Fellowship Title: | Nontuberculous Mycobacteria |
Division: | Respirology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Ted Marras Dr. Sarah Brode |
Duration: | 12 months |
Application Open and Close Date: | Close: January 7 |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 1 |
Description: | This is a one-year clinical and research fellowship, focusing primarily on pulmonary NTM at the Toronto Western Hospital (TWH) site of the University Health Network. The experience includes a commitment of approximately 60% to research and 40% to clinical efforts. The research component will allow the trainee to develop research skills and experience in this area to foster future academic activity and productivity. The clinical goal of the fellowship is to provide the trainee with the knowledge and skills necessary to become an expert clinician in mycobacterial disease with a focus on NTM, combined with a smaller, but substantial experience in TB. The fellowship is currently offered to up to one individual per year who will have completed residency training (or equivalent) in Respirology or Infectious Diseases by the fellowship start date. |
Contact Name: | Rhiannon Davies |
Role: | Fellowship Administrator |
Telephone: | 416-978-1562 |
E-mail: | rhiannon.davies@utoronto.ca |
Mailing Address: | University of Toronto 6263 MSB, 1 King's College Circle Toronto, ON, M5S 1A8 |
Fellowship Title: | Nontuberculous Mycobacteria Research |
Division: | Respirology |
Fellowship Type: | Research |
Supervisor: | Dr. Ted Marras Dr. Sarah Brode |
Duration: | 12 months |
Application Open and Close Date: | Close: January 7 |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 1 |
Description: | The nontuberculous mycobacteria (NTM) Research Fellowship is a one-year fellowship, focusing on pulmonary NTM research, based at the Toronto Western Hospital (TWH) site of the University Health Network. The fellow’s time will be devoted to research activities. There is no time devoted to clinical efforts, but some time may be allowed for participation in clinical activities related to NTM, depending upon the fellow’s interest, prior training, and licensing, and at the discretion of the fellowship director. The fellowship will allow the trainee to develop research skills and experience in this area to foster future academic activity and productivity. There is currently no funding for this fellowship; fellows must obtain funding for the fellowship. Assistance may be available in application to funding sources. This fellowship is offered to individuals who will have completed residency training (or equivalent) in Respirology, Infectious Diseases, or Internal Medicine by the fellowship start date, or to individuals enrolled in or recently completed a degree program such as public health, clinical epidemiology, or its equivalent. Prior research training and experience is an asset. Trainees will participate in the following activities:
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Contact Name: | Rhiannon Davies |
Role: | Fellowship Administrator |
Telephone: | 416-978-1562 |
E-mail: | rhiannon.davies@utoronto.ca |
Mailing Address: | University of Toronto 6263 MSB, 1 King's College Circle Toronto, ON, M5S 1A8 |
Fellowship Title: | Occupational and Environmental Lung Diseases |
Division: | Respirology |
Fellowship Type: | Clinical |
Supervisor: | Dr Susan M Tarlo |
Duration: | 6-12 months |
Number of position(s) per year: | 1 |
Description: | Objectives:
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Contact Name: | Rhiannon Davies |
Role: | Fellowship Administrator |
Telephone: | 416-978-1562 |
E-mail: | rhiannon.davies@utoronto.ca |
Mailing Address: | University of Toronto 6263 MSB, 1 King's College Circle Toronto, ON, M5S 1A8 |
Fellowship Title: | Pulmonary Hypertension |
Division: | Respirology |
Fellowship Type: | Clinical |
Supervisor: | John Granton John Thenganatt |
Duration: | 1 - 2 years |
Application Open and Close Date: | September 30 of every year |
Anticipated Start Date(s): | July 1 of each year |
Number of position(s) per year: | 1 to 2 depending on funding |
Description: | The University Health Network (UHN) Pulmonary Hypertension Program, located at the Toronto General Hospital, is one of the largest published programs in the country. The program follows over 1000 patients, and provides expert, multi-disciplinary care to patients with all forms of pulmonary hypertension. The fellow will be involved in clinical, educational and research activities of the program. The research team includes clinical fellows, research assistants, clinical trials nurses, clinical epidemiologists and basic scientists. The pulmonary hypertension fellowship allows individuals the opportunity to develop the skills necessary to evaluate and treat patients with pulmonary hypertension and the tools required to become experts in this disease. Additionally they are provided the opportunity to complete a research project and enhance their knowledge of scientific methods and develop a sophisticated understanding of the disease Pulmonary hypertension is a condition that can occur secondary to many pulmonary, cardiac or systemic conditions. It may also occur in isolation - idiopathic pulmonary arterial hypertension. The complexities of the disease, and availability of advanced medical and surgical treatments demands that clinicians receive training in centers with adequate patient volumes and comprehensive clinical and research programs. Established in 1998, the pulmonary hypertension program at UHN is an integrated interprofessional program that strives to set the standard in caring for patients with pulmonary hypertension. As the largest single center Pulmonary Hypertension program in Canada, fellows may conduct research in the full breadth of pulmonary vascular diseases including congenital heart disease, diastolic dysfunction, chronic thrombo-embolic pulmonary hypertension, porto-pulmonary hypertension, HIV, idiopathic and connective tissue disease associated pulmonary hypertension. Fellows will have the opportunity to work closely with the Toronto Lung Transplant Program, and an interdisciplinary environment complements the research experience with nurse educators, cardiology, rheumatology, psychiatry and palliative care. |
Contact Name: | Rhiannon Davies |
Role: | Fellowship Administrator |
Telephone: | 416-978-1562 |
E-mail: | rhiannon.davies@utoronto.ca |
Mailing Address: | University of Toronto 6263 MSB, 1 King's College Circle Toronto, ON, M5S 1A8 |
Fellowship Title: | Sleep Medicine |
Division: | Respirology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Clodagh Ryan |
Duration: | 12 months |
Application Open and Close Date: | Open: June 1st Close: August 15th |
Anticipated Start Date(s): | July 1st |
Number of position(s) per year: | 1 - 2 |
Description: | This is a full-time 12-month clinical sleep fellowship training program. This will usually begin with the academic year on July 1st and end on June 30th of the following year.
For those interested in sleep research a second year is feasible and/or research projects during the training program. The fellowship
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Contact Name: | Rhiannon Davies |
Role: | Fellowship Administrator |
Telephone: | 416-978-1562 |
E-mail: | rhiannon.davies@utoronto.ca |
Mailing Address: | University of Toronto 6263 MSB, 1 King's College Circle Toronto, ON, M5S 1A8 |
Fellowship Title: | Tuberculosis |
Division: | Respirology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Sarah Brode |
Duration: | 12 months |
Application Open and Close Date: | Open: anytime, close: Jan 7 for July 1 start in same year |
Anticipated Start Date(s): | Typical start July 1; exceptions may be made if requested |
Number of position(s) per year: | Up to 2 |
Description: | The Tuberculosis Clinical Research Fellowship is a one-year clinical and research fellowship, focusing primarily on tuberculosis at West Park Healthcare Centre. The experience includes a commitment of approximately 60% to research and 40% to clinical efforts. The research component will allow the trainee to develop research skills and experience in this area to foster future academic activity and productivity. The clinical goal of the fellowship is to provide the trainee with the knowledge and skills necessary to become an expert clinician in mycobacterial disease with a focus on TB, combined with a smaller, but substantial experience in nontuberculous mycobacteria (NTM). The fellowship is currently offered to up to two individuals per year who will have completed residency training (or equivalent) in Respirology or Infectious Diseases by the fellowship start date. The trainee’s clinical time will be spent primary at West Park, in TB clinic (2 half days per week) and on the Tuberculosis inpatient ward. There will also be opportunity for the trainee to attend NTM clinics at Toronto Western Hospital (up to 1 day per week). |
Contact Name: | Rhiannon Davies |
Role: | Fellowship Administrator |
Telephone: | 416-978-1562 |
E-mail: | rhiannon.davies@utoronto.ca |
Mailing Address: | University of Toronto 6263 MSB, 1 King's College Circle Toronto, ON, M5S 1A8 |
Fellowship Title: | Adult Rheumatology Fellowship Program |
Division: | Rheumatology |
Fellowship Type: | Clinical and Research |
Supervisor: | Dr. Vinod Chandran |
Duration: | Dr. Dana Jerome |
Description: |  Brief Description of the Fellowship Program The Rheumatology fellowship mirrors the training program for our Royal College stream rheumatology PGY4s and PGY5s. The IFTs have the same clinical and research experiences as our Royal College trainees. The PGY4 and 5 years in rheumatology are described in detail below. There is a mixture of ambulatory and in-patient consult rotations that have graduated responsibility over the course of the two-year fellowship program. The PGY4 year is comprised of mandatory rotations meant largely to build a strong general rheumatology foundation. The PGY 5 year offers trainees some ability to customize their year based on their interest but mandates rotations in each of the main sub-specialty rheumatology areas, pediatric rheumatology and a community rotation. Clinical or Clinical/Research Expectations of the Fellowship (% of time that is protected clinical time): This is a clinical fellowship and outside of ½ day per week of research time, the remainder of the fellowship is clinical. The clinical experience for our PGY4’s and 5’s is graduated. In the PGY4 year the emphasis is on General Rheumatology and the acquisition of skills of the specialty, as well as familiarity with the more common rheumatic diseases. In the PGY5 year, the specialty clinics are attended with a view to learning more detail about rheumatic disease entities and extending the skills for detailed evaluation and follow-up. 1) Inpatient Ward: Toronto Western Hospital offers a unique opportunity for trainees to manage rheumatology inpatients directly in the capacity of a “junior staff person”, rounding with residents and teaching them, while at the same time having the supervisory backing of an attending staff rheumatologist. 2) Inpatient Consultation Service: At UHN, the consultation service at Toronto Western Hospital is combined with the inpatient ward service at Toronto Western Hospital. This consists of four elective beds on ward 4B Fell as well as emergency admissions under the Rheumatology service. The remainder of the consultations are done by a second team covering Mount Sinai Hospital in-patients, emergency and ICU, Toronto General Hospital in-patients, emergency and ICU, and Princess Margaret Hospital in-patients. PGY4’s also rotate through St. Michael’s Hospital and Sunnybrook Health Sciences Centre, each of which offers a different type of inpatient consultation experience. In-patients on the consultation services cover the whole spectrum from gout and osteoarthritic knees to pulmonary hemorrhage from ANCA associated vasculitis and organic brain syndrome from Lupus Cerebritis. In all cases the PGY4 takes a supervisory role, working with core internal medicine trainees from the PGY2 and PGY3 levels, doing many cases hands on as well. 3) General Rheumatology Clinics: All participating hospitals offer general rheumatology clinics with opportunity for trainees to work up new and follow-up cases, dictate consultation notes and arrange follow-up under the supervision of teaching staff. All cases are reviewed, dictations are often reviewed with trainees, and teaching occurs during the clinics. Physical examination techniques are observed and Residents have an opportunity to review case synthesis and treatment plan with staff. Joint injections are taught and supervised as part and parcel of this inpatient and clinical consultation experience. General rheumatology is also offered in community clinics, and each resident, gets a community experience somewhere in the Greater Toronto Area (in either their PGY4 or PGY5 year). 4) Specialty Clinics: PGY5 trainees are able to learn rheumatology in greater depth through subspecialty clinics in Ankylosing Spondylitis, Rheumatoid Arthritis, Scleroderma, Systemic Lupus Erythematosus, Psoriatic Arthritis, Vasculitis and Sjogren’s Syndrome. In these clinics residents consider measures of disease activity, radiological and clinical measures of disease damage and construct of clinical research cohorts. These clinics encourage a deeper understanding, greater familiarity and more intense academic curiosity about rheumatic diseases. They have opportunity for intense clinical experience in each of these areas, as well as opportunity to participate in research as per their choosing, fill in research protocols, learn about newer and upcoming therapies, discuss the ethics of clinical trials and take responsibility for management of these complicated cases. All Residents in the PGY5 year also have longitudinal clinics where they follow their own patients for a year. They play a junior staff role as first back-up for call after hours, and they participate in teaching. The PGY4 and PGY5 rotations are reinforced with teaching rounds, half day back, journal clubs and special seminars. 5) Special Opportunities: Opportunities exist university hospital wide for experience with other specialties as requested by the Resident in the PGY5 year. Residents have been given rotations in the past with osteoporosis clinics, sports medicine and nerve conduction and EMG testing. In addition, there are opportunities to work with other specialties in our clinics. The Sjogren’s Clinic is an integrated clinic with ENT, Ophthalmology and dentistry with regular meetings and interdisciplinary discussions. We have a combined clinic with nephrology for patients with Lupus Nephritis, and there has been a combined clinic with hematology for treatment of patients with antiphospholipid antibody syndrome. The Spondyloarthritis Clinic is run with a physiotherapist in attendance. Other opportunities include Pulmonary Hypertension Clinic, Dermatology/Rheumatology Combined Clinic. These latter clinics are multidisciplinary as well, and offer opportunities for collaboration and cross-specialty learning. Research expectations of the fellowship (% of time that is protected research time): Research and other scholarly activities are mandatory. Resident gets some time longitudinally over the year in the PGY4 and 5 year. This is ½ day per week in most cases. In some cases this could be more but would never exceed a total of 4 months over the course of a two year fellowship period. Residents have an orientation session during the first few months of their PGY4 year where they are introduced to the idea and requirements of a scholarly project. This is a formal session where students are provided with an overview of requirements, examples of types of projects and some suggested time lines. Students are provided with a list of University of Toronto faculty, their scholarly area of interest as well as a list of their ongoing projects. Contact information is also included. The PGY 4 trainees are asked to submit a proposal for their research project after the first 3-4 months of their training which has been signed off by their selected supervisor. This project can be related to basic or epidemiologic research, Patient Quality and Safety, Education of some other area of scholarly pursuit. These projects are submitted to and reviewed by the University of Toronto Rheumatology research committee and the trainees are provided with feedback to ensure that their project is achievable and well-conceived. Regular guidance is provided by preceptor and resident meets with Program Director and Division Director together later in year to discuss progress and problems. A progress sheet is maintained by the resident to identify status of research. Program provides a statistician to advise regarding research plan and assist in data analysis. Research is presented at an annual academic day (“Ogryzlo Day”) as well at ACR and CRA Annual Scientific Meetings. This is done under supervision and is an educational exercise. Other expectations that the trainees are required to partake in/completed while in the fellowship (ie. rounds, presentations, research, call, etc…): (1) Teaching: During the first few months of the PGY4 year, students receive a teaching session on “how to teach”. This includes some teaching theory as well as practical physical examination teaching where the trainees are observed in a teaching role and given real time feedback by faculty members. With these skills our trainees are asked to provide teaching to junior trainees when on either an in-patient service, consultation service or out-patient rotation. Junior trainees are generally medical students, internal medicine residents or off-service trainees such as from physical medicine and rehab or family practice. This teaching is sometimes informal but on certain rotations is also formal with organized teaching sessions in a classroom type setting. There are a lot of opportunities for teaching undergraduate clinical skills as well. This is not a requirement of the program but it is an opportunity offered to trainees who are interested. If a student does wish to participate in teaching of undergraduate medicine, they are paired with a staff member who can guide them through the requirements, observe their teaching and provide feedback. (2) Case presentation: Students are required to present to each other during our academic half day “case based learning” discussion. (3) Journal Club/rounds: students also present at journal club once per year and are involved in presentations at rheumatology intra-city rounds. (4) On Call: Trainees are also “on call” to the emergency department and consultation services. This is a rotating schedule and is generally 1 evening or weekend day of call per week. Educational opportunities offered to fellows within the program (i.e. local, national, etc…): Our trainees have a ½ day per week of protected educational time. This is held on Friday afternoons and runs from 8am to 12 pm. There is a pre-specified two-year curriculum of topics that are covered over this period of time. A variety of teaching methods are used including case based discussions, didactic teaching and small group teaching. The topics covered over the two-year period help ensure that all Royal College Objectives are covered over the course of the two-year training program. Every 4 months there is an exam that the students take to evaluate them on the material covered in the preceding months. We also run, in addition to our academic half day, an immunology course. This is a 12-week course taught by rheumatology faculty that covers the basics of immunology and the clinical application of this material. There is an immunology exam at the completion of this course. Our trainees also participate in the Patient Quality and Safety Course offered through the Department of Medicine. This provides them with training in Quality and Safety and together, in the PGY5 year, they complete a Quality project to be presented at the end of the PGY5 year. The American College of Rheumatology provides a Fellowship in Training grant to pay for travel to and registration for the annual scientific meeting in the United States. The Canadian Rheumatology Association pays for travel, accommodation and registration at their Annual Conference. Residents are encouraged to prepare their research for presentation at these conferences. The Ontario Rheumatology Association sponsors an Ontario Rheumatology Resident’s weekend in Toronto yearly. In addition, a National Rheumatology Resident’s Weekend is held every two years, usually in Ottawa. These latter two events are more for the purpose of resident education, formative OSCE examinations and establishment of resident cohesiveness and morale. Outline the scholarly expectations to be undertaken within the fellowship: As per the Royal College requirements, our trainees are expected to complete a scholarly project. The details of this were previously set out under the research section and this is repeated here. Research and other scholarly activities are mandatory. Resident gets some time longitudinally over the year in the PGY4 and PGY5 years. This is ½ day per week in most cases. Residents have an orientation session during the first few months of their PGY4 year where they are introduced to the idea and requirements of a scholarly project. This is a formal session where students are provided with an overview of requirements, examples of types of projects and some suggested time lines. Students are provided with a list of University of Toronto faculty, their scholarly area of interest as well as a list of their ongoing projects. Contact information is also included. The PGY 4 trainees are asked to submit a proposal for their research project after the first 3-4 months of their training which has been signed off by their selected supervisor. This project can be related to basic or epidemiologic research, quality, Education of some other area of scholarly pursuit. These projects are submitted to and reviewed by the University of Toronto Rheumatology research committee and the trainees are provided with feedback to ensure that their project is achievable and well-conceived. Regular guidance is provided by preceptor and resident meets with Program Director and Division Director together later in year to discuss progress and problems. A progress sheet is maintained by the resident to identify status of research. Program provides a statistician to advise regarding research plan and assist in data analysis. Research is presented at an annual academic day (“Ogryzlo Day”) as well at ACR and CRA Annual Scientific Meetings. This is done under supervision and is an educational exercise. Assessments: The program uses a web-based evaluation system, POWER. The supervisors and residents receive the objectives at the beginning of each rotation. A documented assessment of resident performance is completed at the end of every rotation, with mid-rotation feedback occurring at or around the midpoint of every rotation. Residents indicate on-line whether evaluations have been discussed when receiving the ITER. The Program Director supervises these looking for any trends of omission by staff. Other types of evaluations are: ITERs, NWRITE exam, intermittent quizzes, OSCEs, Case Logs, Clinic evaluations, presentations, scholarly project evaluation. Marks are provided after all quizzes and NWRITE exams along with discussion of answers. OSCE evaluations are followed by feedback on an individual and group basisPGY4 trainees meet with Program Director three times in year, PGY5 trainees meet with program director twice in year to discuss progress, ITER’s, program committee evaluation, career planning. |
Fellowship Title: | Musculoskeletal Ultrasound and Psoriatic Arthritis |
Division: | Rheumatology |
Fellowship Type: | Clinical and Research |
Supervisor: | Dr Lihi Eder |
Duration: | 1-2 years |
Application Open and Close Date: | Ongoing intake |
Anticipated Start Date(s): | January, July every year |
Number of position(s) per year: | 1 (depending on funding) |
Description: |  Women’s College hospital psoriatic disease program focuses on research of the transition from psoriasis to psoriatic arthritis. Musculoskeletal ultrasound is used as a point of care in the psoriatic arthritis clinic as well as for research purposes. Clinical and research fellowship programs are offered to physicians who completed their specialty training in rheumatology and wish to get additional specialized training in psoriatic arthritis or musculoskeletal ultrasound for a minimum of 12 months. Prior basic training in musculoskeletal ultrasound is preferred for those interested in musculoskeletal ultrasound fellowship. Participation in advanced graduate studies for MSc and PhD degrees is optional. The opportunity exists to participate in a number of research clinics including rapid access psoriatic arthritis clinic and combined cardiology-rheumatology clinic. The fellow will devote 100% of his/her professional time to fellowship-related activities including:
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Contact Name: | Dr Lihi Eder |
Role: | Supervisor |
Telephone: | 1-416.323.6400 ext 5923 |
E-mail: | lihi.eder@wchospital.ca |
Mailing Address: | Women's College Hospital 76 Grenville Street Toronto M5S 1B2 |
Fellowship Title: | Psoriatic Arthritis |
Division: | Rheumatology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Dafna Gladman Dr. Vinod Chandran |
Duration: | 1-2 years |
Application Open and Close Date: | Ongoing Intake |
Anticipated Start Date(s): | January, July every year |
Number of position(s) per year: | 2-3 (depending on funding) |
Description: | The University of Toronto Psoriatic Arthritis Clinic is a research clinic studying the course and prognosis of patients with psoriatic arthritis (PsA) and psoriasis by performing longitudinal collection of clinical and laboratory data in a standardized fashion. Post-Graduate fellows having completed rheumatology training who wish to get additional specialized training in psoriatic arthritis participate in the clinic for a minimum 12 months with the objective to gain expertise in the assessment, investigation, management and treatment of patients of with psoriatic arthritis and gain an understanding of current clinical research in this area and develop expertise in research methodology. This can include participation in advanced degree courses.
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Contact Name: | Applicants can contact the supervisors named above directly or Anne MacKinnon |
Role: | Administrative Coordinator |
Telephone: | 416-603-5800 ext. 2511 |
E-mail: | amackinn@uhnres.utoronto.ca |
Mailing Address: | Centre for Prognosis Studies in the Rheumatic Diseases Toronto Western Hospital 399 Bathurst Street Toronto, ON, Canada, M5T 2S8 |
Fellowship Title: | Rheumatoid Arthritis and Immuno-Oncology |
Division: | Rheumatology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Bindee Kuriya, Dr. Alexandra Saltman, Dr. Megan Himmel |
Duration: | 1-2 years |
Application Open and Close Date: | Ongoing Intake |
Anticipated Start Date(s): | January 1 or July 1 |
Number of position(s) per year: | 1 |
Description: | This fellowship will focus on the management of rheumatoid arthritis (RA) and immuno-oncology. The specific objectives will include: 1. To develop an approach to the diagnosis and management of cancer-associated arthropathies, paraneoplastic syndromes, as well as rheumatic immune-related adverse events (irAEs) secondary to checkpoint inhibitors and other cancer immunotherapies; 2. To build collaboration and participate in multidisciplinary care (oncology, pathology, radiation oncology, radiology, dermatology) in the management of irAEs; 3. To gain proficiency in the management of patients with complex RA using advanced therapeutics and non-pharmacological strategies; 4. To gain experience in the conduct of “real-world” observational studies through recruitment and monitoring of participants enrolled in the Canadian early ArThritis CoHort (CATCH) study, the Ontario Best Practices Research Initiative (OBRI) RA registry, and the Canadian Research Group of Rheumatology in Immuno-Oncology (CAN-RiO). |
Contact Name: | Dr. Bindee Kuriya |
Role: | Supervisor |
Telephone: | 416-586-4800 x2217 |
E-mail: | Bindee.Kuriya@sinaihealth.ca |