospital and McMaster University. Resident trainees looking for experience in an internal medicine or general internal medicine CTU should consider this opportunity.

While the internal medicine programs of both hospitals are affiliated with McMaster University, residents from a variety of CCFP and FRCP/FRCS programs from across Canada are welcome to train in our program.

To learn more about the internal medicine CTU, please email the medical education coordinator.


Please note: Our Observership Program is currently suspended due to GRH & SMGH COVID-19 policies

Observerships provide an educational opportunity for those seeking to observe and gain insight into how health care is provided in hospitals and/or how various departments function. As an observer, you are not permitted to participate in the treatment of patients in any way, and must be accompanied by your supervising physician at all times.

Observerships are available to those who are currently studying medicine as an international medical student or those who are international medical graduates (IMGs). Other individuals participating in research activities, or allied health fields may also be eligible. You can participate in an observership for a maximum of 30 hospital days.

It is your responsibility to contact and secure a supervising physician for your observership term. To locate a physician, please use the College of Physicians and Surgeons of Ontario’s website (opens in new window) to conduct a physician search.

Please enquire about your eligibility before completing the application package.

Once you have confirmed your eligibility and secured a supervising physician, contact the Chief of Staff Office to obtain an application package. The package, along with a CV and detailed explanation of what you hope to gain through observership, are then submitted for review and approval.

Observership requests must be submitted at least two weeks prior to the desired start date.

To enquire about clinical placements or the observership application process, please contact:
Sarah Carr, medical education coordinator
Phone: 519-749-4300 ext. 2525
Email: (opens in new window)