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St. Michael's Hospital International Fellowship
The St. Michael's Hospital International Fellowship in Adult Critical Care Medicine is an intensive one‐year clinical fellowship in critical care medicine.
The fellowship program is offered initially as a one-year program but can be extended to two or three years. This is at the discretion of the site fellowship directors and subject to the performance of applicants and their educational goals.
Our Program graduates approximately 15 international critical care medicine fellows every year.
All fellows are enrolled as full-time postgraduate students at the University of Toronto, Temerty Faculty of Medicine, and upon successful completion, our fellows are awarded certificates from both the University and the Interdepartmental Division of Critical Care Medicine.
The duration of the fellowship can be spent in the trauma/neurosurgery ICU, the medical-surgical ICU, or a combination of both. Each unit has its own subspecialized area of critical illness.
Fellows have access to multiple learning opportunities including:
City-wide lectures offered by the Interdepartmental Division of Critical Care Medicine (e.g., visiting professor rounds, physiology rounds, Alliance Day, Art Slutsky Day
Weekly academic half-day delivering a formal educational curriculum to fellows training in a University of Toronto affiliated critical care program
Mechanical ventilation rounds
Critical care ultrasound training
Journal clubs
Neurocritical care training (including the Emergency Neurological Life Support certification and the Global Neuro Neurotrauma Diploma)
Antimicrobial stewardship rounds
Morbidity and mortality meetings
Dedicated Critical Care Canada Fellows Day at the Critical Care Canada Forum
The Medical Surgical Intensive Care Unit (MSICU) is a 27-bed ICU which sees a wide breadth of medical and surgical cases with specialties in advanced ventilatory support and inflammatory response of sepsis. Two consultants staff the unit each week. The MSICU provides conventional and non-conventional ventilatory support, plasmapheresis and multiple types of dialysis including intermittent hemodialysis, SLED and CRRT. The unit regularly admits a wide variety of patients including those with ARDS, post-cardiac arrest, intoxication, acute renal failure, sepsis, complex general surgery, interventional gastroenterology, neurological diseases, including stroke requiring thrombolysis and endovascular treatment, and patients requiring acute plasma exchange.
The Trauma-Neurosurgery ICU (TNICU) is a 19-bed unit caring for critically ill trauma and neurosurgical patients. It is one of two Level I adult trauma centres serving the Greater Toronto Area. From a neurosurgical perspective, the TNICU is very high-volume centre for traumatic brain injury and subarachnoid hemorrhage. Patients undergoing complex interventional neuroradiology procedures are also admitted to the unit. Fellows will develop expertise in multimodal neuromonitoring, including intracranial pressure and brain tissue oxygenation monitoring and transcranial doppler. The unit is also equipped with a portable MRI.
Critical care fellows act as junior consultants and are directly responsible for the care of critically ill patients admitted to the ICUs and deteriorating patients in the emergency department and wards. They also provide supervision to junior residents from a wide-variety of disciplines rotating through the ICUs. Fellows are involved in daytime and nighttime clinical coverage, and they are provided time for wellness and scholarly work.
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OUR HOSPITAL
St. Michael's Hospital, located in the heart of Toronto, stands as a cornerstone of healthcare excellence and compassion. As a leading academic health science center affiliated with the University of Toronto, St. Michael's is renowned for its commitment to providing outstanding patient care, conducting cutting-edge research, and shaping the future of medical education.
Founded in 1892 by the Sisters of St. Joseph, the hospital has evolved into a world-class institution, serving a diverse and dynamic urban community. St. Michael's is known for its focus on critical care, trauma services, cardiovascular care, and urban health.
The hospital's commitment to innovation is evident in its state-of-the-art facilities and a collaborative approach that brings together a multidisciplinary team of healthcare professionals. St. Michael's Hospital embraces a patient-centered philosophy, ensuring that individuals receive not only advanced medical treatments but also personalized care that addresses their unique needs.
In addition to its clinical expertise, St. Michael's plays a pivotal role in advancing medical knowledge through research initiatives. The hospital is a hub for groundbreaking studies, contributing to advancements in healthcare on both a local and global scale.
With a rich history, a commitment to community health, and a focus on excellence in patient care and research, St. Michael's Hospital continues to be a beacon of hope and healing in the heart of Toronto.
THE UNIVERSITY OF TORONTO
The University of Toronto, situated in the heart of Canada's largest city, was established in 1827 and it has evolved into an internationally recognized leading academic institution renowned for its commitment to excellence in education, research, and innovation.
Comprising three campuses—St. George, Scarborough, and Mississauga—the University of Toronto offers a diverse and vibrant academic environment. Its faculty members, many of whom are leaders in their respective fields, contribute to a rich tapestry of knowledge dissemination and discovery. The university's academic programs span a wide range of disciplines, providing students with opportunities for interdisciplinary learning and collaboration.
The institution's commitment to diversity and inclusivity is reflected in its student body, faculty, and programs. The University of Toronto fosters a dynamic and inclusive community where different perspectives are valued, contributing to a robust and enriching learning environment.
The Temerty Faculty of Medicine at the University of Toronto is committed to shaping the future of healthcare through cutting-edge research, innovative education, and the development of compassionate, skilled medical professionals. As one of the top-ranked medical schools globally, it attracts exceptional students and faculty members who contribute to its reputation for excellence in medical education and research.
With state-of-the-art facilities, world-class faculty, and a commitment to diversity and inclusion, the University of Toronto's Temerty Faculty of Medicine stands as a beacon of excellence in medical education and research. Graduates emerge not only as skilled practitioners but as leaders poised to make significant contributions to the advancement of healthcare on a global scale.
THE UNIVERSITY OF TORONTO - INTERDEPARTMENTAL DIVISION OF CRITICAL CARE
The Interdepartmental Division of Critical Care Medicine (IDCCM) at the University of Toronto is a leading academic center dedicated to advancing the field of critical care medicine through education, research, and clinical excellence. As an interdisciplinary division, it collaborates across various medical specialties to foster innovation and comprehensive understanding of critical care.
With a commitment to training the next generation of healthcare professionals, the IDCCM plays a pivotal role in shaping the curriculum and educational initiatives related to critical care medicine at the University of Toronto. The division offers a diverse range of programs, including fellowships and training opportunities, ensuring that medical professionals receive top-tier instruction in this specialized field.
Research is a cornerstone of the IDCCM's mission, with faculty members actively engaged in groundbreaking studies aimed at improving patient outcomes and advancing critical care practices. The division's contributions to research not only expand the knowledge base in critical care but also influence global standards of care.
The IDCCM's clinical activities are integrated with affiliated hospitals, including St. Michael's Hospital, creating a dynamic environment where cutting-edge research informs patient care. This collaborative approach enhances the division's ability to address complex medical challenges and deliver the highest quality critical care to patients.
The Interdepartmental Division of Critical Care Medicine at the University of Toronto stands as a hub of excellence, playing a pivotal role in shaping the future of critical care through its commitment to education, research, and clinical innovation.
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Our interdisciplinary attending physician group stands at the forefront of critical care, specializing in mechanical ventilation, weaning, sepsis, and neurocritical care. Our Faculty offer invaluable mentorship that extends beyond clinical training, encompassing the realms of research, education, and quality improvement.
Our interprofessional team includes nurses and nurse practitioners, respiratory therapists, dieticians, pharmacists, speech-language pathologists, physiotherapists, occupational therapists, social workers, spiritual care specialists, ethicists and more. They collaborate to deliver comprehensive and patient-centered care. This collaborative approach ensures that our patients receive not only the highest level of medical expertise but also the holistic support necessary for their well-being.
Our commitment to mentorship extends to the entire interprofessional team, fostering a culture of continuous learning and professional development. This collaborative synergy among physicians and allied healthcare professionals defines our dedication to excellence in critical care, ensuring that our patients receive the best possible care across all dimensions of their health.
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OUR CITY
Toronto, the largest city in Canada, is a vibrant city known for its cultural diversity, economic vitality, and iconic skyline. Nestled on the shores of Lake Ontario, Toronto serves as a dynamic hub for finance, business, arts, and education. Residents come from all parts of the world. According to the 2016 Canadian Census, visible minorities make up the majority of the population. In 2016, over 46% of the city's population were immigrants. These individuals came from a wide range of countries, contributing to the cosmopolitan character of the city. More than 160 languages are spoken. English is the most widely spoken language, but significant populations also speak languages such as Mandarin, Punjabi, Tagalog, Italian, Tamil, Spanish, Urdu, and many others. The city's multicultural fabric is reflected in its neighborhoods, each offering a unique blend of cuisines, languages, and traditions. The city hosts a rich tapestry of cultural events, festivals, and a thriving arts scene, including theaters, galleries, and music venues.
Gallery Project
The photos below were submitted by fellows & staff in an effort to showcase their favorite aspects of the city. A special thank you to everyone who submitted content!
