Fellowship Title: | Coronary Chronic Total Occlusion (CTO) Complex PCI Fellowship |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Harindra Wijeysundera |
Duration: | One year |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | One |
Description: | This fellowship will be offered to candidates who have already completed a coronary PCI fellowship with the goal of exposure to complex PCI in coronary chronic total occlusions. Goals are 1). Learn the full spectrum of contemporary complex PCI techniques for CTO including CTO wire escalation, retrograde PCI and antegrade dissection and rentry. 2). Exposure to the preprocedural patient work-up and evaluation 3). Research in health services research and device development as applicable to CTO PCI. |
Contact Name: | Dr. Harindra Wijeysundera |
Role: | Supervisor |
Telephone: | 416-480-6066 |
E-mail: | Harindra.wijeysundera@sunnybrook.ca |
Fellowship Title: | Echocardiography - MSH |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Gillian Nesbitt |
Duration: | 1-year |
Application Open and Close Date: | January to March 1st |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 1 |
Description: | During the clinical echo fellowship year at the Mount Sinai Hospital, there will be a focus on both clinical education and research. The goal will be to achieve level three training in echocardiography. This will result in the ability to direct an echocardiographic Laboratory, train others, and conduct advanced research in echocardiography. This will involve exposure and advanced training in transthoracic echo, transesophageal echo, and 3D imaging, tissue doppler, stress echo both dobutamine and exercise, and strain imaging. With regards to stress echocardiography, the echo fellow’s role will involve patient selection, selection of the stress modality, supervision of the stress tests, as well as integration of the data obtained to prepare a comprehensive report. Competency in contrast echocardiography will involve both rest and stress imaging, as well as the advanced knowledge of administrative protocols, fiscal principals, and specific machine settings to optimize quality. The level 3 echo fellow will be involved in the study of myocardial mechanics and strain imaging, and this involves image acquisition as well as image processing. The fellows will also be aware of the appropriate use criteria in the utilization of echocardiography. The competencies in these various areas of echocardiography’s will be further developed from an educational standpoint. They will be involved in development of case logbooks, conference and case presentations, and training portfolios. They will also have an opportunity to participate in a longitudinal research project during their training year. |
Contact Name: | Anna Arruda |
Role: | Administrative Assistant |
E-mail: | Anna.Arruda@uhn.ca |
Fellowship Title: | GIM Heart Failure - UHN |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Juan Duero Posada |
Duration: | 1-year |
Application Open and Close Date: | July 1 - December 31 of year prior |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 1 |
Description: | The GIM Heart Failure Fellowship at UHN is a 1-year fellowship designed to enhance heart failure knowledge and skills for internal medicine specialists in the care of patients with heart failure syndrome. There will be a mix of outpatient clinics and inpatient heart failure consultations where fellows will:
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Contact Name: | Dr. Juan Duero Posada |
Role: | Program Director |
Telephone: | (416) 603-5386 |
E-mail: | juan.dueroposada@uhn.ca |
Fellowship Title: | Hypertrophic Cardiomyopathy |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Harry Rakowski |
Duration: | 2 years |
Application Open and Close Date: | July 1-Dec 31 |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 2 |
Description: | This fellowship will combine skills in the evaluation and management of patients with hypertrophic cardiomyopathy (HCM). The fellow will learn skills in genetics of cardiac disease and the use of multimodality imaging in patient diagnosis and management. There is the expectation of research productivity in high impact journals. |
Contact Name: | Dr. Harry Rakowski |
Role: | Supervisor |
Telephone: | 416-340-4062 |
E-mail: | Dr.Harry.Rakowski@uhn.ca |
Mailing Address: | 200 Elizabeth St, 4North Rm 504, Toronto M5G2C4. |
Fellowship Title: | Integrative Cardiovascular Biology - UHN |
Division: | Cardiology |
Fellowship Type: | Research |
Duration: | 1, 2 or 3 years |
Application Open and Close Date: | Applications will be reviewed on receipt |
Anticipated Start Date(s): | January 1 or July 1 |
Number of position(s) per year: | 1 |
Description: | The Floras laboratory (Clinical Cardiovascular Physiology Laboratory at Toronto General Hospital) is recognized internationally for discoveries arising from its investigation of circulatory and cardiac control mechanisms in human health and disease. Its,particular emphasis is the role of the autonomic nervous system in heart failure, hypertension, renal failure, and sleep-related breathing disorders. Human research methods include microneurographic recording of post-ganglionic sympathetic nerve activity, frequency domain analysis of cardiovascular signals, cardiac and brachial ultrasound imaging and functional magnetic resonance brain imaging, Research findings appear in over 200 original publications and also are summarized and contextualized within a range of invited reviews, editorial commentaries, and book chapters. All are accessible through PubMed or via the web sites of the Toronto General Research Institute or the Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital. Looking forward, there is latitude to develop innovative projects in collaboration with clinician scientists in the disciplines of respiratory and sleep medicine, nephrology, coagulation, diabetes, women’s cardiovascular health, pregnancy, and exercise science plus opportunity to lead new initiatives involving device-based strategies for restoration of autonomic balance in heart failure. |
Contact Name: | Dr. John S. Floras |
Role: | Canada Research Chair in Integrative Cardiovascular Biology |
Telephone: | 416 586 8704 |
E-mail: | john.floras@utoronto.ca |
Mailing Address: | Suite 1614, 600 University Avenue, Toronto, ON M5G 1X5 Canada |
Fellowship Title: | Interventional Cardiology |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Mark Osten |
Duration: | 1-2 years |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 3-4 |
Description: | The Adult Interventional Cardiology program at the University Health Network is committed to offering fellows a comprehensive training program in the discipline of percutaneous coronary intervention and interventional cardiology. The program is based on a strong foundation of clinical, research and educational opportunities for our fellows throughout their training period. Our main goals are to train fellows to become technically expert with excellent clinical decision making skills while ensuring opportunity for academic growth in the field. The program fosters opportunities for personal growth and wellness while striving for the highest standards in clinical and academic practice. Ultimately, the faculty strive to train future academic and thought leaders in the field. The program meets all criteria outlined in there Royal College of Physicians and Surgeons of Canada for advanced specialty training in Adult Interventional Cardiology
Fellows will spend the majority of their clinical experience assigned to the cardiac catheterization laboratory. Fellows will be expected to be involved in all aspects of percutaneous coronary procedures. Prior to a procedure, the fellow sees and examines the patient, explains the procedure to be performed and obtains informed consent. Fellows will be expected to scrub in on >500 cases per year of which >250 it will be expected that they serve as the primary operator of an interventional procedure. The case work will include conventional balloon angioplasty, a wide variety of stents, rotational atherectomy, possibly directional atherectomy, thrombectomy, as well as ancillary diagnostic and therapeutic tools such as intra-vascular ultrasound, and intra-coronary Doppler and/or pressure measurements and/or OCT. In addition, the fellow will gain experience and competency with insertion and management of ventricular assist devices. The research experience is viewed as an essential component of the fellowship training program. Up to 40% of fellowship time (over two year training program) may be allocated to research activities, provided reasonable expectations that clinical experience and portfolio competencies will concurrently be met.Nonetheless, both expectations of, and support for, research productivity should be anticipated. Early in the fellowship (within the first eight weeks), the site program directors will facilitate a connection between the interventional fellows and potential faculty research mentors; in this fashion, fellows can maximize their academic productivity during their two-year program. They should conceive of (with input from a staff mentor) at least one independent research project, which they will design and carry out the full scope of project involvement (enrollment of patients, data analysis, presentation or publication of results including in abstract form and complete manuscripts) over the course of their fellowship. The submission of at least one abstract to the Canadian Cardiovascular Congress or another major Interventional meeting OR one journal article accepted or published will be expected over the duration of the two year fellowship program. In the interest of completing the project, the goals should be realistic, and the project should take advantage of existing expertise and infrastructure. Fellows must also be familiar with ongoing interventional research protocols and should help in recruitment of patients to clinical trials. Depending on interest and career objectives, the fellow can also consider becoming involved as a collaborator or research assistant on additional established projects In accordance with the University of Toronto Division of Cardiology policy, Fellows may be asked to cover in-patient general cardiology ward service up to 2 nights per month. Interventional Cardiology fellows are also expected to participate in the Interventional cardiology call schedule on a rotating basis, which is done as home call. |
Contact Name: | Dr. Mark Osten |
Role: | Program Director, Interventional Cardiology fellowships |
Telephone: | 416-340-4615 |
E-mail: | mark.osten@uhn.ca |
Fellowship Title: | Interventional Cardiology - SMH |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. John Graham |
Duration: | 1-2 Years |
Application Open and Close Date: | September to February, selection process is complete 12 months before the start date |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | Two |
Description: | The Interventional Cardiology Fellowship Program at St. Michael’s Hospital is committed to providing the best care in interventional cardiology for patients and strives to develop competencies by caring for a diverse patient population. The program promotes education, research and innovation in the basic science and clinical discipline of interventional cardiology by supporting a strong academic environment. Our graduates exercise intellectual curiosity, scholarship for advancement of knowledge and value cultural diversity in service to others for attaining greater personal growth and wellness. The main mission of the Interventional Cardiology Fellowship Program is to train fellows for maintaining an up to date knowledge, superior technical skills and develop attitudes for becoming excellent interventional cardiologist by upholding the highest ethical and professional standards. We seek to train physicians for becoming leaders and agents of change. Program faculty are actively involved as educators, researchers, scholars and mentors to help trainees identify areas with the best potential for a successful and a rewarding career. The Interventional Cardiology Fellowship Program aims to provide trainees with the opportunity to master the technical skills of complex coronary interventions, understand the principles of patient selection, risk benefit assessment and decision making in cardiovascular patient care. The program meets all and exceeds many program criteria as outlined by the Royal College of Physicians and Surgeons of Canada, Canadian Cardiovascular Society, AHA statement on clinical competency and the ACC COCATS guidelines for advanced training interventional cardiology. |
Contact Name: | Dr. John Graham |
Role: | Supervisor, Fellowship Program |
Telephone: | 416-864-5918 |
E-mail: | john.graham@unityhealth.to |
Mailing Address: | 30 Bond Street, Toronto, ON M5B 1W8 |
Fellowship Title: | Interventional Cardiology - SHSC |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Sam Radhakrishnan |
Duration: | 2 years |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 3-4 |
Description: | CLINICAL RESPONSIBILITIES
It is not expected that fellows will perform all the above tasks for every patient. However, some cases should be followed through in all aspects from start to finish, while involvement with other cases will only be partial. The clinical care of angioplasty patients will be shared between the interventional fellows and staff physicians, but it is important for fellows to be aware that angioplasty training extends outside the cath lab. Pre-assessment and follow-up clinics will be arranged in blocks so that fellows can see several patients during a half-day session. Approximately one such session per week will be scheduled. Fellows will be expected to scrub in on 300 to 400 cases per year. Based on experience and case complexity, they will progress from second to first operator to solo first operator (with staff physician in the control room). The case work will include conventional balloon angioplasty, a wide variety of stents, rotational atherectomy, possibly directional atherectomy, thrombectomy, as well as ancillary diagnostic tools such as intra-vascular ultrasound, and intra-coronary Doppler and/or pressure measurements. A good angioplasty operator must be capable of performing very high quality diagnostic angiography. Therefore, fellows will perform at least 50 diagnostic studies under the supervision of a staff physician, mostly concentrated in the early months of training. Subsequently, fellows may be asked on occasion to perform a limited number of diagnostic studies. In accordance with University of Toronto Division of Cardiology policy, interventional fellows (along with other sub-specialty fellowship trainees) may be asked to cover general cardiology in-house call up to two nights per month. It is anticipated that clinical responsibilities will comprise about 50-60% of the fellows’ time. RESEARCH ROUNDS AND TEACHING Interactive small group teaching will be provided to interventional fellows through the University of Toronto monthly ‘City-wide’ Interventional Cardiology Fellows Teaching series. This highly regarded longitudinal teaching series is unique amongst interventional training programs in Canada. It covers major topics in interventional cardiology and draws from the expertise of the teaching staff at all three University of Toronto interventional sites (SHSC, SMH, UHN). |
Contact Name: | Dr. Sam Radhakrishnan |
Role: | Director, Interventional Cardiology Training Program |
Telephone: | (416) 480-4668 |
E-mail: | sam.radhakrishnan@sunnybrook.ca |
Mailing Address: | Sunnybrook Health Sciences Centre A-253 - 2075 Bayview Ave |
Fellowship Title: | Nuclear Cardiology, Cardiac PET and Stress Echocardiography |
Division: | Cardiology |
Fellowship Type: | Clinical |
Supervisor: | Dr. Mark Iwanochko |
Duration: | 6months – 2 years |
Application Open and Close Date: | Rolling application |
Anticipated Start Date(s): | July 1 |
Number of position(s) per year: | 1 |
Description: | The fellowship combines both Nuclear and treadmill exercise testing, with stress echocardiography and cardiac PET. The Fellow will supervise and read all modalities under direct staff supervision. There is also ongoing exposure to general cardiology clinics. |
Contact Name: | Arzoo Ashraf |
Role: | Fellowship Coordinator |
Telephone: | 416-603-5800 ext. 5236 |
E-mail: | Arzoo.ashraf@uhn.ca |
Fellowship Title: | Peter Munk Cardiac Centre Clinical Trials and Translation Unit |
Division: | Cardiology |
Fellowship Type: | Clinical and Research |
Supervisor: | Dr. Jacob Udell |
Duration: | 2 years |
Application Open and Close Date: | July 1st – December 31st of preceding year |
Anticipated Start Date(s): | July 1st |
Number of position(s) per year: | 1 |
Description: | The program is intended to provide emerging cardiovascular physician leaders with an opportunity to acquire advanced research and clinical skills in the field of cardiometabolic disease. Cardiometabolic disease encompasses the diagnosis and ambulatory management of patients with or at risk of chronic cardiovascular disease (e.g., atherosclerosis, heart failure, cerebrovascular or peripheral vascular disease) including high-risk groups such as those with diabetes, chronic kidney disease, hyperlipidemia, etc. Patients will be identified in both the acute-care and ambulatory setting with a goal towards a multidisciplinary approach to their longitudinal care. Research will involve the acquisition of new knowledge and skills in conducting Health Canada regulated randomized trials testing new therapies to improve clinical outcomes in these patients. The training will place a particular emphasis on the clinician-scientist role that enables potential synergy between developing an alignment between a clinical career and research focus. |
Contact Name: | Kawalpreet Singh |
Role: | Clinical Research Manager |
Telephone: | (416) 340-3141 |
E-mail: | Kawalpreet.Singh@uhn.ca |