Unity Health Toronto (UHT) Hospitalist Fellowship

OVERVIEW OF THE FELLOWSHIP: The Unity Health Toronto Hospitalist Fellowship Program is a unique 12-month competitive training opportunity for both Canadian and International physicians who are graduates of a residency program in Family Medicine, Internal Medicine, Emergency Medicine, or Anesthesia to acquire advanced skills in the management of complex, hospitalized medical patients. In addition to caring for acutely-ill patients affected by multi-system disease or presenting with undifferentiated problems, excellence and compassion in treating inner city patients will be a focus. This includes the pharmacologic treatment of substance misuse and addictions, advanced discharge planning and mobilization of community supports for those experiencing homelessness, culturally-sensitive care, assessment and management of the frail elderly, and more. Trainees will have access to distinct learning by faculty who are experts in their field and will receive ample protected time and strong faculty mentorship for education, research, quality improvement, and leadership endeavors. Graduating fellows will have the necessary skills, experience, and confidence to practice independently anywhere in the world and will be highly sought after for permanent hospitalist positions in a faced-paced, diverse health care settings that may include urban, community, or rehabilitation sites.

WHO SHOULD CONSIDER THIS FELLOWSHIP: This fellowship would be of benefit to physicians in practice or residents approaching graduation who are planning on working as a hospitalist anywhere in Canada and are seeking additional training in caring for complex medical inpatients. Fellows must be graduates from a recognized residency program in Internal Medicine, Family Medicine, Anesthesia, or Emergency Medicine. Relevancy and dates of most recent clinical practice will be considered as part of the selection process.

FORMAT OF THE FELLOWSHIP: This is a 12-month, hospital-based fellowship focused on experiential learning that is supplemented by a strong, formal education curriculum. Ten months are spent on core rotations, 1-2 months are dedicated to elective rotations, and at least 20 half-days are protected for independent, scholarship endeavors. The core rotations include learning on the general medical ward, the Emergency Room, the rapid referral medicine ambulatory clinic, and on a variety of in-patient specialties such as cardiology, neurology, and geriatrics. St. Michael’s Hospital, the primary training site, is a busy urban center in downtown Toronto, well-known for its focus on the care of patients with marked social inequities and multiple, advanced medical illnesses.  The hospital provides care to the largest number of unhoused individuals in the GTA. The population it provides care for reflects the diversity of the local population and includes a large number of Indigenous community members. A broad range of specialties are represented, many of which are not available elsewhere in the city. For example, the gastroenterology service provides an innovative therapeutic endoscopy focus, the respirology inpatient ward is the only one in Toronto that cares for both general respirology and cystic fibrosis patients, the geriatric inpatient unit is the only one led by geriatricians, and the Addictions Consult team provides round-the-clock support of hospitalized patients, including cutting-edge pharmacotherapy options and a well-developed ambulatory program. Fellows will also spend time at Providence Healthcare, focusing their learning on issues relevant to rehabilitation, palliation, long-term care, and community outreach settings.

EDUCATION CURRICULUM: In addition to an emphasis on teaching related to the care of patients, fellows will partake in an education “boot camp” early in training to ensure they are prepared to meet the urgent demands of their patients. The program will also protect time for fellows to partake in the robust residency teaching sessions that are part of the core rotations and make available a series of self-study modules on a breadth of topics followed by small-group, facilitated learning by an expert faculty for consolidation of key concepts.

CALL REQUIREMENTS: Fellows will be responsible for no more than two (2) in-house overnight call shifts or 2 weekend-day call shifts per month. Careful attention has been given to ensure that the nature of the call requirements enhance the fellows’ training experience and that fellows are appropriately supported.

START DATE OF FELLOWSHIP: At the start of July and January each year. For 2022 and 2023, start dates are July 1, 2022, January 3, 2023, and July 1, 2023.

APPLICATION REQUIREMENTS AND DEADLINES: The deadline for the July 1, 2022 start date is December 16, 2021 and for January 3, 2023 is May 25, 2022. Interested applicants should contact Dr. Katina Tzanetos at Katina.Tzanetos@unityhealth.to to ensure they meet the application criteria and that submitted documents have been received. Applicants are required to submit the following by the deadline: A letter of intent summarizing their relevant medical background including nature and dates of most relevant patient care experiences, an updated CV, 3 letters of reference, and copies of in-training evaluations received within the previous 3 years. Applicants who are currently in training or graduated within the previous 3 years must also include a letter from their Program Director. All fellows are required to have completed the Medical Council of Canada (MCC) Part I Examination. Successful applicants will be notified about an interview to take place on December 16, 2021 and June 8 2022.

Unity Health Toronto invites applications from all qualified individuals. We are strongly committed to employment equity, diversity, and inclusion in the workplace and encourage applications from Black, racialized/visible minority and Indigenous/Aboriginal people, women, persons with disabilities, and 2SLLGBTQ+ persons. All qualified candidates are encouraged to apply; however, in accordance with Canadian immigration requirements, Canadian citizens and permanent residents of Canada will be given priority. Unity Health Toronto will provide support in its recruitment processes to applicants with disabilities, including accommodation that takes into account an applicant’s accessibility needs. If you require accommodation during the interview process, please contact Dr. Katina Tzanetos at katina.tzanetos@unityhealth.to.

NUMBER OF SPOTS: Ten fellows/year (10/year) for 2022-2023 and Fifteen fellows/year (15/year) thereafter.

COMPENSATION: $90,000/year inclusive of salary and benefits.