Comments?
We welcome comments and/or questions about our new website design. Please contact webmaster.

 

 
Fellowship Description

 

 

ADULT COMPREHENSIVE GLAUCOMA
Supervisors and Location:

Glaucoma fellowship at the University of Toronto and the Toronto Western Hospital


Supervisors: Dr. Graham Trope and Dr. Yvonne Buys
Location: Toronto Western Hospital, 399 Bathurst St., East Wing, 6-405/411, Toronto, Ontario M5T 2S8

    Contacts:
  • Dr. Graham Trope: Tel: 416-603-5317 / Fax: 416-603-5333 / Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
  • Dr. Yvonne Buys: Tel and Fax: 416-603-5682 / Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Fellowship Objectives:
1. To expose Fellows to all clinical forms of adult glaucoma and train fellows to manage glaucoma.
2. To train Fellows in aspects of clinical and basic research.
General description:
To train Glaucoma Specialists for a career in academic Ophthalmology.
Clinical Duties:
The fellowship is a clinical and research fellowship. The Fellow will spend 6 months with each of the glaucoma consultants (Drs. Y.M. Buys and G.E. Trope). Approximately 75% of the time will be spent in clinical responsibilities which include all aspects of adult glaucoma care including clinical glaucoma assessments, laser and surgical procedures. These will all be done under the direct supervision of the consultant.

The Glaucoma Service at the Toronto Western Hospital is one of the largest tertiary glaucoma centres in Canada. Clinical activities include adult patient assessments in addition to significant laser and surgical volumes. Lasers are usually done one afternoon a week and include laser iridotomies, argon/selective laser trabeculoplastics, laser suture lysis, diode cycloablation, cyclocryo therapy and capsulotomies. All glaucoma surgical procedures are done in our day surgery unit and include trabeculectomies with and without antimetabolies, phaco-trabeculectomies, nonpenetrating procedures and glaucoma drainage devices.

The Fellow is expected to be on premises at a minimum of Monday to Friday, 7:30am to 5:00pm regardless of clinical activities. The Fellow is expected to be available for weekend clinical evaluations of post-operative cases or any complicated glaucoma patients. All time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching. All absences during the week must be cleared with the consultant well in advance.

The Fellow is expected to carry a glaucoma pager at all times. When on holidays the chief resident and clinic co-ordinator must be informed in advance that the pager will not be active. The Fellow will be responsible for first call on Friday afternoons during resident lectures and the evening before the Ophthalmology residents' exams. This responsibility is shared among all the Fellows at the Toronto Western Hospital. When either glaucoma consultant is on general ophthalmology hospital call the Fellow will be on first call to the residents.
Research:
At least 25% of the time will be spent in clinical and/or basic science research. Research projects will be suggested by the supervisors however, if the candidate has a specific interest this will be considered. Fellows must present their research at the Department of Ophthalmology Annual Research Day (usually in May). Fellows are encouraged to present their results at ARVO. In addition it is expected that a manuscript will be submitted for publication in a major Ophthalmology journal.
Teaching:
The candidate will be expected to participate in resident and medical student teaching. This includes encouraging resident involvement in interesting cases in the office as well as sharing in the operating room if a resident shows specific interest in a surgical procedure. The candidate is expected to participate in weekly glaucoma rounds and prepare lectures for these at the direction of the supervisors. Presentation of interesting cases at grand rounds when the guest speaker is from the subspecialty of glaucoma is also expected (on average twice in an academic year). The Fellow is expected to attend weekly Visiting Professors Rounds held on Thursdays from 5:30 pm to 7:30 pm. Attendance is taken at rounds and failure to attend a minimum of 70% of rounds may be grounds for not meeting the requirements of the Fellowship Certificate.
Vacation:
2 weeks vacation per year.
Conference:
Up to 2 weeks of conference time may be taken on approval of the Supervisors.
Evaluation:
An evaluation after 2 months of the Fellowship will be held to determine performance.
A mid-term and final evaluation will be held with the Fellow to evaluate his or her performance and to give feedback regarding his/her activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing.
Duration:
1 or 2 years, as negotiated.
Salary:
\$30,000.00 Canadian/year.
Housing:
Fellows are responsible for organizing their own housing. Housing is often available in the residence at the Hospital for Sick Children. The fellow must apply directly to the residence, if this option is desired.
Application Process:
Interested applicants should forward a letter of intent, current Curriculum Vitae, a surgical log and at least 3 closed references to one of the supervisors as listed above. Fellowships run for a minimum of a full year from July 1 to June 30. Generally, decisions are made approximately 9 months prior to the start date. A personal interview is usually required. Applications are due on August 31 of the year prior to beginning the fellowship in July however we encourage applicants submit as soon as their intention is known.
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. There is a 4-6 week pre-fellowship evaluation period during which the Fellow's ability will be assessed before a final educational license can be granted. An English test may have to be passed by the candidate.
CORNEA AND EXTERNAL DISEASE AND REFRACTIVE SURGERY
Supervisors and Location:
University of Toronto and the Toronto Western Hospital and the Yonge Eglinton Laser Centre
Co Supervisors, Dr. David S. Rootman, Dr. Allan Slomovic, Dr. Clara Chan (Dr. Chan will be a co-supervisor for 2011-2012 only)
Location: Toronto Western Hospital 399 Bathurst St., 6th Floor, East Wing, Toronto, Ontario M5T 2S8
Contact numbers:
Tel: 416-603-5401
Fax: 416-603-1993
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

Location: Toronto Hospital, Western Division, and the Hospital for Sick Children.
Fellow is expected to be on premises at a minimum of Monday to Friday, 8:00 a.m. to 5:00 p.m. regardless of clinical activities. All time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching. Failure to utilize non-clinical time in an appropriate fashion may result in action being taken. All absences during the week must be cleared well in advance.

Fellowship Objectives:
1) To gain exposure to medical and surgical cornea.
2) To prepare a candidate for an academic career with subspecialty training in cornea and external diseases and Refractive Surgery.
3) To enhance resident teaching.
4) To do clinical and basic research in the Department of Ophthalmology, University of Toronto.
General description:
The fellowship offered is intended to prepare a candidate for an academic career in ophthalmology. This would include skill acquisition in order to be considered a subspecialist in the field of cornea and external diseases as well as involvement in basic and clinical research in cornea, external diseases and refractive surgery.
Clinical Duties:
The fellowship consists of a mixed clinical and research fellowship. Approximately 80% of the time is spent in clinical activities. These include seeing referred subspecialty patients in an office setting with direct involvement in diagnosis and treatment of those patients. Additionally, approximately one quarter of the clinical time would be spent in the operating room both first assisting and performing corneal procedures under supervision. The candidate would be exposed to a variety of corneal problems from infections, refractive surgical problems, corneal transplantation, and complicated anterior segment cases. The candidate would participate in the operating room approximately one day a week on a variety of corneal procedures including an emphasis on corneal transplantation, (PKP, DSAEK, DALK), pterygium surgery, and refractive surgery including LASIK, PRK, Intacs, and corss-linking and ICL surgeries. The candidate is expected to have had adequate training in cataract surgery, as this is not an emphasis of the fellowship. Cataracts are usually for resident teaching. Surgery will be allocated in a graded fashion of responsibility. A talented candidate can expect to do 30-50 corneal transplants in one year.

The candidate will be expected to follow and be responsible for patients on the cornea inpatient service. The fellow will carry a beeper at all times except when on vacation, and will avail himself for consultation to residents and emergencies referred by outside ophthalmologists.
Research:
The candidate will be expected to spend 25% of his or her time on basic and/or clinical research. A basic or clinical science project will be outlined for the fellow and he or she will be expected to present this at Research Day of the Department of Ophthalmology as well as at a national or international meeting.
Teaching:
The candidate will be expected to enhance resident teaching. This would include encouraging resident involvement in interesting cases in the office as well as graciously stepping aside in the operating room if a resident shows specific interest in a surgical procedure, be it cornea or not. The candidate is expected to prepare at least two complete lectures to be given in small group seminars to the residents during the year. Presentation of interesting cases at ward rounds is also expected. It is expected that during the year the candidate will be exposed to a wide variety of corneal and external disease problems giving him adequate preparation for an academic subspecialty career.
Vacation:
2 weeks vacation per year.
Conference:
Up to 2 weeks of conference time may be taken on approval of the Supervisors.
Evaluation:
An evaluation after 2 months of the fellowship will be held to determine performance.
A mid-term evaluation will be held with the fellow to evaluate his or her performance and to give feedback regarding his activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing, including areas they would like to work on.
Duration:
1 or 2 years as directly negotiated.
Salary:
\$35,000.00 Canadian/year.
Housing:
Housing is often available in the residence at the Hospital for Sick Children, the fellow must apply directly to the residence, if this option is desired.
Application Process:
Applications are available through the above contacts. Fellowships normally run from July 1 to June 30, but flexible start dates are considered. Generally, decisions are made approximately 6 months prior to the start date. Fellowships are one or two year duration, depending on the background of the individual. An personal interview is required. Applications are due on August 31 of the year prior to beginning the fellowship in July.
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Completion of a North American residency also will make licensing fairly straightforward.
GLAUCOMA & ADVANCED ANTERIOR SEGMENT SURGERY “GAASS” FELLOWSHIP
Supervisors and Location:
Fellowship Supervisors

Iqbal Ike K. Ahmed, MD, FRCSC, Fellowship Director
Devesh Varma, MD, FRCSC
Thomas B. Klein, MD, FRCSC

Contact Information

Iqbal Ike K. Ahmed, MD, FRCSC
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
www.iahmed.ca
3200 Erin Mills Parkway, Unit 1
Mississauga, Ontario, L5L 1W8
905.820.3937 905.820.0111 fax
Daisy Huerto, Senior Administrator
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
905.820.3937 x161
Francesca Di Leo, Education Director, Department of Oph/Vision Sciences, Univ Toronto
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
416.978.6294

Clinic Locations

Clinical activities are primarily located at two state-of-the-art tertiary level private practices in the west Greater Toronto Area.

Credit Valley EyeCare
3200 Erin Mills Parkway, Unit 1
Mississauga, Ontario, L5L 1W8
905.820.3938 905.820.0111 fax

Osler EyeCare
164 Queen Street East, Suite 210
Brampton, Ontario, L6V 1B4
905.459.6710 905.459.5085 fax

Hospital Locations

Credit Valley Hospital, Mississauga, Ontario
William Osler Health Center, Brampton, Ontario
Fellowship Objectives:
• To develop subspecialty expertise in clinical diagnostics in glaucoma care
• To develop subspecialty expertise in the management of glaucomatous disorders, including medical, laser, and surgical therapy
o Primary focus is in adult and juvenile glaucoma with some exposure to congenital/pediatric glaucoma
• To develop expertise in handling the routine and complex cataract and associated conditions
• To develop expertise in performing advanced anterior segment procedures involving cataract, IOL, iris, and angle anomalies
• To develop an understanding, and participate in the design and publication of clinical and/or basic science research in glaucoma and anterior segment disease
• To gain insight into practice management
• To prepare for practice in a tertiary-level/academic setting
• To develop and refine skills in medical education to colleagues, residents, and medical students
General description:
The fellow will spend 12 months on the Glaucoma Service between the Credit Valley EyeCare and Osler EyeCare clinics which are multidisciplinary ophthalmic practices located within 20 minutes of each other, primarily serving the west end of the Greater Toronto Area. The Glaucoma service further provides care to an extended area within the province of Ontario, as well as receives national and international specialized referrals. The fellow will spend time with both preceptors concurrently throughout the year.

The fellow will be exposed to and trained in current state-of-the-art advanced diagnostic, medical, laser, and surgical techniques in the management of anterior segment and glaucoma problems.

Available advanced diagnostics devices include, but are not limited to:
• Use of optic nerve / retinal nerve fiber layer imaging and photography – HRT, OCT, GDx and RTA
• Standard automated perimetry (SITA), GPA, FDT-Matrix and SWAP
• Tonometric devices including Pascal DCT and pneumotonometry
• Anterior segment imaging, including ultrasound biomicroscopy (UBM), Scheimpflug videophotography (Pentacam), anterior segment optical coherence tomography AS-OCT (Visante), RetCam gonio-imaging, and slit lamp video imaging

Laser modalities include a multi-wavelength laser (ALT), selective laser trabeculoplasty (SLT), Titanium Sapphire laser trabeculoplasty (SOLX), Nd:YAG laser, and 810nm diode laser for external and endoscopic cycloablation.

Laser procedures performed include:
• laser iridotomies
• selective, argon, and titanium sapphire laser trabeculoplasties
• laser gonioplasty
• laser suture lysis
• external cyclodiode ablation procedures
• endoscopic cyclophotocoagulation

A priority objective of the fellowship is to provide the fellow with exposure to and hands on training in the most advanced and complex glaucoma and anterior segment surgical problems. Surgical approaches are performed with the latest devices, technology, and techniques. The fellow can expect to be in the OR from one to three full days a week. Urgent cases may be added, in addition to booked lists. The fellow is expected to be available to participate in these cases as well. Due to the high level of tertiary level surgical procedures, incoming fellows are expected to be comfortable with routine phacoemulsification, and possess sufficient surgical experience with such cases.

Glaucoma surgical procedures are done at two hospital sites, and include:
• standard trabeculectomy with and without antimetabolites
o modifications, including the use of the Fugo blade for transciliary filtration
o combined with phacoemulsification/IOL implantation
• nonpenetrating procedures, including viscocanalostomy and deep sclerectomy with collagen wick implantation
o combined with phacoemulsification/IOL implantation
• tube-shunt procedures using the Ahmed, Baerveldt and EagleVision drainage devices
o combined with phacoemulsification/IOL implantation
• endoscopic cyclophotocoagulation
• suprachoroidal shunts, including the SOLX gold shunt
• Schlemm’s canal microcatheterization
• goniotomy and trabeculotomy
• bleb needling and resurrection strategies with the use of antimetabolites

Although the emphasis of this fellowship is on glaucoma, there will be exposure and opportunity for involvement in the assessment and management of other related complex anterior segment problems.

Advanced anterior segment procedures include:
• phacoemulsification/IOL implantation
• surgical management of pediatric cataracts
• surgical management of dislocated cataracts, including the use of (sutured-in) capsular tension devices
• surgical management of aphakia, including iris and scleral sutured foldable IOLs
• surgical management of IOL complications, including IOL subluxation, dysphotopsia, etc, with IOL repositioning and/or IOL exchange
• iris reconstruction including iris suturing techniques and the use of aniridic/iris prosthetic implants
• vitrectomy, via limbal and pars plana approaches for management of preoperative or intraoperative vitreous prolapse

The use of new and innovate IOL technologies is encouraged. Current IOLs being used and studied include:
• ReSTOR and ReZOOM multifocal IOL
• Visiogen dual-optic accommodative IOL
• Aspheric IOLs
• Verisyse/Artisan iris-claw IOL for phakic and aphakic correction

Special emphasis will be placed on the latest innovations in glaucoma surgery, in particular new lasers in glaucoma, developments in non-penetrating glaucoma surgery, new drainage devices, and tube shunt surgery. There is also a particular interest in the management of iris abnormalities, and dislocated cataracts/loose zonules and intraocular lenses.
Clinical Duties:
Approximately 90% of the time will be spent on clinical responsibilities. This includes all aspects of adult and juvenile glaucoma care including glaucoma diagnostic workup and medical management, as well as laser and surgical procedures. These activities will be done under the supervision of a preceptor.

The fellow is expected to carry a pager at all times. The fellow must notify and pre-arrange with the fellowship supervisors and coordinator his/her absence for holidays. The Fellow may be responsible for first call during some days and evenings and on Friday afternoons during resident lectures. On call is not onerous for the fellow.

The fellow is expected to be present on clinic premises Monday to Friday, 8:00 a.m. to 5:00 p.m. regardless of scheduled clinical activities. All absences during the work week must be cleared/approved well in advance. The fellow is expected to be available for weekend clinical evaluations of post-operative cases or any complicated glaucoma patients. All clinic time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching.
Research:
At least 10% of the time will be spent in clinical and/or basic science research. Currently, the Glaucoma service is involved in numerous clinical trials at various levels, encompassing a diverse range of areas. The fellow will be expected to be first author on at least one major research project, in coordination with our Research Scientist on site. The Fellow will present a research paper at the Department of Ophthalmology Annual Research Day, usually in May, as well as at a major national or international Ophthalmology meeting. It is also expected that a manuscript will be submitted to these meetings and for publication in a major Ophthalmology journal.
Teaching:
The fellow will be responsible for occasional resident and/or medical student formal and informal teaching. The fellow is recommended to attend Visiting Professors' Rounds, which are held on certain Thursdays during the academic year from 5:30 pm to 8:00 pm. Approximately 2-3 times per year, when the grand rounds topic is on glaucoma, participation in cases for presentation is expected.
Vacation:
2 weeks vacation per year.
Conference:
Conference time may be taken if the fellow is presenting at the meeting, upon approval by the fellowship director.
Evaluation:
An evaluation after 1 month of the fellowship will be held to determine performance and to validate the educational license. A mid-term evaluation will be held with the fellow to evaluate his or her performance and to give feedback regarding his/her activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing.
Duration:
1 or 2 years, as negotiated.
Salary:
Funding is available to qualified applicants. The fellow is encouraged to apply for available scholarships.
Housing:
Fellows must make their own arrangements for housing. As the bulk of the time will be spent in the Mississauga/Brampton area (west Greater Toronto Area), it is recommended that housing be considered in this area. Housing costs in this area, which includes some of the best living areas in the Toronto area are considerably less expensive than downtown Toronto.
Application Process:
Interested applicants should forward a letter of intent, current Curriculum Vitae, and at least 3 closed references to Dr. Ahmed as listed above. Fellowships run for a minimum of a full year usually from July 1 to June 30, but flexible start dates are considered. Generally, decisions are made approximately 6-9 months prior to the start date. A personal interview is usually required. Applications are due on August 31 of the year prior to beginning the fellowship in July, but are preferred earlier. For flexible start dates, applicants should enquire as to availability.
License requirements:
Foreign applicants are encouraged to apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will have to successfully pass the TOFEL and TSE examination before they can obtain an educational license which is mandatory for the clinical portion of the fellowship. Comprehensive malpractice insurance is also mandatory. All malpractice premiums are the responsibility of the applicant. Applicants are encouraged to contact the Canadian Medical Protective Association to arrange insurance , as valid malpractice insurance is mandatory prior to the start of the fellowship. Documentation through the postgraduate medical education office will assist in acquiring this coverage.
GLAUCOMA & ADVANCED ANTERIOR SEGMENT SURGERY RESEARCH FELLOWSHIP
Supervisors and Location:
University of Toronto, Faculty of Medicine
Department of Ophthalmology and Vision Sciences


Dr. Ike Ahmed
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
(905) 820-3937
Fellowship Objectives:
General description:
Research Fellowship Program

This program is designed to provide an opportunity for qualified individuals to pursue a university accredited research fellowship in ophthalmology either before or after a residency program or clinical fellowship. The objective of the fellowship is to conduct high quality clinical and/or basic science research within the department under faculty supervision. The Research Fellowship Program will work in parallel with, yet distinct from, the Clinical Fellowship Program, and the Vision Science Research Program (VSRP).

As opposed to Masters or doctoral graduate students, this program is directed towards ophthalmologists, pre-residents, and post-ophthalmology residents and fellows who would like to undertake research endeavors within the department. Applicants may be interested in pursuing a career in ophthalmology, or may wish to conduct research in a specific field. At the conclusion of the fellowship, successful applicants will receive a research fellowship diploma from the university department.

Director, Research Fellowship Program: Ike K. Ahmed, MD

The Director, who shall report to the Departmental Chair and Research Director, will be responsible for developing program guidelines and requirements, facilitating applications, overseeing fellowships, and managing issues. Faculty supervisors will interact through the Director to organize and manage respective fellows.

The Director shall coordinate activities with the Department Education Coordinator, Francesca Di Leo.

Program Details

1. The fellowship must be a minimum of 12 months to obtain certification by the Department of Ophthalmology and Vision Sciences, and Faculty of Medicine. Shorter terms (i.e., 6 months) may be considered and may obtain recognition, however will not receive full certification.
• Start dates may be flexible with the approval of the Director, and to be arranged with supervisor

2. Inquiries regarding qualification of training for Royal College (FRSC) certification should be made to the Royal College of Physicians and Surgeons of Canada.

3. Supervisors must be on faculty within the Department of Ophthalmology and Vision Sciences, University of Toronto.

4. Applicant qualifications
• Practicing ophthalmologists
• Post-Ophthalmology residents
• Post-Ophthalmology fellows
• Pre-residency applicants from accredited medical schools/residency programs

5. All Research Fellows must be registered within the Research Fellowship program.

6. Funding is the responsibility of the supervisor and applicant.

7. Requirements for successful completion include:
• Satisfactory evaluation by supervisor(s)
o Standardized quarterly and final evaluation to be used
• Completion of at least one research project, to include:
o Presentation of results at the annual Department of Ophthalmology and Vision Sciences Research Day
o Presentation at national or international meeting is also strongly recommended
o Completion and submission of manuscript for publication

8. Fellow responsibilities
• The fellow may be involved in any or all aspects of assigned research, including administrative, coordination, patient interaction and examination, diagnostics, analysis, presentation, teaching, and publication.
• As situation dictates (i.e., if fellowship includes patient contact), the fellow might be required to obtain the following (these are the responsibility of both the supervisor and applicant). The Department of Ophthalmology and Vision Sciences, through the Director of the Research Fellowship Program will assist in these applications. Costs associated with these applications are the responsibility of the applicant.
o Registration with the Postgraduate Medicine Office, University of Toronto, Faculty of Medicine
o Hospital and/or clinic privileges
o Educational medical license from the College of Physicians and Surgeons of Ontario (CPSO)
o Malpractice insurance, from Canadian Malpractice Association (CMPA) (classified as Fellow)

9. Quality Assurance
• The Research Fellowship Program will undergo quality assurance reviews at regular intervals, involving the Director, Supervisors, Fellows, and external individuals

For further information, please contact:
Dr. Ike Ahmed
This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
(905) 820-3937
Clinical Duties:
Research:
Teaching:
Vacation:
Conference:
Evaluation:
Duration:
Salary:
Housing:
Application Process:
License requirements:
GLAUCOMA AND ANTERIOR SEGMENT
Supervisors and Location:

Glaucoma and Anterior Segment Fellowship at the Sunnybrook Health Sciences Centre, St. Michael's and Credit Valley Hospitals


Supervisors: Dr. Catherine Birt and Dr. Christoph Kranemann
Locations:
*M1 302a, Department of Ophthalmology, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, M4N 3M5
*3000 Lawrence Ave. East, Building C, Room 12, Toronto, Ontario, M5P 2V1
*2200 Eglinton Ave. West, Mississauga, Ontario, L5M 2N1


    Contacts:
  • Catherine Birt, MD, FRCSC: Sunnybrook Health Sciences Centre
    M1 302a, Department of Ophthalmology
    Sunnybrook & Women's
    2075 Bayview Ave, Toronto, Ontario, M4N 3M5
    416.480.5882 416.480.4481 fax
    This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
  • Christoph Kranemann, MD, FRCSC (Fellowship Director): St. Michael’s and Scarborough Hospital
    3000 Lawrence Ave. E., Building C, Room 12
    Toronto, Ontario, M5P 2V1
    416.289.4000 416.289.2318 fax
    This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Fellowship Objectives:
- Exposure and competence in diagnosis and management of the full spectrum of glaucoma disorders
- Primary focus is in juvenile and adult glaucoma with some exposure to congenital/pediatric glaucoma
- Exposure and competence in advanced anterior segment surgery
- Design, conduct, analyze, present and publish relevant clinical and/or basic research in glaucoma/anterior segment diseases
- Prepare for practice in a tertiary-level/academic setting
- Participate in medical education activities to colleagues, residents, and medical students
General description:
The candidate will be exposed to and trained in the most advanced diagnostic and surgical techniques in the management of anterior segment and glaucoma problems. A special focus will be placed on the role and development of diagnostic glaucoma technologies including, but not limited to, methods of optic nerve imaging and IOP determination as well as the biomechanical properties of the cornea. Special emphasis will be placed on the latest innovations in glaucoma surgery, in particular new lasers in glaucoma, developments in non-penetrating glaucoma surgery, the application of endoscopy to glaucoma surgery and tube shunt surgery. There is also a particular interest in the management of iris abnormalities, and dislocated cataracts and intraocular lenses.
Clinical Duties:
The Fellow will spend 4 to 6 month rotations with each of the glaucoma consultants. Approximately 80% of the time will be spent in clinical responsibilities. This includes all aspects of adult and paediatric glaucoma care including glaucoma diagnostic workup and medical management, as well as laser and surgical procedures. These will be done under the supervision of the consultant.

The supervisors have busy tertiary care glaucoma practices. In addition to the outpatient clinics, there are significant laser and surgical volumes. Laser procedures performed include laser iridotomies, selective and argon laser trabeculoplasties, laser gonioplasty, laser suture lysis, and diode and Nd:YAG cycloablation procedures.

One of the hallmarks of this fellowship is heavy advanced surgical exposure and hands on training. The Fellow can expect to be in the OR from one to three full days a week. When skilled, the Fellow will be well qualified to handle the most complex of advanced glaucoma, cataract or anterior segment surgical problems with the most innovative techniques available.

Glaucoma surgical procedures are done at four hospital sites, and include

- trabeculectomies with and without antimetabolites
- nonpenetrating procedures, including viscocanalostomy and deep sclerectomy with collagen wick implantation
- combined phaco-trabeculectomy, and phaco-deep sclerectomy
- tube-shunt procedures using the Ahmed, Krupin and Baerveldt drainage devices
- goniotomy and trabeculotomy

Although the emphasis of this fellowship is on glaucoma, there will be exposure and opportunity for involvement in the assessment and management of complex anterior segment problems.

Anterior segment procedures include:

- phacoemulsification/IOL implantation
- surgical management of pediatric cataracts
- surgical management of dislocated cataracts, including the use of(sutured-in) capsular tension devices
- surgical management of aphakia, including sutured-in foldable IOLs
- surgical management of IOL complications, including IOL dislocation, dysphotopsia, etc
- iris reconstruction including the use of aniridic implants

The Fellow is expected to perform Diurnal Tension Curves from 6:00 pm to 10:00 pm as necessary, usually once per month while at the Sunnybrook and Women’s site and the St. Michael’s site.

The Fellow is expected to carry a pager at all times. When on holidays the staff person, senior resident and clinic co-coordinator must be informed in advance that the Fellow will not be available. The Fellow may be responsible for first call during some days and evenings and on Friday afternoons during resident lectures. On call is not onerous for the fellow.

The Fellow is expected to be on premises at a minimum of Monday to Friday, 8:00 a.m. to 5:00 p.m. regardless of clinical activities. The Fellow is expected to be available for weekend clinical evaluations of post-operative cases or any complicated glaucoma patients. All time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching. All absences during the week must be cleared well in advance.
Research:
At least 20% of the time will be spent in clinical and/or basic science research. Research projects will be suggested by the supervisors, however, if the candidate has a specific interest this will be considered. It is mandatory that the research be presented at the Department of Ophthalmology Annual Research Day usually in May and at if possible, also at ARVO. In addition it is expected that a manuscript will be submitted for publication in a major Ophthalmology journal.
Teaching:
The Fellow will be responsible for occasional resident and/or medical student formal and informal teaching. Presentation of interesting cases at grand rounds when the guest speaker is from the subspecialty of glaucoma is also expected (on average twice in an academic year). The Fellow is expected to attend weekly Visiting Professors' Rounds held on Thursdays from 5:30 pm to 8:00 pm.
Vacation:
2 weeks vacation per year.
Conference:
Up to 2 weeks of conference time may be taken on approval of the Supervisors.
Evaluation:
An evaluation after 1 month of the fellowship will be held to determine performance and to validate the educational license. A mid-term evaluation will be held with the fellow to evaluate his or her performance and to give feedback regarding his/her activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing.
Duration:
1 or 2 years, as negotiated.
Salary:
25,000.00 Canadian/year. The Fellow will be encouraged to apply for available scholarships.
Housing:
Fellows must make their own arrangements for housing.
Application Process:
Interested applicants should forward a letter of intent, current Curriculum Vitae, and at least 3 closed references to Dr. Kranemann as listed above. Fellowships run for a minimum of a full year usually from July 1 to June 30, but flexible start dates are considered. Generally, decisions are made approximately 6-9 months prior to the start date. A personal interview is usually required. Applications are due on August 31 of the year prior to beginning the fellowship in July, but are preferred earlier. For flexible start dates, applicants should enquire as to availability.
License requirements:
Foreign applicants are encouraged to apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will have to successfully pass the TOFEL and TSE examination before they can obtain an educational license which is mandatory for the clinical portion of the fellowship. Comprehensive malpractice insurance is also mandatory. Applicants are encouraged to contact the Canadian Medical Protective Association to arrange insurance prior to the start of the fellowship as malpractice insurance of some form is mandatory.
LOW VISION REHABILITATION
Supervisors and Location:
Supervisor: Dr. Samuel N Markowitz
Location: Toronto Western Hospital 399 Bathurst St., Edith Cavell Wing, Toronto, Ontario M5T 2S8
Mailing address: 1225 Davenport Road, Toronto, Ontario, Canada M6H 2H1
Contact numbers:
Tel: 416-531 5425
Fax: 416-531 6728
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Fellowship Objectives:
1. To gain exposure to comprehensive low vision clinical practice.
2. To prepare a candidate for an academic career with subspecialty training in low vision rehabilitation.
3. To gain exposure to clinical and basic science low vision research in the Department of Ophthalmology, University of Toronto.
General description:
Service
Service for low vision assessment, fitting and dispensing of low vision devices is taking place in the clinic at the Toronto Western Hospital and in the private office of the supervisor. We receive consultations requests from colleagues from our hospital as well as from ophthalmologists from our community and beyond. We cover all aspects of low vision assessment, low-tech low vision fitting and dispensing.

The following medical conditions were covered by us in the past:

• Pediatrics: anisometropic amblyopia, cataract, pseudophakia
• Genetics: retinitis pigmentosa, cone dystrophy, Stargardt’s disease, albinism
• Neurology: stroke, multiple sclerosis, optic neuritis, nystagmus, cerebral palsy, ataxia
• External diseases: Keratoconus, corneal dystrophies, corneal scarring.
• Retina: Macular degeneration, diabetic retinopathy, glaucoma

We use the following techniques for vision rehabilitation on a routine basis:

1. Image relocation from the center to the periphery (macular degeneration, optic neuritis and others) or from the periphery to the center (glaucoma, RP)
2. Peripheral field expansion (homonymous hemianopsia)
3. Manipulation of contrast (corneal opacities, cataract)
4. Magnification (for targets at far, intermediate and near)
5. Macular stimulation (anisometropic amblyopia)
6. Glare control

Teaching
Residents: All first year residents rotate thru the low vision clinics
Fellows: The teaching program in low vision rehabilitation was approved by the fellowship committee of the Department of Ophthalmology as qualified for fellowship training.
Lectures: Low vision assessment and related basic sciences are covered during the first year introductory course. Clinical practice of low vision is covered during a mid year session
Materials: The clinic is equipped with a variety of low-tech low vision devices for practice and clinical training. Low vision resident manuals and books are available in the clinic.

Research
The following are areas of interest with completed or ongoing research:

• Assessment of residual color function.
• Macular perimetry in low vision.
• Fixation identification in macular degeneration with retinal photography.
• Identification of fixation location in macular degeneration with blind spot plotting.
• Identification of fixation location in macular degeneration with the Heidelberg Retinal Tomograph.
• Fixation characteristics in macular degeneration based on eye tracking technology analysis.
• Enhancement of fixation maintenance and tracking with computer generated peripheral clues in macular degeneration.
• The use of prisms for image relocation and field expansion.
• Falls in the elderly in the presence of low vision.

Clinical Duties:
The fellowship consists of a mixed clinical and research fellowship. Approximately 50% of the time is spent in clinical activities. These include assessment of referred subspecialty patients in an office setting with direct involvement in diagnosis and prescribing therapy for those patients.The candidate is expected to have adequate training in general ophthalmology including refraction, as this is not an emphasis in this fellowship. There is an opportunity for exposure in pediatric low vision. The candidate will be expected to follow and be responsible for patients on the low vision service. The fellow will carry a beeper at all times except when on vacation, and will avail himself for consultation to residents and referring ophthalmologists.
Research:
The candidate will be expected to spend 50% of his or her time on basic and/or clinical research. Research projects will be outlined for the fellow and he or she will be expected to present results at the Research Day of the Department of Ophthalmology or other venues as assigned. Final results are expected to be submitted for publication in an appropriate specialty journal.
Teaching:
The candidate will be expected to enhance resident teaching. The candidate is expected to prepare lectures as assigned to be given in small group seminars to the residents during the year. Presentation of interesting cases at rounds is also expected
Vacation:
2 weeks vacation per year.
Conference:
Up to 2 weeks of conference time may be taken on approval from the supervisor.
Evaluation:
Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing, including areas they would like to work on. An evaluation after 2 months of the fellowship will be held to determine performance. A mid-term evaluation will be held with the fellow to evaluate his or her performance and to give feedback regarding his activities. Evaluations are communicated to the fellowship committee of the Department.
Duration:
one year to start as directly negotiated.
Salary:
none available. Candidate has to secure funding
Housing:
Application Process:
Applications are available through the above contacts. All appointments have to be approved by the departmental Fellowship Committee. Fellowships normally run from July 1 to June 30, but flexible start dates are considered. A personal interview is required. Applications are due on August 31 of the year prior to beginning the fellowship in July.
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take the TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward.
MEDICAL RETINA
Supervisors and Location:
University of Toronto and the Mount Sinai Hospital, University Health Network, Toronto Western Hospital, and the Hospital for Sick Children
Director: Dr. Michael Brent
Preceptors: Dr. Elise Heon, Dr. Rand Simpson, Dr. Nupura Bakshi
Location: Toronto Western Hospital, 399 Bathurst Street, Toronto M5T 2S8
Contact numbers:
Tel: 416-603-5444
Fax: 416-603-5903
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

Location:
Mount Sinai Hospital, Toronto Western Hospital UHN, Sunnybrook Health Centre, Princess Margaret Hospital UNH, Hospital for Sick Children

Fellow is expected to be on premises at a minimum of Monday to Friday, 8:00a.m. to 5:00p.m. regardless of clinical activities. It is expected that time not occupied by patient responsibilities will be used to further academic pursuits such as research and teaching. All absences during the week must be cleared well in advance.
Fellowship Objectives:
Fellowship Objectives:
1) To gain exposure to medical diseases of the retina and vitreous.
2) To prepare the Fellow for an academic career with subspecialty training in medical diseases of the retina and vitreous.
3) To enhance teaching skills through mentoring residents and medical students
4) To perform clinical and basic research in macular degenerative disease
General description:
Up to two Felllowship positions will be offered each year. The fellowship offered is intended to prepare a candidate for an academic career in ophthalmology. This would include skill acquisition in order to be considered a subspecialist in the field of medical diseases of the retina and vitreous as well as involvement in basic and clinical research in macular degenerative disease, and retinopathy of prematurity.
Clinical Duties:
The fellowship consists of a mixed clinical and research fellowship. Approximately 80% of the time is spent in clinical activities. Fellows will divide their clinical time into rotations between Toronto Western Hospital & Princess Margaret Hospital. The major clinical emphasis will be on the assessment and management of Macular Degenerative Disease, Diabetic Retinopathy, Retinopathy of Pre-maturity, posterior segment Ocular Oncology.

Clinical duties would include assessing referred subspecialty patients in a clinic/office setting with direct involvement in diagnosis and management of those patients. Duties would also include screening ROP in the NICU, and potentially treating threshold disease. The candidate would be responsible for assessing and reporting fluorescein angiograms, optical coherence tomograms, and B-scan ultrasounds. Laser surgery and intravitreal injections will be allocated in a graded fashion of responsibility. A talented fellow can expect to do laser cases and more than 1000 intravitreal injections in one year. The medical retina fellow will aslo attend the Ocular Oncology clinic at Princess Margaret Hospital one day per week for 6 months, to become proficient in the diagnosis and management of primary and secondary tumors affecting the retina and choroid. In the other 6 month rotation, there will be a block of time dedicated to the Oculogenetics clinic and the Electrophysiology unit at the Hospital for Sick Children.
Research:
Approximately 20% of the fellow's time will be protected for research in the area macular degenerative disease. The fellow will be expected to conduct original basic and/or clinical research, with results to be presented at the annual Department Research Day, as well as at a national or international meeting. It is expected that the research findings will be submitted for publication in a peer reviewed journal.
Teaching:
The candidate will be expected to enhance resident and medical student teaching. This would include encouraging resident involvement in interesting cases in the clinic/office as well as didactic teaching and involvement in journal club. The fellow is expected to prepare at least two complete lectures to be given in small group seminars to the residents during the year. Presentation of interesting cases at grand rounds is also expected. Over the course of the year, the fellow will be exposed to a wide variety of medical retina and ocular oncology cases, giving him or her adequate preparation for an academic subspecialty career.
Vacation:
2 weeks vacation per year.
Conference:
Up to 2 weeks of conference time may be taken on approval of the Supervisors. Financial support for travel and lodging expenses will be provided if the fellow is presenting at the conference.
Evaluation:
An evaluation after 2 months of the fellowship will be held to determine performance. A mid-term and final evaluation will be held with the fellow to evaluate his or her performance. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing.
Duration:
1 year.
Salary:
We encourage each fellow to secure their own financial support (grants, scholarships, etc.). Fellows who are eligible to bill assistant's fees in the Province of Ontario may do so (subject to current Ministry of Health guidelines), however a limit to the billings will be established.
Housing:
There is no specific housing for fellows; however, there are many rental apartments in the area as well as an excellent transit services in Toronto. There may be housing available in the residence at the Hospital for Sick Children. The fellow must apply directly to the residence, if this option is desired.
Application Process:
Applications are available through the above contacts. Fellowships begin on July 1 and are completed on June 30th the following year. Generally, decisions are made approximately 6 months prior to the start date. Applications are due by September 30th of the year prior to beginning the fellowship in July. Interviews are usually granted in early November with a decision usually made by mid-December.

The following data will be required when you apply:

- A copy of your medical school transcript
- Three letters of recommendation
- A personal statement letter
- A current CV stating, but not limited to, your educational experience, degrees obtained, research experience, publications, presentations, hobbies and interests.

Your letters of recommendation must be written by either associate colleagues or attending staff involved in your education. They should be sent directly to:

Michael H Brent MD FRCSC
Medical Retinal Fellowship Director
399 Bathurst Street, 6th Floor, East Wing, Room 423
Toronto, ON, Canada
M5T 2S8
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take the TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward.
OCULAR GENETICS
Supervisors and Location:
Supervisors: Drs Elise Héon & Carol Westall
Department of Ophthalmology
The Hospital for Sick Children
The Vision Science Research Program
The Toronto Western Hospital
University of Toronto




Fellowship Objectives:
1. To understand the concepts and the implication of heredity related to inherited eye disorders
2. Acquire the knowledge to develop an ocular genetics practice
3. To manage various forms of inherited eye disorders such as glaucoma, cataracts, retinal dystrophy and retinoblastoma
4. To understand the basic principles and applications of genetic studies related to inherited eye disorders, such as mutational analysis and linkage analysis
General description:
Year 1
Most of the first year will be focussed on laboratory work with Dr. Héon in collaboration with Dr. Levin. The main research project will relate to the molecular characterization of pediatric glaucoma/cataracts. This will involve learning the basic laboratory techniques and the required experiments
Expectations:
• 1 abstract for ARVO 2001 or ASHG 2001 and 2 papers in peer reviewed journals
• Present at research day 2001
• Present at rounds, Participation to Genetics and Vision Science Research Program seminars
• 1 day/week of clinical activities alternating with Dr. Héon and Levin, genetic counseling sessions
• Attendance to the Bar Harbor course,Plan clinical research for year 2

Year 2
The second year will be more clinically oriented with 3 days/week of clinical activities. Clinical research will replace the basic research work and the topics will be selected by the Fellow. The fellow will learn to assess and manage various aspects relating to inherited eye disorders affecting children and adults. These mostly include retinitis pigmentosa, various retinal dystrophies, glaucoma, corneal dystrophies, cataracts, macular dystrophies and retinoblastoma.
Year 2 Expectations
• 1-2 peer reviewed papers and 1 abstract
• Present at Ophthalmology rounds when requested
• Participation to Genetics rounds and journal club and all ocular genetic activities
• Rotations: Retinoblastoma, ocular genetics, medical genetics, electrophysiology, ant segment
Clinical Duties:
None other than retinoblastoma call during that rotation.
Research:
Teaching:
Vacation:
3 weeks/ year (spring break, Christmas, extra week)
Conference:
Evaluation:
Duration:
Salary:
\$34,782.00 plus benefits, \$4,000/year for academic travel, Malpractice fees
Housing:
Application Process:
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take the TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward.
OCULAR ONCOLOGY
Supervisors and Location:
University of Toronto and Princess Margaret Hospital/University Health Network
Director of Ocular Oncology: Dr. E. Rand Simpson
Location: Princess Margaret Hospital, 610 University Ave., 18th Floor, (18-740), Toronto, Ontario, Canada M5G 2M9
Contact numbers:
Tel: 416-946-2000 ext. 5430
Fax: 416-946-2189
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.


Location: Princess Margaret Hospital/University Health Network.
Fellow is expected to be on premises at a minimum of Monday to Friday, 8:00 a.m. to 5:00 p.m. regardless of clinical activities. All time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching. Failure to utilize non-clinical time in an appropriate fashion may result in action being taken. All absences during the week must be cleared well in advance.

Fellowship Objectives:
General description:
PRINCESS MARGARET HOSPITAL
EYE TUMOUR CLINIC
E. Rand Simpson, MD
Director, Ocular Oncology Service

The Ocular Oncology Group at Princess Margaret Hospital/University Health Network is comprised of Ophthalmic Surgical Oncologists, Radiation Oncologists, and Medical Oncologists as well as Radiation Physicists and a host of support staff including Nurses, Ophthalmic Assistants, and Ophthalmic Technicians. Patient care is expedited through a coordinated system which draws from a referral base including other ophthalmologists, retinal specialists, and primary care physicians.

As a member of the University Health Network which includes Toronto Western and Toronto General Hospitals, the Ocular Oncology program at Princess Margaret Hospital also enjoys a close association with Mount Sinai and Hospital for Sick Children. Ocular cancer is managed in a multidisciplinary setting with full clinical and translational research capability.

Ocular surgery in the form of radioactive iodine plaque placement and removal as well as other radiation therapies is accomplished at PMH/UHN, whereas enucleations and ocular plastic procedures are all managed by designated ocular oncology clinical staff at other surgical locations.

The radiotherapeutic management of ocular and orbital malignancy is planned and implemented by the Department of Radiation Oncology at PMH/UHN. Clinical and Radiation Physics is provided by Clinical Physicists and Radiation Oncologists as well as Medical Oncologists who manage overall systemic malignancy, as appropriate. Approximately 3,000 elective outpatient visits and 500 in-house consultations are accomplished every year. Over 100 radioactive plaques are placed and removed in-house each year and over 50 enucleations are accomplished by the Ocular Oncology Group at PMH/UHN. The Fellow in Ocular Oncology is instrumental in the management of these patients.

The Ocular Oncology Clinic at PMH/UHN is one of forty-three North American Medical Centres participating in the Collaborative Ocular Melanoma Study (COMS), which is a large, multidisciplinary trial assessing the role of various therapy options in the management of malignant melanoma of the choroid. For the eleventh consecutive year the clinic has received an award of excellence for contributions to the study.

As well as providing optimum case management for ocular malignancy, the Ocular Oncology Program at PMH/UHN provides an important resource centre for research activities and continuing medical education, and serves as a highly successful model for a multidisciplinary approach to cancer care delivery.

This Fellowship position provides a clinical and translational research setting for diagnosis and management of eye cancer and related diseases. The Fellow will participate in a program involving patient care at all levels of management and will take part in a large clinical trial to evaluate treatment options for ocular melanoma.

This coordinated multidisciplinary management for ocular cancer offers the advantage of a highly personal coordinator/patient relationship which is maintained during the course of patient evaluation, as well as a cost effective approach to highly labour intensive patient care providing a unique Fellowship experience for those interested in this subspecialty exposure.
Clinical Duties:
Research:
Teaching:
Vacation:
Conference:
Up to 2 conferences may be taken on approval of the Supervisors.
Evaluation:
An evaluation after 2 months of the fellowship will be held to determine performance.
A mid-term evaluation will be held with the fellow to evaluate his or her performance and to give feedback regarding his activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing, including areas they would like to work on.
Duration:
1 or 2 years as directly negotiated.
Salary:
\$30,000.00 Canadian/year.
Housing:
Housing is often available in the residence at the Hospital for Sick Children, the fellow must apply directly to the residence, if this option is desired.
Application Process:
Applications are available through the above contacts. Fellowships normally run from July 1 to June 30, but flexible start dates are considered. Generally, decisions are made approximately 6 months prior to the start date. An personal interview is required. Applications are due on August 31 of the year prior to beginning the fellowship in July. For flexible start dates, applicants should enquire as to availability.
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take the TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward.
OCULOPLASTIC AND ORBITAL SURGERY
Supervisors and Location:
University of Toronto: St. Michael's Hospital, Mount Sinai Hospital, The Hospital for Sick Children
McMaster University: McMaster University Health Sciences Center

Preceptors:

Dr. Dan DeAngelis
Dr. Martin Kazden
Dr. Robert Pashby
Dr. John Harvey
Dr. James Oestreicher

Address:

Dr. James Oestreicher,
Suite 309,
1033 Bay Street,
Toronto, Canada, M4W 1R6.
telephone: 416 962 5005
fax: 416 962 5856
email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.


Location:
St. Michael's Hospital, Mount Sinai Hospital, The Hospital for Sick Children, and preceptors' offices. Fellow is expected to be on premises at a minimum of Monday to Friday, 8:00 a.m. to 5:00 p.m. regardless of clinical activities. All time not occupied by patient responsibilities must be used to further academic pursuits such as research and teaching. Failure to utilize non-clinical time in an appropriate fashion may result in action being taken. All absences during the week must be cleared well in advance.
Fellowship Objectives:
1. To train the fellow to a high level in preoperative and postoperative care of Oculoplastic surgery patients, as well as medical care of these patients.
2. To train the fellow in Oculoplastic surgical techniques, so that not only can he or she perform these operations competently, but he or she can teach them as well.
3. To aid the fellow in advancing knowledge in the field of Oculoplastic surgery by performing significant research (both thesis-related and otherwise), and presenting and publishing this research in appropriate forums. The fellow will learn research methodology, and learn a life-long habit of intellectual inquiry.
4. To fulfill the requirements of and to join ASOPRS.
5. To appreciate the cameraderie of colleagues in the same and related fields working on similar goals of patient care, research, and teaching.
6. To have the fellow reflect the high standards of the University of Toronto in all future endeavors and locations.
General description:
The fellowship offered is for a duration of 2 years, and is approved by ASOPRS, the American Society of Ophthalmic Plastic and Reconstructive Surgery. It is intended to prepare the fellow for a subspecialist role in oculoplastic and orbital surgery, in and academic or non-academic setting. It will also prepare him or her in research techniques useful in the field.
Clinical Duties:
The fellowship is a mixed clinical and research program. Approximately 80% of the time is spent in clinical activity. This includes seeing preoperative and postoperative patients in clinics and the preceptors' offices, as well as non-surgical oculoplastic consultations. A major portion of the clinical time is spent in the operating room assisting, performing, and teaching oculoplastic surgical procedures. There is ample exposure to a wide and complete range of oculoplastic and orbital surgery, from lid and orbital tumors, eyelid malpositions, lacrimal surgery, cosmetic surgery, anophthalmic socket surgery, and trauma. The surgery would be performed with all the preceptors in a variety of settings, and would include adult and pediatric problems.

Approximately one and a half days on average are spent with Dr. Harvey in Hamilton, so an automobile is useful but not essential. The fellow runs a half-day clinic in Hamilton seeing their own patients. Some of this clinic may be non-oculoplastic in nature, but otherwise the fellow is involved exclusively in oculoplastic surgery, and should not undertake the fellowship with the objective of learning cataract surgery or other non-oculoplastic elements.

The fellow will assist the residents in looking after in-patients. He or she will carry a pager at all times, and will avail themself for consultation to residents and emergencies referred by outside ophthalmogists. The fellow will cover the preceptors' practices as a first-line backup when any are away.
Research:
The candidate will be expected to spend 20% of his or her time on basic and/or clinical research. A basic or clinical science project will be outlined for the fellow or originated by him or her and he or she will be expected to present this at Research Day of the Department of Ophthalmology as well as at a national or international meeting. It is expected that several papers will be written in concert with the preceptors every year. A major ASOPRS thesis project will be carried out over the two year period by the fellow, submitted to ASOPRS, and published in the ASOPRS journal.
Teaching:
The candidate will be expected to enhance resident teaching. This would include encouraging resident involvement in interesting cases in the office as well as graciously stepping aside in the operating room if a resident shows specific interest in a surgical procedure if appropriate. Presentation of interesting cases at ward rounds is also expected. It is expected that during the year the candidate will be exposed to a wide variety of oculoplastic disease problems giving him adequate preparation for an academic subspecialty career.

Vacation:
1 week vacation per year.
Conference:
Up to 1 week of conference time may be taken on approval of the Supervisors.
Evaluation:
An evaluation after 2 months of the fellowship will be held to determine performance.
A mid-term evaluation will be held with the fellow to evaluate his or her performance and to give feedback regarding his activities. Fellows are encouraged to provide feedback and express their comments on how their fellowship is progressing, including areas they would like to work on.
Duration:
2 years as mandated by ASOPRS
Salary:
\$15,000.00 Canadian/year.
Housing:
Housing is often available in the residence at the Hospital for Sick Children, the fellow must apply directly to the residence, if this option is desired.
Application Process:
Applications are available through Dr. Oestreicher's office. Fellowships normally run from July 1 to June 30 for a 2 year period, commencing in odd years. Decisions are made through the matching process of the National Residency Matching Program (nrmp.org). A personal interview is required. Applications are due on January 15 of even years prior to beginning the fellowship in July of odd years.
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take the TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward. Because we require applicants to go through the ASOPRS match, USMLE or ECFMG is required for foreign graduates although not needed for the Canadian educational license.
OCULOPLASTICS, STRABISMUS AND NEURO-OPHTHALMOLOGY
Supervisors and Location:
Preceptor:

Dr. Edsel Ing
Toronto East General Hospital
Tel:(416) 465-7900
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

Dr. Meg Iizuka
Dr. Charlotte Wedge
Fellowship Objectives:
The primary goal of the fellowship is to hone clinical and surgical expertise in the management of oculoplastic and strabismus surgery problems. The fellow will also participate in the neuro-ophthalmology workups and the hospital consult service.
General description:
The fellows should have the clinical knowledge base of a junior consultant at the beginning of the fellowship. The fellow performs surgeries commensurate with their ability and experience in a graded fashion.
Clinical Duties:
6-8 weeks of hospital call (NO residents available, only the fellow), Surgery starts at 7:45 am Tuesdays and Fridays, and post-operative checks are done the morning after surgery, with/by the fellow. Office patients start at 7:45 am, and typically finishes at 5 pm. Punctuality is essential.
Research:
The fellow can choose an oculoplastics, strabismus or neuro-ophthalmology project which is presented at the spring departmental research day.
Teaching:
All patients are reviewed with the preceptor. Office didactic lectures given once per week. Fellow attends all UTOVS functions and rounds. The fellow assists in teaching the visiting medical students, and family practice residents. At the conclusion of the fellowship the fellow will have had ample opportunity to compile a comprehensive teaching slide collection to take home.
Vacation:
2 weeks. No leave during call weeks.
Conference:
One meeting, when fellow has completed research project, has submitted the article for publication, and is presenting the research at the meeting.
Evaluation:
As per U of T guidelines.
Duration:
12 months
Salary:
Negotiable (\$24,000 per annum maximum IF fellow dutifully completes all call and post-op duties)
Housing:
Arranged by fellow
Application Process:
A 2 day onsite, in-office interview is conducted 2 years before the time the candidate wants to apply.
License requirements:
Completed ophthalmology residency and certification exam. An educational license for Ontario will be granted. Candidates must pass the initial 2 month in training evaluation to continue on in fellowship training. Candidates must be fluent in English and cognizant of the physician responsibilities in the North American medicolegal system. Candidates with limited residency experience with oculoplastics, orbit or strabismus surgery will have extreme difficulties and should not apply for the fellowship, but are welcome as observers.
PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS
Supervisors and Location:
University of Toronto and the Hospital for Sick Children
Director, Dr. Asim Ali, MD, FRCSC
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Location: Dept. of Ophthalmology & Vision Sciences, The Hospital for Sick Children, 555 University Ave., Elm Wing, M158. Toronto, Ontario M5G 1X8
Contact: Ashley Bedard - Fellowship Co-ordinator
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Tel: 416-813-8942
Fax: 416-813-8266

Fellowship Objectives:
1. To provide a complete fellowship training experience in pediatric ophthalmology with surgical and clinical exposure to all disciplines within the field including strabismus (including adults), cataract, glaucoma, cornea, anterior segment disorders, oculoplastics, retinopathy of prematurity, neuro-ophthalmology, retinoblastoma, and ocular genetics (including adults) .
2. To expose training fellows to the wide range of pediatric systemic diseases with ocular manifestations
3. To provide a pediatric ophthalmology research experience resulting in the publication of at least one manuscript.
4. To offer personal and professional development as a future academically oriented pediatric ophthalmology who is active in the field, demonstrates exemplary doctor-patient/parent relationships, and ethical behavour.
General description:
This training experience is an intense and active fellowship set in the largest pediatric center in North American for clinical care and research; in conjunction with the Residency and Fellowship Training Program of the University of Toronto, Department of Ophthalmology. The Fellowship is characterized by a broad exposure to clinical material and problem situations and can be tailored somewhat to fit special needs or interests of the trainee. It includes exposure to all subspecialties within pediatric ophthalmology and strabismus.
Clinical Duties:
The Fellow, appointed for a one-year term, participates in all aspects of our department, and is responsible for patient care in the Eye Clinic, in-hospital consultations, academic conferences, participation in resident training, and in research. The Fellows are also required to provide full clinic coverage on Friday afternoons as the residents have academic leave.
Research:
The Fellow, is expected to complete, present and publish one or two research papers in conjunction with staff members.
Teaching:
As the Fellow is expected to have completed primary horizontal strabismus surgery training, he/she will participate in more complex strabismus cases, intraocular/glaucoma surgery and oculoplastics cases as well as other advanced procedures as appropriate. The experience and education in pediatric ophthalmology is enhanced by participation in the on-call schedule as senior support to the resident staff on nights and weekends.
Vacation:
3 weeks vacation by pre-arrangement which includes 1 week attributed to Christmas/New Year holiday or March Break. Additional week off for conferences and 5 working days for job interview leave.
Conference:
One week
Evaluation:
Fellows are evaluated formally 3 times each year (approximately every 4 months). An inquiry is sent to all staff members regarding the Fellows' performance in the 4 months prior to each review. These replies are collated by Drs. Ali and the Ophthalmologist-in-Chief who meet with each fellow individually to review their performance. Fellows are also asked to complete a self-evaluation document and to include their surgical log to date, before these meetings. In addition, the Fellows are asked to complete a Program Evaluation at the end of their fellowship.
Duration:
1 year
Salary:
\$40,000 (Canadian)
Housing:
Housing is often available at the Alan Brown residence, across the street from The Hospital for Sick Children. An application must be completed and forwarded directly to the residence. Please see link: http://www.sickkids.ca/alanbrownbuilding/index.html. Information regarding other potential housing arrangements is also provided.
Application Process:
Contact Ashley Bedard by email ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it. ) or mail for application requirements. Fellowships run from July 1 to june 30 (3 spots) and January 1 to December 31 (1 spot). In person interviews are required. Deadline for applications is the second Friday in September of the year prior to beginning the Fellowship in July, or the second Friday in February of the year prior to beginning the Fellowship in January.
License requirements:
Foreign applicants may apply. Applicants must be fully fluent in the English language. The College of Physicians and Surgeons of Ontario (CPSO) will generally grant a full clinical educational license to applicants with recognized ophthalmology specialty certification in their home country. The CPSO designates the first 4-6 weeks of the fellowship to be an evaluation period during which the candidate's ability and language fluency will be assessed before a final educational license can be granted and the fellowship continued for the remainder of the designated 12 month period. Certificate of completion of the Fellowship will be issued when the training time, research and other commitments are completed.
VITREORETINAL SURGERY
Supervisors and Location:
University of Toronto and the Toronto Western Hospital and the Hospital for Sick Children
Co Supervisors: Dr. Wai-Ching Lam, Dr. Robert Devenyi, Dr. Peter Kertes, Dr. Chris Hudson
Location: Toronto Western Hospital, 399 Bathurst St., Room 6E-432, Toronto, Ontario M5T 2S8
Contact numbers:
Tel: 416-603-5376
Fax: 416-603-5059
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it.


Location:
Toronto Western Hospital, The Hospital for Sick Children, and Sunnybrook Health Sciences Centre
Fellowship Objectives:
- To gain extensive experience in all aspects of medical and surgical vitreoretinal disease.
- To perform both clinical and basic research.
- To prepare the fellow for an academic career in vitreoretinal surgery.
General description:
Clinical Duties:
Three vitreoretinal fellows are trained each year. The fellows will divide their time between the private offices, the laser suite, and the operating room. The fellows are expected to work-up all surgical patients, and to be involved with all aspects of post-operative care. The very high volume of patients will allow extensive experience in all aspects of medical and surgical retinal disease. The amount of responsibility afforded each particular fellow of course will depend on individual ability.

Dr. Lam and Dr. Kertes are also involved in pediatric retinal disease at the Hospital for Sick Children. The fellow is expected to participate in these activities at the Hospital for Sick Children, including screening and management of retinopathy of prematurity and other retinal diseases in children.
Research:
Approximately 20% of the fellow's time will be protected for research (one day per week). The fellow will be expected to conduct original, basic research (at the facilities of Department of Ophthalmology, The University of Toronto), as well as clinical research. The results of these studies will be expected to be submitted for publication in peer review journals. In addition, the fellow will present the results of the research project at the annual Department Research Day.
Teaching:
Regular teaching rounds are given by the Retina Service to ophthalmology residents. The fellows will be expected to attend these sessions, and also to contribute regularly to the teaching of the residents. This will include preparation of formal lectures and grand rounds.
Vacation:
Two weeks vacation per year.
Conference:
Up to two weeks of conference time may be taken on approval of the Supervisor.
Evaluation:
The fellow will be evaluated every four months. In addition, the fellow will be asked to evaluate the fellowship experience and report to the Fellowship Committee.
Duration:
One or two years.
Salary:
We encourage each fellow to secure their own funding
Housing:
Housing may be available in the residence at the Hospital for Sick Children. The fellow must apply directly to the residence, if this option is desired.

Application Process:
All applicants must register with the San Francisco Match Program and complete the CAS application form for our program.
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward.
VITREORETINAL SURGERY - ST. MICHAEL'S HOSPITAL
Supervisors and Location:
Director: Dr Louis Giavedoni

Preceptors : Dr Filiberto Altomare, Dr Alan Berger, Dr Shelley Boyd, Dr. David Chow, Dr David Wong, Dr. Rajeev Muni

Location: St. Michael’s Hospital, 30 Bond St, Toronto, M5B 1W8
St. Michael’s Hospital, a full service academic teaching hospital affiliated with the University of Toronto, is located in the heart of downtown Toronto with easy access via public transit or car. The hospital is unique in that it serves not only the surrounding community but as well it also serves as a provincial center for many services including vitreoretinal surgery. Scheduled hospital obligations generally extend daily from 7a.m. to 6 p.m.. It is expected that time not engaged in patient responsibilities will be used to further academic pursuits such as research and teaching. Since fellows have patient responsibilities, all absences during the week must be cleared well in advance to ensure proper patient care and follow-up.

Contact numbers:
Tel: 416 867-3717
Fax: 416-867-3651
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it. , Administrative Assistant, Vitreoretinal Fellowship Program
Fellowship Objectives:
To develop outstanding vitreoretinal surgeons and prepare the fellow for an academic career by
1) Gaining exposure and developing expertise in the diagnosis and management of surgical, as well as medical diseases of the retina and vitreous.
2) Stimulating ideas and developing research skills in clinical and/or basic science research
3) Developing teaching skills though mentoring residents, medical students, and preparing presentations.
4) Developing critical and innovative thinking in the approach to vitreoretinal diseases
General description:
The fellowship was established over 40 years ago by Dr Michael Shea, a pioneer in vitreoretinal surgery in Canada. Since that time, over 80 vitreoretinal fellows have been trained in the diagnosis and management of diseases of the retina and vitreous. The large volume of patients seen and treated annually, the varied training backgrounds of the Attending Staff, the recently established Translational Retinal Research Unit, and working within the largest residency program in the country, provides a rich environment for developing an academic vitreoretinal surgeon with excellence in research, teaching, and clinical skills. As a result, many of our past fellows have established themselves in academic practices throughout Canada, USA, South America, Europe, the Middle East, and the Asia.
Clinical Duties:
The fellowship is 2 years in length. There are on average 4 fellows per year. In a typical week the fellow will spend approximately two and a half days seeing patients which will include laser experience and minor procedures, two days in surgery, and one half day of protected time dedicated to research. The fellow’s time will be split approximately equally amongst six vitreoretinal surgeons and a medical retinal specialist, in 2 six-month rotations per year. The fellows will work toward assessing and managing most office and emergency patients, will need to be familiar with all surgical patients, and take retinal call. The fellow can expect to see a wide breadth and depth of both medical and surgical retinal problems. The second year will focus on developing the thought processes and fine surgical skills required for dealing with difficult and/or complex vitreoretinal problems. Surgery will be allocated in a graded fashion of responsibility, and a talented surgeon can expect an excellent surgical experience. Each fellow will spend approximately 14 full clinic days during the duration of the fellowship at Princess Margaret Hospital, the largest referral center for ocular tumours in our province, learning to become proficient at diagnosing and managing primary and secondary choroidal and retinal tumors. Furthermore one day a week for six months will be dedicated to uveitic diseases working with a specialist in that field.. ROP screening is also taught. In the recent past our fellows have also participated in a in a one week long mission to a third world country to help deliver eye care, as part of a new Departmental initiative to help disadvantaged, sightless people see again. Commitment, hard work, diligence, and compassion on the part of the fellow will help produce the best clinical experience possible from this fellowship.
Research:
Expert guidance, time, and funding for research projects are provided. It is therefore an expectation that each fellow will be the primary author on at least one original, prospectively conducted research project, and that it will be sufficiently completed prior to the end of the second year, to be written up in manuscript form for submission to a peer reviewed journal. Furthermore, the fellow will present the results of the study at the annual Departmental Research Day. Involvement in more that one project will also be strongly encouraged.
Teaching:
From time to time the fellow will need to present cases and develop topics for residency teaching, medical student teaching, and help in running the journal club. At our hospital there are twice weekly teaching rounds including imaging rounds, and at the University there is typically one evening per week of rounds, and the fellow will be expected to participate in them. Once a month there are rounds dedicated at a fellowship level. The fellow will also be expected to help mentor the resident who is learning to do lasers, and to teach the basics of vitreoretinal surgery, including a limited vitrectomy and the basic components of a scleral buckle.
Vacation:
2 weeks vacation per year.
Conference:
Up to 2 weeks of conference time may be taken on approval of the Supervisors. There is financial support for travel and lodging expenses if the fellow is presenting at the conference.
Evaluation:
The fellow will be evaluated every four months. In addition, the fellow will be asked to evaluate the fellowship experience and express their comments on how their fellowship is progressing, including areas they would like to work on.
Duration:
2 years.
Salary:
CAD \$10,000 yearly
Housing:
There is no specific housing for fellows; however, there are many rental apartments in the area and transit line as well as housing is often available in the residence at the Hospital for Sick Children. The fellow must apply directly to the residence, if this option is desired.
Application Process:
Applications are available through the above contacts. The fellowship begins on July 1 each year and is completed two years later on June 30. All applicants are encouraged to submit a completed application packet as early as possible. The last day for accepting an application is July 31 of the year prior to beginning the fellowship in July. Interviews are usually granted in early November, and a decision is usually made in early December. All of our fellows are selected through the A.A.O fellowship match. It is only under exceptional circumstances that a fellowship candidate would be considered outside of the match.

The following data will be required when you apply:
• A copy of your medical school transcript.
• Your ophthalmology fellowship match number.
• Three letters of recommendation.
• A personal statement letter
• A current CV stating, but not limited to, your educational experience, degrees obtained, research experience, publications, presentations, hobbies and interests.
Your letters of recommendation must be written by either associate colleagues or attending staff involved in your education. They should be sent directly to:
San Francisco Matching Program at www.sfmatch.org
Based on this information, you may be granted an interview, which you will be required to attend in order to be considered for the position
License requirements:
Foreign applicants may apply. The Ontario College of Physicians and Surgeons will generally grant a full clinical educational license to applicants with recognized specialty certification in their home country. Those applicants whose medical school was not taught in English will now no longer be required to take the TOFEL and TSE examination. However, there will be a 4-6 week pre-fellowship evaluation period during which the candidate's ability will be assessed before a final educational license can be granted. Completion of a North American residency also will make licensing fairly straightforward.