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. The SEME program offers a full-time three month clinical immersion in emergency medicine and presents a learning structure that is practical and relevant. It is designed for physicians practicing comprehensive family medicine in smaller and rural communities and provides a unique opportunity for comprehensive skills enhancement in emergency medicine.
The SEME program was created in 2012 by Drs. Shirley Lee, Eric Letovsky, and Howard Ovens, in collaboration with the DFCM at the University of Toronto and the Ontario MOHLTC. To date, the SEME program has successfully trained 140 family physicians providing them with enhanced skills in emergency medicine. In 2020, the Ontario MOHLTC approved another five years of funding for the SEME Program which included the creation of a satellite site in Thunder Bay. This satellite site will provide a much needed training option closer to home for Northern Ontario physicians. The Ontario SEME Program is the first of its kind in Canada and has been accredited by the College of Family Physicians of Canada. In 2017, the Nanaimo Emergency Education Program, a rural EM training program based on the SEME model was launched in Nanaimo, B.C.
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.
Award winning program
The SEME program is the proud recipient of multiple awards which highlight the program’s outstanding curriculum and innovative design.
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. Yasmine Mawji MDCM, CCFP(EM) SEME Program Director 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 Undergraduate Emergency Medicine Clerkship at the University of Toronto.
Dr. Noah Farber MD, CCFP(EM) SEME Program Assistant Director Noah Farber works full time as an emergency physician at both an urban tertiary care centre as well as a community hospital. He is a Lecturer in the Faculty of Medicine at the University of Toronto. Dr. Farber completed the Comprehensive Instructor Course at the Harvard Centre for Medical Simulation and is the lead of the simulation curriculum for SEME.
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.
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. 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. 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. John Foote MD, CCFP(EM) John Foote has worked for over 20 years as a full-time emergency physician in Toronto at a community hospital and an urban tertiary care centre. He is the Director of Education at the Mount Sinai Hospital ED and the Director of the Emergency Medicine/Family Medicine Residency Program at the University of Toronto. He serves as the National Chair for the EM Committee of the CCFP and as a member of the CAEP Academic Executive Committee.
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. Sameer Kumar MD, FRCP(C) Sameer Kumar is a Critical Care Physician at the Credit Valley Hospital, Trillium Health Partners in Mississauga. He is the Physician Lead, Simulation at the hospital. Dr. Kumar is a Lecturer in the Faculty of Medicine at the University of Toronto. He has earned Testamur status in Adult Echocardiography with the National Board of Echocardiography.
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. Sev Perelman, MD, MSC, CCFP(EM), FCFP, CHSE-A Sev Perelman is an emergency physician at Mt. Sinai Hospital and an Associate Professor at U of T. He has been the Director of SIMSinai for the last 8 years which has allowed him to design and participate in numerous educational initiatives and research projects. He is credentialed by the Society for Simulation in Healthcare as a Certified Healthcare Simulation Educator – Advanced and is a co-chair of the SSH bench-marking committee.
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.
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.
Assistant Program Director
Thunder Bay Site Director