Message from the Director
Welcome to our Fellowship Programs. The University of Toronto has a legacy for being at the forefront of research, innovation, and education in the fields of transplantation and hepatopancreatobiliary (HPB) surgery. Our respective programs are among the largest in North America based on clinical volumes, and we have a proud history of training many of the leaders in surgery over the last 37 years. We offer both an AHPBA-accredited HPB surgical oncology track and a combined ASTS-accredited abdominal transplantation surgery track.
As junior fellows, all trainees are immersed in both disciplines gaining a unique hybrid, high volume experience. As second year fellows, trainees become more focused gaining in-depth exposure within their respective clinical track. They are afforded opportunities to participate in complex HPB and minimally-invasive surgery, and to be a part of one of the largest pediatric transplantation and living donor liver transplant programs in North America. In addition to an outstanding operative experience, the fellow’s knowledge is further enhanced through participation in a robust academic curriculum of teaching seminars and by in-depth training in the pre- and postoperative management of these complex patients in both the inpatient and outpatient settings.
We also offer a multitude of opportunities to participate in both clinical and basic science research with many of our investigators being world leaders in their respective fields. We are proud to continue our legacy of training the future generation of academic transplant/HPB surgeons. We invite you to further explore our website and see how our program may enhance your training and in turn help shape the future of transplantation, HPB surgery, and cancer care.
History of the Fellowship
The Abdominal Organ Transplant Fellowship at the University of Toronto evolved from the Fellowship in Liver Pancreas & Biliary Surgery (“The Liver Fellow”) which was begun by Dr. Bernard Langer at the Toronto General Hospital in 1983. In 1989 a 2-year Fellowship in liver transplant became formalized from the former position of “Clinical Associate in Liver Transplantation” at The Toronto Hospital. The Fellowship was additionally accredited for HPB training by the ASTS and “dual accredited” by the Fellowship Council and AHPBA for HPB training. The previous Transplant Fellowship Program Directors have been Bernard Langer (1983 – 1995), Paul Greig (1995 – 2014) and Markus Selzner (2014 – 2019).
The Abdominal Organ Transplant Fellowship offers comprehensive training in liver, pancreas and kidney transplantation and HPB Surgery. It accepts two Fellows per year into the 2-year Fellowship. The Fellow works predominantly at the Toronto General Hospital and at the Hospital for Sick Children (for pediatric transplants) and the Princess Margaret Cancer Centre (for oncology clinics).
The Toronto Fellowships accept applicants from throughout the world. Since 1983, over 85 Fellows have graduated Since 1983, over 85 fellows have graduated from our Transplant & HPB Fellowships. In 2012, a Reunion of Former Fellows honouring Dr. Bernard Langer was held to celebrate the Fellowships.
The University of Toronto, Canada’s largest university, has a long and complex history. It was founded as King’s College by royal charter in 1827 and in 1850 became the nondenominational University of Toronto. In the 1850s the University of Toronto was reorganized and University College was created as its teaching arm. Structural changes encouraged other colleges to federate with the University: Victoria College (Methodist, founded 1841 in Cobourg, Ont) and St Michael’s College (Roman Catholic, founded 1852 in Toronto by the Basilian Order) joined in 1890 and Trinity College (Anglican, founded in 1851) joined in 1904, each of them retaining university status in order to continue granting degrees in theology. More information regarding the University of Toronto is available at http://www.utoronto.ca.
Division of General Surgery
The origin and development of the Division of General Surgery and the Residency Program is attributed to Dr. William Edward Gallie. In 1906, he was appointed at The Hospital for Sick Children. In 1907, he was appointed a junior surgeon at The Toronto General Hospital. In 1929, Dr. Gallie was appointed Professor of Surgery and Surgeon in Chief at The Toronto General Hospital.
Dr. Gallie brought the Toronto Western Hospital and St. Michael’s Hospital into the University. His greatest accomplishment in this period was the establishment of a systematic course of training in surgery designed to give each resident adequate experience in the basic sciences and in surgery and to qualify him or her to sit for the examinations of the Royal College of Physicians and Surgeons of Canada. It was the first such course in Canada and was in advance of the training courses in England and in the United States.
The post-graduate training course in surgery at the University of Toronto was inaugurated by Dr. Gallie in 1931. The program of training gradually spread from The Toronto General Hospital and The Hospital for Sick Children to all teaching hospitals associated with The University of Toronto; Toronto Western, St. Michael’s, Sunnybrook, Wellesley, Women’s, Mount Sinai, Toronto East General and St. Joseph Hospitals. The post-graduate program is now widely known as The Gallie Course in General Surgery.
The Division of General Surgery Residency Program accepts 12 – 15 new residents each year. The Surgeon Scientist Program (2-year research program directed towards a Master’s degree in the Institute for Medical Studies) is available to selected Residents after their PGY2 year.
Multi-Organ Transplant Program (MOT)
Transplantation at the University Health Network occurs within the Multi-Organ Transplant Program. Founded in 1991, MOT brings together the liver, kidney, pancreas, lung, heart, small bowel and transplant infectious disease programs. The physicians, surgeons, nurses, pharmacists and allied health professionals provide a comprehensive and interdisciplinary approach to transplant patients. The program performs over 500 transplants per year and provides care for over 3000 transplant out-patients.
The MOT program provides to transplant patients a 35 bed in-patient unit, 15 acute care beds, an out-patient clinic, the transplant pharmacy, medical day unit facilities, transplant informatics (the OTTR system) and administrative facilities.
Additional information regarding MOT at UHN can be found at http://www.uhn.ca/MOT.
University Health Network (UHN) is made up of Princess Margaret Cancer Centre, Toronto General Hospital, Toronto Rehabilitation Institute and Toronto Western Hospital. Each hospital retains its identity and name within the Network. TGH has 417 beds with programs in Transplant, Cardiovascular Sciences and Oncology; TWH has 261 beds with programs in Neurosciences, Orthopaedics and MIS (bariatrics); Princess Margaret has 126 beds with programs in Medical, Surgical and Radiation Oncology; and the TRI has a combined 423 beds for rehabilitation.
Additional information regarding UHN is available at http://www.uhn.ca.
Pediatric patients are managed at the Hospital for Sick Children (SickKids). The liver and small intestinal transplantation recipients are managed on the Pediatric Academic Multi-Organ Transplant (PAMOT) Service. Additional information regarding the Hospital for Sick Children and PAMOT can be found at www.sickkids.ca and The Transplant Centre.
Toronto is one of the world’s most cosmopolitan cities offering a wide range of cultures, languages, sports, food and arts. It has all the advantages of a major urban centre balanced with safe, family-friendly residential areas near the hospital.
PGME Orientation Handbook
The Postgraduate Medical Education Department of the University provides an Orientation Handbook for Residents and Fellows who are new to Toronto. It contains valuable information regarding:
- Health Care Coverage
- Cost of Living
- Child Care and Schooling
It is available here.