University of Toronto Respiratory Medicine

Programme Director Jae Yang

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

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

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

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…

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

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

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

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

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

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

Journal Club - June 2011

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

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

Collegiality

CanMEDs Weekend

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

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

Vancouver 2010

Up and Coming… EBUS ▫ St. Michael’s Hospital

And more… More information on programme website ▫ Chief Resident ▫ PGY-4 Representative ▫ Questions…?