We have one last-minute opening for this fellowship year. Please see below for details.

ARTHROPLASTY, FOOT & ANKLE, TRAUMA FELLOWSHIP

Duration

1 year

Site

Sunnybrook Health Sciences Centre, Bayview Campus

Supervisors

• Dr. Hans Kreder
• Dr. David Stephen

The lower extremity/trauma Fellowship is a one year clinical fellowship designed to produce academic and clinical leaders in the field of orthopaedic trauma. The clinical exposure consists of two six month rotations with our fellowship-trained orthopaedic trauma surgeons at the University of Toronto.

Sunnybrook Health Sciences Centre is a high-volume, Level 1 trauma hospital with daily orthopaedic trauma and over 800 trauma team activations on an annual basis.

Clinical exposure will consist of pelvic/acetabular trauma, pelvic and acetabular tumour reconstruction and total joint revision, and primary arthroplasty of the hip and knee, as well as poly-traumatized patient care, complex peri-articular trauma, and post-traumatic reconstruction (nonunion/malunion surgery). In addition, each of the fellowship supervisors have active elective surgery practices, and fellows will be exposed to primary and revision hip/knee arthroplasty, as well as lower extremity reconstruction, foot and ankle surgery.

Academic exposure will include participation in divisional and hospital rounds, teaching of residents/medical students, quarterly city-wide orthopaedic trauma rounds, and participation in orthopaedic trauma research.

The University of Toronto is an international leader in orthopaedic trauma research and opportunities for participation in both clinical and basic science research exist, and will be a requirement for fellows.’

Application Requirements

• Completed Application Form
• A letter of intent
• Updated Curriculum Vitae
• 3 letters of reference from orthopaedic surgeons you have trained under

Your appointment is contingent upon being appropriately licensed to engage in clinical activities in the Province of Ontario, upon being granted membership to the College of Physicians and Surgeons of Ontario (CPSO), the Canadian Medical Protective Association (CMPA) and obtaining an OHIP billing number.

Fellowship Objectives

The primary objective of the University of Toronto Orthopaedic Trauma Fellowship is to provide trainees with an advanced level of skill and knowledge in the management of orthopaedic trauma conditions. In addition, advanced knowledge in orthopaedic trauma research and education will be acquired. It is anticipated that fellows graduating from this program will have developed many of the skills and knowledge needed to become academic and clinical leaders in the field of orthopaedic trauma.

• Specific educational objectives include:
• Proficiency in the clinical and radiographic assessment of musculoskeletal injuries.
• Proficiency in the surgical and non-surgical management of pelvic/acetabular trauma, long bone fractures, and complex peri-articular injuries.
• Advanced understanding of the pathophysiology of the multiply injured patient including the indications for damage control surgery and the appropriate timing of definitive orthopaedic management.
• Advanced understanding of the interdisciplinary relationship between various members of the trauma team including general surgery, critical care, anesthesia, neurosurgery, urology, and physical medicine and rehabilitation.
• Proficiency in the techniques of advanced trauma life support (ATLS).
• Proficiency in techniques for treating deep wound and bone infections, as well as segmental bone loss, and nonunion/malunion.
• Proficiency in the techniques for post-traumatic reconstructive surgery, including joint and ligament replacement, augmentation, osteotomy and fusion techniques.
• Advanced knowledge of the principles of biomechanics, biomaterials and bioengineering and how they relate to orthopaedic traumatology and reconstruction.
• Advanced knowledge regarding the performance of clinical research in orthopaedic trauma.

Furthermore, it is expected that individuals completing this fellowship training will be able to:

• Organize and administer an orthopaedic trauma service, and coordinate the activities of the service with other administrative units.
• Establish policies and procedures for the management of orthopaedic trauma patients.
• Appoint, train, and supervise specialized personnel in orthopaedic trauma.
• Teach the specialized body of knowledge required for the comprehensive management of the orthopaedic trauma patients.

On-Call Responsibilities

Fellows are responsible for providing on-call coverage as part of their fellowship activities.

Rounds

Fellows will be required to attend weekly Hospital trauma rounds at their designated sites and quarterly city-wide orthopaedic trauma rounds. Fellows will be strongly 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, and Grand Surgical Rounds.

Research

As part of the University of Toronto Orthopaedic Trauma Fellowship Program, fellows will be expected to complete one clinical or basic science research project. One protected half day per week will be allotted to participate in research. Fellows will be required to present the results of their research project at the annual Division of Orthopaedics Fellowship Research Day. Research projects will be supervised by one of the fellowship supervisors and should be formalized during the early part of the Fellowship.

Teaching

Fellows will be expected to actively participate in the education of orthopaedic residents, medical students and allied health.

Contact

Carolyn Pezzetti, CRM
Administrative Director
Sunnybrook Orthopaedic Associates
Email: carolyn.pezzetti@sunnybrook.ca