Procedural Training and R6 Opportunities


Procedural training and R6 Opportunities

Echocardiography

ECHOCARDIOGRAPHY SERVICE

OBJECTIVES FOR ECHOCARDIOGRAPHY IN THE McGILL CARDIOLOGY TRAINING PROGRAM

PDF icon echocardiography_service_mar_2103.pdf

As stipulated by Royal College training requirements, residents undergo a minimum of 6 months of training in echocardiography in any of the three McGill teaching sites in echocardiography (Jewish General, MUHC-Royal Victoria or MUHC-Montreal General). Trainees have the opportunity to undergo additional elective rotations. The McGill echo laboratories are high-volume centers with state-of-the-art equipment devoted to teaching residents the knowledge and practice of (1) image acquisition, (2) image interpretation, and (3) study reporting. A large emphasis is put on image acquisition of thenormal and abnormal study of the resting trans-thoracic echocardiography.

Trainees are exposed to trans-esophageal and stress echocardiography. Our senior sonographers are devoted and experienced teachers of echocardiography with a rigorous approach to enabling residents to acquire a complete, comprehensive study, as well as understand and apply the physical principles underlying image optimization. Studies performed are usually firstly reviewed by the sonographer for teaching on acquisition and then reviewed by the Attending Physician for teaching on interpretation. An individual log of studies is kept for studies performed, interpreted and performed/interpreted by the resident.

Residents are expected to have read the Echo Manual - or other similar textbook in echocardiography - by the end of their first 3-month block of their training and have read several of the seminal papers in the field by the end of their 6-month training. Trainees are also expected to give a scholarly presentation during their 4-week rotation - the topic is decided by the Teaching Director. The overall expectation is for trainees to achievelevel II training requirements by the end of their Cardiology training.

Bronchoscopy

The GIM Program encourages residents to develop special areas of interest during elective periods and the following outlines the key elements necessary for bronchoscopy training for the community general internist. 

PDF icon bronchoscopy_training_mar_20_14.pdf

- Attain competency in flexible fiber optic bronchoscopy techniques 
- Gain expertise in key aspects of pulmonary medicine such as in radiographic imaging including chest x-ray and CT imaging, the various infectious diseases, connective tissue and the presentation of malignancies that affect the lungs 
- Gain a general knowledge of pulmonary medicine 

When pursuing pulmonary training at McGill it is suggested you get exposure at all sites and work with as many attending staff as possible to get different approaches. You may be asked to act as the Pulmonary Fellow and may be expected have that level of knowledge. Anywhere from 3-6 months of Pulmonary training in addition to intensive care training should provide enough experience. 

Important Reference texts or online links: 
1. Murray and Nadel's Textbook of Respiratory Medicine: 2-Volume Set 
2. Fraser and Pare's Diagnosis of Diseases of the Chest: 4-Volume Set by Richard S. Fraser, Nestor L. Muller, Neil C. Colman and P. D. Pare (Pride of McGill text) 
3. Thoracic Imaging: Pulmonary and Cardiovascular Radiology by W. Richard 
4. Introduction to Bronchoscopy Armin Ernst 
5. Flexible Bronchoscopy [Hardcover] Ko-Pen Wang (Editor) 

Important contacts at different MUHC sites: 

  • Dr. Kevin Schwartzmann, Respiratory Medicine Residency Program Director. RVH and Montreal Chest Institute. kevin.schwartzman [at] mcgill.ca
  • Dr. Jim Gruber, Director Respiratory Medicine MGH site. JIM.GRUBER [at] muhc.mcgill.ca
  • Dr. Andrew Hirsch, Elective Director JGH site, ahirsch [at] jgh.mcgill.ca

You can also contact Dr. Charith Sairam if you have any questions, charith.sairam [at] mcgill.ca.

Bronchoscopy Simulator : http://www.thoracic-anesthesia.com/?page_id=2

Digestive Endoscopy

Details to follow for Endoscopy

Thrombosis

PDF icon mcgill_fellowship_descrip_2016.pdf

PDF icon jgh_thr_fellowship_2017-18_ad_eng.pdf

The Jewish General Hospital’s Thrombosis Program is an active, academic, tertiary care subspecialty service.  Our Thrombosis physicians comprise a multidisciplinary, collaborative group that includes hematologists, internists and pulmonologists, with close links to related specialties such as vascular surgery, cardiology, neurology and obstetrics.  A number of us also have training in clinical epidemiology.

Our Thrombosis Program encompasses a broad range of clinical and research activities that relate to diagnosis, risk factors and treatment of venous and arterial thromboembolic disease, management of thrombophilia and issues pertaining to long-term anticoagulation.  Specific areas of clinical activity include the Thrombosis Clinic, Anticoagulation Clinic and In-patient Thrombosis Consultation Service. Our Program is an integral component of the Jewish General Hospital’s Centre of Excellence in Thrombosis and Anticoagulation Care (CETAC)

We are currently accepting applications for a one year clinical fellowship (July 1, 2017-June 30, 2018) to acquire and consolidate expertise in Thrombosis.  

This Fellowship position is recognized and approved by McGill University’s Faculty of Medicine and requires application via McGill Postgraduate Medical Education by Sept. 1, 2016 (http://www.medicine.mcgill.ca/postgrad/admission_nonministryfunded.htm).  Please note this site will only accept applications as of May 15 of each year.

Applicants could include trainees interested in Thrombosis Medicine who have completed specialty training in relevant specialties, e.g. Hematology, General Internal Medicine (GIM) or Respirology.  For GIM trainees in Quebec, this fellowship could be done as your R5 Year (subject to approval by your Program Director).

During the fellowship, the trainee will acquire knowledge of the physiology, pathology, diagnosis and treatment of thrombotic diseases through a variety of activities, including direct inpatient and outpatient care and exposure to pertinent diagnostic laboratory and imaging facilities.  The trainee will be assigned to the in-patient Thrombosis Consult Service as well as the outpatient Anticoagulation and Thrombosis Clinics, where he/she will be directly supervised and taught by Thrombosis attending physicians during all rotations.  For interested candidates, a broad range of research opportunities in various aspects of Thrombosis are available as well, with the possibility to extend training for a second year.

For more information on the McGill Thrombosis Fellowship, please send a 1-page expression of interest and your CV to Dr. Vicky Tagalakis, c/o maureen.morganstein [at] ladydavis.ca

Medical Education

McGill Center for Medical Education : https://www.mcgill.ca/centreformeded

Obstetrical Medicine

Please contact the Obstetrical Medicine Department for more information:

Dr. Leora Birnbaum (leora.birnbaum [at] mcgill.ca)
Dr. Natalie Dayan (natalie.dayan [at] mcgill.ca)
Dr. Khue Ly (khue.ly [at] mcgill.ca)
Dr. Patrick Willemot (patrick.willemot [at] mcgill.ca)
Dr. Emily McDonald (emily.mcdonald [at] mcgill.ca)

Vascular Medicine

Details to come

Clinical Investigators Program

PDF icon cip_operaton_manual_version_2.pdf

The major goal of the Clinician Investigator Program (CIP) is to assist in the career development of clinician investigators in Canada. The program provides a formal postgraduate medical education pathway that fulfills the existing specialty/subspecialty requirements of the Royal College and provides integrated, structured, and rigorous research training. The training involves a minimum of two years of research intensive training that involves enrolment in a graduate degree program (graduate stream), to complete a thesis or equivalent, or in a postdoctoral fellowship program if the resident already has a Master’s or PhD degree (postdoctoral stream).

For the purpose of this program, health research includes not only the traditional areas of laboratory and clinical biomedical research, but also such fields as economics and management, and social, behavioral, and information sciences as they apply to health and disease.

The program is available to residents enrolled in specialty or subspecialty residency programs accredited by the Royal College who has demonstrated an interest in and a potential for careers as clinician investigators. 

Registration form for CIP: PDF icon cip_registratrion_form.pdf

Masters in Public Health

Content Public Health

Critical Care

Details to come for Critical Care

Perioperative Medicine

Details to come

Interventional Radiology

Interventional Radiology Elective at MUHC-MGH

PDF icon interventional_radiology_elective_may_13_14.pdf

This is a great opportunity for GIM residents who want to hone their skills in picc line insertions.  Residents can choose to do weeks in angio to gain exposure to picc lines, assist in embolization/ivc, and filter/angiogram/fistula cases or weeks of ultrasound where residents are exposed to pigtail insertion.

It is recommended to do 4 weeks of angio to gain enough experience and case load with picc lines to become proficient. GIM residents are working alongside radiology R3&4 and so compete for picc cases.

Angio cases are very educational to assist to gain an understanding of how an IVC filter is placed (residents may even get the opportunity to deploy them) and how angio embolization works.  Residents can be exposed to adrenal vein sapling, fluoro pegs, nephrostomy and biliary tubes.  Residents can expect to do approx forty picc line insertions.

To book the rotation, please contact Dr. David Valenti (david.valenti [at] mcgill.ca.)

Health Sciences Education

Postgraduate Fellowship in Health Sciences Education is a one-year education fellowship, offered by the Centre for Medical Education, is designed for residents in the penultimate or final year of their program, or residents who have completed training and are in their “année formation complémentaire”.
 
As outlined in the enclosed flyer (PDF icon fellowship_flyer_-2016-17.pdf), this is a half-time program which involves courses, medical education meetings, independent study, and a research project. Please also note that the Centre for Medical Education and the McGill Medical Simulation Centre offer a fellowship which includes an emphasis on simulation-based education.
 
This program is designed for residents who intend to pursue a health sciences career with a significant emphasis on education. Information about the fellowship is available at:  https://www.mcgill.ca/centreformeded/educationalopps/postgraduate-fellow... 
 
If you have any questions or would like to submit the names of candidates for consideration, please contact me or Claudia Regier (centre.meded [at] mcgill.ca) at the Centre for Medical Education.  
 
Please circulate and thank you! 
 
Yours sincerely,
 
Farhan Bhanji, M.D., M.Sc            
Fellowship Program Director
Centre for Medical Education     

Palliative Care

The McGill Palliative Care website is www.mcgill.ca/palliativecare
Please take a look at the information under the headings "Education & Training" and "Postgraduate Residency Programs" for more information on postgraduate training:
https://www.mcgill.ca/palliativecare/education-and-training/postgraduate...

In order to obtain information and start the application process, you will need to visit the website: www.mcgill.ca/pgme/admissions/apply

Pain

Details to come

Others

miscellaneous

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