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Paediatric Medicine
Paediatric Medicine

Fellowship training program

The Division of Paediatric Medicine at The Hospital for Sick Children (SickKids) has offered a range of fellowship training opportunities since 1992. Our mission is to train and foster the development of the next generation of leaders in paediatric medicine. Our vision is an environment wherein academic general paediatricians are key leaders in improving the health of children nationally and beyond. The values of our fellowship are the belief that advocacy, education, research, and scholarly clinical care are all integral vehicles to improve the health of children; the generalist philosophy is an important lens in which to see issues around child health; honesty and integrity are core to individual conduct; and that creativity and innovation are critical to advancement of our field.

Paediatric medicine fellowship programs are organized into multiple tracks (see below). These programs are not currently accredited by the Royal College of Physicians and Surgeons of Canada. Clinical and academic streams within these tracks reflect specific areas of focused content and available graduate training programs. The fellowship program tracks and streams reflect the diverse clinical and research expertise and interests of the paediatric medicine faculty, and the range of graduate training opportunities available through the University of Toronto. The division has a strong child health oriented research program (Paediatric Outcomes Research Team) and expertise in clinical epidemiology and health services research; a track record in medical education scholarship; and a focus in quality improvement.

Each fellowship track has an accompanying curriculum with goals and objectives which is tailored to meet individual candidates’ needs. A core teaching curriculum is available for all fellows, with additional focused teaching provided within specialized tracks. The divisional fellowship programs are administered by a program director, associate program director and track directors. Each fellow is assigned a faculty supervisor appropriate for their stream of training. An oversight committee consisting of two to three faculty (supervisor, an additional divisional faculty member and where appropriate, an external faculty) provides supervision and mentorship for each fellow.

Interested applicants should carefully review the information below to find the appropriate fellowship track as application details and deadlines vary.

Fellowship Tracks

a. Academic General Paediatrics
b. Paediatric Hospital Medicine
c. Community Paediatrics
d. Child Maltreatment
e. Palliative Care (PACT)
f. Paediatric Dermatology

Research: Post-doctoral fellowships and graduate studentships

a. Paediatric Outcomes Research (PORT) Graduate Studentships
b. TARGET Kids! Post-doctoral Fellowship

A. Academic General Paediatric (AGP) Fellowships:

Goals: Development of academic skills in preparation for a career in academic general paediatrics.

Duration of training: Two years or more.

Eligibility: Successful completion of four years of residency training in paediatrics (or equivalent for international trainees), and FRCPC qualified (equivalent or eligible).

Program structure: Eighty per cent of the program is focused on scholarship, which typically includes completion of a university masters or PhD degree and one or more research projects. Graduate school tuition fees are not covered by the Fellowship Program. Commitment to clinical activity is typically limited to twenty per cent of program, including two months of inpatient general paediatrics per year, and one half-day outpatient general paediatric clinic per week. The in-hospital on-call commitment is 38 nights/weekend on call shifts per year (three to four per month). Clinical and academic activities may vary from this description based upon individual candidates’ goals and objectives.

Streams:
Examples of specific streams include, but are not limited to, the following:

Scholarship Streams

Clinical Streams

  • clinical epidemiology
  • health services research
  • health professions education
  • quality improvement and patient safety
  • public health
  • bioethics
  • complex care
  • hospital medicine
  • inner city health
  • preventative and community care

Application deadline: March 1, 2018 for July 1, 2019 start date. Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests. References should reflect both clinical and scholarship experience.

Application link

B. Paediatric Hospital Medicine Fellowships

Goals: To produce paediatricians who are clinically proficient in the practice of paediatric hospital medicine and who are able to engage in health care scholarship and leadership.

Duration of training: Two years.

Eligibility: Prerequisite training must include satisfactory completion of an RCPSC, ACGME or equivalent accredited residency program in paediatrics.

Program structure: The curriculum is composed of 26 blocks (including two blocks of vacation). The duration of each block is four weeks and may be taken in traditional block scheduling or in the form of longitudinal experiences when appropriate.

A minimum of 12 blocks of clinical experience is required with the option for fellows to pursue additional clinical rotations based on their personal career goals.

A minimum of 6 blocks of scholarly experience will include exposure to quality improvement, education and clinical research, as well as in-depth training in 1 of these areas, dependent upon the fellow’s personal career goals.

In-house on-call coverage (overnight and weekends) will be 4-5 calls per block, totaling up to 54 calls per year, which may include a component of night float.  

Application deadline: September 1, 2017 for July 1, 2018 start date. Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests. References should reflect both clinical and scholarship experience.

Application link

C. Community Paediatrics

Goals: Development of clinical and academic skills in preparation for a leadership role in consulting and hospital-based paediatrics in a community setting. Specific objectives include consolidation and advancement of acute care perinatal/neonatal skills and skills in general paediatric outpatient consulting, with an emphasis on child development and mental health for preschool and school-aged children.

Duration of training: Two years (PGY4 and PGY5 years).

Eligibility: Successful completion of three years of paediatric residency, and FRCPC eligible

Program structure: Clinical rotations include perinatology/neonatology, child development, mental health, child maltreatment, community paediatrics and social paediatrics. Fellows have one half-day outpatient clinic per week. Fellows choose a course in physician teaching skills and are required to participate in a teaching initiative. Time is provided in each of the two years for this purpose. The in-hospital on-call commitment in the PGY4 years will be similar to PGY4 requirements in the core paediatric residency training program (52 on-calls per year, usually off-site) and the commitment for the PGY5 year will be approximately one per week.

Application deadline: March 1, 2018 for July 1, 2019 PGY4 start date. Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests.

Application link

D. Child Maltreatment Paediatrics

Goals: Development of clinical and academic skills in preparation for a career in child maltreatment paediatrics. Specific objectives include acquisition of clinical skills required to diagnose and manage acute and chronic manifestations of child abuse, demonstration of competence in inter-professional clinical work and teaching with an intersection with the justice system, successful completion of scholarly work relevant to child maltreatment, and expertise in administrative, legislative, and policy issues relevant to child abuse.

Duration: One to two years.

Eligibility: Successful completion of four years of residency training in paediatrics (or equivalent for international trainees), and FRCPC qualified (equivalent or eligible).

Program structure: Clinical rotations are focused in child maltreatment with the inter-professional Suspected Child Abuse and Neglect (SCAN) program. Other clinical opportunities include: adolescent medicine, paediatric gynaecology, paediatric radiology/neuroradiology, forensic pathology, malnutrition cases in an infant feeding clinic and elective experiences with other hospital-based child protection teams. Fellows will be expected to take on a graduated role in teaching and to complete a scholarly project and will be expected to attend a conference relevant to the field. In-hospital on call requirements vary depending on funding source. Home on call requirements for child maltreatment are one night on call shift per week and one weekend on call in four.

Application deadline: March 1, 2018 for July 1, 2019 start date. Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests.

Application link

E. Palliative Care (PACT)

Goals: The fellowship is focused on advancing the trainee's knowledge of pediatric pain and symptom management, end of life care, and quality of life concerns.

Duration: One year

Eligibility: Prerequisite training must include satisfactory completion of an RCPSC, ACGME or equivalent accredited residency program in paediatrics.

**An elective experience with the Paediatric Advanced Care Team (PACT) at the Hospital for Sick Children is strongly recommended prior to applying (see below).

Program structure: The trainee will become familiar with comprehensive, interdisciplinary care, evaluation, and management of children with diverse advanced illnesses and their families, and will be responsible for the care of inpatients and outpatients in varied settings, including an academic teaching hospital, hospice, and home.

For the fellowship responsibilities document click PACT Fellowship Expectations 2017.

Application deadline: March 1, 2018 for July 1, 2019 start date. Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests.

Application link

F. Paediatric Dermatology Fellowship

Goals: Develop extensive skills in the diagnosis and management of common and rare paediatric dermatoses in preparation for a career in paediatric dermatology.

Duration: One to two years.

Eligibility: Successful completion of four years of residency training in paediatrics or dermatology and FRCPC qualified (equivalent or eligible).

Program structure: Clinical experiences include general dermatology clinics and subspecialty clinics (morphea, epidermolysis bullosa, cutaneous lymphoma, genodermatoses, café au lait screening clinic, vascular tumor clinic, vitiligo and psoriasis) as well as a laser service. Extensive informal and formal teaching is provided with weekly teaching sessions, specialized multidisciplinary rounds, etc. The fellow will develop and complete a major academic project under supervision. The fellow will participate in teaching rounds and all academic programs linked with the section of dermatology. The fellow will cover consult service during daytime hours and occasionally after hours. If funding comes from the Department of Paediatrics (for those trained in paediatrics), there is expectation for in-house on-call coverage of the pediatric wards anywhere from 3-4 to 7 nights per month, depending on the funding arrangement.

Application deadline: The application process varies depending on whether applicants are dermatology or paediatrics trained. View more information on the fellowship, including application criteria and guidelines for paediatricians, dermatologists, funding sources and deadlines here.

Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests.

Application link

Research: Post-doctoral fellowships and graduate studentships

a. Paediatric Outcomes Research (PORT) Graduate Studentships

Goals: Develop research skills in child health oriented epidemiologic research.
Duration: two to four years.
Eligibility: Accepted to M.Sc. or PhD program at University of Toronto (MD or non-licensed MD).
Program structure:
Submit a research grant for external funding. Seek external or internal salary support, e.g. Restracomp, CIHR. Participate and lead in educational activities of PORT and TARGet Kids, including PORT research rounds (two times per month), and Fellows Journal Club (attendance at other rounds optional). Submit abstracts to the annual scientific meetings of PAS and CPS.

b. TARGET Kids! Post-doctoral Fellowship
Goals:
Advance research skills in child health oriented epidemiologic research.
Duration: one to two years.
Eligibility: Successful completion of PhD in epidemiology or in a relevant discipline.
Program structure:
Submit a research grant for external funding. Seek external or internal salary support, e.g. Restracomp, CIHR. Participate and lead in educational activities of PORT and TARGet Kids, including PORT research rounds (two times per month), and Fellows Journal Club (attendance at other rounds optional). Submit abstracts to the annual scientific meetings of PAS and CPS.

Interested applicants are encouraged to contact paedmed.fellowship@sickkids.ca well in advance of the deadline to discuss their interests.

Contact Information

Ashley Baiao
Education Coordinator
Division of Paediatric Medicine
The Hospital for Sick Children
555 University Avenue
Toronto, ON Canada M5G 1X8.
Fax: 416-813-5663
paedmed.fellowship@sickkids.ca

Fellowship Directors

Program Director: Dr. Sarah Schwartz
Associate Program Director: Dr. Sanjay Mahant

Track Directors:
Community Paediatrics - Dr. Mark Feldman
Paediatric Dermatology - Dr. Elena Pope
Child Maltreatment Paediatrics - Dr. Emma Cory
Paediatric Palliative Care (PACT) - Dr. Kevin Weingarten
Academic General Paediatrics - Dr. Sarah Schwartz & Dr. Sanjay Mahant
Paediatric Hospital Medicine - Dr. Zia Bismilla
Research Fellowship - Dr. Patricia Parkin