Paediatric Rheumatology Residency/Fellowship Program
We offer a two-year clinical fellowship program in Paediatric Rheumatology. The fellowship program is accredited by the Royal College of Canada and provides training to ensure graduates of the program have all the required skills to function as an academic paediatric rheumatologist.
There is an experienced and dedicated teaching faculty of ten full-time and part-time rheumatologists with diverse clinical and research interests. The clinical program is one of the largest in North America and provides fellows and residents with an extremely rich clinical experience and the opportunity to assess and manage the full spectrum of paediatric rheumatic diseases. The trainee has the opportunity to see patients from admission to discharge and follow-up in the ambulatory clinics, ensuring that he or she is able to develop an understanding of the natural history and long-term treatment of rheumatic diseases.
The inpatient rotation includes the assessment and management of patients on the rheumatology unit, as well as a consultation service which allows the trainee to see the many rheumatic manifestations of systemic disease. Trainees are also responsible for emergency room consultations. Trainees also rotate through the medical day care unit where they have the opportunity to assess and manage patients admitted for investigations, infusions, or intraarticular corticosteroid injections. The ambulatory program has approximately 5,000 patient visits per year. Trainees have the opportunity to spend four to six-month rotations in general rheumatology clinics and in each of the subspecialty clinics for systemic lupus erythematosus, neonatal lupus, systemic juvenile idiopathic arthritis, juvenile spondyloarthritis, juvenile dermatomyositis, systemic vasculitis, Kawasaki disease, autoinflammatory syndromes and morphea. Residents and fellows also participate in their own longitudinal continuity clinic during the course of their fellowship. There is also exposure to community paediatric rheumatology clinics where trainees are able to learn a more community-based approach. Selectives are required in adult rheumatology (one-month) and elective time is also available which can be taken in a variety of disciplines including paediatric immunology, orthopedics and radiology. The residents and fellows have a close relationship with the teaching staff who ensure there is graded responsibility with greater independence of the residents and fellows expected as they gain experience.
There is a comprehensive academic program which has recently been consolidated into an academic half day. This half day includes paediatric rheumatology teaching sessions (core curriculum and subspecialty rounds), research rounds (where division members and fellows present research projects or projects in evolution), journal club/clinical epidemiology rounds, pathology rounds, morbidity and mortality rounds and ethics seminars and clinical research tools course. Clinical dilemmas or clinical cases of interest are presented by the fellow or resident on service each week. In addition, there are weekly radiology rounds and a weekly basic immunology seminar series.
The program has a strong focus on research which residents or fellows are expected to initiate during the first year their training. Trainees are encouraged and supported to pursue a scholarly project either basic science, clinical, translational, educational or quality research and to present their research both locally at the Department of Paediatrics' research day and the Rheumatic Disease Unit research day (Ogryzlo Day) and to submit an abstract for presentation to the American College of Rheumatology Meeting. Trainees who wish to pursue independent, investigative research careers are encouraged to pursue an additional year or years of training.
For more information, please contact:
Administrative Assistant, Rheumatology Education Program and to Dr. Shirley Tse
Hospital for Sick Children