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 academic general paediatrics, child maltreatment paediatrics, community paediatrics and paediatric dermatology. 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.

Fellowship tracks are organized under the categories: general paediatrics, child maltreatment and paediatric dermatology. Paediatric medicine fellowships 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 (see below). 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 an emerging 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 and associate 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 

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: 80 per cent of program focused on scholarship, which typically includes completion of a university Master’s 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 limited to 20 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 night/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, specifically those completing a medical education graduate degree (50 per cent scholarship, 50 per cent clinical).

Streams: 
Clinical content streams include focus in:

  • complex care
  • hospital medicine
  • inner city health
  • preventative and community care
  • quality improvement
  • simulation
  • child maltreatment
  • palliative care
  • paediatric dermatology

Graduate training streams include:

  • clinical epidemiology
  • health services research
  • health professions education
  • quality improvement and patient safety
  • public health
  • bioethics

Application deadline: March 1, 2016 for July 1, 2017 start date. Interested applicants are encouraged to contact the program well in advance of the deadline to discuss their interests. References should reflect both clinical and scholarship experience.

Back to top

Clinical Fellowships

a) Child Maltreatment Paediatrics
Goals: Development of clinical and academic skills in preparation of 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 interprofessional clinical work and teaching, successful completion of scholarly work relevant to child maltreatment, and expertise in administrative, legislative, and policy issues relevant to child abuse.
Duration: one year
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 multidisciplinary suspected child abuse and neglect program. Other clinical opportunities include: adolescent medicine, paediatric gynaecology, paediatric radiology/neuroradiology, forensic pathology, elective experiences with other hospital-based child protection teams. Fellows attend a weekly full day clinic in failure to thrive. 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, 2016 for July 1, 2017 start date. 

b) 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 for preschool and school-aged children.
Duration of training: two 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, paediatric dermatology, and social paediatrics. Fellows have one half-day outpatient clinic per week. Fellows choose a course in physician management/leadership, research methodology, or teaching skills and are required to participate in a research project or 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 and the commitment for the PGY5 year will be approximately once per week.
Application deadline: March 1, 2016 for July 1, 2017 PGY4 start date. Interested applicants are encouraged to contact the program in advance of the deadline to discuss their interests.

c) Paediatric Inpatient Medicine
Goals: Development of clinical skills in evidence-based inpatient/hospital general paediatric practice in a tertiary care setting. The emphasis is on acute care and complex paediatric inpatient care.
Duration: one year
Eligibility: Successful completion of minimum three years of paediatric residency.
Program Structure: The focus of this fellowship is clinical, with the majority of the year spent as a senior trainee on a general paediatric inpatient clinical teaching unit and the medical admitting team for general paediatrics. Clinical rotations include: inpatient paediatric medicine clinical teaching unit and medical admitting team (nine to ten months), child maltreatment paediatrics (one month), clinical elective/academic (one to two months). The in-hospital on-call commitment is 77 night/weekend on call shifts per year six to seven per month).
Application deadline: September 1, 2016 for July 1 2017 start date. Applicants may contact the program for additional information as required. Only those applicants selected for an interview will be contacted. Reference letters must include current/most recent clinical supervisor or training program director (for current trainees).

d) 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 equivalent for international trainees), and FRCPC qualified (equivalent or eligible)
Program Structure: Clinical experiences include general dermatology clinics and subspecialty clinics. Up to 1.5 days per week of focused teaching is provided. 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 in-hospital on-call commitment is 38 night/weekend on call shifts per year (three to four per month).
Streams: Fellows are strongly encouraged to consider a two-year program as this will enhance the ability for the individual to ultimately practice in an independent fashion. However, 12-month training programs can be considered.
Application: Process varies depending on whether your residency training is in dermatology or paediatrics. View more information on the fellowship including application criteria and guidelines for adult dermatologists, dermatology residents, funding sources and deadlines. Paediatricians interested in this fellowship should contact the program for additional information as required.

Back to top

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.

Back to top

Contact Information

Further information and applications for the Paediatric Medicine Clinical Fellowship, the Paediatric Medicine Academic Fellowship and the Community Paediatric Fellowship may be obtained from:

Donna Whitely
Fellowship Program Administrator
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

Application Deadline:
March 1, 2016 for July of the following Academic Year