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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:
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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.
Interim Director, TCLD:Dr. Jordan Feld
Director, Clinical Practice:Dr. Gideon Hirschfield
Director, Research:Dr. Jordan Feld
Directors, Education: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. Arndt Vogel
Dr. Arndt Vogel, MD, PhD, is the Longo Family Chair in Liver Cancer Research, specializes in Gastrointestinal and Liver Cancer, Hepatology and Endoscopy. He has Cancer Clinics at both TGH and PMH.
Admin: StephaniePhone: 416 340 2004
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 »
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
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: ChrisPhone: 416 340 3569
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.
Admin:& YvonnePhone: 416 340 4679
Dr. Kristel Leung
Dr. Kristel Leung, MD, FRCPC, is a Clinical Associate at Toronto Centre for Liver Disease, Francis Family Liver Clinic and specializes in autoimmune liver diseases and general hepatology.
Admin: ChrisPhone: 416 340 3569
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.
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.
The UHN annual Hepatology Update, organized by the Toronto Centre for Liver Disease, dates back to 1986, and it was initiated by Dr. Jenny Heathcote.
As a leading institution in hepatology education, this annual educational event aims to provide the latest insights into best practices and inform the liver community of ongoing research projects in the field of liver disease.
Hepatology Update is a two-day event. Day one is the Sheila Sherlock Liver Research Day, in addition to the Nurse and Allied Health Update which focuses on the learning needs of hepatology nurses and allied health care providers. Day two is the Hepatology Update component that delivers state-of-the-art lectures as well as multi-disciplinary case presentations for discussion of best care and practices.
Hepatology Update, renamed to Jenny Heathcote Hepatology Update, in 2016 to honour Dr. Heathcote upon her retirement. Continuing the tradition, we each year invite a distinguished speaker to join the esteemed list of hepatologists contributing to this exciting Hepatology Update event.
The event welcomes participation from hepatologists, gastroenterologists, general practitioners, nurses, allied healthcare professionals and industry representatives.
Past Distinguished Invited Speakers
Sheila Sherlock Liver Research Day and Hepatology Update Distinguished Speakers
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 before continuing subspecialty training in Gastroenterology, or subspecialists 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.
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).
The NP fellowship in Hepatology is established by the Toronto Centre for Liver Disease (TCLD). This fellowship is a paid position and is supported by generous donors to the UHN Foundation. The purpose of this program is to provide opportunities to NPs who are interested to gain and expand their knowledge, skills and competence within Hepatology.
The UHN Toronto Centre for Liver Disease, named in 2016, is one of the largest liver units in North America. The Francis Family Liver Clinic is the clinical component integrated within the Centre. The TCLD is a world-renowned center that encompasses areas of research, education, training and liver transplantation programs in a single healthcare facility. We provide services to patients with all types of liver disease, especially hepatitis B, hepatitis C, fatty liver and autoimmune liver disease and offer disease-specific as well as NP-led post-discharge clinics.
This fellowship focused on fostering the development of advanced nursing skills in providing comprehensive patient-centred care, collaboration and consultation with an inter-professional team, and supporting patients and families throughout the continuum of chronic liver disease. All activities and duties will adhere to existing University Health Network policies, regulatory body requirements and professional standards within the context of hepatology care. The fellow will engage in case management, education provision and development, quality improvement and program evaluation.
The mentoring team includes staff hepatologists and nurse practitioners from the Liver Clinic. The activities of the fellows will be structured, and assigned by the mentoring team. Specific activities of the fellow will include but are not limited to, engaging in clinical care within outpatient clinics, attending weekly rounds, participating in hepatology consults, learning and performing paracentesis and contributing to research projects.
Fellowship Start Date: May 2024
Application Deadline: March 4, 2024
Application Steps and Information:
Please contact Colina Yim for questions related to the fellowship.
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.