Trauma and Acute Care Surgery Fellowship

Trauma and Acute Care Surgery Fellowship - Sunnybrook Health Sciences Centre and St. Michael’s Hospital

  • Number of positions: 4
  • Duration: 1 year
  • Type of Fellowship: Clinical; Operative
  • Program: Sunnybrook Health Sciences Centre & St. Michael’s Hospital

Fellowship Director: 

Najma AhmedMD, FRCSC
Division of General Surgery
St. Michael's Hospital  

Trauma Medical Directors:              

  • Avery NathensMD, FRCSC, Division of General Surgery, Sunnybrook Health Sciences Centre 
  • Andrew Beckett, MD FRCSC, Division of General Surgery, St. Michael’s Hospital

Successful completion of the Trauma/Acute Care Surgery fellowship leads to an Areas of Focused Competence (AFC) in trauma general surgery designation (DRCPSC) with the Royal College. https://www.royalcollege.ca/rcsite/specialty-discipline-recognition/categories/discipline-recognition-areas-focused-competence-afc-programs-e

Duration: The University of Toronto offers a one year clinical Fellowship in Trauma and Acute Care Surgery. Successful applicants will rotate through Toronto’s two Level 1 trauma centres: Sunnybrook Health Sciences Centre and St. Michael’s Hospital
www.stmichaelshospital.com  
www.sunnybrook.ca  

Sites: Both St. Michael’s Hospital and Sunnybrook Health Sciences Centre have fully trained academic trauma/acute care surgery/critical care surgeons. The two sites work cooperatively to deliver tertiary and quaternary trauma, emergency and critical care to a catchment area of over eight million people, in addition to serving as the major referral sites for large parts of Northern Ontario. Together, St. Michael’s and Sunnybrook have over 1800 trauma team activations annually, making it the largest trauma program in Canada. Fellows will rotate between the two centres over the course of their Fellowship. 

Responsibilities: Clinical responsibilities will involve leading resuscitations for the injured patient as the Trauma Team Leader, trauma and emergency surgery operative care, and overseeing patient care on a dedicated trauma and acute care surgery service. In addition, the Fellow is expected to be involved in the care of critically ill trauma and acute care surgery patients in either a 17 bed shared surgical intensive care unit (trauma, acute care, neuro-critical care) and 22 bed mixed medical/surgical ICU at St. Michael’s Hospital, or the mixed 20 bed medical/surgical critical care unit and 10 bed trauma/neuro unit at Sunnybrook Health Sciences Centre. 

Fellows are expected to be involved in the teaching of medical students, residents, elective trainees and interdisciplinary staff, as well as presenting at trauma conferences, case teachings, rounds and at point of care. It is expected that fellows will be involved in formal educational programs including ATLS, DSTC, ASSET, Visiting Professorship and Trauma Research in Progress meetings. The trauma surgeons across both sites are involved in a wide variety of research activities ranging from clinical epidemiology, trauma systems, critical care, sepsis, education, simulation and quality improvement initiatives. It is expected that Fellows will complete at least one research project that is presented at an academic meeting during their fellowship. 

Number of Fellowships: The University of Toronto Trauma Program accepts 3-4 well qualified applicants into the fellowship program each year. Certification as Fellow, Royal College of Physicians & Surgeons of Canada (FRCSC) or equivalent training at an accredited training institution in general surgery is required. Fellows will receive full salary support that commensurate with the standard at the University of Toronto. 

The deadline for applications is June 1st for the following July 1st start date. 
Interested candidates should submit curriculum vitae, a letter of intent, a summary of a proposed scholarly or research project, and three letters of reference (that must come directly from their source) to: 

Tammy Kowalyk (tammy.kowalyk@sunnybrook.ca), UofT Trauma, Program Coordinator
Sunnybrook Health Sciences Centre, 2075 Bayview Ave. Toronto, ON M4N 3M5

https://www.royalcollege.ca/rcsite/specialty-discipline-recognition/categories/discipline-recognition-areas-focused-competence-afc-programs-e


Trauma Resuscitation Fellowship- Sunnybrook Health Sciences Centre

  • Number of positions: 1
  • Duration: 1 year
  • Type of Fellowship: Clinical; Non-Operative
  • Program: Tory Trauma Program - Sunnybrook Health Sciences Centre

Fellowship Co-Directors:

  • Luis Teodoro da Luz, MD, Division of General Surgery, Department of Surgery
  • Avery Nathens, MD, FRCSC, Division of General Surgery, Department of Surgery

Trauma Medical Director

  • Avery NathensDivision of General Surgery, Department of Surgery

Target physicians: Those with a background in emergency medicine, anaesthesia, or internal medicine with an interest in trauma, critical care and/or resuscitation medicine. Note that physicians interested in trauma surgery with a background training in general surgery should enquire about our trauma surgery fellowship.

Outline: The Trauma Resuscitation Fellowship is a one-year training program open to qualified physicians who have completed a Royal College of Physicians and Surgeons of Canada (or equivalent) specialty training program in emergency medicine, anesthesia, family medicine with emergency medicine training, or internal medicine. Over the duration of the fellowship, the trainee will have significant exposure to trauma resuscitation and trauma critical care, with additional opportunities in burn resuscitation and pre-hospital medicine. At the end of their training, the Fellow will have acquired the knowledge and skillset to provide care to severely injured/ill patients in a variety of clinical contexts. The fellow will acquire additional skills in education, quality improvement, health system design, and simulation.

Site: The Tory Trauma Program (TTP) at Sunnybrook Health Sciences Centre (SHSC) is the largest Level I Trauma Center and Burn Centre in Canada, with approximately 2000 trauma team activations/year, 4000 critical care admissions/year (106 critical care beds), and 350 burn admissions/year. The TTP provides quaternary care to a catchment area of over 8 million people and serves as one of the major referral sites for large parts of Northern Ontario. The TTP works closely with Ornge, Ontario’s air ambulance system, which is responsible for over 4000 critical care transports per year. SHSC if fully affiliated with the University of Toronto and has a full complement of trainees across several training programs including all surgical specialties, emergency medicine, and anaesthesia.

Responsibilities: The Fellow will be fully integrated within the Tory Trauma Program and will have opportunity for dedicated rotations on the trauma, critical care, and burn services with additional opportunities in pre-hospital medicine. Over the course of their fellowship, the Fellow will function as a trauma team leader and assume responsibility for initial resuscitation and management of critically injured patients. Fellows will be involved in teaching of medical students, residents, elective trainees, and interdisciplinary staff. The Fellow is expected to participate in quality improvement rounds, Trauma Team Video Review (TTVR) rounds, in situ simulations, and other educational opportunities. Fellows will have an opportunity to participate in a variety of structured learning opportunities as a student and if eligible, as an instructor for Advanced Trauma Life Support, Advanced Cardiac Life Support, and courses in POCUS (Point of Care Ultrasound). Fellows are expected to work with mentors to complete at least one research project and one quality improvement project with the goal of presenting in an academic forum. 

Salary: Fellows will receive full salary support that commensurate with the standard at the University of Toronto. 

Deadline for applications is: Interested candidates should submit curriculum vitae, a letter of intent, a summary of a proposed scholarly or research project, and three letters of reference (that must come directly from their source) to: Dr. Luis da Luz (luis.daluz@sunnybrook.ca).