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Education

Fellowships and Residencies

​​​Our 7 clinical fellowships provide training in key areas of transplantation:


We also offer research fellowships (none are offered at this time). For all new fellows, we host an orientation day.

 

Surgical Abdominal Organ Transplant Fellowship

The Surgical Abdominal Organ Transplant Fellowship is a 2-year clinical training program in transplantation offered by the G.I. Transplant Program of the Multi-Organ Transplant Program, and the Division of General Surgery in the Department of Surgery at the University of Toronto. The aim of this program is to develop outstanding, academic Transplant Surgeons, and it is offered to two individuals every year.  For more information, please visit our website.

Transplant Hepatology Fellowship

We are a high volume liver transplant center, performing approximately 200 adult liver transplants per year. We are the largest living donor liver transplant program in North America with 50-70 living liver donations per year. Our program follows >2000 recipients in clinic, and maintains a waiting list of 200-250 patients, meaning that approximately 10-15 new patients are assessed for transplant weekly. Our transplant program includes innovative therapies including living liver donation for fulminant liver failure and extensive liver cancer, donation after cardiac death, and liver transplantation with normothermic perfused grafts.

We have four funded transplant hepatology fellowship positions. The trainees come for one or two years; one year is typical if their plan is to return and work in a peripheral center that works with, but does not perform, transplants, and two years if full employment in a transplant center is the ultimate goal. Our fellows do in-house MultiOrgan Transplant Call 3 or 4 times per month. The fellows rotate a week at a time on the liver transplant inpatient service, transplant hepatology outpatient clinics, and research. In addition, our fellows are involved in the endoscopy service for our transplant patients. Rotations in transplant related areas such as radiology, pathology, and infectious disease can be arranged according to the fellow's needs and interests.

We do accept applications from Foreign Medical Graduates and do not require the ECFMG examinations, but in Canada we require a passing score on the TOEFL exams and the applicant's education must be approved by the College of Physicians & Surgeons of Ontario to qualify for an Educational License.

For further information on Fellowship training please visit the University of Toronto PGME site​.

We will begin accepting applications for our Transplant Hepatology Fellowship on January 1st until April 30th 2017 for the July 2018 start date.  Please forward your CV and three letters of reference at that time.

Please send your application to:

Danielle Arends

Administrative Coordinator
Liver Transplant Program
585 University Avenue
Toronto, Ontario
Canada
M5G 2N2
​Email: TxHepatologyFellowship@uhn.ca

For:

Dr. Leslie B. Lilly MD, MSc, FRCPC
​Director, Transplant Hepatology Fellowship​​

Heart Fellowship

The fellowship offers unique and comprehensive advanced training in heart failure and transplantation. Upon completion of fellowship training, trainees will have met requirements for the ABIM Heart Failure/Transplantation Subspecialty Certification or equivalent. 

Major strengths of the program include:

  • the breadth of clinical exposure to heart failure, transplantation and ventricular assist devices
  • opportunities for clinical, basic science, integrative physiology and population health research
  • exposure to a unique patient population that includes a high volume of cardiomyopathy and adult congenital heart disease patients
  • opportunities for combined fellowship training streams, including pacing/implantable device therapies, imaging, research, interventional cardiology – the fellowship can be tailored to the goals of individual trainees


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Renal Transplant Fellowship

The Renal Transplant Fellowship Program at UHN offers broad and in-depth training in all aspects of transplant nephrology. The program is AST/ASN accredited.

As a high volume centre performing over 160 transplants per year, the program offers fellows a wide variety of experience in all aspects of transplantation. Patients are admitted under the transplant nephrology service, which allows fellows to gain hands-on experience selecting and managing immunosuppression. By the end of their training, fellows will have had extensive experience managing living and deceased donor transplants, expanded criteria donors and donation after cardiac death donors. In addition, there is an active desensitization program for patients with a positive crossmatch or ABO-incompatibility against their donor. The Renal Transplant Program also participates in the national Living Donor Paired Exchange program.

The Renal Transplant service also admits or consults on patients post-transplant who present with a wide variety of medical and surgical issues, further broadening the clinical experience.

Fellows participate in both pre- and post-transplant clinics. Participation in pre-transplant clinics allows trainees to understand the process of pre-transplant assessment, and communication of the risks and benefits of transplantation to patients. Management of transplant patients continues in the post-transplant clinic. The Renal Transplant Program follows approximately 2000 post-transplant patients, ranging from one week to forty years post-transplant. There is extensive exposure to the latest HLA Laboratory technology in evaluating immunologic risk pre- and post-transplant.

In addition to clinical experience, the formal education program includes:

  1. Weekly seminars covering key topics in renal transplantation
  2. Weekly Multi-Organ Transplant Rounds, featuring topics and research relevant to all organ groups
  3. Weekly transplant journal club 
  4. City-wide Nephrology Rounds
  5. Weekly biopsy rounds, which includes discussion of both native and renal transplant biopsies


The Renal Transplant Fellowship is intended for physicians who have completed their training in Internal Medicine and Nephrology. Interested candidates can contact Dr. Jeffrey Schiff.

Lung Transplant Fellowship

The fellowship offers the opportunity to obtain comprehensive experience in the clinical and research aspects of lung transplantation. This includes participation in pre-transplantation assessment clinics, in the pre-transplantation management of listed patients and in post-transplant ambulatory clinics. Fellows have responsibilities for management of inpatients in the Lung Transplant Program and the Multi Organ Transplant Program.

Fellows present patients considered for transplantation to the Assessment Committee of the Lung Transplant Program and will take part in the discussions concerning candidacy.

Fellows can further their training in management of advanced lung diseases through attendance at specialized lung disease clinics.

Fellows have the opportunity to develop their skills in bronchoscopy and transbronchial biopsies. As well, fellows work closely with the surgical team and have the opportunity to be exposed to other procedures, such as chest tube management, tracheostomy, the different modalities of extracorporeal life support (ECLS), Ex Vivo Lung perfusion use and donor management.

The program has weekly teaching sessions that include relevant topics in respirology, infectious diseases, palliative care, radiology and pathology. Fellows participate in the teaching rounds, journal club and the clinical rounds of both the Multi Organ Transplant Program and the Respiratory Division.

Fellows are expected to participate in a research or quality improvement project in lung transplantation.

Dedicated research fellowships may also be available with an identified project and supervisor.

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Infectious Diseases Fellowship

UHN boasts the largest Solid Organ Transplant Program in Canada, with more than 400 transplants each year, as well as a very active Stem Cell Transplant Program. This is one of the few programs in the world that provide specialty training in infectious diseases of the immunocompromised host. Our program is based on a curriculum suggested by the Community of Infectious Diseases practice of the American Society of Transplantation.

All applicants must have completed an Infectious Diseases Fellowship training in either a recognized Canadian, American or international institution and committed to pursue an academic career in Transplant Infectious Diseases. We offer 2 funded fellowships each academic year (running from August to July) in 2 tracks: a 1-year program in the clinical tract and a 2-year program for candidates who also have a strong interest in research.

Fellows usually spend their first year performing core clinical rotations that include inpatient consultation services, as well as outpatient experience once weekly for stem-cell transplant, leukemia, solid-tumour or solid-organ transplant recipients. Fellows are also assigned to primary solid-organ transplant rotations, which include liver, kidney or lung transplant services. The average volume of consults in the inpatient consultation service is approximately 4 or 5 per day. There is also a very well-structured weekly didactic and interactive program during which invited speakers or core faculty and fellows review the core and advanced topics of transplant infectious diseases. All fellows will be exposed to exciting translational and clinical research opportunities.

All applicants are asked to submit their resume, a 1-page statement of career goals and 3 letters of recommendation to Dr. Shahid Husain at the address listed below. The application deadline is September 30 (preceding academic year).

Shahid Husain, MD, MS
c/o Tiffany La
Associate Professor of Medicine
Director, Multi-Organ Transplant Infectious Diseases
University Health Network
University of Toronto
NCSB, 11-1206
585 University Avenue
Toronto, ON  M5G 2N2
Canada

Phone:  416 340 4800 ext. 5667
Fax: 416 340 5442
Email: Shahid.Husain@uhn.ca

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HPB Surgical Oncology Fellowship

The HPB Surgical Oncology Fellowship is a 2-year clinical training program in HPB Surgery and Oncology offered by the Division of General Surgery and Department of Surgical Oncology at the University Health Network (Toronto General Hospital and Princess Margaret Cancer Centre) in the Department of Surgery at the University of Toronto. The aim of the program is to provide the trainee with the basic and clinical education and experience necessary to develop expertise in the treatment of diseases of the liver, biliary tract and pancreas, and it is offered one individual every year. For more information, please visit our website​.

Orientation for New Fellows

We hold an orientation day each July to welcome new fellows and provide a framework for our fellowships. The session includes administrative and educational components. Content is based on formal evaluations completed by new fellows at the end of the preceding year's orientation day and comments and criticisms given by fellows during the academic year.