This year is spent learning clinical medicine and is divided between a core university teaching hospital and a community hospital. The PGY1 year includes two months of Internal Medicine and subspecialties, four months Surgery and subspecialties, and one month each of Pediatrics and Obstetrics/Gynecology. An additional month is spent in the university anatomy laboratory. In the final month of PGY1 all residents take an introduction to radiology course.
This is a core year in general radiology. After a 10 week introductory program, residents spend one or two months rotations on thoracic, musculoskeletal, abdominal and neuroradiology imaging. As well, there are one month rotations in CT and ultrasound. PGY2 trainees spend the first year at one or possibly two of our principal teaching hospitals, either Sunnybrook Health Sciences Centre, the Joint Department of Mount Sinai Hospital and University Health Network, or St. Michael's Hospital.
This year is divided into three to six month blocks at hospitals within the principal teaching hospitals. By the end of PGY3, each resident will have spent time at each of the principal teaching hospitals taking advantage of the varied academic programs unique to each facility. The principal rotations of PGY3 include ultrasound, nuclear medicine, neuroradiology, vascular-interventional radiology and more advanced general radiology including breast imaging.
This year includes four months of pediatrics at The Hospital for Sick Children, additional training in vascular-interventional radiology and additional general radiology including breast imaging and a community rotation. MRI is included at all levels in relevant rotations and is available at all primary hospitals. Most residents attend the Armed Forces Institute of Pathology during the PGY4 year.
There are five elective blocks designed by the PGY5 resident in consultation with the program director. This allows opportunity for personal selection of hospitals and electives including additional MRI training. Residents may choose to spend three or four months in one imaging rotation or may select one month review rotations, but the experience must meet the training requirements for The Royal College of Physicians and Surgeons of Canada.
Seminars and Rounds
An academic half-day program is offered weekly September-June. There is a formal series of two-three hour weekly lectures or seminars for PGY1, PGY2 and PGY3 residents. There are also some special sessions for PGY4 and PGY5 trainees.
Each core hospital holds one to two hours of teaching rounds daily, with attendance by all residents.
Physics is taught at the end of the PGY1 year and one additional one week of physics is held during the PGY3 year. There is also a longitudinal physics curriculum during the academic half day lectures.
The monthly Visiting Professor lecture series is attended by residents, faculty and community radiologists. In addition, the visiting speakers have lunch with the residents and attend resident teaching rounds.
Journal Club meetings organized by the residents occur four to five times yearly.
University of Toronto residents are encouraged to attend any of the conferences hosted by the university department. This includes the Organ Imaging Review Course which is a week long internationally recognized imaging course held annually. In addition there are conferences in vascular and interventional imaging and obstetric ultrasound.
Residents are encouraged to attend The Canadian Association of Radiology Meeting and the Radiological Society of North America Meeting. Some financial support is available for resident attendance.
CanMEDS at UofT's Diagnostic Radiology Residency Program
The CanMEDS framework has been integrated in postgraduate medical education at the University of Toronto. The Diagnostic Radiology Residency Program educates the residents and faculty about the CanMEDs competencies and has integrated a CanMEDs curriculum into academic program. This includes formal lectures as well as involving residents in the day to day aspects of radiology training that involve communication, collaboration, advocacy, management, scholarship and professionalism.
The Residency Program has modified the evaluations to specifically evaluate the residents on each of the CanMEDs competencies. The Program continues to integrate new and innovative ways to educate, integrate and evaluate the CanMEDs competencies.