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Pediatric

Dr. Oscar Navarro
Pediatric Radiology Program Director

The Clinical Fellowship Program in the Department of Diagnostic Imaging at The Hospital for Sick Children provides training for those radiologists interested in pursuing a career in pediatric imaging. The candidates must have already completed a four-year training in a diagnostic radiology residency program or must be board-certified as radiologists in their country of origin. The program is within one of the largest and busiest pediatric radiology departments in the world, performing approximately 140,000 examinations per year, allowing exposure to practically the entire spectrum of normal and pathologic imaging findings one can encounter in pediatric practice. The Clinical Fellowship Program is open to both national and international applicants and in fact in July 2016 we will have fellows from Canada, Chile, the Democratic Republic of Congo, Ireland, United Kingdom, Switzerland, Turkey, Saudi Arabia, Qatar, India and South Korea.

The Clinical Fellowship Program in our Department is part of the Fellowship Program of the Department of Medical Imaging of the University of Toronto. Our Department offers fellowships in Pediatric General Radiology, Pediatric Neuroradiology, Pediatric Interventional Radiology, Pediatric Cardiac Imaging and Pediatric Nuclear Medicine. We have a variable number of funded and self-funded positions available, starting in July and sometimes also in January of each year. The funded positions are paid for by our Department whereas the funding of the self-funded positions should be arranged by the candidate either through international grants or sponsoring institutions in their home countries.

There is flexibility in the duration of the fellowships. Interested candidates may apply to one-year, 18-month or two-year programs depending on the particular needs of the applicant or of the institution that is sponsoring the candidate. At the time of the application, the candidate can apply to more than one fellowship program, for example, one year of Pediatric General Radiology and one year of Pediatric Neuroradiology. However, each application is treated separately by the Fellowship Committee and, therefore, we cannot guarantee that the candidate will be accepted in all of the requested fellowships. In many occasions the decision regarding acceptance for a second year may be delayed until the subsequent application process.

The  Pediatric General Radiology fellowship includes rotations in the following areas: plain radiographs (including in-patient studies from the pediatric and surgical wards and from the neonatal and pediatric intensive care units, as well as outpatient and emergency room examinations), fluoroscopy (gastrointestinal/ genitourinary), ultrasound (including neuro-sonography), body CT, body MR imaging (abdomen and musculo-skeletal), neuroradiology (including CT and MR imaging), and nuclear medicine.

Our training program in Pediatric General Radiology is currently accredited by the Royal College of Physicians and Surgeons of Canada as a one-year Pediatric Radiology Residency Program. This means that those trainees that have completed a diagnostic radiology residency program in Canada and/or are certified by the Royal College of Physicians and Surgeons of Canada in Diagnostic Radiology and enter our program in Pediatric General Radiology will be recognized as PGY6 pediatric radiology residents. These trainees may be eligible for certification with examination in Pediatric Radiology by the Royal College of Physicians and Surgeons of Canada following successful completion of our program.

Fellows are trained and evaluated in all aspects of the CanMEDS competency framework (medical expert, communication, collaboration, health advocacy, leader, scholar and professional roles). Fellows gain competence through a process of graduated responsibility by which they take on increased responsibility as they acquire greater experience under ongoing supervision of staff radiologists. This is supplemented by daily teaching sessions in all areas of pediatric imaging, participation in clinical rounds and presentation at quality assurance rounds and journal club. Fellows are also expected to cover MR imaging evening shifts and to take night and weekend call on a rotating basis with the other fellows. As the fellows gain more familiarity with pediatric imaging and with the department, they are put in a more supervisory role over diagnostic radiology residents who are performing “in house” call during their pediatric imaging rotation in our hospital. Fellows are expected to reach the level of junior staff colleagues before they leave the department.

Protected academic time is provided to the fellows so they can work in research projects and prepare presentations during the year. The fellows are supported in all academic activities and in the past this has led to numerous presentations at national and international pediatric imaging meetings as well as to the publication of many papers, chapters, and even books. Fellows are expected to be productive and in fact the Department of Medical Imaging of the University of Toronto requires production of at least one original research article per year of fellowship in order to issue a certificate of completion of fellowship.

Paid vacation is 20 working days per fellow, per year. Additional time is provided to all fellows to attend conferences and /or courses. Some funding is available for travel and accommodation to one conference for each year of fellowship dependent on the evaluation of the progress of research of each fellow.

APPLICATIONS

The application process to our programs starts about two years before the start date of the fellowship. For fellowships starting in July 2018, the application process will be opened on May 16, 2016 and will close on July 31, 2016. The application process to all of the fellowship programs (Pediatric General Radiology, Pediatric Interventional Radiology, Pediatric Neuroradiology, Pediatric Cardiac Imaging and Pediatric Nuclear Medicine) is similar, including funded and self-funded positions.

In the application form there is updated information regarding available funded and self-funded fellowship positions at the time of the application. A completed application form, curriculum vitae, statement letter and three recent reference letters should be submitted before the deadline. In the preparation of the curriculum vitae, the candidate should list all published abstracts and publications following standard format:

Hart J, Sagna B, Richards M, Milner J, Silva D, Sinclair S. Effect of high intensity sport activities in the metaphyses of long bones in prepubescent children. J Pediatr Sports Med 2015; 105:731-738

The candidate’s name should be in bold font. Always use the standard abbreviation of a journal’s name according to the ISSN List of Title Word Abbreviations (see ISSN.org LTWA).

Candidates can apply to two different fellowships (i.e. Pediatric General Radiology and Pediatric Neuroradiology, etc) using one single form. The Fellowship Committee will review all applications within a few weeks after the deadline and will select a small number of candidates that will be called for an interview. An interview in person at our hospital is preferable as allows a better interaction between the candidate and the members of the Fellowship Committee. This visit is also extremely useful for the candidates as they can meet with other staff members and fellows within the department as well as to gain a better appreciation of the resources available for the program. The final decision about acceptance will be made approximately eighteen months before the start date of the fellowship. 

Diagnostic Imaging Padiatric Radiology Fellowship Radiology Application and Information:

Diagnostic Imaging Paediatric Radiology Fellowship Progrom contacts:

Oscar Navarro, M.D.
Fellowship Program Director
Department of Diagnostic Imaging
The Hospital for Sick Children
555 University Avenue
Toronto, Ontario M5G 1X8
Fax: (416) 813-8389

E-mail: oscar.navarro@sickkids.ca

OR

Katherine McLaren
Fellowship Program Administrative Assistant 
Department of Diagnostic Imaging
The Hospital for Sick Children
555 University Avenue
Toronto, Ontario M5G 1X8
Tel: (416) 813-5823

E-mail: katherine.mclaren@sickkids.ca