Trauma Fellowship

The post-graduate fellowship in Trauma for Emergency Physicians is a one-year supervised training program open to qualified residents who have completed a postgraduate Royal College specialty program in Emergency Medicine or the equivalent. Fellows will acquire an understanding of Trauma Systems, including the role of TTLs (trauma team leaders), the emergency management of trauma, as well as having an in-depth understanding of the pathophysiology of trauma.

At the end of their training, the Fellow will have acquired the knowledge and skillset to function as a TTL in a Trauma Centre and manage any form of trauma that comes in a level I Trauma Center Emergency Department. The fellow will be able to:

• lead the emergency team and/or trauma team through resuscitative measures and treatment at a consultant level
• prioritize the management of the severely injured in mass casualty incidents
• identify situations where further or additional expertise is required
• collaborate effectively with other consultants (including but not limited to trauma surgery, orthopedics, neurosurgery, radiology and interventional radiology).
   

In addition to the clinical management of trauma patients, the Fellow will demonstrate knowledge of:

• trauma administration and trauma systems
• pre-hospital trauma care
• trauma research
• trauma education
   

Emphasis will be placed on the initial resuscitation and stabilization of the poly-traumatized patient and the subsequent collaborative emergency management with the consulting teams.

The Fellow will also be required to have knowledge of post-ED care. The Fellow must be cognizant of what happens post-surgical or radiological intervention, in the ICU, step-down unit and in trauma follow-up clinics.

Most of the training will occur as a member of the Emergency Department of the Montreal General Hospital. The fellow will be under the direct supervision of the core TTL group and selected Emergency Physicians. The fellow will be exposed to trauma as part of the Trauma Service, the TTL team, and as well during Emergency Medicine shifts. The Fellow will be expected to follow his patient longitudinally through admission, ICU, step-down unit, ward to discharge. To complement and enhance the training and exposure, the fellow will be encouraged to explore other trauma systems (either nationally or internationally).

The fellow will be expected to carry out scholarly activities in the form of a small research project, participation in trauma rounds, journal club, and grand rounds presentation at emergency medicine academic rounds. The fellow will be expected to be up to date on current literature, be able to critically appraise the literature and have an understanding of evidence-based medicine as it applies to the trauma literature.

Finally, the fellow will be expected to learn the functioning and components of both the hospital and provincial Trauma Registries.

• 5 rotations as TTL
• 1 pediatric trauma rotation
• 1 airway/ trauma anesthesia rotation (focusing on fibreoptic techniques)
• 1 Trauma Administration rotation: focusing on Trauma Registries, Trauma Systems (provincial and worldwide) and Pre-hospital aspects
• 2 periods in SICU
• 1 advanced ultrasound rotation (focusing on advanced echo and critical care echo)
• 1 trauma rotation abroad (USA or South Africa)one trauma rotation abroad (USA or South Africa)
• 1 elective, one trauma rotation abroad (USA or South Africa)
• Longitudinal radiology, focusing on developing an approach to interpreting trauma CTs.one trauma rotation abroad (USA or South Africa)
• Longitudinal Trauma Clinics for follow up
   

• Core interactive text review
• Weekly trauma rounds
• Journal club
• Presentations at:
  • Emergency academic rounds
  • Emergency journal club
  • Trauma Service Academic Rounds
• The academic activities associated with the rotations such as SICU, daily rounds on admitted patients to the team
   

A. Deadlines for all Fellowship applications

• September 1st deadline for applications from Fellowship applicants.
• September – October is when files will be posted for programs to review and start the interview process.
• December 15th is the last date that we will accept decisions from Program Directors as to whether they accept applicants  After this date the applicants can only be considered for the next academic year.
   

B. Admissions Process

The starting point of the application process is the online application which is required by all applicants to McGill University’s postgraduate medical education programs. https://mcgill.ca/pgme/admissions

Once candidates apply online they could check the status of their application at:
www.mcgill.ca/minerva-students

Gulf States Candidates
Files of sponsored trainees (Gulf States Candidates) must come through the sponsor to the Postgraduate office.  Direct applications from these candidates will not be accepted and they cannot be funded by another organization.  Applicants from those countries should be referred to their sponsor.
 

C. Steps for the Interview Process For Gulf States Candidates

• After reviewing the files, Programs should send the Postgraduate Office a list of candidates they wish to interview.
• Please note that it takes 4 to 6 weeks to secure travel arrangements for residents to be interviewed by programs.
   

D. Offers

• Offers will be issued as decisions are made by the Program.
• The delay for applicants to respond to offers has been set to 2 weeks.

Note the following: 
Once candidates apply online they could check the status of their application at:
www.mcgill.ca/minerva-students

It is the responsibility of the candidate to check their account and submit a complete file.
 

Ms. Dolly Rabbath
Fellowships Administrator
Faculty of Medicine
McGill University
3655 Promenade Sir William Osler Room 601
Montreal (Québec)  H3G 1Y6
Tel: 514-398-8264
Fax: 514-398-3595
E-mail:  pgfellows.med [at] mcgill.ca