Orthopedic Surgery Education & Research

Resident Program

The University of Toronto offers a five-year orthopedic residency program to train the next generation of orthopedic surgeons. Toronto Western Hospital at UHN is one of seven hospitals that Residents rotate through. Residents will be trained in modern medical, surgical and treatment methods and gain exposure to UHN's subspecialties in upper and lower extremity reconstructive surgery, sports medicine and spinal surgery.

All Residents are required to conduct a research project and produce a publication-ready manuscript. In addition, Residents will be able to apply to the Surgeon Scientist Training Program (SSTP) to complete a Master's or PhD level research project in preparation for an academic career in orthopedic surgery. Many of these 'SSTP residents' are under the supervision of UHN faculty.

Residents are evaluated in the clinical setting by their supervisor(s) and are encouraged to develop autonomy and skills that will help them on their path toward independent practice.

Resident education includes didactic teaching sessions with specific topics presented over the duration of their rotation, simulation sessions, oral exam practice sessions, orthopedic surgery seminars, education and research rounds. In addition, journal club rounds are offered periodically.

In the context of the COVID-19 pandemic, all of these formal rounds have been shifted to a virtual format.

Daily Teaching

An important focus of our postgraduate resident education program is daily teaching, which consists of informal and formal teaching sessions through residents and Faculty as well as fellow interactions on the ward, in the clinic, the operating room, and on-call.

The entire teaching series has been designed to allow important basic and subspecialty orthopedic surgery lectures to be completed during each resident rotation.

Most of our staff participate in these teaching sessions. To ensure a comprehensive curriculum, we include teaching by our non-physician healthcare colleagues, where appropriate.

Further information on application requirements and procedures as well as other details on the Residency Program is provided by the Division of Orthopaedic Surgery at the University of Toronto and the Michener Institute of Education at UHN.

• Orthopaedic Surgery Residency Program at the University of Toronto
• Medical Residency at UHN

Every year the UHN Department of Surgery hosts a Holiday Fun Rounds in December as an opportunity for the residents, fellows and other staff to show their 'appreciation and affection' for all the surgical staff. Here, Dr. George Oreopoulos is shown presenting the 2019 award for best rounds presentation to Dr. Caleb Zavitz.

Research

Research is integral to many of the educational programs supported by the Division of Orthopedic Surgery. Many of the Division's surgeons lead cutting-edge research programs and are appointed, affiliated or clinical scientists in the Krembil Research Institute at UHN:

Dr. Rod Davey

Dr. Rajiv Gandhi

Dr. Johnny Lau

Dr. Timothy Leroux

Dr. Stephen Lewis

Dr. Wayne Marshall

Dr. Nizar Mahomed

Dr. Darell Ogilvie-Harris

Dr. Raj Rampersaud

Dr. Khalid Syed

Dr. Christian Veillette

Dr. Michael Zywiel

Research areas of interest include osteoarthritis, rheumatology, total joint arthroplasty, hip and knee replacements and spine surgery.

All of the Division's surgeons are also members of the Schroeder Arthritis Institute at UHN, a world-leading enterprise for arthritis research.

Some of our surgeons hold additional appointments in departments at the University of Toronto beyond their appointments with the Department of Surgery, such as:

• Laboratory Medicine and Pathobiology
• The Institute of Health Policy, Management and Evaluation

For more information on the research being done at UHN and the University of Toronto:

• Research at UHN
• Research at the University of Toronto
• Research in the Division of Orthopaedic Surgery

Undergraduate Program

University of Toronto Medical Students

The Division of Orthopedic Surgery has a significant role in Undergraduate Education at the University of Toronto.

The University offers core and elective experience for its undergraduate Medical Students. First- and second-year students have the opportunity to do clinical electives, meet with surgeons, and do summer research projects. In addition, the Division of Orthopedic Surgery offers two-week shadowing opportunities, where students can observe cases and spend time in the clinic or operating room. Students in their third year can rotate with the Division of Orthopedic Surgery as Clinical Clerks. As Clerks, students will be assigned to a team where they will be integrated into the daily patient care activities. By being in the clinic and operating room as well as participating in rounds, Clerks will be exposed to an overview of the different types of surgical problems and care.

During their rotation, students may have the opportunity to:

• Observe or assist in the closed reduction of a fracture or dislocation, surgical management of a fracture, a joint replacement operation of the upper or lower extremity and the casting of upper and lower extremity injuries
• Evaluate a patient with arthritis of a major joint or the back

The clinical experience is complemented by the option to contribute to clinical or basic research.

Further information on Undergraduate education is provided by the University of Toronto.

• Undergraduate education in the Department of Surgery at the University of Toronto
• Undergraduate education in the Division of Orthopaedic Surgery

Elective Program

The Division of Orthopedic Surgery accepts Elective Students from universities across Canada and abroad.

Further information on electives is provided by the University of Toronto's Division of Orthopaedic Surgery.

Comprehensive Research Experience for Medical Students (CREMS)

The CREMS Summer Program provides medical students with the opportunity to obtain research experience during the summer months.

The CREMS Summer Program is open to first- and second-year medical students at the University of Toronto.

Applications are submitted, reviewed, ranked and selected by the CREMS Director and a review panel of three other faculty members.

Students in the program present their work at the University of Toronto Medical Student Research Day, which is held in the following year with a poster presentation. Supervisors ensure that students receive the appropriate training needed to conduct their research projects.

Further information is provided by the CREMS office at the University of Toronto.

Patient as Teacher Program

The third-year surgical clerkship for undergraduate medical students at the University of Toronto integrates the Patient as Teacher program. Comprising three workshops and the production of a creative reflection piece, this program aims to promote humanism and patient-centred approaches in medicine. Patients share their experiences and insights to provide students with the patient perspective of the surgical journey.

Further information on the Patient as Teacher program.

Artwork by University of Toronto surgical clerks George Ho (left) and Sivaani Sivaselvachandran (right).

Observerships

The Observerships program at UHN provides health care professionals and students from around the world the opportunity to observe examinations and other procedures performed by UHN staff physicians, surgeons, nurses, and health professionals. All Observers require a UHN sponsor—a clinical or surgical staff member who will be responsible for the Observer's learning experience. It is the observer's responsibility to connect with a sponsor and then proceed with the application process.

• Meet the Division of Orthopedic Surgery's team
• Further information on Observerships at UHN as well as the application and registration process

In addition to the general Observerships program, the International Centre for Education at UHN's Michener Institute of Education offers the Personalized Learning Program.

Personalized Learning Program (PLP)

The PLP at UHN is a fully customizable, observership-based program designed to meet learner goals and objectives. No two PLPs are exactly the same! Various resources and expertise throughout UHN are leveraged to enhance the learning experience. The program office works closely with host program(s) and learners to develop an Education Plan, outlining the activities of the PLP which are meant to meet the learning objectives. One-on-one coaching time and check-ins are also scheduled throughout the program, as needed. Learners are asked to provide a short presentation at the end of the program to summarize their learning and provide feedback. Learners also receive a UHN-Michener Certificate of Completion at the end of the program.

Depending on the PLP, the program may also be done virtually. A virtual PLP will provide one-on-one or group mentorship-like experiences and masterclasses with UHN clinicians and leaders. The virtual programs will be designed around and focused on meeting learners' personalized learning needs and objectives.

Further information on the PLP is available from the International Centre for Education.