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Division of Orthopaedics

Orthopaedics at the U of T has a long tradition of developing innovative treatment approaches, performing research of the highest quality, developing new education programs, and providing clinical care of the highest quality possible. We are leaders in the field, and our faculty members play leadership roles nationally, and internationally. Read more »

Division Chairs for Orthopaedics - University of Toronto Orthopaedic Chairs 1976 - Today.
From left to right - Ben Alman (2006-Today), James Waddell (1996-2006), Robert Salter (1976-1986), Allan Gross (1986-1996).

Sunnybrook Health Sciences Centre

Number of Positions:
2 per year

Duration:
1 year

Site:
Sunnybrook Health Sciences Centre, Bayview Campus

Supervisors:
Dr. Terry Axelrod
Dr. Robin Richards


This is an Upper Extremity Fellowship with Trauma. During year the Fellow will be involved with the care of both elective and trauma patients. We will provide a fellowship experience in shoulder, elbow, wrist and hand surgery, in a preceptor based learning experience. Emphasis will be placed on reconstructive surgery, with wide clinical exposure and operative experience in areas of arthroscopy, joint reconstruction, and hand and wrist surgery. Patient assessment and management in outpatient clinics and fracture clinics in pre and postoperative care allows the Fellow to participate in treatment plan, surgical procedures and continuing care after surgery.
Academic responsibilities include participation in weekly rounds, resident seminar series, and teaching for both resident and undergraduate students. Each fellow will be involved in a research project with the ultimate goal of publication and presentation at major scientific meetings.

This fellowship focuses on the management of hand, wrist and shoulder conditions. The curriculum is designed to provide the Fellows with a foundation for practice in the area of upper extremity surgery and rehabilitation.

On call duties will be approximately one in four.

Goals and Objectives:

  • Understand the goals of medical and surgical management of hand, wrist and shoulder disorders.
  • Demonstrate competence in selected evaluation procedures and use of specific assessment tools used with hand patients.
  • Demonstrate understanding of principles and application of techniques used in treatment of common conditions affecting the hand, wrist and shoulder.
  • Be familiar with professional methods of documenting, oral reporting and data interpretation.
Contact:
Attn: Mrs. Carolyn Gimera, Administrative Coordinator
Division of Orthopaedic Surgery
Sunnybrook Health Sciences Centre
2075 Bayview Ave., Rm MG 314
Toronto, Ontario M4N 3M5
Tel: 416 480-4884
Fax: 416 480-5886
Email: carolyn.gimera@sunnybrook.ca



Number of Positions: 
1 per year

Duration:
1 year

Sunnybrook Health Sciences Centre
Holland Orthopaedic & Arthritic Institute, Bayview Campus


UPPER EXTREMITY SERVICE
FELLOWSHIP ROTATION OBJECTIVES

Supervisors:
DR. TERRY AXELROD
DR. DIANE NAM
DR. ROBIN RICHARDS


OVERVIEW
This is an Upper Extremity Fellowship with Trauma. During the Fellowship year, the Fellow will be involved with the care of both elective and trauma patients. We will provide a fellowship experience in shoulder, elbow and hand/wrist surgery, in a preceptor/rotation based learning environment. Emphasis will be placed on reconstructive surgery, with wide clinical exposure and operative experience in areas of arthroplasty, arthroscopy and hand/wrist surgery. Patient care will include inpatient, emergency, ambulatory clinic assessments and all aspects of peri-operative management from pre-operative treatment planning, surgical procedures/techniques to post-operative care.

In the context of the CanMeds 2000 Objectives (see attached) the fellow will continue to develop the foundation of clinical and professional skills. Specifically, the Fellowship Program will address goals and objectives relating to a) advancing knowledge of basic & clinical science anatomy and surgical techniques, b) collaboration, literature assessment, teaching and research and c) attitudes in the context of patient, family, colleagues and community relations.

The curriculum is designed to provide the Fellows with a foundation for practice specializing in the area of upper extremity surgery.

On call duties will be approximately one in four.

ACADEMIC RESPONSBILITIES

Fellows participate in the educational endeavours of the Upper Extremity Service and the Division of Orthopaedic Surgery at Sunnybrook Health Sciences Centre.

Academic responsibilities include participation in weekly rounds, resident seminar series, and teaching for both resident and undergraduate students.

Fellows are encouraged to make themselves available for the many orthopaedic educational opportunities offered through the
University of Toronto Orthopaedic Program including City Wide Rounds, University Rounds, Grand Surgical Rounds, etc.

RESEARCH

As part of their program, Fellows will be required to participate actively in research and academic activities. Two half days per week are set aside specifically for clinical or fundamental research. Research projects will be supervised by one of the surgeons on the upper extremity service. The particular project should be formalized during the early part of the Fellowship.

All research proposals must be prepared and approved according to defined guidelines. Research opportunities exist in biomechanics, basic science, epidemiology, and clinical studies.

Participation in the University Department of Surgery, Division of Orthopaedic Surgery Annual Fellowship Day is strongly encouraged.

PATIENT CARE

All patients on the upper extremity service are to be seen by the Clinical Fellow on the morning of surgery. A note should be written summarizing physical findings and treatment. Prior reading and discussion of the operation with the attending surgeon is an essential part of the pre-operative preparation for the Fellow.

Fellows are expected to be in attendance at surgery to assist the surgeon. Continued ward care of the surgical cases is the Fellow’s responsibility as are progress notes.

Fellows must be in attendance at the surgeon’s ambulatory elective/fracture clinics.

SPECIFIC GOALS & OBJECTIVES

• Understand the goals of medical and surgical management of shoulder/elbow and hand/wrist disorders.
o Demonstrate understanding of principles and application of techniques used in treatment of common conditions affecting the shoulder/elbow and hand/wrist.
• To function independently in the upper extremity and orthopaedic trauma clinic (elective and fracture clinics) including diagnosis, investigations, imaging and non-operative treatment skills.
o To practice effective clinical diagnostic skills and make effective use of special investigations;
o To demonstrate safe and effective treatment skills regarding medical and surgical management of patients with upper extremity/trauma conditions/injury.
• To be able to supervise and teach residents/elective students/clinical clerks in the clinic, operating room and emergency setting.
• Demonstrate competence in the performance of the most common upper extremity and trauma procedures including, but not limited to:
o Fractures of extremities (simple, complex/periarticular and polytrauma)
o Trauma sequelae: nonunion, malunion, etc
o Tendon and soft tissue repair/reconstruction/transfers;
o Surgery for arthritic/degenerative conditions of the upper extremity including excision, fusions and arthroplasty
o Reconstruction for joint instability/limb deformity/AVN

REQUIREMENTS FOR APPOINTMENT

Candidates must have successfully completed an Orthopaedic Residency Program in an accepted, accredited Training Program in North America. Foreign fellows are accepted if they have completed comparable Orthopaedic Training, as determined by the College of Physicians and Surgeons of Ontario.

All Fellows must be approved by the University of Toronto and must qualify for licensure with the College of Physicians and Surgeons of Ontario. Foreign Fellows will require a work visa. This will be processed by the University of Toronto and requires at least six months lead-time.

Foreign Fellows must provide evidence that their medical training was completed in English or must successfully pass the TOEFL iBT with a minimum overall score of 93, as well as a minimum score of 24 on the speaking portion.

LENGTH OF FELLOWSHIP

The Fellowship Program is usually of twelve months duration commencing in August 1st of one year and ending in July 31st of the following year. Occasionally, six month Fellowships are permitted. The opportunity for a two-year fellowship encompassing both a clinical and fundamental research year is available upon request.

PROGRAM EVALUATION
An in-training evaluation will be undertaken by the Supervisor for each Fellow every six months and on completion of their program. Fellows also need to complete an evaluation of their Supervisor. Upon successful evaluation and program completion, fellows will receive a hospital-based certificate of completion and be eligible for a University Faculty of Medicine Fellowship Certificate.

FOR FURTHER INFORMATION

For further information on the Upper Extremity/Trauma Fellowship opportunities please contact:
Attn: Ms. Carolyn Gimera, Administrative Director
Division of Orthopaedic Surgery
Sunnybrook Health Sciences Centre
2075 Bayview Ave., Rm MG 317
Toronto, Ontario M4N 3M5
T: (416) 480-4884 F: (416) 480-5886
E-mail: carolyn.gimera@sunnybrook.ca

CanMeds 2000: Essential Roles and Key Competencies of Specialist Physicians

Medical Expert
• Demonstrate diagnostic and therapeutic skills for ethical and effective patient care access and apply relevant information to clinical practice
• Demonstrate effective consultation services with respect to patient care, education and legal opinions

Communicator
• Establish therapeutic relationship with patients/families
• Obtain and synthesize relevant history from patients/families/communities listen effectively
• Discuss appropriate information with patients/families and the health care team Collaborator’s
• Consult effectively with other physicians and health care professionals contribute effectively to other interdisciplinary team activities
 
Manager
• Utilize resources effectively to balance patient care, learning needs, and outside activities
• Allocate finite health care resources wisely
• Work effectively and efficiently in a health care organization
• Utilize information technology to optimize patient care. Life‐long learning and other activities

Health Advocate
• Identify the important determinants of health of patients and communities recognize and respond to those issues where advocacy is appropriate
Scholar
• Develop, implement and monitor a personal continuing education strategy critically appraise sources of medical information
• Facilitate learning of patients, housestaff/students and other health professionals contribute to the development of new knowledge

Professional
• Deliver highest quality care with integrity, honesty and compassion
• Exhibit appropriate personal and interpersonal professional behaviours practice medicine ethically consistent with obligations of a physician

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