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University of Toronto - Adult Gastroenterology - Toronto

2018 R-1 Main Residency Match - first iteration
Competitive Stream for All

Last approved on July 18, 2018

Approximate Quota:

 4 

Accreditation status : Accredited

Provincial Criteria


Dr. Samir Grover
Division of Gastroenterology 
St. Michael's Hospital 
30 Bond Street
Toronto, Ontario, M5B 1W8
(416) 946-0497
(416) 864-5628
Departmental Website, University of Toronto -- Gastroenterology
Division of Gastroenterology, University of Toronto

Program Contacts

Please direct all inquiries to the Program Coordinator, as per below.
Ms. Heather Johnston
Program Coordinator
programs.gin@utoronto.ca
(416) 946-0497


Important Information

The Faculty of Medicine at the University of Toronto is the largest research entity in Canada, and one of the largest in North America, with award-winning faculty. It constitutes a powerhouse of research and education and offers tremendous opportunities for collaborative and innovative interdisciplinary research, teaching and scholarship as well as the excitement of working with diverse populations. 

The Department of Medicine is one of the oldest and largest in North America, with approximately 600 postgraduate trainees and fellows in internal medicine and its subspecialties. Education is central to the overall mission of the Department of Medicine.

Eligible candidates are those who qualify for Ontario Ministry of Health funding as a PGY4-5. Please direct emails to the Program Coordinator.

International Medical Graduates are eligible to apply. Please visit the Provincial Eligibility Guidelines for Ontario (on the CaRMS website). All eligible candidates who are interested in Gastroenterology are invited to apply.

Applicants must be able to start training on July 1, 2019.

 

If you have also applied to the U.S match through the National Residency Matching Program (NRMP), please be advised that the University of Toronto is a participating institution and adheres to the match policy. The policy states that "Applicants who have matched to a program or have accepted a position during the Supplemental Offer and Acceptance Program (SOAP), shall not apply for, discuss, interview for, or accept a concurrent year position in another program prior to the NRMP granting the requested waiver." More information is accessible at http://www.nrmp.org/wp-content/uploads/2017/06/2018-MPA-Specialities-Matching-Service.pdf


Return of Service

RETURN OF SERVICE FOR IMGS

All IMGs will be required to sign an IMG Training Agreement with the Ontario Ministry of Health and Long-Term Care that requires the IMG to return service for a period of five years upon completion of their training in their area of specialty (including Family Medicine). This ROS commitment can be fulfilled anywhere in Ontario with the exception of the following communities: The City of Ottawa, The Greater Toronto Area including the City of Toronto, Mississauga, Brampton, Vaughan, Markham and Pickering.

IMGs with pre-existing ROS obligations must disclose these obligations at time of application. IMGs that have active ROS obligations may not be eligible for Ontario-funded training positions. Such individuals should contact the ministry for further information.

The ROS commitment to Ontario must commence within the timeframe set out in the individual’s IMG Training Agreement with Ontario Ministry of Health and Long-Term Care. The location where the IMG returns service must be approved by the ministry as per the terms of their IMG Training Agreement.

For further information concerning return of service, contact:

Return of Service Program

Provider Registry Unit

Claims Services Branch

Ministry of Health and Long-Term Care

PO Box 68

Kingston, ON K7L5K1

Ministry of Health and Long-Term Care

Email:  ROSContact@ontario.ca

Website: http://www.health.gov.on.ca/en/pro/programs/rlirp/service.aspx  

 

Any candidate with a ROS commitment in any jurisdiction or the Canadian Forces must declare it on his/her application.

Any candidate with a ROS commitment in another jurisdiction must submit an undertaking from his/her provincial government/Health Care Authority or other entity that the entity will permit the candidate to complete his/her ROS in Ontario before beginning the ROS in the other jurisdiction. Candidates with a ROS commitment to the Canadian Forces should contact the Ministry’s Program Officer.

Any candidate with a ROS commitment in another jurisdiction must submit a undertaking that he or she will complete his/her ROS in Ontario before beginning the ROS in the other jurisdiction. Candidates with a ROS commitment to the Canadian Forces should contact the Ministry’s Program Officer.


General Instructions

Program application language: English


Supporting Documentation

Reference documents

Required

Number requested: 3
Number requested: 1

Reference letter Number of letters: 3 minimum to 5 maximum

Please give some thought to your selection of referees. They should know you well and be in a position to comment on your clinical skills, knowledge and interpersonal skills. They should be able to compare your performance to the expected standard for your level, or other residents they have worked with. We prefer letters from teaching faculty with actual clinical exposure to the applicant. One letter must come from your current Program Director.

Required

Canadian Citizenship [Document must be notarized/certified]
Submit one of the following documents to verify your citizenship.

• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Permanent Resident Card (both sides of card)

Must be a Canadian Citizen/Permanent Resident and must submit one of the identified verifications to CaRMS by the Rank Order List deadline.  (Photocopies acceptable).  No other forms of verification are acceptable.

 

 

 

 

Medical School Diploma 

Custom Résumé / CV 

The curriculum vitae should include all peer reviewed manuscripts and abstracts in training to date, as well as a chronology of training and work experience, including start and end dates accurate to the month. 

Photo  [Note: Photograph is used as memory aid only]

Personal Letter 

The personal letter (500 word maximum) specifically is throroughly evaluated by the program and should be a well-written letter addressed to the program director, clearly outlining the following: reasons for application to a postgraduate training program in gastroenterology, career goals in gastroenterology, and academic career goals in general. Applicants should be cognizant of the program's goal to train academic gastroenterologists and academic work to date should be emphasized in both the personal letter and the curriculum vitae.

Additional required IMG documents

Language Proficiency
Submit one of the following documents to verify your language proficiency.

• IELTS
• Letter of language proficiency
• TOEFL - iBT

Must provide proof of English or French language proficiency through ONE of the following:

  1. International English Language Testing System (IELTS) with a minimum score of 7 in each component, OR
  2. TOEFL-Ibt – passing score of 93 including a minimum score of 24 on the speaking section, OR
  3. A pass result in the French proficiency test administered by the Collège des Médecins du Québec,

OR

Candidates for whom their primary and secondary, or medical school education was conducted in English or French, the Ontario medical schools will accept Language Proficiency Attestations as follows:

  1. Primary and Secondary Education: Mailed directly from the Senior Academic Administrators of both schools to the program confirming that all of the candidate’s primary and secondary education was conducted completely in English or French.
  2. Medical School: Mailed directly from the Dean of the candidate’s medical school confirming that the language of instruction and patient care was conducted completely in English or French OR
  3. World Directory of Medical Schools Language Option - If the instruction and the language of patient care at the undergraduate medical school was conducted completely in English or French, then a candidate can submit to the Program a copy or printout of the World Directory of Medical Schools website listing the medical school which clearly states that the language of instruction is English or French.

MCCEE - Statement of Results 

MCCEE Statement of Results is a requirement for International Medical Graduates.

 

MCCEE - Supplemental Information Report 

MCCEE Supplementary Feedback Report is a requirement for International Medical Graduates.

 


Review Process

Applications submitted after file review has opened on November 21, 2017


Supporting documents (excluding letters of reference) that arrive after file review has opened  on  November 21, 2017


Letters of reference that arrive after the unmasking date on November 28, 2017


It is expected that the requested mandatory documents will available at the time of file review opening. These documents are distributed to reviewers shortly after the CaRMS system opens for program review. Any applications missing these required documents will be considered incomplete.

Any documents which are received subsequent to the closure of the CaRMS application system will not be considered.


Interviews

Interviews will occur on MONDAY, OCTOBER 1, 2018.

The Program Coordinator will contact applicants who are selected for an interview via email. Interview times and location details will be provided at that time.

Application files are reviewed by the program director and members of the Selection Committee on the basis of the application package including the personal letter, curriculum vitae, and reference letters. The personal letter specifically is throroughly evaluated by the program and should be a well-written letter addressed to the program director, clearly outlining the following: reasons for application to a postgraduate training program in gastroenterology, career goals in gastroenterology, and academic career goals in general. Applicants should be cognizant of the program's goal to train academic gastroenterologists and academic work to date should be emphasized in both the personal letter and the curriculum vitae. The curriculum vitae should include all peer reviewed manuscripts and abstracts in training to date.

Interviews will consist of standardized questions regarding knowledge, attitudes and skills of relevance to gastroenterology. Additional information regarding the interview process will be provided to shortlisted candidates.


Selection Criteria

Candidates will be selected based on:

  1. A complete file review:
    1. Academic potential as ascertained from research and other academic work to date
    2. Curriculum vitae
    3. Personal Letter
    4. Clinical ability as reflected in reference letters
  2. Impression at interview
  3. Candidates should be cognizant of the program's goal to train academic gastroenterologists.


Program Highlights

UNIVERSITY OF TORONTO GASTROENTEROLOGY RESIDENCY TRAINING PROGRAM

The University of Toronto Gastroenterology Residency Program is an accredited two year training program leading to certification by the Royal College of Physicians and Surgeons of Canada (RCPSC) in gastroenterology. The program provides trainees with outstanding clinical and research training for the purpose of developing future leaders in academic gastroenterology.

DIVISION OF GASTROENTEROLOGY

The University of Toronto's Academic Hospital Network consists of five fully affiliated teaching hospitals: Mount Sinai Hospital, St. Michael's Hospital, Sunnybrook Health Sciences Centre, University Health Network and Women's College Hospital. The faculty is the largest in Canada and consists of 47 full-time gastroenterologists and hepatologists. The University has a lengthy history of excellence in research and education in gastroenterology, with large scale research programs in liver disease, inflammatory bowel disease, therapeutic endoscopy, endoscopic education, nutrition, and hepatic transplantation, among many others. 

STRUCTURE OF RESIDENCY TRAINING PROGRAM

The University of Toronto's gastroenterology residency program has an overall goal to provide a scholarly training environment for residents to develop into academic subspecialty consultants, clinical investigators or clinical gastroenterologists. The program is designed for residents to learn the appropriate medical expertise and endoscopic skills in the field of digestive diseases, and to develop the communication and leadership skills and professional attitudes necessary to function as skilled expert subspecialists. The program director is Dr. Samir C. Grover, a clinician-educator with expertise in designing gastroenterologic curricula, and an expert in endoscopic education and assessment.

Residents rotate through clinical rotations at the teaching hospitals listed above. Several teaching hospitals are tertiary referral centres for digestive disease in Ontario, giving trainees the opportunity to participate in the management of challenging and complex gastrointestinal conditions. Residents participate as junior consultants in the care of patients with gastroenterologic illness, lead the consultation teams at the teaching hospitals, and perform endoscopies under the supervision of an attending with expertise in endoscopic education. The curriculum involves graded entrustability in professional activities commensurate with the Royal College of Physicians and Surgeons' Competence By Design initiative. Dedicated rotations in hepatology (based at the Francis Family Liver Clinic at University Health Network), inflammatory bowel disease (based at Mount Sinai Hospital), therapeutic endoscopy and pancreatic diseases (based at St. Michael's Hospital) and motility (based at Toronto Western Hospital) build upon core rotations in gastroenterology based at Sunnybrook Hospital. During the training program, all residents maintain a longitudinal clinic experience.

Endoscopic training begins with the University of Toronto Endoscopic Simulation Course, an award-winning three-day comprehensive simulation course in July of the PGY-4 year, where trainees will learn to master endoscopic procedures in the virtual reality environment prior to beginning clinical rotations.

In addition to providing outstanding clinical training, we aim to provide the scientific foundation necessary to foster the development of our residents into independent and productive academic gastroenterologists. This occurs through a detailed and comprehensive didactic and integrative academic education program, attachment to a research project in the PGY-4 year, a formal clinical and research mentorship program, and a curriculum in quality improvement. Trainees interested in pursuing graduate studies during residency are strongly encouraged to apply to the Eliot Phillipson Clinician-Scientist and Clinician-Educator training programs (http://www.deptmedicine.utoronto.ca/eliot-phillipson-clinician-educator-training-program).

Up to four blocks of elective and community opportunities are available additionally. Community training sites include North York General Hospital, St. Joseph's Hospital, The Scarborough Hospital and Credit Valley Hospital.


Program Curriculum

This residency program is for 2 year(s)

Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.

The Residency program is a two-year program consisting of 13 blocks per year. The curriculum of the program is aligned with the Competence by Design initiative of the Royal College of Physicians and Surgeons as below:

Transition into Discipline: 2 blocks of gastroenterology at a core academic hospital

Foundations: 6 blocks of luminal gastroenterology at one site, with UHN, SHSC or SMH.

Core: This stage will take place during the last 5 blocks PGY4 and initial 11 blocks of PGY5 year.  Core rotation are luminal gastroenterology, 3 blocks of hepatology (including liver transplant), 2 blocks of community rotations, 1 block in inflammatory bowel disease and 3 blocks of research and electives.

Transition to Practice: The trainee will be assigned to a multi-site ambulatory care rotation at a core hospital.

 

Academic program:

Trainees are enrolled in a comprehensive academic program. There are also a number of site-specific weekly seminars, including pathology rounds, quality improvement rounds, journal club rounds, GI-general surgery rounds, and city wide rounds. Trainees attend the Canadian Association of Gastroenterology Gastroenterology Resident-In-Training (GRIT) program, the University Health Network's Hepatology Update, and St. Michael's Hospital's Therapeutic Endoscopy course. Trainees are encouraged to attend international academic conferences including Digestive Disease Week and the Liver Meeting.


Training Sites

Clinical rotations are located at the following core academic teaching hospitals:

Mount Sinai Hospital (MSH)

St. Michael’s Hospital (SMH)

Sunnybrook Health Sciences Centre (SHSC)

University Health Network (UHN) -- consisting of rotations based at Toronto General Hospital (TGH) and Toronto Western Hospital (TWH)

Women’s College Hospital (WCH)



Community affiliated sites offering gastroenterology electives are the following:

Credit Valley Hospital

North York General Hospital

The Scarborough Hospital

St. Joseph's Hospital


FAQ

Q: What qualities does your program look for in a potential resident?
A:
Interested applicants should be excellent clinicians who are interested in academic careers in gastroenterology. Candidates should be highly motivated and intellectually curious, and equipped with the management skills and work ethic for a very busy Residency Program. 

Q: Do I need to do an elective at the University of Toronto to enhance my profile as a candidate?
A: We recognize that residents cannot do electives at all universities. We recommend at least one Gastroenterology elective (minimum 4 weeks), in order that the candidate has a clear understanding of what a career in Gastroenterology entails. A local elective is not necessary to apply to our program.

Q: Does participation in research projects make me a more competitive candidate?
A: Yes, as does academic productivity in the form of abstracts, manuscripts, development of education programs, quality improvement initiatives, and other creative professional activities. Academic productivity to date should be emphasized in applicant CVs and personal letters.

Q: How do you provide ongoing evaluation feedback to residents?
A: The Division of Gastroenterology provides both formal (summative and formative) and informal feedback to residents, and recognizes this as important in promoting trainees through the program. Residents receive formal feedback through various evaluation formats. Some of these include:

  • End-rotation evaluation – completed by the site director or rotation supervisor at the end of each one or two block rotation.
  • In-training exams annually
  • Endoscopic evaluation using the GIECATtool

The Program Director meets individually with residents on a semi-annual basis. Residents also select a formal faculty mentor for their PGY4 and PGY5 years of training. This mentor provides an additional support to that provided by the Program Director.

Q: What research opportunities are there in your program?
A: A research project is mandatory for all residents. Presentation at the University of Toronto Gastroenterology Research Day is mandatory. Trainees will be attached to a research mentor. A limited amount of guaranteed funding is available for all primary resident research projects. Up to four blocks of research are available in the program. Trainees interested in a career in research are encouraged to apply to the Eliot Phillipson Clinician-Scientist training program.

Q: Is there support to attend scientific meetings?
A: The Division encourages residents to attend various Gastroenterology focused conferences. The program provides each resident with a $1000.00 educational/conference stipend per annum, to assist with covering the cost of travel expenses, accommodates and registration fees.