Fellowship Information
| Location | Montreal听General听Hospital (MGH),听捆绑SM社区听University听Health听Centre (MUHC) |
| Number of Positions | 1-4 per year |
| Length | 1 year |
| Fellowship Director | lorrain.lau [at] mcgill.ca (Dr. Lorraine Lau) |
| Application Link | |
| Detailed Information | 捆绑SM社区's Trauma Fellowship (PDF) |
Overview
- 捆绑SM社区's Trauma Fellowship for Emergency Physicians is a one-year fellowship program that allows you to develop expertise in managing major trauma patients, both blunt and penetrating. During the year, you will take charge of a multi-disciplinary team through all the phases of the patient鈥檚 hospital stay, with a focus on the initial resuscitation.
- Our unique program not only gives you exposure in the Emergency Department (ED) resuscitation area, but also in the operating room, from both the surgical and the anesthesia sides, and follow-through in the intensive care and on the trauma ward. You will be working closely with our group of Trauma Team Leaders made up of emergency specialists, trauma surgeons and anesthesiologists.
- You will develop skills in interpreting trauma-related imaging especially with ultrasound and computed tomography.
- You will also learn about trauma systems, data collection, and analysis, have opportunities to do research and present your work at major North American trauma or emergency conferences
General Goals
The post-graduate fellowship in Trauma for Emergency Physicians is a one-year supervised training program open to qualified residents who have completed a postgraduate Royal College specialty program in Emergency Medicine or the equivalent, or the Added Competence in Emergency Medicine year (CCFP-EM). Fellows will acquire an understanding of trauma systems, including the role of Trauma Team Leaders (TTLs), the emergency management of trauma, as well as having an in-depth understanding of the pathophysiology of trauma.
At the end of their training, the Fellow will have acquired the knowledge and skillset to function as a TTL in a trauma centre and manage any form of trauma that comes in a level I Trauma Center Emergency Department. The fellow will be able to:
- lead the emergency team and/or trauma team through resuscitative measures and treatment at a consultant level
- prioritize the management of the severely injured in mass casualty incidents
- identify situations where further or additional expertise is required
- collaborate effectively with other consultants (including but not limited to trauma surgery, orthopedics, neurosurgery, radiology and interventional radiology).
In addition to the clinical management of trauma patients, the Fellow will demonstrate knowledge of:
- trauma administration and trauma systems
- pre-hospital trauma care
- trauma research
- trauma education
Emphasis will be placed on the initial resuscitation and stabilization of the poly-traumatized patient and the subsequent collaborative emergency management with the consulting teams.
The Fellow will also be required to have knowledge of post-ED care. The Fellow must be cognizant of what happens post-surgical or radiological intervention, in the ICU, step-down unit and in trauma follow-up clinics.
Most of the training will occur as a member of the Emergency Department of the Montreal General Hospital. The fellow will be under the direct supervision of the core TTL group and selected emergency physicians. The fellow will be exposed to trauma as part of the Trauma Service, the TTL team, and as well during emergency medicine shifts. The Fellow will have to opportunity to follow their patient longitudinally through admission, ICU, step-down unit, ward to discharge. To complement and enhance the training and exposure, the fellow will be encouraged to explore other trauma systems (either nationally or internationally).
The fellow will be expected to carry out scholarly activities in the form of a small research project, participation in trauma rounds, journal club, and grand rounds presentation at emergency medicine academic rounds. The fellow will be expected to be up to date on current literature, be able to critically appraise the literature and have an understanding of evidence-based medicine as it applies to the trauma literature.
Finally, the fellow will be expected to learn the functioning and components of both the hospital and provincial Trauma Registries.
Curriculum
One Year Program (based on 13 four-week periods)
- Minimum 9 ED TTL rotations at Montreal General Hospital
- Approximately 8 24-hour TTL call shifts per rotation
- 3-4 ED clinicals shifts per rotation at Montreal General Hospital recommended
- 1 鈥� 2 selective rotations
- 2 optional elective rotations
N.B. Maximum 1 out-of-province or out-of-country rotation (at a non-accredited site)
Selective Rotations:
- Surgical ICU rotation
- Trauma surgery service
- Out-of-province trauma surgery or TTL rotation (e.g. Toronto) 鈥� funding, applicable visa and rotation applications will be the Fellow鈥檚 responsibility
Examples of trauma-related elective rotations:
- 1-month elective trauma rotation abroad (e.g. USA, South Africa) 鈥� funding, applicable visa and rotation applications will be the Fellow鈥檚 responsibility
- Anesthesia rotation
- Prehospital Care / EMS rotation
- Advanced ultrasound rotation (focusing on advanced critical care echo)
- Pediatric Trauma rotation
There will be additional academic/scholarly activities:
- 1 longitudinal research, quality improvement (QI), or administrative project to be completed by end of year with the requirement to either publish, implement in hospital, or present at a conference
- Weekly trauma rounds
- Journal club
- Presentations at:
- Emergency academic rounds
- Emergency journal club
- Trauma Service Academic Rounds
- The academic activities associated with the rotations such as ICU, daily rounds on admitted patients to the team, etc.听
Salary
The Faculty and the Coll猫ge des M茅decins du Qu茅bec define a Fellow as a medical doctor enrolled in a residency program but paid by sources other than the R茅gie de l'assurance-maladie du Qu茅bec (RAMQ/Medicare). Acceptable scholarships can be granted by a government, a scientific or international organization, a university or the Faculty of Medicine.
The Fellow must secure funding, since no dedicated grant is available on a yearly basis. Unfortunately, due to the 捆绑SM社区 policy on self-financed medical education, applicants without scholarship support will be refused. This scholarship will cover the fellow鈥檚 salary.
Application Information
A. Deadlines for all Fellowship applications
- September 1st deadline for applications from Fellowship applicants.
- September 鈥� October is when files will be posted for programs to review and start the interview process.
- December 15th is the last date that we will accept decisions from Program Directors as to whether they accept applicants. After this date the applicants can only be considered for the next academic year.
B. Admissions Process
The starting point of the application process is the online application which is required by all applicants to 捆绑SM社区鈥檚 postgraduate medical education programs.
Once candidates apply online they could check the status of their application at:
Gulf States Candidates
Files of sponsored trainees (Gulf States Candidates) must come through the sponsor to the Postgraduate office. Direct applications from these candidates will not be accepted and they cannot be funded by another organization. Applicants from those countries should be referred to their sponsor.
C. Steps for the Interview Process For Candidates
After reviewing the files, we will send the Postgraduate Office a list of candidates that we wish to interview.
Interviews will be conducted online with a panel consisting of ED staff TTLs听 Offers
Offers
- Offers will be issued as decisions are made by the Program.
- The delay for applicants to respond to offers has been set to 2 weeks.
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Note the following:
Once candidates apply online they could check the status of their application at:
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It is the responsibility of the candidate to check their account and submit a complete file.
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Ms. Dolly Rabbath
Fellowships Administrator
Faculty of Medicine
捆绑SM社区
3655 Promenade Sir William Osler Room 601
Montreal (Qu茅bec)听 H3G 1Y6
Tel: 514-398-8264
Fax: 514-398-3595
E-mail:听 pgfellows.med [at] mcgill.ca
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