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Academic Program

Education
All clinical and research fellows are enrolled as full-time postgraduate students in the Faculty of Medicine at the University of Toronto and as such enjoy all of the academic resources of a large University program. Upon completion; all of our fellows are awarded a certificate from the University.

Protected time for the pursuit of academic goals is essential and comprises not less than 25% of the fellowship time. Fellows are strongly encouraged to pursue higher qualifications and many choose to sit the American Board of Internal Medicine Critical Care examinations and the European Diploma of Intensive Care Medicine during their fellowship. The well structured and comprehensive teaching provided has proven invaluable to those preparing for examinations.

In addition to this academic time is the following academic/educational schedule:

Educational Event

Level

Lead

Information

Critical Care Teaching

Each hospital site ICU

ICU Attendings

Daily, resident and fellows

University of Toronto Fellowship Teaching

University Interdepartmental Division of Critical Care

ICU Attendings, visiting professors

Weekly half day session, city-wide fellows rounds

Grand Rounds

Each hospital site

Invited speakers

Weekly, departmental

International Fellows Rounds

UHN/MSH program

Invited speakers, ICU Attendings

Monthly program covering leadership, ethics, research methodology, and ICU management training.

Clinical Research in Progress Rounds

University Interdepartmental Division of Critical Care

ICU Attendings

Monthly, evening rounds for development and support of research projects

Clinical Research Rounds

University Health Network

Dr. Margaret Herridge, Director of Critical Care Research, UHN.

Monthly, Toronto General and Toronto Western Hospitals research activities

Critical Care Morbidity and Mortality Meetings

Each hospital site ICU

ICU Fellows

Monthly, departmental

Critical Care Canada Fellows Day

University Interdepartmental Division of Critical Care and International

Invited speakers

Annually, part of Critical Care Canada Forum, international meeting in Toronto.

 

City-wide Lecture Series
Each Tuesday all fellows from the three International, and the Canadian critical care programs meet for the University, city-wide, clinical teaching. These lectures are intended to provide fellows with a sound understanding of key principles and core topics of critical care medicine. These lectures are well attended by the fellows, serving as an introduction to the critical care fellowship for some, and providing an opportunity to consolidate previously acquired knowledge for others.
Due to constraints of space and different funding streams, some sessions are organised specifically for the Canadian Royal College fellows. These tend to be the practical sessions and Simulator training sessions. Wherever possible we have organised alternative training for on those days in areas such as echocardiography, airway management, and communication skills. We aim to pitch the level of this training a little higher as the fellows who join our International Program tend to be more senior and experienced, and therefore have different educational needs and goals.

 

Leadership and Management Training
Intensivists frequently face challenging situations requiring particular leadership and management skills. The role of the intensivist is becoming increasingly complex as patients, families, and healthcare organizations demand greater accountability and performance. Intensivists are no longer expected to be just clinicians, but also managers, researchers, educators, and leaders in all these fields.
The Leadership and Management Program is designed for senior trainees and junior consultants in intensive care medicine. The aim is to enable fellows to develop knowledge and skills with the organizational and management aspects of Critical Care Medicine. The sessions will use a mixture of blended learning techniques including problem based learning, small group teaching, workshops, video, and didactic lectures. When you return to your own institutions you will be taking up positions as consultants (or equivalent) in critical care units. This program of lectures is designed to afford you with the opportunity to learn from experienced clinicians in the Division about the non-clinical roles of the position.
General Format

  • Attending Staff Led
  • Lecture/Workshop/Debate

Following each session we meet for drinks and dinner at a local restaurant. Given that our group are all from different cultures and countries in the World, each month a different fellow “hosts” the social part of the evening. They pick a restaurant representing their home country and teach us something about their food, wine, culture etc.

 

Research
The Interdepartmental Division of Critical Care provides ample opportunities for those with research interests. These opportunities exists across the University and institutions affiliated with the University of Toronto. The large number of faculty, their diversity of interests is central to the success of our research programmes.

Benefiting from the collaborative environment, experience and mentorship of global leaders in critical care research, fellows are able to refine their academic writing and critical appraisal skills and develop and conduct practical projects. The regular Clinical Research in Progress Rounds and journal clubs are essentially research master classes where ideas, methodology and critical appraisal skills are developed and refined .These are further complimented by the numerous academic meetings that are held which attract local, national and international experts, and provide invaluable opportunities to further develop ones academic knowledge and research skills.

Individuals who are interested in pursuing a research career and further experience in clinical, basic, and educational research are encouraged speak with our research directors Dr. Margaret Herridge (UHN) and Dr. Sangeeta Mehta (MSH).

 

Assessments
The first assessment that fellows have to undertake is the Pre-Entry Assessment Program (PEAP). The PEAP is a process that evaluates international medical graduates to determine whether they can function at the level of Ontario medical school graduates, and are qualified to enter an Ontario residency program or fellowship. The process allows for appropriate, supervised clinical activity. A PEAP candidate is assessed in a multidisciplinary environment where there is patient input on an ongoing basis.
The PEAP will be completed by the Program Director following discussion with the Attending Staff of the MSICU in which you begin your Fellowship Program. It will be completed at 8 weeks and provides assessment of:

  • clinical skills
  • knowledge and judgment
  • basic skills in internal medicine/ surgery/ anesthesiology appropriate for practice in the chosen discipline
  • technical skills
  • communication skills, and
  • professional attitudes

 

Throughout the program there will be regular (quarterly) evaluations of progress, and identification of goals. Elective periods spent with other services e.g. CVICU, Multiorgan Transplant will have assessments at the end of each, carried out by your educational supervisor. In accordance with the CanMEDS Physician Competency Framework, each educational activity is designed to achieve not only competence but excellence in each of the following roles:

  • Medical Expert
  • Communicator
  • Collaborator
  • Manager
  • Health Advocate
  • Scholar
  • Professional

 

Canadian trainees who are candidates for the Royal College exams will sit the Society of Critical Care Medicine (SCCM) Multidisciplinary Critical Care Knowledge Assessment Program (MCCKAP) examination as a formative assessment. We encourage all fellows from the International Program to sit this as well. Scores are reported and traditionally our International Fellows have performed extremely well.

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