General Pediatrics

Fellowship Programs

Message to applicants: In addition to the required documents listed on the Postgraduate Medical Education's Prospective Fellows page, applicants should submit a letter of standing from their current program director, evaluations from their residency rotations and a transcript from Medical School.

Academic Pediatrics Fellowship Program

The Academic Pediatrics Fellowship Program is a one-year program primarily designed for candidates wishing to prepare to practice academic pediatrics in a university-based environment. The desired goal of this program is to equip the advanced pediatrics trainee with a specific set of skills required to pursue a career in an academic environment along the pediatric “hospitalist” model. This fellowship program aims to train ‘’builders’’, who will develop Pediatrics at the regional and national levels in the creation and evaluation of curricula, clinical care innovation, leadership, and research domains.

Program length: 1
Average number of trainees per year: 3

Program Entry Requirement

Candidates to this program are required to have completed a fourth year of training in General Pediatrics, which will have been preferably tailored to the candidate's further training plans in Academic Pediatrics. In addition, it is strongly recommended that candidates have planned or initiated a scholarly project, which will be completed as a requirement to this program. Ease in spoken French and English, and in written English are essential for maximal educational experience, due to the demographics of the Montreal Children's Hospital's (MCH) patient population (~40% French, ~30% English, ~30% Other languages). Candidates unfamiliar with the MCH are encouraged to complete a clinical rotation at our institution to become familiar with its learning and clinical environment.

Curriculum

Sample Rotation Training Grid (12 month / 12 training blocks)

 
Block Rotation
1 Medical Day Hospital
2 Junior ward attending I
3 Complex care I
4 Selected subspecialty rotation
5 Junior ward attending II
6 Research or specialized academic training
7
8 Complex care II
9 Selected subspecialty rotation
10 Selected subspecialty rotation
11 Research or specialized academic training
12
13 Selected subspecialty rotation

Types of Electives:

  • Complex Care Service
  • Medical Day Hospital
  • Junior ward attending
  • Night float senior
  • Child Protection
  • Other subspecialty rotations, based on fellow’s clinical interests

Educational Opportunities:

  • Weekly one-to-one session with program director
  • Bi-monthly continuity clinic adapted to trainees' clinical interests
  • Participation in CCHSCP sessions with other subspecialty trainees
  • Yellow Belt (one-day course) Lean Six Sigma methodology (free registration)
  • Protected time to undertake graduate level courses (e.g. MPH, MBA, MSc)
  • Possibility to register for Pediatrics Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) courses at resident rate
  • Regular opportunities to teach pediatric residents

There is also a possibility to undertake research or specialized academic training (e.g. MSc, MBA, MPH).

Innovations

The advanced pediatric trainee will be prepared to play a builder role in academic center-type practice, including some training in:

  • Health Administration and Leadership
  • Medical Education
  • Quality Assurance/Risk Management

Training Requirements

To successfully complete the Academic Pediatrics Fellowship Program, the fellow will have to demonstrate:

  • satisfactory completion of all clinical rotations, including core rotations
  • completion of a scholarly project
  • regular attendance and active participation at fellows’ protected teaching
  • regular attendance and active participation at CCHCSP
  • fulfilment of yearly call responsibilities
  • participation in at least one hospital or university-based committee

All General Pediatrics fellows are expected to assume on-call duties. The types of calls and their frequency will depend on the fellowship stream and may be individualized by the fellowship director, taking into account the fellow's previous experience, their personal training objectives, and their future career scope.

Clinical Complex Care Fellowship Program

The Clinical Complex Care Fellowship Program is designed for the candidate wishing to develop expertise in the care of children with complex care needs. The educational experiences focus on clinical training and include medical education, administration, and research opportunities. Candidates applying to this program are required to have competed a fourth year of training in General Pediatrics and to meet eligibility requirements of the Postgraduate Medical Education Office in the Faculty of Medicine at McGill University.

Program length: 1
Average number of trainees per year: 1

Training Requirements

The desired goal of the Complex Clinical Care Fellowship Program is to equip the senior pediatrics trainee with a specific set of skills required to pursue a career in the care of the child with complex medical needs, similar to the pediatric “hospitalist” model. This fellowship program aims to train ‘’builders’’, who will develop Complex Care Pediatrics at the regional and national levels in the creation and evaluation of clinical care, curriculum, and research domains. Training components, described below, may be tailored to the unique needs of each candidate.

All General Pediatrics fellows are expected to assume on-call duties. The types of calls and their frequency will depend on the fellowship stream and may be individualized by the fellowship director, taking into account the fellow's previous experience, their personal training objectives, and their future career scope.

A maximum of 2 in-house calls per block on the General Pediatrics inpatient unit may be required.

Clinical Component

The clinical experiences are geared towards broad exposure to children with complex care needs and the health care infrastructure that supports or is required to support the needs of this growing subsegment of the pediatric population. Exposures will be concentrated in the Complex Care Service (previously known as the Intensive Ambulatory Care Service/Homecare) and include inpatient, outpatient, home-based and community-based care.

Fellows will develop the knowledge, skills and attitudes required to provide high quality collaborative care. Specifically, the infrastructure of multidisciplinary teams, care coordination and communication will be emphasized. Children with complex care needs include vulnerable and fragile populations such as post-solid-organ transplant recipients, technology dependent children, those with progressive neuromuscular conditions and those at high risk of frequent and recurrent hospitalization. Clinical training is expected to comprise approximately 10 of the 12 months of advanced pediatrics training, with the remaining two months allocated to the completion of a scholarly project such as a small-scale research project or a quality improvement project.

Specific training activities include:

  • Complex Care Service rotations (10-11 blocks):
  1. Longitudinal exposure to children with complex conditions, focused in the Complex Care Service, formerly known as the Intensive Ambulatory Care Service
  2. Complex care consultations
  3. Participation in multidisciplinary clinics and weekly Complex Care teaching rounds
  4. Home and community (CLSC, Rehab Centre) visits
  • Scholarly project (2-3 blocks)
  • Call duties: Complex care service (one week of “home call” per block when on CCS service)
  • Attendance at a national/international conference which focuses on the care needs of medically fragile/complex children.

Academic Component

Specific to this fellowship program is the expectation that trainees will develop, implement, and complete a scholarly project, suitable for presentation at a national/international conference on the care of children with complex medical needs. This project may take the form of a research project (chart review, retrospective case-control, or prospective survey, for example), a quality assurance or advocacy project.

In addition, all Complex Clinical Care Fellows will also be expected to join the Pediatric Health Research Epidemiology Statistics CurriculA (PHRESCA)
Course Director: Dr. Evelyn Constantin MD
Associate Course Directors: Dr. Elise Mok PhD
Course Coordinator: Ms. Sofia Bamboulas

Which includes the following curriculum of interactive teaching sessions:

  1. Introduction to Epidemiology and study design
  2. Searching and managing medical literature
  3. Developing a research questions/designing a study
  4. Introduction to statistics
  5. Randomized controlled trails
  6. Cohort studies
  7. Case control studies
  8. Cross-sectional studies
  9. Research writing skills
  10. Presentation skills
  11. Research ethics
  12. Curriculum vitae preparation (common CV)
  13. Time management workshop
  14. Career planning

General Principles

  • Clinical exposures to pediatric complex care will be the focus of the fellowship
  • Fellows will be expected to have call duties in a variety of settings where the issues and needs of children with complex care are emphasized
  • Fellows will be expected to complete a scholarly project, as described above.

 

Social Pediatrics Fellowship Program

The Social Pediatrics Fellowship Program offers advanced training for senior pediatric trainees who choose to develop a career in Social Pediatrics, and candidates wishing to develop the medical expertise and skills to engage, collaborate and help empower socially vulnerable populations, and to act as champions of positive change for the health of these populations. Candidates to this program are required to have completed a fourth year of training in General Pediatrics and to meet eligibility requirements of the Postgraduate Medical Education Office, McGill University.

The educational experiences include clinical training, medical education, advocacy, administration, and research opportunities. Completion of training in Pediatrics at the Royal College level or equivalent is expected prior to undertaking the fellowship.

Our program is intended to offer the necessary flexibility to tailor clinical and academic training to each fellow’s future practice and career goals, while meeting the requirements from the Royal College of Physicians and Surgeons of Canada (RCPSC) and the Collège des Médecins du Québec (CMQ).

Program length: 1 year
Average number of trainees per year: 1-2

Mission and Vision

Mission
To advance the field of Social Pediatrics through the support of Advanced Pediatric Training for pediatricians who will act as champions of positive change for the health of vulnerable populations.

Vision
All graduates will have the medical expertise, advocacy, and research skills to engage, collaborate and help empower socially vulnerable populations. These graduates will also possess skills in lobbying for health policy change, health promotion, and will contribute to the knowledge growth of socially disadvantaged children.

Background
The Department of Pediatrics has a long history of participating in the care of disadvantaged populations. There has been a core pediatrics rotation in social pediatrics for second year residents since 2002. A number of pediatricians affiliated with the Department practice with socially disadvantaged populations, have links to community-based health organizations and are involved in community-based advocacy. There are long established programs in multiculturalism, Aboriginal health, and children under youth protection. Finally, there is a long tradition in Global Health within the department. Thus, the fellow interested in focusing on training in social pediatrics and models of care that are community based and sensitive to social context will have excellent opportunities to do so within the Department of Pediatrics.

The evolution of pediatric practice has made the time ripe to develop the idea of a social medicine focus in the training of professionals in child health. Over the last 60 years, pediatrics has evolved from a specialty dealing with largely acute diseases to one with a significant population of children affected by the social determinants of health, with chronic diseases and special needs. In the 21st century, pediatric practice continues to evolve, and research demonstrates that social factors clearly have long lasting effects on the health of children, and later as adults.

Training Requirements

Medical Training

Having stated that an understanding of the social determinants of health and the effect of social context on health is integral to the training of all child health professionals, we recognize the need to enrich the community of pediatricians with individuals who possess the requisite knowledge, skills, and sensitivity to act as champions of positive change for the health of disadvantaged populations. Such a person must possess sound medical expertise in the specific health problems of socially vulnerable populations, the skills to appropriately engage and collaborate with communities, and the attitudes that have social justice as a core value. Clinical rotations are tailored to this training philosophy and are mostly community-based.

Clinical exposures generally run in a longitudinal fashion (e.g., one day/week over several months, mixed in with other similar exposures), and take place in a variety of community organizations in and around Montreal. These organizations have in common that they are rooted in the communities that they serve (providing community empowering models of care among socially vulnerable populations), with clinical supervisors committed to advocacy within the specific populations. A list of organizations is in the Annex.

To round out clinical experiences, fellows are able to undertake longitudinal electives in specific clinical areas (tailored to their needs and future career) in selected specialty and general pediatrics clinics at the Montreal Children’s Hospital. Fellows also undertake one mandatory month on the pediatric inpatient consult service (includes Child Protection), with significant teaching duties within the Division of General Pediatrics at the Montreal Children’s Hospital. Ultimately, we seek to encourage the development of a diverse next generation of pediatricians, who are prepared as a group to respond to the needs of the children of Quebec, Canada, and the World.

Advanced Academic Skills

Experts in social pediatrics must not only gain complex medical expertise; they must also develop academic skills (including research and/or advocacy skills) in order to contribute to the improvement of the health of disadvantaged populations at the population health level. We see the social pediatrician as a physician who is able to undertake community-based medical research, who has the skills in community activism and lobbying for health policy change, and who views health promotion as a core value. Such an individual will incorporate this practice within an ethos that seeks to empower the communities that he or she serves.

Academic training, then, for the advanced trainee in social pediatrics will make use of the many links that have been made with the leadership in other faculties at McGill University, notably Social Work, Law, Epidemiology and Anthropology. The leadership in these faculties is very open to the idea of pediatric trainees receiving training with them in order to develop the academic skills needed to function as a positive agent of social change, fellows are expected to undertake a major scholarly project in a domain pertinent to social pediatrics. Such projects might include: community-based clinical research (e.g., “epidemiology of Hepatitis C among street youth in Montreal”), advocacy (e.g., “improving access to health care for new refugees to Montreal”), or in other scholarly fields such as Medical Ethics, or Medical Education. Projects are assessed for suitability based upon relevance to the care of vulnerable pediatric and youth populations.

General Principles

  • Fellows continue (or start if they are new to the program) the Residents’ Continuity Clinic or a similar community-based clinic throughout the 12 months of fellowship.
  • Many of the exposures can be arranged to run longitudinally, rather than block by block.
  • All fellows are expected to contribute to the development of the protected teaching curriculum for advanced trainees.
  • All fellows will participate in the Canadian Child Health Clinician Scientist Program (CCHCSP).
  • All fellows are expected to complete and present the results of a scholarly project. The topic (e.g., advocacy, policy promotion, research), scale and presentation will depend on the fellow’s training and career goals.
  • On call duties.
  • All fellows will have teaching duties within the Division of General Pediatrics, as a scholar role expectation, e.g. in-training OSCE for pediatrics residents, Chief of Service rounds, teaching to medical students and junior pediatrics residents on the wards, Pediatric Consultation Center (PCC) or Residency Continuity Clinic (RCC) outreach education or other teaching.

All General Pediatrics fellows are expected to assume on-call duties. The types of calls and their frequency will depend on the fellowship stream and may be individualized by the fellowship director, taking into account the fellow's previous experience, their personal training objectives, and their future career scope.

A maximum of 2 in-house calls per block on the General Pediatrics inpatient unit may be required.

Sample Rotation Training Grid

Block Rotation
1 Pediatric Inpatient Consult Service (includes Child Protection)
2 Sub-specialty
3 Junior Ward Attending or Ambulatory / Community Clinics
4 Ambulatory / Community Clinics
5 Ambulatory / Community Clinics
6 Research / Advocacy Project or Ambulatory / Community Clinics
7 Vacation
8 Research / Advocacy Project or Ambulatory / Community Clinics
9 Research / Advocacy Project or Ambulatory / Community Clinics
10 Research / Advocacy Project or Ambulatory / Community Clinics
11 Research / Advocacy Project or Ambulatory / Community Clinics
12 Research / Advocacy Project or Ambulatory / Community Clinics
13 Research / Advocacy Project or Ambulatory / Community Clinics

Pediatric Hospital Medicine Fellowship Program

As a result of evolving treatments and advanced technology, the field of Pediatrics has changed dramatically over the past decade and has become a discipline focused much more on the care of children with complicated medical needs. This is reflected in the higher levels of complexity and acuity in the population of children admitted to pediatric hospitals or units. Pediatricians working in these hospitals (both academic and community institutions) need to be proficient in a variety of skills essential to the care of complex patients admitted for both acute and chronic conditions. They need to be comfortable in a variety of inpatient environments, such as the General Medical and Inpatient Wards, the Neonatal Intensive Care Unit, the Pediatric Intensive Care Unit, the Newborn Nursery, and the Emergency Department. They must also be effective teachers and supervisors for the range of learners on their teams as well as organizational leaders with a vision for efficiency and quality improvement.

Pediatrics residency programs are only four years in duration. They may not provide sufficient time to consolidate all the knowledge and to acquire the expertise required to function competently and autonomously in the range of hospital settings in which children receive care.

The current McGill General Pediatrics fellowship programs do not meet the needs of Pediatrics graduates wishing to improve their proficiency specifically in the breadth of pediatric hospital medicine. The McGill Pediatric Complex Care fellowship provides training mainly in the outpatient management of children with complex medical needs. The McGill Academic Pediatrics fellowship provides some exposure to the inpatient medical wards but has more of an emphasis on scholarship. As such, the Pediatric Hospital Medicine fellowship will be unique in its range of inpatient experiences and its strengthening of procedural and acute/intensive care skills (through rotations at the “fellow” level in intensive care units and the Emergency Department), while also providing academic and leadership experiences. This program will be well-suited to a candidate looking to pursue a general pediatrics career involving the hospital care of patients of varying degrees of acuity and complexity, whether in urban or more remote regions.

The purpose of the Pediatric Hospital Medicine Fellowship is therefore to provide the trainee with the additional knowledge and skills required to launch a career as a hospitalist in either a community or academic pediatric centre. Graduates from this program will have the patient exposure and training to advance their clinical skills to the next level required for the management of children hospitalized in any inpatient context. This will include performing procedures, performing resuscitations and other acute and emergency care, leading multidisciplinary meetings, and coordinating discharge planning for complex patients. Fellows will be involved in scholarly experiences in order to become adept teachers. They will also be exposed to the administrative challenges facing pediatric institutions and the tools, metrics, and leadership skills required to face them.

    Program length: 1 year
    Average number of trainees per year: 2

    Eligibility and Funding

    Eligibility
    Candidates for this fellowship are required to have completed a fourth year of General Pediatrics residency in a Canadian program and should be expecting completion of their FRCPC Pediatrics certification prior to entry. They must also meet the eligibility requirements of McGill University.

    Capacity in conversational French would be a strong asset due to the demographics of the Montreal Children’s Hospital’s (MCH) patient population (~40% French, ~30% English, ~30% Other languages). Candidates unfamiliar with the MCH may consider completing a clinical rotation at the institution in order to become familiar with its learning and clinical environment.

    Please note that pediatric residents who have obtained their MD in Quebec and/or who did residency training in Quebec in a contingent régulier or contingent particulier position are eligible to apply to this fellowship only via the “formation complementaire” program.

    Funding
    Funding and tuition support for accepted candidates is available. Details can be found on the McGill Department of Pediatrics website: https://mcgill.ca/peds/education-training/pgme/funding

    Curriculum

    The fellow will be exposed to the full range of tertiary hospital pediatrics, along with opportunities in community settings. The majority of the clinical rotations will take place at the Montreal Children’ Hospital. Elective clinical rotations may take place at McGill-affiliated centres such as the Royal Victoria Hospital/Glen (Newborn Nursery), Jewish General Hospital (Newborn Nursery), LaSalle Hospital (Newborn Nursery), and Cite de la Sante Hospital (Pediatric Unit).

    During clinical rotations, the supervisory role of the fellow towards more junior trainees will vary depending on the nature of the rotation. However, it is expected that the fellow will be directly responsible for resident and medical student supervision in some capacity while on clinical rotations.

    All General Pediatrics fellows are expected to assume on-call duties. The types of calls and their frequency will depend on the fellowship stream and may be individualized by the fellowship director, taking into account the fellow's previous experience, their personal training objectives, and their future career scope.

    Clinical Rotations

    Core Clinical Rotations (Total = 22-24 weeks/5.5-6 blocks):

    • Inpatient Wards (daytime fellow) - 6 weeks (3 x 2 weeks)
    • Inpatient Wards (overnight fellow) - 2 weeks
    • PICU (“fellow”) - 4 weeks (3 weeks daytime, 1 week overnight)
    • NICU (“fellow”) - 4 weeks (3 weeks daytime, 1 week overnight)
    • Emergency Department (ED) - 4 weeks
    • Medical Day Hospital (MDH) & Pediatric Consult service - 2-4 weeks

    Elective Clinical Rotations (Total = up to 16 weeks/4 blocks)

    Fellow to choose from the following offerings:

    • Complex Care Service
    • Child Protection Service
    • Palliative Care Service
    • Acute Pain Service + Pediatric Sedation Service
    • Normal Newborn Nursery (JGH vs LaSalle vs Glen)
    • Newborn Transport
    • Community Hospital Pediatrics (Cite de la Sante)

    Specialized complex outpatient clinic exposure (Total = 4 weeks/1 block)

    • Neuromuscular (Friday, 2x/month)
    • Spina Bifida (Friday mornings – week 2&3 of calendar month)
    • Neurofibromatosis
    • Tracheoesophageal fistula (TEF) (Thursday afternoons)
    • Bone health
    • Bronchopulmonary dysplasia (BPD) (Thursday)
    • Infant respiratory clinic
    • Home enteral feeding (Friday)
    • Cleft palate
    • Congenital Diaphragmatic Hernia (CDH)
    • Complex Care Service consults (Tuesdays)
    • Pediatric resident continuity clinic
    • Asthma

    In the outpatient setting, fellows are expected to provide patient care under the supervision of their attending physician. Depending on the nature of the clinic (see list above), responsibilities may include medical investigation, diagnosis, and management, care coordination, liaison with consultants, interdisciplinary collaboration, supervision of trainees, and teaching.

    Research/Academic Rotations

    Non-clinical/Academic rotations (Total = 8 weeks/2 blocks)

    Fellow to choose from the following options:

    • Quality Improvement Projects
    • Protocol Development
    • Research Project/Case Review
    • “Leadership” Block/Transition to practice/First-year-in-practice

    Fellows in Pediatric Hospital Medicine will be expected to complete a scholarly project during their training. Topics can be tailored to the individual’s interests and career trajectory, and they will be matched with suitable supervisors. The Division of General Pediatrics has several active researchers available to support the fellows with their academic project, for example:

    • Dr. Patricia Li: Focus on the organization and delivery of health services to children, including the disparities in outcomes among vulnerable children.
    • Dr. Evelyn Constantin: Focus on the effect of obstructive sleep apnea (OSA) on cardiometabolic risk, neurocognitive deficits and quality of life, as well as the impact of sleep issues in children with chronic conditions.
    • Dr. Elisa Ruano Cea: Focus on curricular development, program evaluation, “residents as teachers”, and faculty development related to Competency-based medical education (CBME).
    • Dr. Hema Patel: Focus on advocacy for children with medical complexity, and time management.
    • Dr. Nadine Korah: Focus on quality improvement, patient safety, simulation training.
    • Dr. Mylene Dandavino: Focus on medical education (curriculum development and assessment) and quality improvement.
    • Dr. Catherine Nolin: Focus on the standardization of patient care through the creation of care pathways, enhanced workflow on the inpatient wards, and resource stewardship.
    • Dr. Sara Long Gagne: Focus on system development for the care of children with intermediate complexity.

    *Selected Representative Publications of Faculty Members available upon request.

    Call Responsibilities

    Up to 30 in-house nights per year or average of 2-3 calls per month (variable distribution depending on rotation):

    • 2 weeks (2 x 5 nights) night float on the inpatient unit
    • 1 week (5 nights) night float in PICU
    • 1 week (5 nights) night float in NICU
    • Floating call when on academic block or elective rotation without call component (1-2 per block)
    • 2-4 weeks Medical Day Hospital (MDH)/Pediatric Consults call (home call)
    • 3 - 5 overnight shifts in Pediatric Emergency Department

    The call responsibilities of the fellow will take into consideration their career path as well as the coverage needs of the institution during their training year. The fellow should expect to provide up to 30 in-house nights per academic year. During the training blocks where no in-house nights are provided, the fellow should expect to cover up to two weekend days per block. If a clinical rotation involves call coverage (e.g. PICU, NICU, ED, MDH, wards, child protection), the fellow will be expected to participate in that service’s call roster. In-house night calls during these rotations will count towards the yearly expectation. Some calls may be from home, such as for the Medical Day Hospital and some elective rotations. Call responsibilities will respect the FMRQ Collective Agreement.

    Sample Schedule/Year Overview

    Given the significant amount of time available for elective rotations, efforts can be made to tailor the fellow’s schedule to their future career path and needs. Note that some of the clinical exposures may be arranged to run longitudinally, rather than by block, but a sample schedule is depicted below:

    Block

    Rotation

    Call

    1

    Medical Day Hospital (4 weeks)

    Pediatric Consults (Home call)

    2

    Inpatient Wards (2 weeks)
    Elective e.g. Newborn Nursery (2 weeks)

    Inpatient ward weekend

    3

    Academic Rotation

    (Focus on scholarly project)

    Float call on inpatient ward

    (Daytime or evening)

    4

    Emergency Department (4 weeks)

    3-5 overnight shifts during rotation

    5

    Inpatient wards, daytime (2 weeks)

    Inpatient wards, nighttime (10 nights)

    Inpatient wards night-coverage

    (10 nights)

    6

    Elective - e.g. Complex Care (4 weeks)

    Float call on inpatient ward

    (Daytime or evening)

    7

    PICU (3 weeks days, 5 nights)

    PICU night-coverage

    (5 nights)

    8

    Specialized complex outpatient clinics

    Float call on inpatient ward

    (Daytime or evening)

    9

    NICU (3 weeks days, 5 nights)

    NICU night-coverage

    (5 nights)

    10

    Inpatient wards, daytime (2 weeks)

    Vacation (2 weeks)

    Inpatient ward weekend

    11

    Academic Rotation

    (Focus on scholarly project)

    Float call on inpatient ward

    (Daytime or evening)

    12

    Elective - e.g. Community Hospital Pediatrics (4 weeks)

    Call within elective site

    13

    Elective - Palliative Care (2 weeks)

    Acute Pain Service/Sedation (2 weeks)

    Float call on inpatient ward

    (Daytime or evening)

     

    Teaching Responsibilities

    The teaching responsibilities towards residents will vary depending on the clinical and academic context. During clinical rotations, fellows will take on a supervisory role commensurate with the context. Teaching related to this role may be more informal and longitudinal. Teaching around cases and topics pertinent to the clinical context would be appropriate.

     

    In addition to clinical teaching, fellows will also engage in the following:

    • Fellows will be expected to contribute to the “Fellow’s Teaching” intended for all residents rotating on the inpatient ward during a given block. This occurs on certain Thursdays of the block. Topics are meant to be relevant to hospital pediatrics and practical in nature.
    • Fellows will be required to present a relevant topic of their choice during one of the Division’s weekly Evidence Based Rounds. This constitutes a practical overview of an article or topic, followed by group discussion. The session lasts 1 hour.
    • Fellows will be encouraged to participate as examiners for the pediatric resident objective structured clinical examinations (OSCEs) which take place twice per year. This is meant as a formative assessment for residents.
    • Fellows may participate in the residents’ protected teaching curriculum during

    Academic Sessions for Fellows

    Conference schedule

    • Department of Pediatrics Medical Grand Rounds (weekly)
    • General Pediatrics Evidence-Based Rounds (weekly)
    • Can-Meds Subspecialty Resident/Fellows Teaching Rounds (monthly)
    • Inpatient Unit Quality Improvement and Patient Safety Rounds/QUIPS (monthly)
    • General Pediatrics Fellows Teaching (monthly)
    • Fellows’ academic teaching: Fellows will participate in teaching sessions tailored to their advanced level of training. They will be joined by the other fellows in General Pediatric Fellowship programs (Complex Care, Academic Pediatrics, Social Pediatrics)

     

    Other sessions and considerations

    • Fellows will be required to maintain valid PALS and NRP certification. Courses are available through McGill for those who may be due for re-certification.
    • Lean Six Sigma “Yellow Belt” training will be strongly encouraged. A one-day course is available at the MCH through the Bureau de la qualité et amélioration continue (BQAC). Further, “Lunch and Learn” workshops on various aspects of quality improvement are held routinely and may be of interest to the fellow.
    • There is a Simulation Day held for pediatric residents featuring hands-on procedure practice. Fellows may attend as participants if interested.
    • Fellows will also be expected to participate in local activities of the Canadian Child Health Scientist Program (CCHCSP). CCHCSP is a transdisciplinary training program for the next generation of clinician-scientists in child and youth health research in Canada. Trainees engage in research training and a core curriculum that delivers a common multidisciplinary language of research, while imparting professional skills and values. Sessions are held once per month, on Wednesdays from 1-2pm. Topics covered in the CCHCSP curriculum include:
    • Research Ethics and Integrity
    • Research Design and Analytic Methods
    • Intellectual Property, Commercialization, Contracts, Conflicts of Interest
    • Mentoring/Supervising Research Trainees
    • Oral and Written Communication Skills
    • Tools of Research
    • Management of People, Time and Resources
    • Child Health Policy Development

    Lectures and Readings for Fellows

    Reading materials provided throughout the training program, as applies to clinical rotation and/or context. Some examples include:

    Assessment

    In order to successfully complete the Pediatric Hospital Medicine Fellowship Program, the fellow must demonstrate:

    • Satisfactory completion of all clinical rotations, including core and elective rotations
    • Completion of a scholarly project
    • Regular attendance and active participation at fellows’ protected teaching
    • Regular attendance and active participation at CCHCSP
    • Fulfilment of yearly call responsibilities
    • Regular participation in department meetings (e.g. QUIPS rounds) and teaching activities (e.g. Evidence-based Rounds)

    During each clinical rotation, fellows will receive regular feedback on their performance in order to guide their formative trajectory. Mid-way feedback, as well as final feedback at the end of the rotation, will be expected of supervising staff members.

    Written evaluations will be provided for clinical and academic rotations using McGill University’s online One45 evaluation platform. In the cases where the fellow will have worked with multiple supervising staff over the course of a rotation, the final evaluation will be reflective of cumulative input. The One 45 system will also permit the fellows to complete formal evaluations of their rotations and of the teaching faculty.

    Regular meetings every three months with the Fellowship Program Director will allow fellows to remain cognizant of their performance. This will facilitate an open dialogue to enhance the learning experience while providing tailored feedback. Since the General Pediatrics Fellowship Committee supervises and coordinates the training of fellows in the various General Pediatrics Fellowship Programs, it will also review trainee progress and performance throughout the year as well as at the end of the fellowship.

    Upon successful completion of the fellowship, candidates will receive a certificate of completion from McGill University.

    Training Sites

    • Montreal Children’s Hospital: 70 - 90%
    • Jewish General Hospital (NICU, Newborn Nursery): 0 - 10%
    • Royal Victoria Hospital (NICU, Newborn Nursery): 0 - 10%
    • LaSalle Hospital (NICU, Newborn Nursery): 0 - 10%
    • Hopital Cite de la Sante (Pediatric unit): 0 - 10%

    Academic Facilities:

    • Office space in the Montreal Children’s Hospital General Pediatrics area (General Pediatrics Fellows’ Office BRC. 6154)
    • Electronic access to the McGill Health Sciences Library from computers in all training sites and to “Uptodate” from computers at the Glen site
    • In person access to the Glen Site McConnell Resource Centre/Medical Library and McGill Health Sciences Library
    • Simulation sessions at the Shriners Hospital Simulation Centre and the McGill Steinberg Centre for Simulation and Interactive Learning

    Contacts

    Fellowship Director: Dr. Catherine Nolin (Montreal Children’s Hospital)
    Fellowship Coordinator: Ms. Bobbie Carin (Montreal Children’s Hospital)
    Oversight Committee: General Pediatrics Fellowship Committee (which reports to the General Pediatrics Residency Training Committee):

    • Chair: Administrative Director of the General Pediatrics fellowships
    • Members: Directors of each of the General Pediatrics fellowships, Director of the General Pediatrics Residency Program, 1 - 2 General Pediatrics fellow representatives

    Teaching Faculty:

    • Inpatient Wards: Dr. H. Agostino , Dr. L. Auger, Dr. R. Benkelfat, Dr. V. Clavel, Dr. M. Dandavino, Dr. M. Donlan, Dr. G. Dougherty, Dr. T. Giannone, Dr. J. Hebert, Dr. S. Hum, Dr. C. Karatzios, Dr. L. Kimoff, Dr. N. Korah, Dr. P. Li, Dr. S. Liben, Dr. C. Millar, Dr. G. Morantz, Dr. C. Nolin, Dr. E. Rubin, Dr. E. Ruano Cea, Dr. R. Sterszus
    • Complex Care Service: Dr. C. Henin, Dr. A. Lafontaine, Dr. S. Long- Gagne, Dr. H. Patel, Dr. AM. Sbrocchi
    • Medical Day Hospital: Dr. M. Berry, Dr. E. Constantin, Dr. MP. Guilbault, Dr. J. Morel, Dr. A. O'Gorman, Dr. J. Ortenberg, Dr. C. Phi, Dr. K. Saylor, Dr. O. Tse
    • Newborn Nursery: Dr. Beaumier, Dr. A. Gorgos, Dr. D. Leduc, Dr. K.Nguyen
    • Pediatric Intensive Care Unit: Dr. F. Bhanji, Dr. T. Di Genova, Dr. P. Fontela, Dr. R. Gottesman, Dr. P. Puligandla, Dr. S. Shemie, Dr. S. Zavalkoff, Dr. D. Withington
    • Neonatal Intensive Care Unit: Dr. G. Altit, Dr. J. Bartholomew, Dr. M. BelTempo, Dr. R. Gosselin, Dr. E. Hailu, Dr. F. Olivier, Dr. T. Perreault, Dr. G. Sant’Ana, Dr. W. Shalish
    • Pediatric Emergency Department: Dr. R. Paquin, Dr. L. Plotnick, Dr. S. Vaillancourt
    • Community Hospitals: Dr. S. El Tarazi, Dr. T. Giannone, Dr. MP. Guilbault

    Associated Fellowship Programs

    Gender Variance Fellowship Program

    Neonatal Follow-up Fellowship Program

    International Neonatal Medicine Fellowship Program - Program is not currently offered

    Neurodevelopmental Disabilities Fellowship Program - Program is not currently offered

    Contact Us

    Division Director

    Dr. Hema Patel


    Follow us on instagram @mcgillpedsresidents

     

    Postgraduate Medical Education

    Core Residency Program Director
    programdirector.pediatrics [at] mcgill.ca (Dr. Evelyn Constantin)

    Core Residency Assistant Program Director
    elisa.ruanocea [at] mcgill.ca (Dr. Elisa Ruano Cea)

    Fellowships Administrative Director
    catherine.nolin [at] mcgill.ca (Dr. Catherine Nolin)

    Academic Pediatrics Fellowship Program Director
    pd-academicpeds.med [at] mcgill.ca (Dr. Mylene Dandavino)

    Clinical Complex Care Fellowship Program Director
    pd-complexcare.med [at] mcgill.ca (Dr. Hema Patel)

    Social Pediatrics Fellowship Program Co-Directors
    pd-socialpediatrics.med [at] mcgill.ca (Dr. Geoffrey Dougherty)
    pd-socialpediatrics.med [at] mcgill.ca (Dr. Gillian Morantz)

    Pediatric Hospital Medicine Fellowship Program Director
    catherine.nolin [at] mcgill.ca (Dr. Catherine Nolin)

    Administrative Staff

    MUHC Administrative Assistant
    sandra.pisani [at] muhc.mcgill.ca (Sandra Pisani)
    514-412-4400 ext. 23096

    Core Residency Program Advisor
    pediatrics-residency.med [at] mcgill.ca (Alessandra Tedeschi)
    514-412-4400 ext. 24475

    Fellowship Programs Coordinator
    pediatrics-residency2.med [at] mcgill.ca (Gaby Rosarini)
    514-412-4400 ext. 23240

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