Education & Training

MEDICAL STUDENT ELECTIVES

How to apply?

  • U of T Residents:
    Students may start booking electives at UofT a year in advance using the registration system ROUTE on MedSIS. This system is made available to students in September of the third year of the UME curriculum.
    Electives may be 2-4 weeks in duration. One week electives may be requested in exceptional circumstances and require review and approval by the Electives Director. For more information, please visit the U of T MD Program Electives Site: https://md.utoronto.ca/electives
  • Canadian & International Students:
    Undergraduate medical students whose Home Schools are in the United States or elsewhere in Canada may be eligible for our North American Electives Program. Undergraduate medical students whose Home Schools are elsewhere in the world may be eligible for our Visiting International Electives Program. For information on criteria, deadlines, application processes and required documents, students should review the University of Toronto's institutional profile on the AFMC Student Portal.
    For more information, please visit the U of T MD Program Electives Site: https://md.utoronto.ca/electives

INTERNAL MEDICINE (PGY1-3) ELECTIVES

Postgraduate Electives Available

POST-GRADUATE (PGY4-5) ELECTIVES

For all elective inquiries/request, please contact our Program Coordinator first for availability at: nephro.div@utoronto.ca

  • Postgraduate Electives Available
    • We currently offer the following electives:
      • Glomerulonephritis (GN)
      • Home Dialysis
      • Kidney and Renal Transplantation
      • Onco-Nephrology
         
  • Application Process for Canadian & International Students & Contact Person
    • Canadians/Permanent Residents in Residency Training in Ontario
      Required Documents:
      A residency trainee enrolled in one of the other five Ontario medical schools who wishes to take an elective under the supervision of a University of Toronto postgraduate program director/training program must register for electives using the Online Electives System.  However, please be sure to confirm your elective with your home school program director, your supervisor and the University of Toronto training program prior to accessing the system. Trainees are expected to have the following ready before registering in the system:
      1. Approval of the Home School Program Director
      2. Approval of a UofT Supervisor
      3. Approval of the UofT Program Director (for the training program in which the rotation will be performed)
      4. Up-to-date Curriculum Vitae that includes the applicant’s date of birth, citizenship status and e-mail address
      5. Proof of citizenship status
      6. Copy of Medical Degree
      7. Complete immunization record
      8. Proof of registration with the Canadian Medical Protective Association (CMPA)

      All postgraduate medical trainees must submit a Vulnerable Sector Screen (VSS) report or Attestation to the PGME Office prior to the start date of their training with the University of Toronto.

      After the rotation has been approved in the Online Electives System and registered in the Postgraduate Web Registration system (POWER), an email will be sent to the elective applicant with instructions on how to register online and print off the Confirmation of Registration form. With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office and access University of Toronto library services.

      Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 15 weeks in duration.

 

    • Canadians/Permanent Residents in Residency Training in the U.S. or outside Ontario

      In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body that regulates the practice of medicine in the province of Ontario. Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

      To ensure that your certificate is issued in time for your elective starting date, we urge you to apply at least 8 to 10 weeks in advance and follow all instructions carefully. This recommendation ensures that supporting documentation is sent to the College in advance of your appointment.

      Required Documents:

      A Canadian/Permanent Resident residency trainee enrolled in a medical school outside Ontario or in the United States who wishes to take an elective under the supervision of a University of Toronto postgraduate program director/training program must register for electives using the newly implemented Online Electives System.  However, please be sure to confirm your elective with a supervisor prior to accessing the system as this is a registration system.  Trainees are expected to have the following ready before registering in the system::
      1. Approval of the Home School Program Director
      2. Approval of a UofT Supervisor
      3. Approval of the UofT Program Director (for the training program in which the rotation will be performed)
      4. Up-to-date Curriculum Vitae that includes the applicant’s date of birth, citizenship status and e-mail address
      5. Proof of citizenship status
      6. Copy of Medical Degree
      7. Complete immunization record
      8. Proof of registration with the Canadian Medical Protective Association (CMPA)

      All postgraduate medical trainees must submit a Vulnerable Sector Screen (VSS) report or Attestation to the PGME Office prior to the start date of their training with the University of Toronto.

      Registration Process

      After the rotation has been approved in the Online Electives System and registered in the Postgraduate Web Registration system (POWER), an email will be sent to the elective applicant with instructions on how to register online and print off the Confirmation of Registration form. With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office and access University of Toronto library services.

      Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 15 weeks in duration. If it does, an application is required for a Postgraduate Education certificate of registration. Please see the CPSO website for additional details

 

 

    • For International Trainees in Residency Training in Canada or the U.S.
      Eligibility for Licensure
      In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in the province of Ontario. Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

      Funding
      International trainees who wish to take an elective under the supervision of a University of Toronto postgraduate program director/training program must be fully funded for the duration of the proposed elective by an acceptable sponsoring agency. Foreign governments and foreign government funded agencies, for example, are considered acceptable sources of funding for non-Canadian residency trainees. Charitable foundations, private corporations or self-funding are not considered acceptable sources of funding.
      Elective residency trainees must have funding for their elective training in accordance with the scale of remuneration of the PARO-CAHO Agreement.

      Required Documents
      International trainees who wish to take an elective under the supervision of a University of Toronto postgraduate program director/training program must submit the following documentation via the University of Toronto residency training program to the University of Toronto PGME Office:
      Written permission from the University of Toronto program director agreeing to the elective
      1. Written permission from current program director at the applicant’s home university
      2. Up-to-date curriculum vitae that includes the applicant’s date of birth, citizenship status and e-mail address
      3. Copy of medical degree (with English translation, where applicable)
      4. Copy of MCCEE results (only if the trainee is currently enrolled in residency training in the U.S.)
      5. Complete immunization record
      6. VSS or Attestation
         
      The CPSO may exempt international trainees from this requirement if the trainee’s request for exemption includes supporting documentation from the University of Toronto Program Director.

      *Please note: Submitted documents must be in pdf or MS Word (.doc or .docx) format. JPEG, TIFF and other photo file formats will NOT be accepted.*

      Work Permit

      In addition to licensure by the CPSO, trainees who are not Canadian citizens/permanent residents must have a work permit that is valid for the duration of their elective residency. The University of Toronto PGME Office will provide the elective appointee with work permit application information and a Citizenship and Immigration Canada (CIC) approved “Letter of Employment” that will enable the appointee to apply for the appropriate work permit.

      NB: CIC requires the “Letter of Employment” to confirm that the foreign national receiving is being remunerated at a rate commensurate with that of a Canadian performing the same duties in the same location of work. Elective residents must have funding for their elective rotation that meets the requirements of the scale of remuneration of the PARO-CAHO Agreement.

      Once the PGME Office receives the required documents from the University of Toronto postgraduate program, a Letter of Appointment (LOA) will be issued to the resident. This letter must be signed by the resident and returned to the PGME Office. A copy will be forwarded to the CPSO.

      Along with the LOA, the resident will receive a PIN/password letter. Using the PIN/Password, the resident will be able to register on-line through the POWER website and print off his/her Confirmation of Registration form. With the Confirmation of Registration form, the trainee will be able to register at the appropriate hospital Credentials/Medical Education Office in Toronto and access library services.

      Please note that applications to University of Toronto postgraduate medical education departments for elective training must not exceed 6 months in duration.

 

    • For International Trainees in Residency Training outside Canada and the U.S.
      Eligibility for Licensure
      In order to take up an elective at the University of Toronto, candidates must be eligible for licensure by the College of Physicians and Surgeons of Ontario (CPSO), the body which regulates the practice of medicine in the province of Ontario.
      According to the CPSO’s schedule of requirements, international residents must have completed a minimum of two years’ training in the discipline in which they are seeking an elective (one year for Family Medicine electives). In addition, the language of patient care during this previous training must have been in English or French. The licensure of international trainees currently in residency training outside Canada and the U.S. as elective residents in Ontario is subject to the review and approval of the CPSO’s Registration Committee. Please visit the CPSO website for Registration Applications and Forms required for the issuance of a certificate of registration.

      Requirement for a Work Permit
      In addition to licensure by the CPSO, trainees who are not Canadian citizens/permanent residents must have a work permit that is valid for the duration of their elective residency. PGME will submit an Offer of Employment for the elective residency to Immigration, Citizenship and Refugees Canada (IRCC, formerly CIC) and provide the international doctor with a IRCC-assigned Offer of Employment (LMIA Exempt) Number as well as a CPSO Letter of Eligibility. This documentation will enable the doctor to apply for the appropriate work permit from IRCC.
      The process of obtaining a work permit from an IRCC Visa Office commonly requires five months to complete, after PGME has provided the applicant with the necessary supporting documentation. It is recommended that PGME receives confirmation of the elective (with documentation) at least six months prior to the start date.
      International elective trainees must be remunerated for the duration of the proposed elective by an acceptable sponsoring agency. Foreign governments and foreign government funded agencies, for example, are considered acceptable sources of funding for non-Canadian residency trainees. Charitable foundations, private corporations or self-funding are not considered acceptable sources of funding.
      IRCC requires the Offer of Employment to confirm that the foreign national is being remunerated at a rate commensurate with that of a Canadian performing the same duties in the same location of work. The remuneration of residency trainees in Ontario, including elective residents, must be in accordance with the annualized salary scale that is contained in the collective agreement between the Professional Association of Residents of Ontario (PARO) and the Council of Academic Hospitals of Ontario (CAHO) known as the PARO-CAHO Agreement.

      Required Documents:
      International trainees who wish to complete an elective at the University of Toronto must submit the following documentation to the University of Toronto PGME Office via the University of Toronto residency training program:
      1. Written permission from the University of Toronto program director agreeing to the elective
      2. Written permission from current program director at the applicant’s home university
      3. Letter from the international trainee’s sponsoring agency, confirming its approval
        If the international trainee’s sponsoring agency has not signed a postgraduate training agreement with the University of Toronto Faculty of Medicine, then the letter must confirm full financial support for the duration of the elective training and verify that this funding is in accordance with the scale of remuneration for Ontario residency trainees.
      4. Up-to-date curriculum vitae that includes the applicant’s date of birth, citizenship status and e-mail address
      5. Copy of medical degree (with English translation, where applicable)
      6. A photocopy of the page(s) of the appointee’s current passport that contain the appointee’s photograph, personal details, issuing country and passport expiry date.
         
      Please note: Submitted documents must be in pdf or MS Word (.doc or .docx) format. JPEG, TIFF and other photo file formats will NOT be accepted.*

      Registration Process:

      Once PGME receives the required documents from the University of Toronto postgraduate program, a Letter of Appointment (LOA) will be issued to the resident. This letter must be signed by the elective resident and returned to PGME. A copy will be forwarded to the CPSO.

      Along with the LOA, the resident will receive a PIN/password letter. Using the PIN/Password, the elective resident will be able to register on-line through the POWER website and print off his/her Confirmation of Registration form. With the Confirmation of Registration form, the trainee will be able to register at the Credentials/Medical Education Office of the appropriate hospital in Toronto and access library services.

      Please note: The elective training experience must not exceed 6 months in duration

     

     

POSTGRADUATE TRAINING IN NEPHROLOGY (PGY4-5)

  • About Our Program
    • Upon completion of training, a resident is expected to be a competent specialist capable of assuming a consultant's role in nephrology. The resident must acquire a working knowledge of the theoretical basis of the specialty, including its foundations in the basic medical sciences and research.

      Only candidates certificated by the Royal College of Physicians and Surgeons of Canada in internal medicine may be eligible for the Certificate of Special Competence in Nephrology.

      On completion of the program, the resident who is competent in nephrology will be able to demonstrate the knowledge, attitudes and skills needed to independently care for patients with kidney disease (including the management of chronic kidney disease, dialysis and renal transplantation) and with disturbances of acid-base, fluid and electrolyte metabolism; and also glomerular, genetic, hypertensive, and diabetic kidney diseases.

      The resident will have a working knowledge of the basic sciences (physiology, pathophysiology and immunology) and applied sciences pharmacology, pathology) as they apply to renal disease and their treatments. The resident who is competent in nephrology will be able to conduct himself/herself as an attending physician and a consultant, work effectively in a variety of healthcare settings (acute and chronic care hospitals, dialysis units (hemodialysis and peritoneal dialysis), ambulatory care clinics (general nephrology, pre-dialysis, renal transplantation) and function as a member of a multi-disciplinary team effectively collaborating with other health professionals. They will demonstrate an awareness of the need for ongoing personal education and will be able to access and critically appraise required literature. They will be punctual, dependable and conscientious in the care of patients and will exhibit appropriate personal and interprofessional behaviours. The resident will incorporate gender, cultural and ethnic perspectives in the practice of nephrology as a clinician and/or researcher (methodology, data presentation and analysis}.
  • How to apply?

FELLOWSHIP TRAINING

  • Program Leadership and Contacts
  • General Nephrology Fellowship
  • Sub-Speciality fellowships (up to 1 year)
    • Baxter Home Dialysis
      • Type of Fellowship: Clinical and Research
        Supervisor: Dr. Joanne Bargman
        Duration: 6-12 months
        Application Open and Close Date: Flexible, July 1 start is preferred
        Number of position(s) per year: 1-2
        Description: The purpose of this fellowship is to acquire expertise in home dialysis modalities, comprising peritoneal dialysis and home hemodialysis. Fellows will attend clinics for both, manage drop-ins, and attend pre-dialysis clinics to learn more about education around choice of dialysis modality. Preference will be given to Canadian applicants.
        Contact Name: Shelagh Cowie
        E-mail:
        Shelagh.Cowie@uhn.ca
    • EXPLORE Home Dialysis
      • Type of Fellowship: Clinical and Research
        Supervisor: Dr. Christopher Chan or Dr. Joanne Bargman
        Duration: Flexible
        Application Open and Close Date: Flexible
        Number of position(s) per year: Flexible
        Description: The EXPLORE program at University Health Network provides advanced training in the management of patients in home dialysis, with an emphasis on peritoneal dialysis and nocturnal home hemodialysis.
        Contact Name: MaryJo Raposo
        E-mail:
        Maryjo.raposos@uhn.ca
    • Geriatric Nephrology and Palliative Renal Medicine
      • Type of Fellowship: Clinical and Research
        Supervisor: Dr. SV Jassal
        Duration: 6 months (maybe extended to 12 months)
        Application Open and Close Date: 30 September (for following January); 30 April (for following July)
        Anticipated Start Date(s): January 1st (July 1st)
        Number of position(s) per year: 1
        Description: Trainees will gain experience in applying the findings from a comprehensive geriatric assessment to the patient with renal disease with the goal of maximizing wellbeing in the context of renal therapies and chronic disease. Although the training experiences will extend across all stages of renal disease there will be a strong emphasis on palliative dialysis, symptom management, rehabilitation with dialysis and on providing comprehensive conservative renal care. Trainees will be exposed to critical appraisal and given the opportunity for clinical research training if applicable.
        Contact Name: Samantha Ramsammy
        E-mail:
        Samantha.rammsammy@uhn.ca
    • Glomerular Disease
      • Type of Fellowship: Clinical
        Supervisor: Dr. Heather Reich
        Duration: 1 year
        Application Open and Close Date: Flexible, July 1
        Number of position(s) per year: 1
        Description: The Toronto Glomerulonephritis (GN) Registry at the University Health Network (UHN) is accepting applications for a fellowship in GN.  The GN fellowship opportunity offers access to a breadth of specialized quaternary care clinics for treatment of GN at multiple hospital sites, and clinical care is fully integrated with research under the auspices of the Toronto GN Registry.
        This training program will educate future leaders in the care and study of patients with GN.  Clinical activities will occur at UHN and Sunnybrook.
        Fluency in English is required, and candidates will have completed clinical training in nephrology.  The applicant must have passed or be eligible for independent licensure in Ontario, or must be eligible for an educational license (minimum of 4 years of residency training following medical school).  Outstanding applicants with equivalent training in other medical systems are also encouraged to apply.
        Interested individuals should provide a cover letter, their current curriculum vitae and contact information of 3 potential referees. 
        Contact Name: Marion Butt
        E-mail:
        marion.butt@uhn.ca
    • Hereditary Kidney Disease
      • Type of Fellowship: Clinical
        Supervisor: Dr. York Pei
        Duration: 1-3 years
        Application Open and Close Date: Open September 1 & Closes February 1
        Anticipated Start Date(s): July 1
        Number of position(s) per year: 1-2
        Description
        To provide a stimulating and nurturing environment for the trainee to acquire:
        (i) Expertise in clinical care of patients with polycystic kidney disease (ADPKD, ARPKD and other rare renal cystic diseases) and tuberous sclerosis complex (TSC), including the management of renal and extra-renal complications, the use of clinical, image-based and molecular diagnostic tests, as well as conventional and experimental drug treatments.
        (ii) Expertise in clinical care of patients with other rare familial renal disorders (e.g. familial glomerulonephritis (GN) including Alport’s syndrome, familial renal tubular acidosis, cystinosis, Bartter’s and Gitelman’s syndrome).
        (iii) Expertise in advanced imaging technologies for diagnosis and for monitoring progression and complications in ADPKD and TSC.
        (iv) Clinical, genomic, and translational research opportunities in polycystic kidney disease and familial GN.
        Contact Name: Dr. York Pei
        E-mail:
        York.pei@uhn.ca
    • Marc B. Goldstein Fellowship for Advanced Training in Nephrology
      • Type of Fellowship: Clinical
        Supervisor: Dr. Jeffrey Zaltzman
        Duration: 1 year
        Anticipated Start Date(s): July 1
        Number of position(s) per year: 1
        Description: Eligible candidates will have completed a minimum of two years of core training in adult nephrology and be eligible for licensure by the College of Physicians and Surgeons of Ontario.
        The one year fellowship is intended to provide the recipient with focused training in one of the following disciplines in nephrology: hemodialysis, peritoneal dialysis, critical care nephrology or kidney transplantation. In parallel with the clinical experience, it is expected that the training period will foster the development of an academic program, in the domains of clinical research, health quality improvement or medical education. The selected fellow will be based at St. Michael’s Hospital and receive mentorship from members of the St. Michael’s Division of Nephrology as well as scientists and researchers based at the hospital’s Li Ka Shing Knowledge Institute and the University of Toronto..
        Contact Name: Dr. Jeffrey Zaltzman
        E-mail: Jeff.Zaltzman@unityhealth.to
    • Onconephrology
      • Type of Fellowship: Clinical
        Supervisor: Dr. Christopher Chan
        Duration: 1 year
        Application Open and Close Date: January 4 to Feb 28
        Anticipated Start Date(s): July 1
        Number of position(s) per year: 1
        Description: Since January 2015, the Divisions of Nephrology and Hematology/Oncology at the University Health Network have collaborated to form an Onco-Nephrology clinical program.  The present clinical fellowship program aims to extend the clinical training of recently graduated nephrology trainees to:
        1. Enhance clinical care of Oncology patients with specific renal disorders.
        2. Facilitate and standardize the ongoing clinical management of certain renal disorders in Oncology patients.
        3. Provide a clinical unmet need for cancer survivors who require ongoing management of chronic kidney disease and hypertension.
        Areas of specific focus will include one or more of apheresis, bone marrow transplantation, myeloma, amyloidosis and clinical epidemiology and translational Research. Salary will be $76,210 CAN per annum and $8,790 for attending conferences and meetings.
        Successful candidates will be fluent in English, have completed clinical training in Nephrology, and be eligible for an educational license as an internal medicine specialist in the province of Ontario (minimum of 4 years of residency training following medical school).
        Contact Name: Dr. Christopher Chan
        E-mail:
        christopher.chan@uhn.ca
    • Kidney and Kidney-Pancreas Transplantation
      • Type of Fellowship: Clinical
        Supervisor:
        Dr. Jeffrey Schiff
        Duration: 1 year
        Anticipated Start Date(s): July 1
        Number of position(s) per year: 3-4
        Description: This fellowship will allow trainees to develop competency in managing all aspects of kidney and kidney-pancreas transplantation. It includes rotations on both the renal transplant and pancreas transplant inpatient services. The remaining blocks may include rotations on the Transplant Infectious Diseases service; HLA lab; outpatient clinics; renal transplant pathology; pediatric transplant nephrology; and research. There is an assigned longitudinal post-transplant clinic, as well as pre-transplant donor and recipient assessment clinics.
        The educational program includes renal transplant seminars, transplant journal club, Multi-Organ Transplant (MOT) rounds and MOT Fellows’ seminars. There is also a hands-on seminar in renal transplant ultrasound and biopsy performance. The fellowship is based at the Toronto General Hospital, with some clinics at St. Michael’s Hospital and the Hospital for Sick Children. It is accredited by the American Society of Transplantation Transplant Nephrology Fellowship Training Accreditation Program.
        Contact Name: Lisa Gallant-Labelle
        E-mail:
        Lisa.gallantlabelle@uhn.ca