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Gastroenterology, Hepatology and Nutrition

Core Fellowship Training

The program is accredited and/or fully recognized by:

  • The Royal College of Physicians and Surgeons of Canada (RCPSC)
  • The American Board of Pediatrics (USA)
  • The Royal Australasian College of Physicians (Australia & New Zealand)

The Core Fellowship Training program is a three year program and is divided into:

  • One year of clinical training
  • Two years of research-focused training

Clinical Training

During the first year of training trainees are exposed to a large variety of clinical cases and to all aspects of ambulatory and inpatient paediatric gastroenterology, hepatology & nutrition (GHN). Trainees have a unique opportunity to engage in cutting edge medicine and state of the art clinical care. Clinical care is provided in an academic environment using an evidence-based approach under ongoing staff support and supervision.

  • During the first clinical year trainees will rotate through the following services:
    • General GHN inpatient service - general GI, IBD, non-transplant liver disease, feeding disorders, motility disorders and pancreatic disorders (usual census 6-12 patients).
    • Transplant service – liver and intestine transplantation, acute liver failure and end stage liver disease (30-35 liver transplants annually; usual census 5-10 patients).
    • Consult service – consultation services to the hospital in-patient wards and to community-based practitioners
    • GIFT service – intestinal failure training (usual census 5-8 patients).
    •  Adult gastroenterology – one month of adult gastroenterology and endoscopy training.
    • Outpatient clinics – general GI and specialized clinics in IBD, hepatology, nutrition, motility disorders, celiac, intestinal failure, liver transplantation, pancreatic diseases and other.
    • Paediatric procedures – upper and lower endoscopies, variceal band ligation, polypectomy, foreign body removals. Each trainee performs 150-200 pediatric procedures during the first year of training.

On-call service

Overnight and weekend on-call coverage for patients admitted to the GHN and transplant inpatient services is provided by core fellowship trainees during their three years of training.  Trainees provide call from home and provide support for general paediatrics residents who remain in hospital overnight.  Trainees may need to come to the hospital during their call. Call frequency is roughly one night each week and one weekend each month.

Funding

Salary support is available on a competitive basis from either the Ontario Ministry of Health and Long-Term Care (for Canadian trainees) or SickKids (for international trainees for the first two years of training). Third year funding is obtained on a competitive basis through supervisor, divisional, hospital or extra-mural sources. Traditionally all of our research trainees successfully obtain salary support from these sources for their last year of research training.

2016-17 GI Fellows

From left to right – Dr. Mirjam Bueno de Mesquita (Netherlands); Mrs. Sherry Joy (Education Administrative Coordinator); Dr. Maria del Mar Miserachs (Spain); Dr. Mohit Kehar (India); Dr. Eberhard Lurz (Germany); Dr. Eileen Crowley (Ireland); Dr. Amin Sheikh (New Zealand); Dr. Jasbir Dhaliwal (United Kingdom); Dr. Nicholas Carman (Australia); Dr. Amanda Ricciuto (Canada); Dr. Liron Birimberg-Schwartz (Israel); Dr. Yaron Avitzur (Training Program Director)

Gut Reaction: Clinical Fellowship at Sickkids - Personal Experience of a GI Fellow