Humber River Hospital
Number of Positions
2 per year (starting in July)
Duration
1 year
Site
Humber River Hospital
Supervisors
- Dr. Sebastian Rodriguez-Elizalde
- Dr. Barry Cayen
- Dr. Justin Chang
Humber River Hospital is the single largest community hospital in Canada, and the first digital hospital in North America. This fellowship is available to surgeons who have completed their general orthopaedic training and have a specific interest in acquiring specialty skills in Hip and Knee Arthroplasty with a sub-specialty focus on trauma.
The hospital is located in the community of North York which has affordable housing for rent. The hospital also has close proximity to several highways, making city-wide access easy.
Elective Surgical Volume Breakdown
- The primary focus (80%) will be in advanced adult reconstruction techniques with a focus on current and emerging technologies including:
- Direct anterior hip replacement including revision hip arthroplasty & computer navigation
- Robotic total knee replacement including revision knee arthroplasty & partial knee replacement
- Secondary focus (20%) will be trauma management including peri-articular fractures and peri-prosthetic fractures
Core Responsibilities
Trainees will have 4 clinical days (a mix of surgery and clinic) per week, and 1 day of protected research time. Within the theatre, Fellow trainees will be permitted to be either primary surgeon, or the first assistant depending upon the complexity of the case as well as presence or absence of resident trainees.
Trauma and On-Call Requirements
All the supervisors in this fellowship participate fully in fracture management. The fellows will be expected to participate in fracture management both in terms of operative and non-operative care of fractures. Fellows will also be expected to provide clinical care in the Fracture Clinic.
Fellows will be expected to assist or occasionally independently manage fracture cases during the day/weekend. There is a daytime trauma room 5 times a week.
Fellows will be responsible for On-Call duties with their supervisors (to a maximum of 1 in 4).
Orthopaedic Rounds and Teaching
Fellows must attend the weekly educational rounds at Humber for both educational and teaching purposes. Fellows are expected to assist the surgeons with the education of residents both in and out of the operating theatre. Fellows are also expected to attend the orthopaedic-related educational opportunities offered through the University of Toronto including City Wide Rounds, University Rounds, and Grand Surgical Rounds.
Research
As part of the Fellowship Program, it is expected that the Fellows actively participate in research and academic activities. Research projects will be supervised by one or more of the orthopaedic surgeons. Fellows will have at their disposal a joint registry data base as well as an archive of patient charts and radiography.
Fellows are expected to formalize research projects at the beginning of the fellowship with the aim of obtaining a publication by the end of the academic year. All fellows are expected to present a project at Fellows Research Day.
Supervisors
This Fellowship currently has 3 active orthopaedic consultants at Humber Hospital. Fellows will be expected to rotate with all 3 consultants during the academic year. Fellows will be assigned to 1 primary supervisor at a time but have access to other surgeons throughout.
Application Deadline
The start date of the fellowship is July 1st. Applications are due 12 months prior.
Contact
Attn: Dr. Rodriguez-Elizalde, Fellowship Coordinator
Division of Orthopaedic Surgery
Humber Hospital
Email: srodriguez@hrh.ca
Mount Sinai Hospital
Number of Positions
7
Duration
Minimum 1 year up to maximum of 2 years
Site
Mount Sinai Hospital with a Cross Appointment to Women’s College Hospital
Supervisors
This fellowship focuses on lower extremity reconstruction and is under the direct supervision of Drs. David Backstein, Allan E. Gross, Paul Kuzyk, Oleg Safir and Jesse Wolfstadt. Lower extremity reconstruction includes the following – cemented and uncemented hip and knee replacement; revision arthroplasty of the hip and the knee with an emphasis on restoration of bone stock. In addition considerable experience will be gained in the use of osteotomies about the knee, and the use of fresh osteochondral allografts for post-traumatic defects particularly around the knee.
Approximately two to three days a week will be spent in the operating room, one day in the ambulatory care setting, and one day doing clinical research. It is expected that the clinical research will lead to at least one scientific presentation, and one publication.
This fellowship focuses on tertiary care surgery with an emphasis on revision arthroplasty of the hip and the knee. For this reason this fellowship is more appropriate for those individuals who are seeking an academic career. The fellowship is for a minimum of one year and the maximum of two years.
Application Dates
Contact
Christine Harron
Mount Sinai Hospital
600 University Ave., Suite 476C-1
Toronto, ON M5G 1X5
Tel: (416) 586-4800 ext. 4611
Fax: 416 586-5184
Michael Garron Hospital (TEGH)
Number of Positions
3 per year
Duration
1 year
Site
Michael Garron Hospital (formerly Toronto East General Hospital)
Supervisors
- Dr. Paul Wong
- Dr. Melanio Catre
- Dr. Jihad Abouali
- Dr. Dmitry Tsvetkov
- Dr. Justues Chang
- Dr. James Higgins
This is a one year fellowship in General Orthopaedic Surgery with a very strong focus on lower extremity arthroplasty and reconstruction. The Toronto East General Hospital is a community-based hospital with a strong affiliation with the University of Toronto. The hospital is located in the community of East York which has affordable housing for rent. The hospital also has close proximity to the downtown core with easy access using public transportation (subway).
Elective Surgical Volume Breakdown
- 65% hip and knee arthoplasty including primary arthroplasty (including direct anterior approach), revision arthroplasty, unicondylar knee replacements, and osteotomies.
- 15% knee arthroscopy and ACL reconstructions
- 15% foot and ankle surgery – open and arthroscopic
- 5% upper extremity (shoulder) surgery – open and arthroscopic
Core Responsibilities
Trainees will be permitted to determine amongst themselves which operating theatre to attend on any given day. Trainees are expected to attend the operating theatre 4 days per week and the fracture clinic one day per week. Fellows are often provided with autonomy while working in the fracture clinic based on experience. Within the theatre, Fellow trainees will be permitted to be either primary surgeon, or the first assistant depending upon the complexity of the case as well as presence or absence of resident trainees.
Trauma and On-Call Requirements
Fellows will be expected to assist or occasionally independently manage fracture cases during the day. There is a daytime trauma room 3 times a week. On call evening responsibilities are approximately 6 to 7 times a month, and there is a resident on first-call duty.
Orthopaedic Rounds and Teaching
Fellows must attend the weekly educational rounds at MGH for both educational and teaching purposes. Fellows are expected to assist the surgeons with the education of more junior trainees both in and out of the operating theatre. Fellows are also permitted to attend the orthopaedic-related educational opportunities offered through the University of Toronto including City Wide Rounds, University Rounds, and Grand Surgical Rounds.
Research
As part of the Fellowship Program, it is expected that the Fellows actively participate in research and academic activities. Research projects will be supervised by one or more of the orthopaedic surgeons. Fellows will have at their disposal a joint registry data base as well as an archive of patient charts and radiography. Fellows are encouraged to formalize research projects at the beginning of the fellowship with the aim of obtaining a publication by the end of the academic year.
Supervisors
There are 6 active orthopaedic consultants at the Michael Garron Hospital. Fellows will be expected to work with all 6 consultants during the academic year. Fellows will not be assigned to any particular consultant. All six consultants have a variety of elective subspecialty interests (please refer to Elective Volume List above).
Application Deadline
The start date of the fellowship is July 1st. Applications are due 18 months prior.
Contact
Attn: Dr. Abouali, Fellowship Coordinator
Division of Orthopaedic Surgery
Michael Garron Hospital
Email: jihad.abouali@tehn.ca
St. Michael's Hospital
Number of Positions
Up to 4 per year
Duration
1 year
Site
St. Michael’s Hospital, Toronto
Supervisors
Submission Requirements
- Up-to-date CV
- 3 reference letters
- Proposed start and end dates for the fellowship (Day, Month, and Year)
This fellowship is available to surgeons who have completed their general orthopaedic training and have a specific interest in acquiring specialty skills in lower limb reconstruction. A number of fellowship positions are available in lower limb reconstruction. Four supervisors are involved in these fellowship positions; each supervisor carries out both primary and revision total hip replacement and total knee replacement surgery. In addition, there is a subspecialty component to each supervisor’s practice involving complex arthroplasty on patients with rheumatoid arthritis and haemophilia as well as knee arthroscopy. Approximately 1,000 total joint procedures are performed each year at St. Michael’s Hospital on this service. Up to four fellows can be accommodated on this service allowing fellows a comprehensive training in terms of exposure to the operating room, new patient clinic and follow-up clinic. St. Michael’s Hospital is also a Level 1 Trauma Centre and the Orthopaedic Service at St. Michael’s Hospital is fully integrated as part of the Trauma Program. All of the supervisors in this fellowship participate fully in fracture management and their fellows will be expected to also participate in fracture management both in terms of operative and non-operative care of fractures as well as work in the Fracture Clinic.
It is anticipated that at the conclusion of the fellowship the fellow will have a comprehensive knowledge of the pre-operative assessment, intra-operative management and post-operative assessment of both routine and complex primary total hip and total knee replacement surgery as well as an improved knowledge of both the surgical and follow-up management of revision total hip and total knee replacement. In addition, the fellow will have a comprehensive knowledge of the surgical and non-surgical management of simple and complex fractures as well as the management of fractures in the polytrauma patient. In addition, it is anticipated that each fellow will satisfactorily complete one or more clinical, quality improvement, or basic science research projects in their area of interest and expertise. St. Michael’s Hospital offers a comprehensive database for both joint replacement surgery and fracture surgery; in addition there is a fully equipped biomechanics laboratory and a surgical navigation laboratory in which fellows can complete their research projects.
The clinical responsibilities are shared between the supervisors, the fellows and residents. The fellows are expected to attend the operating room and assist or perform primary and revision total hip and total knee replacement surgery. Fellows are not generally responsible on a day-to-day basis for care of patients on the ward but may be asked to participate in such care when residents are not available due to educational responsibilities.
Fellows will also be asked to take call in a supervisory capacity to the residents on evenings and weekends. These call obligations would seldom be more than one in six days per week or one in four weekends per month.
This fellowship provides orthopaedic graduate trainees an excellent opportunity to increase their knowledge of joint replacement surgery, learn new techniques in terms of management of difficult or complex primary hip and knee replacement as well as revision hip and knee replacement. In addition, innovations in a number of areas are currently under development within the arthroplasty group including, minimally invasive surgery and direct anterior hip arthroplasty. There is also a strong focus on quality improvement and patient safety, with associated research opportunities in this area. Ongoing quality improvement initiatives include the development and evaluation of standardized clinical pathways for high-volume procedures, as well as the delivery and analysis of fracture prevention services in a province-wide Fracture Liaison Service system. Finally, a number of innovations in comprehensive fracture management are also being developed at this hospital as part of the Trauma Program and fellows will be able to participate fully in these areas.
Contact
Dr. Sarah Ward, Fellowship Coordinator
55 Queen Street East, Suite 804
Toronto, Ontario M5C 1R6
Email: wardsar@smh.ca
Sunnybrook Health Sciences Centre (Holland Orthopaedic & Arthritic Centre)
Number of Positions
Up to 4 international positions funded per year with an additional 2 positions for Canadian-trained or Self-Funded applicants
Duration
1 year
Site
Holland Orthopaedic & Arthritic Centre
Supervisors
- Dr. Harman Chaudhry
- Dr. Jeffrey Gollish
- Dr. Raman Mundi
- Dr. John Murnaghan
- Dr. Daniel Pincus
- Dr. Bheeshma Ravi
- Dr. Sebastian Tomescu
- Dr. Veronica Wadey
The Holland Orthopaedic and Arthritic Centre is the largest volume arthroplasty centre in Canada. Fellows will gain exposure to all aspects of reconstructive surgery: primary and revision arthroplasty including minimally invasive techniques. Current volume is up to 2,400 cases per year. This is a stand-alone Orthopaedic Unit without an Emergency Room. Additional trauma experience may be available through the Sunnybrook campus of the hospital as desired. Clinical research opportunities are available and an expected requirement of fellowship.
Goals
The goal of the fellowship is to provide post-graduate trainees the opportunity to acquire assessments skills and surgical techniques to manage the full range of lower limb reconstructive surgery at the hip and the knee including revision surgery and management of infections.
Objectives
By the end of the fellowship program the fellow will be able to perform complex primary and revision arthroplasties of the hip and knee.
Responsibilities
Opportunities during the fellowship will include:
- clinical care, patient advocacy and documentation of the inpatient stay. Clinical care of patients will require in-house call of one night per week. Weekend call and holiday coverage is required and will be remunerated in addition to the fellow’s salary.
- Research is an expectation of the fellowship program. The fellow will be required to participate in at least 1 research project and submit an abstract to the Annual City Wide Fellows Research Day.
- Participation in education of various formats consisting of operating room experience, technical sessions; academic sessions and education of other healthcare providers will be an expectation of each fellow.
- Administrative and leadership opportunities to facilitate the organizational infrastructure of the Fellowship Program will be provided to each fellow. The fellowship will consist of approximately 2 days per week in the operating room; one to two days in the clinic. We require that all fellows are ACLS certified and will provide training if necessary.
Educational Opportunities
Technique Tuesdays
Tuesdays at 7:00-7:45am
Surgical Planning Conference
Wednesdays at 7:00-7:45am
Research Development
Monday/Thursday as needed
Academic Rounds
Fridays 7:30-8:30am
Teaching
Teaching is an integral part of the education program at the Holland Centre. Fellows are expected to assist in teaching residents and students.
Research
There are opportunities to perform research projects in clinical areas at the centre. Fellows are expected to complete at least 1 research project during their fellowship.
Vacation
Fellows are entitled to 20 academic days of vacation per year and 5 educational days to attend academic meetings. All requests for leave must be submitted in writing to Ms. Doris Cheung at least six weeks in advance.
Interview
An interview is required.
Deadline for Application
October 8, 2021
Contact
Website:
http://sunnybrook.ca/content/?page=holland-musculoskeletal-program
Veronica Wadey, BPHE, BEd., MD, MA, FAOA, FRCSC
Fellowship Coordinator-SBHSC/HC Bone & Joint Program
#316-43 Wellesley Street E.
Toronto, ON, M4Y 1H1
Sebastian Tomescu, BSc., MD, MSc., FRCSC
Fellowship Supervisor – HC Arthroplasty Program (effective August 2023)
#343-43 Wellesley Street E.
Toronto, ON, M4Y 1H1
Toronto Western Hospital (UHN)
Number of Positions
4 per year
Duration
1 year
Site
Toronto Western Hospital
Supervisors
The purpose of the fellowship program is to provide a broad exposure to all aspects of adult reconstruction of the hip and knee. This includes primary and revision hip and knee arthroplasty, as well as the management of periprosthetic fractures. The annual case volume is around 1500 joint replacements a year. There is also an active community trauma program, which provides fracture care to our local community.
Fellows will have exposure to a range of surgical approaches including muscle-sparing hip arthroplasty, as well as navigation and robotic-assisted adult reconstruction techniques. Our Division is a leader in integrated and condition-centered care, and fellows can additionally expect to gain experience with non-arthroplasty management of hip and knee arthritis.
The fellowship follows a mentorship model where each fellow is assigned to an attending surgeon’s service for 3 months. They will be involved in the clinical activities of that staff person including seeing elective ambulatory patients, running the fracture clinic and assisting in the operating room for both elective and emergency cases.
Fellows are required to provide on call coverage and one fellow will be on call whenever an arthroplasty surgeon is on call.
The UHN is a pioneer in many areas of information technology in medicine. All order entry and record management is electronic. Proficiency in computer use will be an asset for the fellow. All fellows will undergo training, at the UHN, for its information management system and will be expected to use this skill in daily clinical work.
The fellowship program includes a robust, structured didactic program including on site clinical conferences and teaching rounds led by the fellowship faculty, as well as participation in city-wide and University programming.
Our Division is part of the Schroeder Arthritis Institute at UHN, one of the largest Arthritis research programs in North America. There is ample opportunity for engagement in research, and fellows are expected to produce a publication-quality research project by the end of the year. The areas of research include epidemiology, health services, outcomes measures in arthroplasty, orthopedic education, as well as basic and translational research.
Application Deadline
December 1 (18 months preceding the fellowship start date)
How to Apply
Canadian and International applicants should apply directly to the program by email at orthofellowships@uhn.ca
American applicants must apply through the SF Match (www.sfmatch.org)
Contact
Fellowship Director:
Dr. Michael Zywiel
Program Coordinator:
Allison Tremblay
orthofellowships@uhn.ca
Please visit our website at Orthopedic Surgery (uhn.ca)
