Fellows are those persons gaining an educational experience beyond the requirements for Royal College of Physicians and Surgeons of Canada or Royal College of Dentists of Canada certification. It requires only that they have fulfilled the training requirements, but not that they have successfully completed the examinations set by the College. They must be pursuing a clearly identified educational experience; its contents defined by the sponsoring university department or division. A letter from the Department Chief to the Department Chair requesting approval of the appointment is also required. Fellows may be further defined as Clinical Fellows or Research Fellows. Research Fellows with clinical duties must be cross-appointed as Clinical Fellows. Fellows may hold a postgraduate education certificate of registration or independent practice certificate of registration from the College of Physicians and Surgeons of Ontario, or The Royal College of Dental Surgeons of Ontario. A licence is not required if pursuing non-clinical or purely research experiences without patient contact which do not impact on patient health management.
A Fellow may be engaged in patient care, teaching or research, or a combination of these activities but MUST demonstrate College of Physicians and Surgeons of Ontario or the Royal College of Dental Surgeons licencing prior to commencing patient care duties. Membership with the Canadian Medical Protective Association or equivalent is mandatory for medical trainees. Dental trainees are covered through the RCDS. Fellows may NOT be named as an attending physician, and they may NOT hold admitting privileges.
Fellows funded by The Hospital for Sick Children (SickKids), may be offered an employee benefits package modified to reflect their short-term appointment. For Fellows on hospital payroll, Fellows are eligible to participate in hospital plans for Extended Health and Dental Insurance. The benefit package does NOT include Group Life, SickKids Pension, Long Term Disability, Accidental death & dismemberment or "top up" for Pregnancy, Parental or Adoption Leaves. Government regulated deductions will be made automatically for Workers Compensation, Employment Insurance, Canada Pension Plan and Income Tax.
The Clinical Fellow is generally working beyond Royal College of Physicians and Surgeons of Canada certification level, either towards recognized specialist non-certified training or for "topping off" training beyond minimum certification requirements.
The Clinical Fellow:
- Has full clinical responsibility under general supervision (no admitting privileges);
- Must be registered at the University of Toronto, Office of Postgraduate Medical Education or Faculty of Dentistry;
- Must have a Postgraduate Education Certificate of registration or Independent Practice Certificate of registration from the CPSO or RCDS;
- Must have membership with the Canadian Medical Protective Association or equivalent;
- Must be a Canadian citizen, landed immigrant, or have a valid employment authorization (VISA).
Clinical Research Fellow
Clinical Research Fellow is the title used by an individual who has some clinical research as part of the clinical training program. Training will involve a combination of clinical and research duties with the emphasis varying according to the individual's particular field of interest.
Clinical Research Fellows are subject to the same conditions, rules and requirements as the Clinical Fellow; and require a Postgraduate Education Certificate of registration or Independent Practice certificate or registration from the CPSO or RCDS.
Research Fellow is the title used by an individual who is completing training in research.
The Research Fellow:
- Has NO clinical responsibility and therefore, does not require a Postgraduate Education certificate of registration or Independent Practice certificate of registration from the CPSO or RCDS; however, a licence and malpractice insurance is required if research involves any patient contact.
- Must be registered at the University of Toronto, Office of Postgraduate Medical Education or Faculty of Dentistry, is hired by the research supervisor, and must be approved by the Department Chair and Department Chief.
- Must be a Canadian citizen, landed immigrant, or have a valid Employment Authorization (VISA).
Residents/Postgraduate year trainees
Residents are trainees who are enrolled in programs recognized by the Royal College of Physicians and Surgeons of Canada or Royal College of Dentists of Canada and are fulfilling the requirements for primary discipline certification or for certification of special competence. It includes those who are engaged in a research experience for a part or whole year which could be credited towards the requirements or specialty qualification.
- Must register with the University of Toronto or other University with which an affiliation agreement exists.
- May hold a Postgraduate Education certificate of registration or Independent Practice certificate of registration from the College of Physicians and Surgeons of Ontario, or The Royal College of Dental Surgeons of Ontario depending on the source of their primary medical or dental qualification.
- Must have Membership with the Canadian Medical Protective Association or equivalent. Dental trainees are covered through the RCDS.
- May NOT be named as an attending physician, and they may NOT hold admitting privileges. The University Program Director recommends the level of compensation based on the year of training level. Salaries for the Residents/PGY's registered with the University of Toronto are administered by The Toronto Hospital's Postgraduate Payroll Association (TTHPPA).
- Is entitled to benefit under the PAIRO/OCOTH Agreement. These include vacation leave, education leave, statuary and float holidays, parental/pregnancy leave, maximum duty hours, employee benefits (dental insurance, extended health insurance, etc) uniforms where required, call room facilities where required and photocopies for educational purposes. These benefits are also administered by TTHPPA.