Maria Cino, BSc, MSc, MD, FRCPC
Division of Gastroenterology Program Director
University of Toronto Division of Gastroenterology Education Program
Mainstream Program (2 Years)
Our program is committed to train gastroenterologists with a strong interest in scholarly pursuit. At least 21 months of the two year training program is designated to clinical rotations, which comprise in-patient and consultative Gastroenterology / Hepatology service, in addition to a multisite ambulatory clinic rotation, a concurrent 6-month longitudinal outpatient clinic, a community block, a combined nutrition-motility rotation, two months of elective blocks and adequate endoscopy experience. During the PGY-5 year, trainees have a 3-month research block to explore an in depth research project. At the University of Toronto, the training program provides breadth and depth of learning, with the opportunity for exposure to the multiple facets of gastroenterology and hepatology via:
- basic and specialized training in luminal gastroenterology at all sites
- advanced training in hepatology, transplantation and exposure to a strong autoimmune and viral hepatitis ambulatory program based at TWH
- acquisition of diagnostic and therapeutic procedural skills: endoscopy, liver biopsy, paracentesis (all sites) and exposure to advanced therapeutics (SMH)
- acquisition of research (clinical, epidemiologic, translational or basic) skills during a protected 3-month protected research block during the PGY-5 year. To encourage the pursuit of scholarly work, we have established an annual Hepatology Research Day and a University of Toronto Division of Gastroenterology Research Day, where GI Residents, Clinical and Research Fellows, and GIM trainees may showcase their research.
exposure to a comprehensive core curriculum (academic half-day) teaching program, which includes clinical, physiology, pathology and radiology teaching, in addition to specific CanMEDS objectives (ethics, quality assurance etc…). The CAG Basic Science (Nation-wide Videoconference) Rounds are integrated into the academic half-day.
Resident Research Track
We are pleased to introduce the GI Resident Research track within the current Gastroenterology Residency Training Program, offering a research focused program with a third year.
Applicants are required to submit a short research proposal, in conjunction with a University of Toronto Research Supervisor. The trainee should contact Dr. Jill Tinmouth for a list of potential Research Supervisors. Dr. Tinmouth will also facilitate the application process for this track.
Applicants accepted via the CaRMS Adult Gastroenterology Subspecialty Match will receive funding tor the initial two years via the Ministry of Health. For trainees in the research track, the third year of funding will be contingent on procurement of funds either by the trainee with assistance from the supervisor or the division. Each trainee will work with his / her research supervisor to identify research grant funds, research training fellowships or other sources of funding for their third year. In addition, within the PGY-4 year, each trainee in the Research Track will be required to submit an application to the Clinician Scientist Program at the University of Toronto, and concurrently the Clinical Investigator Program, Ministry of Health and Longterm Care.
If the research track position does not fill, the position will be allocated to the mainstream program.
1. To identify and recruit applicants who are more likely to pursue a research career in gastroenterology;
2. To provide a research environment conducive to the mentoring and development of future, basic clinical or translational Clinician Scientists in gastroenterology.
Description of program:
3 years (2 years of GI Residency Training as per the standards (goals and objectives) of the Royal College of Physicians and Surgeons of Canada, plus a 3rd research year) for a total of 18 months of research.
- 6 month research block (either in two 3-month blocks or one 6-month consecutive block) within the first 2 years of training 3rd year dedicated entirely to research).
The training program is distributed across multiple teaching sites, providing exposure to various faculty members and mentors. There are education site-based directors and representatives from Research, Hepatology, Endoscopy and In-Training Evaluation on the education committee.
- Mount Sinai Hospital
- St. Michael’s Hospital
- Sunnybrook Health Sciences Centre
University Health Network
- Toronto General Hospital
- Toronto Western Hospital
- Women’s College Hospital
There are regularly scheduled teaching / academic rounds at each hospital. In addition, there are monthly City Wide Gastroenterology Rounds, Hepatobiliary Rounds, quarterly divisional Quality Improvement Rounds, weekly Inflammatory Bowel Disease Rounds (MSH) and interval scheduled Inflammatory Bowel Disease Research Rounds, attended by faculty (local, national and international), trainees and community collegues.
The trainees also rotate through rotations at partially affiliated health care institutions:in the community:
- North York General Hospital
- St. Joseph’s Health Science Centre
- Credit Valley Hospital
At the University of Toronto, there is representation of the diverse aspects of clinical gastroenterology by internationally recognized programs, including gastrointestinal oncology, inflammatory bowel disease, genetics, hepatology, therapeutic endoscopy, nutrition, liver transplantation. Research within the Division includes basic science and translational research, epidemiology, clinical trials, clinical outcomes and health informatics.
PGY-4 – PGY-5:
10 months core luminal rotations
4 months core hepatology rotations (2 months in-patient, 2 months predominantly ambulatory)
3 months research (for mainstream program vs. 6 months for Research track), 2 months ambulatory block, 1 month community block, 1 month combined nutrition – motility, 1 month liver transplantation, 2 elective months, 6-month longitudinal ambulatory clinic. There will be a slight modification of the Research Track to accommodate 6 months of research.
Program Coordinator, GI Residency Training Program
Ms. Heather Johnston is our Program Coordinator. Ms. Johnston, who is based at TGH in the Fraser-Elliot Building, is also responsible for administrative assistance to two other programs, Nephrology and Clinical Immunology. She may be reached at firstname.lastname@example.org