Message from the Director
Welcome to the University of Toronto Abdominal Organ Transplant Fellowship.
Since 1983 we have been training future leaders in the field of abdominal transplantation and we have graduated more than 70 fellows to date. We are ASTS accredited for liver, pancreas, and kidney transplantation and we perform more than 200 liver and 40 pancreas transplants per year. Our transplant fellows receive unique opportunities during their training and benefit from the largest living donor liver transplant program in North America, extensive exposure to pediatric liver transplantation, a high volume pancreas transplant program, and extensive training in HPB surgery. The outstanding surgical experience is embedded in training of pre- and postoperative management of transplant patients, and an in-depth academic curriculum of teaching seminars. In addition to the clinical training, we provide great opportunities for research and our clinical and basic science research groups are world leaders in their field.
We are proud to train the future generation of academic transplant surgeons, who will advance the borders of our field.
Markus Selzner, MD
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 certified as an “Approved Liver Transplant Training Program” by the American Society of Transplant Surgeons (ASTS) on January 15, 1993 with renewals in 1997 and 2002. It was reaccredited for Liver, Pancreas and Kidney Transplantation in 2006 and 2010. In 2014 it was additionally accredited for HPB training by the ASTS, and “dual accredited” by the Fellowship Council and AHPBA for HPB training.
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).
Since 1983, over 75 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.