PHYSIATRY FELLOWSHIP INTAKE IS NOW CLOSED FOR 2014-2015
The Division of Physiatry has an active Clinical Fellowship training program. Clinical Fellowships offer advanced clinical training to fill the specific learning needs of the trainee that are framed within the CanMed roles of medical expert, communicator, collaborator, manager, health advocate, scholar and professional. The Clinical Fellowship is an educational experience, but also involves significant patient contact and care provision in an interdisciplinary environment that is supervised by a physician who holds an appointment in the Division of Physiatry. A number of the clinical fellowships provide exposure to clinical research in the field and the opportunity to conduct a clinical research or Quality Improvement Project.
All physiatry fellowship programs provide at least one half day of protected academic time.
There are a limited number of fellowships funded through the Division of Physiatry that are available on a competitive basis. Both Visa and non-Visa applicants are advised to seek funding support from your own institution or government.
The clinical fellowship is a non-accredited program for board certified or board eligible physicians. The Fellowship does not lead to certification by the Royal College of Physicians and Surgeons of Canada (RCPSC). Fellowships that are offered within the Division of Physiatry include Acute Care Rehabilitation, Amputee Rehabilitation, Brain Injury Rehabilitation, Cardiac Rehabilitation, Chronic Pain Management, Musculoskeletal Rehabilitation, Spinal Cord Injury Rehabilitation and Stroke Rehabilitation.
In accordance with Canadian immigration requirements, fellowships are offered initially to Canadian citizens and permanent residents of Canada.
Application Fellowship Deadlines, Selection of Applicants, Start Dates and Duration
Application deadlines for non-Canadian trained applicants are generally June 30 of the year prior to the Fellowship start date. All applications will be reviewed initially by the Fellowship Committee. All applicants who have submitted a complete application package by the due date will be informed of the status of their application. If initial requirements have been met prior to the application deadline and there is a vacant position available, candidates will be contacted for an interview. Applicants will be ranked by at least two (2) faculty members and a decision is made usually by September 30 of the year prior to the start date to ensure sufficient time to process the required documentation. Clinical Fellowships are generally one year in length. Some Fellowships offer two successive 1-year Fellowships, the second year based on successful completion of the first year and funding availability. Fellowships commonly begin July 1st, but the starting date may vary depending on the availability of supervisors and vacant positions.
All applicants must meet the following minimal requirements:
2. Applicants who have not taken at least four (4) years of postgraduate medical training in North America and whose first language is not English or whose medical school degree and language of patient care was in a language other than English must provide proof of minimum scores in language skills before applying to the Fellowship Program. Test results must be current, i.e. within 2 years of application to the fellowship program. The required test is either the Test of English as a Foreign Language (TOEFL) and the Test of Spoken English (TSE) or the TOEFL iBT. The minimum acceptable scores are TOEFL 237, TSE 50, or TOEFL iBT 93 with a minimum score of 24 on the speaking section of the iBT. More information is available at www.ets.org or www.toefl.org
3. Applicants who are neither Canadian citizens nor Permanent Residents of Canada must be eligible for a work permit. Upon approval of your application for a fellowship program, the University of Toronto Faculty of Medicine Postgraduate Medical Education Office (PGME) will undertake the necessary paperwork in support of the work permit. It is advisable to wait for instructions from the PGME before applying for a work permit. Finalization of a work permit/visa can take up to six (6) months from the time your fellowship application is approved and your complete application package is received by the PGME.
4. All applicants must be eligible for an educational license or certificate of registration for Board certified trainees from the College of Physicians and Surgeons of Ontario (CPSO) www.cpso.on.ca
North American trained applicants should contact the CPSO directly for an application package and apply directly to the College upon acceptance into our fellowship program. Training cannot begin without the CPSO certificate.
5. The College of Physicians and Surgeons of Ontario (CPSO) now require that all international medical graduates (IMGs) must obtain source verification of their medical degree by the Physician Credentials Registry of Canada (PCRC) as a condition of educational licensure in Ontario. The CPSO has chosen to apply the PCRC requirement equally to Canadian and non-Canadian IMGs, despite the fact that non-Canadian IMGs in clinical fellowships are predominantly short-term, one-time visitors to Canada. Beginning January 1, 2012, all IMGs with new residency or clinical fellowship training appointments must comply with the PCRC requirement.
The PCRC source verification process is lengthy. It can require 90 days to complete, involves a ten-step application process with online and mail-in steps - www.pcrc.org.
6. Once your Fellowship is approved, all Fellowship trainees must purchase malpractice insurance while training in Ontario. Applicants from outside Canada will need to set up a bank account in Canada and all trainees need a CPSO licence of registration before they can obtain malpractice insurance. For more information see the Canadian Medical Protection Association website at www.cmpa.org Training cannot begin without CMPA coverage.
7. International Medical Graduates (IMG’s) whose application to our program is approved, must complete the CPSOs Pre-Entry Assessment Program (PEAP) in order to obtain an unrestricted postgraduate medical education certification of registration (educational licence). The PEAP is an assessment process that evaluates IMG’s in order to determine whether they can function at their reported level of training. It allows assessment of candidates in a supervised clinical environment on the physiatry service. You will receive a full salary during this period either through the hospital if you are funded by the Physiatry Fellowship program or from your sponsor if funded by another institution or your own government. The PEAP is undertaken at the beginning of the Fellowship. The duration for PEAP is normally 8 weeks but can be extended by the Program Director up to a maximum of 12 weeks if necessary. The PEAP period will not add to the length of the Fellowship training program or the original appointment. After successful completion of the PEAP, the CPSO will convert the PEAP registration to an unrestricted educational licence for the duration of the Fellowship. If the trainee is unsuccessful in the PEAP s/he is ineligible for post graduate training and there is no course for appeal. The trainee will not be allowed to complete her/his Fellowship at the University of Toronto or apply to the same discipline at any other University in Ontario and will have to leave Canada. Trainees are advised not to bring family to Toronto until after successful completion of PEAP. The Trainee can voluntarily withdraw from the PEAP prior to the end date.
8. Registration with the University of Toronto is required before training can begin. Fellows are automatically pre-registered with the University by the PGME office on receipt and approval of their application. Fellows must complete a number of steps before they can fully register, for example, they must sign and return the PGME office Letter of Offer (LOA), complete and return the PGME office request for immunization data, register with the CPSO and CMPA, and pay the UofT Faculty of Medicine registration fee. If they are non-citizens, they must present their work permit and visa at the PGME office and they must purchase personal health coverage through the University Health Insurance Plan (UHIP) to cover basic health expenses during the first 3 months in Canada. Non-citizens and residents with permanent residence outside Ontario will also apply to the Ontario Health Insurance Plan (OHIP) once they have taken residence in Ontario and will qualify for OHIP after 3 months of residence.
9. If you are funded by the program, the salary and benefits will be specified in your job offer.
10. If you are applying from outside of Canada and are neither a Canadian Citizen nor a Permanent Resident of Canada and applying for a non-funded fellowship, then you as a self-funded applicant or our sponsor must provide a minimum of CAD $51,065 per annum in order for you to obtain a work permit/Visa.
Are you an applicant from one of the following countries? Bahrain, Barbados, Grenada, Kuwait, Libya (CBIE), Oman, Qatar, Saudi Arabia, the United Arab Emirates
A postgraduate training agreement exists between the Faculty of Medicine, University of Toronto and government agencies of these countries. The Postgraduate Medical Education Office must receive your application directly from the appropriate sponsoring agency in your country. Once this application is received and approved, the Postgraduate office will contact us about your application. It is only at that point that our program will be in direct contact with you.
Please note the various requirements and limitations noted above do not originate with the Physiatry Division itself, but are the result of rules and regulations from government and other external agencies.
Please complete the attached application and submit with supporting documents before an applicant will be considered for a Clinical Physiatry Fellowship appointment. Please send completed packages or inquires to:
Fellows Accepted into the Physiatry Fellowship Program
1. Upon acceptance to the Physiatry Fellowship Program your Fellowship supervisor will develop educational goals and objectives to meet your educational needs. The goals and objectives will be made available to you before the start of training and are submitted by PGME via the Department of Medicine to the CPSO and must be accepted by CPSO to support provision of the educational licence and will be used to guide your evaluation.
2. You will be provided with the following upon acceptance into program:
Evaluation of Clinical Fellows
1. All clinical fellows are evaluated using a web-based POWER system. In-training evaluation reports (ITER) are based on the CanMEDS Roles and your education goals and objectives are completed every six months and discussed by your Fellowship supervisor. You must sign the ITER acknowledging that it has been discussed. You will receive useful feedback at regular intervals during the fellowship from your supervisor. You will be informed in writing if there are any deficiencies that may result in an unsatisfactory completion of the fellowship.
2. You will be provided with an opportunity and resources to rectify deficiencies identified either through adjusted goals and objectives, revised fellowship structure or a formal remediation period. Decisions regarding fellowship remediation or restructuring of the fellowship are made by a committee constituted by the supervisor and at least one other faculty member.
Completion of Clinical Fellowship
1. All fellows, upon successful completion of the fellowship, will be eligible to receive a certificate of successful completion of the fellowship signed by the Department of Medicine Chair and the Director of Postgraduate Programs in Medicine and the primary supervisor.
2. Fellows will only be deemed to receive a certificate if they have completed all requirements of the clinical fellowship, have dedicated the agreed upon time to the fellowship and have achieved evaluations at or above expectations in all aspects of the fellowship.
3. The Department of Medicine (DOM) will not release a certificate to a fellow without receipt from the Division of Physiatry of documentation supporting successful completion of all aspects of the fellowship including, but not necessarily limited to, completed ITERS.
Probation, Suspension and Dismissal
1. Probation: With the approval of the Department Chair, a fellow may be placed on probation by the Fellowship Director if he/she receives an unsatisfactory evaluation. If the deficiency is corrected at the end of the probationary period with a successful evaluation, the fellow will continue with their program. If the problem is not corrected, the Supervisor/Fellowship Director may request another period of probation or recommend suspension or dismissal, with approval of the Department Chair.
2. Suspension: Suspension involves the interruption of a fellow’s participation in the training program including clinical and educational activities due to improper conduct or medical incompetence. The decision to suspend a fellow’s training is subject to formal Departmental review and is followed by full reinstatement, a probationary period or dismissal.
3. Dismissal: Dismissal may occur following an unsuccessful probationary period, following suspension or for ethical, behavioural violations or medical incompetence that are not subject to remediation or probation. The dismissal of a fellow is subject to formal Department review.
Toronto Faculty of Medicine
The web link to Post Graduate Medical Education provides information on Frequently Asked Questions such as process for obtaining work permit/visa, mandatory health insurance for non Canadian Trainees (UHIP), Orientation Book for Fellows, Resources, where to look for accommodation, policies: the sexual harassment protocol, immunization requirements, moonlighting, health and safety guidelines, Evaluation Process: PEAP, ITERS, Probation, Suspension, Dismissal and appeals. www.pgme.utoronto.ca
College of Physicians and Surgeons of Ontario (CPSO)
Physician Credentials Registry of Canada (PCRC) - www.pcrc.org