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University of Toronto Orthopaedic Surgery Residency Program

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Program Information

Residency Program:

University of Toronto Orthopaedic Surgery Residency Program

Program Director:

Peter Ferguson, MD

Number of Residents:

64

Number of Staff:

64

Accredited:

Accredited

Length of Program:

5 years

Start Dates:

July 1

Program Contact Information

Name:

Peter Ferguson, MD

Address:

University of Toronto
Orthopaedic Surgery
The Banting Institute
100 College Street, Suite 302
Toronto, Ontario M5G

City:

Toronto

State/Province:

Ontario

Zip/Postal code

M5G 1L5

Phone:

(416) 946-7957

Fax:

(416) 971-2800

Email:

orthopaedics.admin@utoronto.ca

Website:

http://www.surg.med.utoronto.ca/ortho/index.html

Program Highlights

Quick Facts

  • An exchange program exists with the Wellington School of Medicine in Wellington, New Zealand. This is a 6-month exchange that takes place in the PGY-3 year. There is also a 3-month exchange program with the Galleazzi Institute in Milan, Italy.
  • At present, there are 64 faculty members with an appointment in the Division of Orthopedics, with 54 residents in the program.
  • Resident in-patient load varies from service to service. Some services, for example, may have no in-patients (sports rotations). The heaviest rotations for in-patient responsibilities are the spine service and the trauma service.
  • There are no mandatory rural rotations; however, we offer an elective rotation in Thunder Bay, which serves as a community orthopedic rotation.

Resources
All hospitals have internet access and many hospitals have subscriptions to electronic journals. All residents are supplied with a University of Toronto e-mail address.

Program Gallery


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Program Curriculum

The University of Toronto Orthopedic Training Program has as its major objective not only clinical excellence, but also academic development. We believe that a formal research experience is an essential component of orthopaedic training and furthers our mandate to train the academic leaders of tomorrow.

To meet these objectives, the program has been reformatted to a 5-year program. There is a year of integrated research and clinical experience that is tailored to the individual trainee's clinical interest and training needs while providing a formal research experience and training. The 12 months of integrated research experience are in biological, biomechanical, educational, or epidemiological areas, under the supervision of one of the members of the orthopedic faculty. This can be expanded to 6 years to achieve a Master's degree (or 7-8 years for a PhD) for those trainees who are interested in an academic surgical career.

All University of Toronto residents entering PGY1 are required to complete the web-based PGCorEd* core competency modules as part of their residency program certification. These modules provide the foundation for the non-Medical Expert roles for the Royal College of Physician and Surgeons of Canada Specialty Programs. Completion of these modules is required before the end of the PGY2 year. Failure to complete the modules will delay processing of Final In-Training Evaluation Reports (FITERs) and may constitute professional misconduct.

PGY-1 and 2
These 2 years of training are "core years." Trainees rotate through a variety of services, including:

  • General surgery
  • Medicine
  • Emergency medicine
  • Surgical intensive care.

During these 2 years, the residents will do 12 months of orthopedic surgery at a junior level, which may include 3 months on pediatric orthopedics, 3 months on a trauma service, and 3 months on elective adult rotations. On the orthopaedic rotations, residents will work one-on-one directly with their staff surgeon and will be given extensive operative experience. Residents may also rotate on plastic surgery (hand), neurosurgery, or vascular surgery. Rotations on rheumatology, radiology and pathology can be arranged.

PGY-3 to 5
During these years, the resident completes his/her senior orthopedic training and will spend three 6-month periods at the adult teaching hospitals and 6 months at the Hospital for Sick Children. Between PGY-3 and PGY-5, residents are exposed to 30 months of adult orthopedics and 6 months of pediatric orthopedics at The Hospital for Sick Children. An intensive exposure to trauma is offered at St. Michael's Hospital and Sunnybrook Health Science Centre, which are the Regional Trauma Centres. An opportunity is available for up to two residents in the PGY-3 year to exchange with a resident from the Wellington School of Medicine, Wellington, New Zealand, for 6 months. A 3-month exchange with Milan, Italy is also available, as is a 3-month elective in Thunder Bay.

The core curriculum consists of 6-9 months pediatric orthopedics, 12 months of trauma, 6 months of arthroplasty, 6 months of spine, 3 months of oncology, and 3 months of arthroscopy. Some of these rotations will be done concurrently while at the trauma hospital, leaving time for electives in the PGY-3 and PGY-5 years.

During the PGY-4 and PGY-5 years, residents log a large volume of surgical cases as primary surgeon, assisted by the staff surgeon or fellow, providing an unparalleled surgical experience in preparation for practice.

Research
All residents are required to participate in research. They participate in a 12-month integrated research rotation. Residents may also participate in the Surgeon Scientist Program, which is an additional year and will lead to a higher degree. Although not required, this program is strongly suggested for those who wish to pursue an academic career.

Early in the PGY-1 year, residents are matched with supervisors in preparation for the integrated research-clinical year in PGY-3. Each year in the fall there is a resident research day in which residents present basic science research. Each year in the spring the PGY-5 residents present their clinical research projects at Kennedy Graduation Day.

Seminars
There is centralized teaching held Fridays from 9-12, which all residents must attend. The teaching consists of a 2.5-year curriculum. There is also a separate curriculum that takes place in the Surgical Skills Centre. Attendance at these sessions is mandatory and all residents are excused from clinical duties for these sessions.

Each hospital runs their own academic program that enriches the central program. The University of Toronto is privileged to have a very frequent program of visiting professors and fellows, which also adds to the academic program.

The curriculum has been redesigned to meet the CanMEDs objectives and is endorsed by the Royal College of Physicians and Surgeons. The University of Toronto fully supports these objectives.

Program Hospitals

  • The Hospital for Sick Children (pediatric orthopedics, regional trauma centre)
  • Mount Sinai Hospital (reconstructive surgery, oncology, sports medicine)
  • St. Michael's Hospital (reconstructive surgery, trauma, upper extremity, spine, arthroscopy)
  • Sunnybrook & Women's Health Sciences Centre (trauma, reconstructive surgery, spine, upper extremity, arthroscopy, sports medicine)
  • University Health Network - Toronto Western Hospital (reconstructive surgery, arthroscopy, sports medicine)
  • Toronto East General (community orthopedics, trauma, reconstructive surgery, arthroscopy)
  • St. Joseph's Health Centre (Community orthopaedics)


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