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Critical Care

Paediatric Critical Care Training Program

SickKids and the Department of Critical Care Medicine

SickKids is a 300-bed tertiary care centre and the sole paediatric hospital serving the Greater Toronto Area.  Sickkids is also the regional paediatric trauma centre and the provincial referral centre for Neurosurgery and Oncology as well as for Interventional and Perioperative Cardiac Care.  The Department of Critical Care Medicine at SickKids is a multidisciplinary department including the two intensive care units, the critical care response team, the University of Toronto Paediatric Training Program and the regional paediatric mechanical support program.  The department is staffed by 11 Intensivists, 15-20 full-time Critical Care Trainees and rotating residents from paediatrics, anaesthesia, surgery and other subspecialty services.

Core Paediatric Critical Care Training Program

The Paediatric Critical Care Program is an accredited training program of Royal College of Physicians and Surgeons of Canada.  Our goal is to prepare outstanding critical care trainees to be future leaders of the discipline internationally. Our trainees consist of highly motivated, suitably qualified Canadian and foreign applicants. The training experience includes immersion in the clinical programs of Cardiac Critical Care, Paediatric Intensive Care and Critical Care Response.  These clinical rotations, combined with the formal paediatric critical care teaching program, research training, simulation research & training, quality & safety and access to the world renowned adult critical care program at the University of Toronto provides a comprehensive training experience that is unrivalled both in North America and internationally!

For graduates from outside Canada, the clinical fellowship is intended as post-certification training. The fellowship year is recognized as an additional training year that may contribute to training requirements in other countries that have critical care specialty certification. This is an exciting program which receives over 2,000 admissions per year.  The hospital has active cardiac, lung, liver, small bowel and renal transplant programs, as well as being the regional mechanical support (ECMO, VAD, interventional lung assist) and trauma centre.   The volume and diversity of patients for which we provide care offers numerous opportunities for clinical research.  Trainees are mentored in the development of their own research interests with the active participation and direction of the attending critical care staff and other sub-specialty services within the hospital.  Trainees are encouraged to be active participants in clinical conferences, multidisciplinary rounds, and weekly meetings of other subspecialty services such as Cardiology/Cardiovascular Surgery, General Surgery, Trauma and Transplantation. The Critical Care Response Team (known as MET in some countries) is an outreach program led by the critical care trainee.   This team is responsible for managing in-hospital patients with escalating acuity as well as in coordinating appropriate stabilization and transportation of critical care referrals from around the country to the Hospital for Sick Children.

Subspecialty Paediatric Critical Care Training Program


This is one year focused program of Cardiac Critical Care training that is directed towards those candidates who are eligible to sit for board examinations in general paediatric critical care in Canada, U.S.A  or equivalent international jurisdiction after completing core training in an appropriate acuity exposure ACGME-accredited (or equivalent) program.  Applicants must have mastery of written and oral communication in English.The goals and objectives of the fellowship are to provide a year of advanced training focusing on the management of acuity ill peri-operative, postoperative and medical cardiovascular patients.  Selected candidates will be exposed to a large case-volume of complex postoperative patients in an 18-bed cardiac critical care unit.  Dedicated rotations in cardiac echo, electrophysiology and interventional catheterization will be combined with potential elective experiences in heart failure or adult congenital heart disease.   Advanced concepts and principles of peri-operative physiology will be emphasized through intensive exposure to preoperative decision-making, intra-operative care and postoperative management.   Included in this experience will be opportunities in the Operating Room, Cardiac Anesthesia, Cardiac Perfusion as well as amble exposure to Extracorporeal Mechanical Support using didactic, simulation, bedside and performance improvement strategies.

For more information, please contact Nella Perri at 416-813-6484


Paediatric Critical Care Training Program Application Process





Program and Application Process


Number of Positions available per year


Approximately 15 Funded by Sickkids

2 Funded by Ministry of Health

3 Self-funded positions


Duration of Training Program


12 months 

(1 year)

2nd Year negotiable



Program Requirements

→    Base specialty training in Paediatrics, Anaesthesia, or Paediatric Surgery

→    Specialty Certification is mandatory for acceptance by University of Toronto  & CPSO

Program Academic Year

→   July to June

→   January start dates are possible however fees for overlapping academic years apply to University of Toronto and CPSO.

Application Process

→   January to March Applications are accepted for the next academic year

→   April to June applications are reviewed, reference letters are acquired

→   During the months of July & August – APPLICATIONS ARE NOT REVIEWED

→    September & October, final selections are made for the next academic year

→    November & December, final offers and appointments are communicated to applicants and University of Toronto