
About SEME
What is SEME?
The Supplemental Emergency Medicine Experience (SEME) program is an innovative fellowship funded by the Ontario Ministry of Health and Long-Term Care (MOHLTC) and administered through the Department of Family and Community Medicine (DFCM) at the University of Toronto. SEME offers a full-time, three-month clinical immersion in emergency medicine, designed to be practical, relevant, and tailored for physicians practicing comprehensive family medicine in smaller and rural communities. It provides a unique opportunity to enhance emergency medicine skills in a focused and supportive environment.
Launched in 2012 by Drs. Shirley Lee, Eric Letovsky, and Howard Ovens in partnership with the DFCM and the MOHLTC, SEME has trained 233 family physicians to date. In 2021, the program expanded to include a satellite site in Thunder Bay, increasing access to training for physicians in Northern Ontario. In 2025, SEME will open its third site in Barrie, further broadening its reach with two cohorts per year supported by dedicated local faculty. As the first program of its kind in Canada and accredited by the College of Family Physicians of Canada, SEME has served as a model and source of inspiration for similar emergency medicine training programs across the country.
Our Mission
The mission of the SEME Program is to provide a practical training option for practicing family physicians wishing to enhance their emergency medicine skills, thereby increasing recruitment and retention of physicians providing emergency care in rural and semi-rural communities. The SEME Program is centralized and administered at Mount Sinai Hospital in Toronto. A key factor in the success of the program is the collaborative teaching efforts of the fourteen University of Toronto affiliated hospital sites, the Rural Ontario Medical Program teaching sites and over 300 faculty including emergency physicians, intensivists, anesthesiologists, and trauma surgeons.

Winner of the 2022 CFPC Continuing Professional Development (CPD) Program Award
In recognition of its innovative teaching strategies; value to family medicine; and exceptional learning experience; SEME is the proud recipient of the 2022 CFPC CPD Program award.



Award winning program
The SEME program is the proud recipient of multiple awards which highlight the program’s outstanding curriculum and innovative design.
2022 College of Family Physicians of Canada 2022 CPD (Continuing Professional Development) Program Award
2016 Wightman-Berris Academy, Anderson Award for Program Innovation and Development, University of Toronto
2014 Excellence in Course/Program Development and Coordination Award, Department of Family and Community Medicine, University of Toronto
Dr. Shirley Lee receives the Anderson Award for Program Innovation and Development (left)
Nancy Medeiros, SEME Program Coordinator since 2012 is presented with the 2019 Staff Excellence Award by the Department of Family and Community Medicine, University of Toronto. (right)

Meet Our Faculty
Click photo for full faculty profile

Dr. Eileen Cheung, MD, CCFP (EM) Program Director Eileen Cheung is an emergency physician at Michael Garron Hospital, and an Assistant Professor with the Faculty of Medicine at the University of Toronto. She has practiced emergency medicine in a variety of settings, including academic and community hospitals in Toronto, and in rural Ontario. Her interests are in medical education and global health.

Nancy Medeiros, HBSc. SEME Coordinator Nancy Medeiros has been the Program Coordinator for he SEME Program since its inception in 2012. Nancy began working for the Faculty of Medicine at the University of Toronto as an administrative coordinator for the Undergraduate Emergency Medicine Program in 2002. She is a University of Toronto graduate with a Bachelor of Science degree.

Dr. Jonathan Smith, MD, FRCPC Site Director, SEME Thunder Bay Dr. Jonathan Smith is an Emergency Physician and Trauma Team Leader at the Thunder Bay Regional Health Sciences Centre. Dr. Smith is very involved with the Northern Ontario School of Medicine (NOSM) where he is an Associate Professor. He serves as the Academic Director and the Lead of the Local Education Group for the Thunder Bay Emergency Group as well as the Post Graduate Education ED Director for NOSM’s West Campus.

Dr. Shawn Lacombe, MD, MSc, CCFP (EM) Shawn Lacombe is a practicing emergency medicine physician at Mount Sinai Hospital, Collingwood General and Marine Hospital, and an Assistant Professor at the University of Toronto. He has over eight years of experience in undergraduate, postgraduate, and international medical education. He has a strong passion for bedside teaching, procedures, and has been awarded many teaching awards to date.

Dr. Indy Sahota, MD, MSc, CCFP (EM), DRCPSC Indy Sahota works as an emergency physician at Michael Garron (Toronto East) Hospital as well as an ICU clinical associate at Surrey Memorial Hospital in BC. He also works rural locums in Ontario and northern Canada which is what interested him in teaching with the SEME program. He completed fellowship training in ultrasound and his interests include critical care, global health and all things ultrasound. He is faculty at UBC and U of T.

Dr Taylor Bischoff, MD, MEHP, FRCPC Taylor Bischoff is an emergency and prehospital physician at Royal Victoria Hospital and Sunnybrook Health Sciences. She holds a subspecialty in prehospital and transport medicine and a master’s in medical education, focusing on interprofessional collaboration and gender in medicine. A former vice-chair of CAEP’s Women in EM committee, her interests include gender equity, prehospital care, and medical education.

Dr. Nick Tassone, MD, CCFP (EM) Nick is an emergency physician at Royal Victoria Regional Health Centre with a strong interest in medical education. He is active in simulation-based teaching and interdisciplinary trauma training. As the ED representative on the Trauma Council, he leads quality case reviews, fosters interdepartmental collaboration, and drives system improvements to enhance patient care.

Dr. Nadia Incardona, MD, MHSc, CCFP (EM) Nadia Incardona is an emergency physician at Michael Garron Hospital and an Assistant Professor at the University of Toronto. She holds a master’s in bioethics and serves as the faculty lead for Ethics and Professionalism at the Temerty Faculty of Medicine. Since 2012, she has coordinated the Rural Northern Initiative Program, with academic interests in medical education and continuing professional development.

Dr. Ian Chernoff MD, CCFP(EM) Ian Chernoff is an emergency physician at Mount Sinai Hospital. He has 8 years of community emergency medicine experience in urban and semi-rural settings. Dr. Chernoff has been involved in the SEME Program since its inception. He has extensive teaching experience in point of care ultrasound, and is the ultrasound lead for the SEME Program. He has completed fellowship training in ultrasound, and has Master Instructor certification with CPOCUS.

Dr. Michelle Yee, MD, MBA, CCFP(EM) Michelle Yee is an academic emergency physician at Mount Sinai Hospital and former Co-Program Director of SEME. She has been known for her innovative approaches to medical education and has won the DFCM award in Program Development. She trained at NOSM for her EM year, grew up in a rural setting, and continues to work in multiple rural ED's as a locum.

Dr. David Dushenski MD, CCFP(EM) Dave Dushenski has been a staff emergency physician for over 20 years. He is the Chief of the Schwartz/Reisman Emergency Centre at Mount Sinai Hospital and an Assistant Professor in the Faculty of Medicine at the University of Toronto.

Dr. Sarah Fooey, MD, CCFP(EM) Sarah Foohey works as a full-time Emergency Physician in Peterborough and is passionate about medical education. Sarah is the creator of the Virtual Resus Room, an award-winning open-access simulation platform that has been used to help educators run simulation events across Canada and internationally. Sarah also enjoys making medical figures and infographics, as seen on the First10EM website.

Dr. Maria Ivankovic MD, CCFP(EM), FCFP Maria Ivankovic is a staff Emergency Physician at St. Joseph's Health Center, Unity Health Toronto. She is an Assistant Professor and Faculty Development Lead in the Division of Emergency Medicine, Department of Family & Community Medicine, University of Toronto. Her interests include medical education and faculty development.

Dr. Eric Letovsky MDCM, MCFP(EM), FRCP Eric Letovsky is the Chief of the Emergency Medicine Program at Trillium Health Partners, which consists of the emergency departments at Credit Valley Hospital, Mississauga Hospital, and Urgent Care Centre at the Queensway Health Centre. He is the Director of the Division of Emergency Medicine in the Department of Family and Community Medicine at the University of Toronto, where he is a Full Professor in the Faculty of Medicine.

Dr. Dave MacKinnon MD, CCFP(EM) David MacKinnon is an emergency physician and Trauma Team Leader at St. Michael’s Hospital. He completed medical school at the University of Western Ontario and Family & Emergency Medicine residency at Queen’s University. His current and recent roles include work in quality improvement, patient flow, medical imaging in emergency patients, education, global health, and ED redesign.

Dr. Shauna Martiniuk, MD, CCPF(EM), FCFP Dr. Shauna Martiniuk works as an Emergency Physician at Mount Sinai Hospital in Toronto. She is an Assistant Professor in the Department of Family and Community Medicine at the University of Toronto. She has completed an ultrasound fellowship and is actively involved in teaching ultrasound and emergency medicine at the undergraduate and graduate level.

Dr. Yasmine Mawji MDCM, CCFP(EM) Yasmine Mawji has worked as an emergency physician for over 20 years at the Schwartz/Reisman Emergency Centre, Mount Sinai Hospital in Toronto. She is an Assistant Professor in the Faculty of Medicine at the University of Toronto. Dr. Mawji has previously held the position of Program Director for SEME and Undergraduate Emergency Medicine Clerkship at the University of Toronto.

Dr. Sean Moore, MD, CCFP, FRCPC Sean Moore is an Emergency Physician and Chief of Staff at the Lake of the Woods District Hospital in Kenora, Ontario. He is an Associate Medical Director at CritiCall and the Northern Medical Director for Ornge. He is the 2020 national recipient of the Society of Rural Physicians of Canada Rural Mentorship Award and the 2020 Canadian Association of Emergency Physicians Rural Emergency Physician of the Year Award.

Dr. Carly Ng, MD, CCFP (EM) Carly Ng is an emergency physician at the University Health Network and a Lecturer in the Faculty of Medicine at U of T. She is the co-director of postgraduate education at the UHN ED and the co-lead of the U of T CCFP-EM Simulation program. She has completed advanced training in simulation and is currently finishing her Master’s in Health Practitioner Teacher Education. She has won multiple awards and has been recognized nationally for her teaching and advocacy.

Dr. Jonathan Pirie MD, MEd, FRCPC, FAAP (PEM) Dr. Jonathan Pirie is a staff physician in the Division of Pediatric Emergency Medicine and an Associate Professor at the University of Toronto. He currently is the Director of Simulation for Pediatric Emergency Medicine and the Simulation Fellowship program. His clinical interests include resuscitation, fever, and risk for serious bacterial infection, and procedural sedation.

Dr. Nadia Primiani, MDCM, CCFP(EM) Nadia Primiani is an emergency physician at Mount Sinai Hospital and an Assistant Professor at the University of Toronto. She previously worked in Vancouver and Calgary before coming to Toronto. Dr. Primiani is the Co-lead of the CCFP(EM) Simulation Program at the U OF T and the Associate Director of the Mount Sinai Emergency Medicine Fellowship Program. She serves as the Chair of the CAEP 2SLGBTQIA+ committee and her interests include med ed and simulation.

Dr. Arun Sayal MD, CCFP(EM) Arun Sayal is an emergency physician at North York General Hospital in Toronto and an Associate Professor at the U of T. Since 2005, he has run a weekly Minor Fracture Clinic at NYGH. Combining his ED and fracture clinic experiences, CASTED was created in 2008. CASTED is a series of practical, high-yield, hands-on orthopaedics courses. Over 250 courses have been presented across Canada. Dr. Sayal has won over a dozen awards for his teaching.

Dr. Katherine Soucie, MD, CCFP (EM) Dr. Katherine Soucie works as an emergency physician at Mount Sinai Hospital and Credit Valley Hospital, and lecturer at the University of Toronto. She trained at The Ottawa Hospital prior to coming to Toronto. She has an interest in medical education and simulation.
Program Director
SEME Coordinator
Thunder Bay Site Director
Toronto Assistant Program Director
Toronto Assistant Program Director
Barrie Site Co-Director
Barrie Site Co-Director
Continuing Professional Development (CPD) Lead