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About The Program

ABOUT THE PROGRAM

Sites Participating in the Training Program
Mandatory Content of Training
Elective Content of Training
Research
Conference Stipend
Call

The residents undertake rotations at the four University of Toronto teaching hospitals.

Sites Participating in the Training Program

 

Name of Site

Name of the Program Coordinator in this Site

Toronto General Hospital

Dr. Ghislaine Doufle

Toronto Western Hospital

Dr. Alberto Goffi

Mt. Sinai Hospital

Dr. Christie Lee

St. Michael’s Hospital

Dr. Simon Abrahamson

Sunnybrook Women’s Health Science Centre

Dr. Shelly Dev (Residents)  / Dr. Cameron Guest (Fellows)

 

            At least 12 months of the 2-year CCM program will involve clinical rotations in Critical Care units. There is also a requirement to complete one month in a community ICU. Rotations will be customized to the individual needs of the resident.

The resident will participate in the day to day running of an intensive care unit, the supervision of all junior medical staff, the comprehensive care of critically ill patients, the inter-hospital transport of critically ill patients, and the organization of rounds, seminars and teaching sessions. The resident will gain significant experience in the administrative, quality initiative, supervisory and consultative roles required to function as an attending critical care physician. During each rotation and throughout the course of the 2 year program, the resident will have graded responsibility so that at the beginning they will be involved in primary care to a greater degree and subsequently involved more in a supervisory capacity.

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Mandatory Content of Training

 

Description

Duration

Sites in which this training may be taken

12 months of core critical care

12 months

*A combination of the four teaching hospitals:
Sunnybrook, Mount Sinai Hospital, University Health Network, St. Michael’s Hospital

Community ICU

1 month

Toronto East General, St. Joseph’s Hospital, North York General Hospital, Osler Health Sciences Centre

Elective Content of Training

 

Description

Duration

Sites in which this training may be taken

Anaesthesia

1 – 2 months

Any of the teaching hospitals above*

Thrombosis

2 to 4 weeks

Sunnybrook

Blood Bank

2 – 4 weeks

Sunnybrook

Burn Unit

1 month

Sunnybrook

Toxicology

1 month

Hospital for Sick Children

Paediatric ICU

1 month

Hospital for Sick Children

Cardiology

1 month

Toronto General, St. Michael’s Hospital

Research

Up to 8 months

Any of the teaching hospitals*

Radiology

1 month

Any of the teaching hospitals*

Trauma

1 month (may be longer in individuals doing a combined program)

Sunnybrook, St. Michael’s Hospitals

Neuro-critical care

1 month

St. Michael’s, Sunnybrook, and Toronto Western

Cardiovascular ICU

1 month

St. Michael’s, Sunnybrook, and Toronto General

Respirology

1 month

St. Michael’s and University Health Network

Respiratory Therapy elective

2 weeks

St. Michael’s Hospital

Transportation elective

4 week block or concurrent experience

Via the ministry of health

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Research

            During the two-year training, residents may also become involved in clinical or basic science research. This may be in conjunction with clinical training or occur independently of clinical rotations. Courses are also available at the University of Toronto in biomedical ethics, statistics, epidemiology, medical education, and hospital administration. Protected time is provided for academic pursuits, and some financial assistance is provided by the program for residents to attend approved scientific education meetings/forums.

 

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Conference Stipend

At present, $1,500 is provided in the first year to attend a clinical conference. In the second year, the trainee is eligible to receive financial support if they are presenting a paper or abstract at a clinical conference and cannot obtain funding from their research supervisor.
Registration fee for the Toronto Critical Care Symposium is also covered yearly by the program.

 

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Call
Residents act as senior residents with supervisory responsibilities. They are responsible for the supervision of junior residents and medical students. In most critical care units, the CCM resident is responsible for the comprehensive care of the critically ill patient. The type of call varies from unit to unit and also depends upon the resident’s level of experience, competence and stage in training. In some centers (UHN and MSH), residents take in-house call at the beginning of their training and generally progress to do home call. As outlined above, the evolution to home call may occur during individual 2 month rotations as well as during the 2 year program.

 

            The CCM residency training program supports and follows the PAIRO-CAHO contract at

http://www.myparo.ca/Starting_Residency which notes the following:

            Call Schedules – Must be distributed at least 2 weeks in advance of the effective date to PAIRO, residents, and relevant staff. 
Call Provisions and Maximums – Call Maximums are based on the total days ON service (vacation and other time away are deducted from the total prior to calculating maximum call).  The in-house maximum is 1 in 4.  For a “one month” rotation these maximums are:

  • 19-22 days = 5 calls
  • 23-26 days = 6 calls
  • 27-29 days = 7 calls
  • 30-34 days = 8 calls
  • 35-38 days = 9 calls

            In hospital call maximums for rotations >1 month can be averaged over the length of the rotation (maximum averaging length is 3 months) with a maximum of 9 calls in any given month.  The total number of calls on a rotation longer than one month can be calculated by taking the total number of days ON service, divided by 4 and rounded to the nearest whole number (0.5 rounds up).
Home Call Max is 1 in 3, or 10 per 30.  A resident cannot be on home call on 2 consecutive weekends.

            Residents cannot be scheduled to work two are more consecutive calls unless agreed upon by the residents, the Program Director, and PAIRO.

            Shift work: Maximum hours = 60 hours/week, including other scheduled responsibilities (including academic half days).  There must be a minimum of 12 hours off between shifts.

            Each Resident must have 2 COMPLETE weekends off per 28 days.  This includes Friday night/Saturday morning as well as Saturday & Sunday.  Residents cannot be required to round (or perform other clinical duties) on weekends when not on call.

 

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