Our UHN programs and services are among the most advanced in the world. We have grouped our physicians, staff, services and resources into 10 medical programs to meet the needs of our patients and help us make the most of our resources.
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The Francis Family Liver Clinic is an integrated clinic located at the Toronto General Hospital. We are the clinical component of the Toronto Centre for Liver Disease (TCLD), named in 2016 because it encompasses areas of research, education, training, and a world-renowned liver transplantation program in a single healthcare facility. The TCLD is one of the largest liver units in North America.
We help patients with all types of liver diseases, especially hepatitis B, hepatitis C, fatty liver and autoimmune liver disease. At least half of our patient population has advanced liver disease requiring complex care and long-term follow-up. Every member of our team is highly trained, motivated, and dedicated to helping our patients to understand their liver conditions and to take care of their liver health. As we are a teaching hospital, patients may be seen by a nurse practitioner, fellow, medical resident or medical student, but all cases are reviewed by a staff hepatologist (liver doctor).
For Our Patients
For Health Care ProvidersUse our
fibrosis calculator as a tool to help you care for your patients.
We offer a wide variety of services:
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. After your visit, you may go to the Blood Collection Lab for blood tests. Follow-up appointments may take up to 1 hour.
We understand that reaching us by phone can sometimes be difficult. If the phone line is busy, or the assistant is busy with other duties and unable to answer, please leave a clear message, including the following:
Learn more about
what you can expect when you have a clinic appointment.
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Our team is made up of world-class health care professionals working for patients and families. Team members include nine staff Hepatologists (liver doctors), Clinical Fellows (qualified doctors who have completed medical school and residency in specialized fields), Residents (qualified doctors undergoing specialized training in the field of liver disease), two Nurse Practitioners, two Clinic Nurses, one Social Medicine Worker, Research Nurses and Coordinators, and Administrative and Clerical Staff.
Director, Clinical Practice: Dr. Gideon Hirschfield
Director, Research: Dr. Jordan Feld
Directors, Education: Dr. David Wong, Dr. Scott Fung
Director, Fellowship: Dr. Morven Cunningham
Dr. Morven Cunningham
Dr. Morven Cunningham, MBBS, MRCP (UK), PhD, is the Director of Fellowship for the Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B, Hepatitis C and NASH.
Admin: WandaPhone: 416 340 3929
Dr. Jordan Feld
Dr. Jordan Feld, MD, MPH, FRCP (C), is the Director of Research for the Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B, Hepatitis C and Wilson’s Disease.
Admin: ElivertaPhone: 416 340 4584
Dr. Scott Fung
Dr. Scott Fung, MD, FRCPC, is the Director of Education for the Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B and Hepatitis C.
Admin: SuePhone: 416 340 3893
Dr. Aliya Gulamhusein
Dr. Aliya Gulamhusein, MD, MPH, FRCPC, is a staff Hepatologist at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Primary Biliary Cholangitis, Primary Sclerosing Cholangitis, Autoimmune Hepatitis and Transplant.
Admin: AndreaPhone: 416 340 3631
Dr. Gideon Hirschfield
Dr. Gideon Hirschfield, MB BChir, PhD, FRCP (Lon), is the Director of Autoimmune Liver Disease Program at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Primary Biliary Cholangitis, Primary Sclerosing Cholangitis, Autoimmune Hepatitis and Transplant. He is also the Director of Clinical Practice for Toronto Centre for Liver Disease, Francis Family Liver Clinic.
Admin: AlertaPhone: 416 340 4548
Dr. Keyur Patel
Dr. Keyur Patel, MD, is a Staff Hepatologist at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in NASH, Liver Fibrosis, Fatty Liver and Transplant.
Admin: WandaPhone: 416 340 3312
Dr. Hemant Shah
Dr. Hemant Shah, MD, MScCH, HPTE, FAASLD, is a Staff Hepatologist at Toronto Centre for Liver Disease and specializes in Hepatitis B, Hepatitis C and Education.
Admin: StephaniePhone: 416 340 4946
Dr. David Wong
Dr. David K. H. Wong, MD, FRCP(C), is the Director of Education for the Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B, Hepatitis C, HIV Co-infection, HCC and Alpha-1-Antitrypsin.
Admin: LucyPhone: 416 340 3279
Dr. Florence Wong
Dr. Florence Wong, MBBSD, MD, FRACPC, FRCPC, is a Staff Hepatologist at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B, Hepatitis C, Cirrhosis and Ascites.
Admin: RoschellePhone: 416 340 3834
Dr. Mamatha Bhat
Dr. Mamatha Bhat, MD, MSc, PhD, FRCPC, is a Transplant Hepatologist for the Soham & Shaila Ajmera Family Transplant Centre and specializes in Liver Transplantation, Hepatocellular Carcinoma, Non-alcoholic Steatohepatitis, Post-transplant Diabetes and Liver Regeneration.
Liver Transplant Clinic »
Dr. Leslie Lilly
Dr. Leslie Lilly, MD MSc, FRCPC, is the Medical Director for the Post-Transplant Clinic and Director for the Transplant Hepatology Fellowship and specializes in Liver Transplantation, Viral hepatitis, Immunosuppression and Antiviral Medications.
Liver Transplant Clinic »
Dr. Nazia Selzner-Malekkiani
Dr. Nazia Selzner-Malekkiani, MD, PhD, is a Transplant Hepatologist for the Soham & Shaila Ajmera Family Transplant Centre and specializes in Liver Transplantation, Chronic HCV infection Post Transplant, Ischemia/Reperfusion Injury, Fatty Liver and Aging Liver.
Liver Transplant Clinic »
Dr. Cynthia Tsien
Dr. Cynthia Tsien, MDCM, MPH, FRCPC, is the Education Director at the Soham & Shaila Ajmera Family Transplant Centre. She specializes in the care of patients with end-stage liver disease and post-liver transplantation.
Liver Transplant Clinic »
Dr. Richard Yanofsky
Dr. Richard Yanofsky, MD, FRCPC, is the Staff Psychiatrist for Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Consultation/Liaison Psychiatry.
Clinic Phone: 416 340 4868 Option 3
Colina Yim, NP, RN(EC), BScN, MN, is a Staff Nurse Practitioner at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B, Hepatitis C and Advanced Liver Disease Management while contributing to Chinese Hepatitis B Education Peer Support Group.
Admin: MelissaPhone: 416 340 3569
Elizabeth Lee, MN, NP, CGN(C), is a Staff Nurse Practitioner at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Decompensated Liver Disease and General Hepatology.
Admin: YvonnePhone: 416 340 4679
Dr. Joshua Juan
Dr. Joshua Juan, MD, CCFP (Hepatology), is a Clinical Associate at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in Hepatitis B, Hepatitis C and Fatty Liver.
Dr. Ann Ma
Dr. Ann Ma, MD MSc, FRCPC, is a Clinical Associate at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in cirrhosis and its complications.
Dr. Olgun Akman
Dr. Ahmad Alfedaghi
Dr. Abdullah Alfhaid
Dr. Faisal Aljohani
Dr. Fahd Mohammed Almalki
Dr. Chinmay Bera
Dr. Albert Chiang
Dr. Justine Dion
Dr. Rohit Gupta
Dr. Inbal Houri
Dr. Mai Magdy Kilany
Dr. Heather (Evans) Kosick
Dr. Kristel Leung
Dr. Henry Winston Li
Dr. Bharat Markandey
Dr. Neha Tiwari
At the Toronto Centre for Liver Disease, we have expertise in both basic science and clinical research. Research has always been a cornerstone of our work. Our goal is to learn more about liver diseases both in the lab and from clinical studies so that we can help improve the lives of patients with liver disease. Our research is made possible through grant funding but is often supported through generous donations from individuals who are seen at the clinic.
Our team is made up of world-class health care professionals working for you and with you.
Meet Our Research Team »
Clinical research enables us to use innovative approaches to manage our patients with different types of liver disease. We study new investigational drugs and tools to find safer and more effective treatments for patients with liver disease. We also design clinical studies to better understand the effects of liver disease on people. We have numerous ongoing treatment trials on hepatitis B, C, autoimmune hepatitis, fatty liver, liver cancer, liver fibrosis and portal hypertension as well as some rarer liver diseases.
Clinical trials are key for advancing medical knowledge and patient care. As an internationally recognized liver center, we collaborate with leading health care institutions around the world (e.g., National Institutes of Health) as well as industry partners, in developing innovative treatment and care strategies for our patients.
If you are interested to learn more about your eligibility for enrolment in clinical trials, please talk to your doctor. If you would like to find out more about ways to support our program, please ask our team members.
VIRCAN project is a novel integrated health care delivery model to provide a comprehensive program of screening, treatment and care, research and education to patients with viral hepatitis, It is a structured academic-community partnership that will provide clients access from diagnosis to treatment to cure.
The official kickoff date of the project occurred on 28 July 2016. The ceremony along with the point-of-care testing took place at the Richmond Hill CareFirst Centre. There are 3 community clinic linkages set up within GTA. Each clinic is staffed with a doctor and nurse.
The Toronto Center for Liver Diseases at University Health Network Toronto invites applications for a one-year Clinical Hepatology Fellowship. The program consists of comprehensive clinical training in both inpatient and outpatient General Hepatology. Fellows also participate in weekly lectures, meetings, and conferences, and are involved in a variety of clinical and research activities which are tailored to their specific interests. Our ambulatory Liver Diseases Clinic is one of the largest in North America with 19,000 patient visits annually, and our clinic environment incorporates patient care with clinical and translational research activities. Our clinical Hepatologists all have extensive subspecialty practices in viral hepatitis, NAFLD, cholestatic liver disease, autoimmune hepatitis, and hepatocellular carcinoma. The program is well suited for Gastroenterology fellows seeking staff positions in Clinical Hepatology, Internal Medicine residents prior to continuing subspecialty training in Gastroenterology, or for the subspecialist with an interest in gaining further clinical experience in Hepatology.
Candidates should have completed GI/Hepatology training although we will consider applicants who have completed General Medicine residency training (or equivalent). Evidence of research or other scholarly activity in Hepatology is desirable. Toronto is Canada's largest city, the fourth largest in North America, and cosmopolitan home to a diverse population of 2.8 million people. It is a global centre for business, finance, arts, and culture, and is consistently ranked one of the world's most livable cities.
For further information, please email our Fellowship Director
Dr. Morven Cunningham or Program Coordinator
Special International Hepatology Program offers students an opportunity to undertake clinical electives in the Francis Family Liver Clinic within the Toronto Centre for Liver Disease (TCLD).
You will be contacted with information about your first appointment.
Please bring the following to your appointment. Not all of these items may be needed for your appointment. Our clinic or your referring doctor will let you know what you must bring.
Please arrive 15 minutes before your appointment.
When you arrive, you will sign in with the receptionist. You will need your health card (OHIP card) to sign-in. If you do not have an OHIP card, please bring another form of government-issued photo ID, such as a driver’s license or passport.
You may be given a Measuring Health Equity Questionnaire to fill out. This form contains questions about your background. We collect this information to find out who we serve and what unique needs you may have. The form is voluntary and you can choose ‘prefer not to answer’ to any or all questions. However, the information you choose to give us will help us improve the quality of care for you and others.
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes. We do everything we can to stay on time but sometimes unforeseen circumstances may delay your appointment.
At the end of your first appointment, the nurse or doctor will give you a contact list for your health care team. If you don’t get a contact list, feel free to ask for it.
After every appointment, a member of your health care team will tell you about your next visit. Be sure you understand what is going to happen next. For example, know the time and place of your next visit or if someone will call you with this information.
If you are unsure about what your next steps are, don’t be afraid to ask a member of your team. We are here to help you.
We understand that reaching us by phone can sometimes be difficult. Often our phone lines are busy or are turned over to the message centre so our staff can prepare for clinic visits or help other patients. We make every effort to return your call within 24 hours. Our staff will try to reach you 2 times. If we are not able to reach you directly you may need to call us again.