1. University of Toronto Respiratory Medicine

3. Programme Director • Jae Yang

4. Training Programme • Individualized, flexible, to attain the trainee’s career goals • 2 year program • Typically 5-7 fellows per year • 8 academic hospitals • Opportunities to work in affiliated community hospitals • E.g. Credit Valley, Toronto East General, Etobicoke General • Flexible elective rotations

5. Training Program • Procedural experience in bronchoscopy, transbronchial lung biopsies, thoracenteses, chest tubes, EBUS • 2 months of dedicated physiology teaching • 2-year protected teaching half-day • Once monthly Journal Club • Chest Radiology monthly sessions • Longitudinal half-day clinic in second year • Preparation for Royal College Exam

6. Mandatory Rotations General Respirology • UHN (Toronto General, Toronto Western, Princess Margaret) • 2 months ward • 1 month clinic • PH, ILD, Transplant, TB/NTM • Mt. Sinai • St Michael’s Hospital • 1 month ward • 1 month clinics • CF, TB, HIV, HHT • Sunnybrook Hospital • 2 months ward, clinics • Pleural diseases, ALS, oncology • Women’s College Hospital • No longer a mandatory rotation Other Rotations • Critical Care Medicine • 2 months at SMH or UHN • Pulmonary Rehab and TB • West Park Hospital • Thoracic Surgery • St Joseph’s Hospital • Oncology (medical and radiation) • Princess Margaret Hospital • Sleep Medicine • Lung Transplant • Toronto General Hospital • Physiological Testing

7. Elective Rotations • Community Respirology • Research • Chest Radiology • Chest Pathology • Adult Cystic Fibrosis • Pulmonary Hypertension/Interstitial Lung Disease • Occupational Lung Disease • Allergy/Immunology • Hereditary Hemorrhagic Telengiectasia • Asthma and Airways • Venous Thromboembolism • Pediatric Respirology • International Elective*** • And more…

8. Introduction to Respirology • First week of residency • All Ontario residents meet in Toronto for a 1 week course • Review lectures on various respiratory diseases and processes • Includes a full day Intro to Bronchoscopy course

9. Bronchoscopy Crash Course • U of T course now open to all Ontario Respirology residents • Full day of bronchoscopy simulation

10. Introduction to Pulmonary Physiology • PFTs, 6MWT, Methacholine Challenge testing • Seminars

11. Rounds, Rounds, Rounds… • Grand Rounds (city-wide) • Research Rounds • Visiting Professor Rounds • Site-based Rounds • Combined Respirology-Radiology-Pathology rounds • Weekly lunch rounds • Radiology rounds

12. Academic Half Day • Every Wednesday afternoon • Excellent presentations held by local faculty from various sites • Each fellow will usually present once during the year

13. Journal Club • Monthly supper to discuss current literature • Excellent and incomparable critical appraisal teaching held by Dr. Matthew Stanbrook • Great discussion, food and wine!

14. Journal Club - June 2011

15. Radiology Sessions • NEW THIS YEAR!!! • Once a month sessions on approach to reading CXRs and chest CT • Focus on Respirology Royal College preparation • Each session run by different staff member • Allow you to meet various faculty members and interact with your fellow residents

16. Events • Welcome Dinner • CanMEDs Weekend • Annual Day in Respirology Update Course (really good, and free too) • Holiday parties • Niche suppers (Pulmonary Hypertension, Alpha-1-antitrypsin deficiency, etc.) • Respirology Research Day • Residents Symposium at Better Breathing

18. Collegiality

19. CanMEDs Weekend

20. CanMEDS Weekend • All Ontario Respirology residents and PDs • Career planning sessions • Starting an office • Tax planning • Billing • Hands-on Workshops • EBUS • Pleural U/S • Chest tubes • Evening competition • Pictionary • Jeopardy

21. Conferences • CHEST (ACCP) • Better Breathing (Ontario) • Canadian Respiratory Conference • ATS

22. Vancouver 2010

23. Up and Coming… • EBUS • St. Michael’s Hospital

24. And more… • More information on programme website • www.utoronto.ca/respirology • Chief Resident • puja.sahni@utoronto.ca • PGY-4 Representative • rebecca.colman@gmail.com • Questions…?