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Careers in A/I: Training Programs - Canada
Department of Pediatrics and Child Health, University of Manitoba
Address
Children's Hospital of Winnipeg
AE 101-840 Sherbrook Street
Winnipeg, MB R3A 1S1
Phone: (204) 787-2455
Fax: (204) 787-5040
Email: ncisneros@exchange.hsc.mb.ca
Director
Nestor Cisneros MD;FRCPC
Major Goals of Training Program
The major goal of this program, based in the University of Manitoba , is to provide approved clinical immunology and allergy training for post graduate physicians, chiefly pediatricians. The program is affiliated with the Clinical Immunology and Allergy Training Program in the Department of Internal Medicine and with the Department of Immunology.

Trainees are exposed to a wide variety of pediatric allergy problems. Our service provides all of the in patient and out patient consultations in Allergy and Clinical Immunology at the Children's Hospital of Winnipeg, the major pediatric referral center in the province of Manitoba. Residents are encouraged to participate in clinical and basic research projects. Trainees are expected to present results of their research projects at national and international meetings.
Trainees Accepted Each Year
1-2
Duration of Fellowship
2-3 years
Number of Graduates Last 5 Years and Subsequent Career Choice
5 (1 academic, 3 private practice, 1 post-graduate training)
Application Deadline
Letter of Intent due May 15; Full Application due June 30
Joint Residency (Fellowship) Availability
No
Electives for Residents and Students
Yes
Special Requirements
At least three years of core training in pediatrics in approved programs and Surgeons examination in Pediatrics and/or the American Board of Pediatrics Inc. examination
McGill University Training Program Clinical Immunology & Allergy (Adult)
Address
The Montreal General Hospital
1650 Cedar Avenue, A6 173
Montreal, QC H3G 1A4
Phone: (514) 934-8036
Fax: (514) 934-8239
Email: fanny.silviudan@muhc.mcgill.ca
Director
Fanny Silviu-Dan, MD FRCPC
Major Goals of Training Program
The goal of the program is to prepare residents to serve as consultants in the diverse range of disorders that comprise Clinical Immunology and Allergy. Adult and pediatric streams are well integrated with residents rotating between adult and pediatric institutions. Although primarily an ambulatory care specialty, there is ample inpatient material particularly as it applies to the multisystem disorders that comprise the vasculitides and connective tissue disorders. About 300 patients are regularly followed in a Systemic Lupus Erythematosus Clinic. Elective rotations occur in Rheumatology, Respirology. Formal teaching sessions occur weekly. Residents participate in a basic science course in immunology given at the University. Ample time is set aside for residents to carry out a research project.
Trainees Accepted Each Year
1-2
Duration of Fellowship
2 years
Number of Graduates Last 5 Years and Subsequent Career Choice
11 (4 in practice, 7 in academic medicine)
Application Deadline
September 15
Joint Residency (Fellowship) Availability
No
Electives for Residents and Students
Elective Training in Rheumatology, Respirology, and Transplantation Medicine
McGill University Training Program Clinical Immunology & Allergy (Pediatric)
Address
Division of Allergy/Clinical Immunology
Montreal Children's Hospital
McGill University Health Centre
Montreal, QC
Director
Rhoda Kagan, MD
Major Goals of Training Program
The pediatric allergy/clinical immunology program is a 2-year program accredited by the Royal College of Physicians of Canada. The program includes a minimum of 12 months of pediatric A/I training at the Montreal Children's Hospital, 3 months of adult A/I training at the Montreal General and Royal Victoria Hospitals, 1 month of clinical laboratory medicine, 2 months of clinical epidemiology course work, and 6 months research.

Clinical activities include general asthma and allergy clinics, specialty clinics in food, drug, and venom allergies, as well as adverse vaccine reactions. There is a weekly immunodeficiency clinic as well as a day hospital for patients treated with IVIG. There is opportunity for participation in the pediatric and adult HIV clinics, and there is exposure to both pediatric and adult connective tissue diseases.

Academic activities include a summer introductory lecture series, weekly resident presentations, weekly journal club, and monthly discussion forums. Fellows will participate in local, provincial, national and international allergy meetings as well as cross-Canada allergy/immunology case discussions via video-conferencing. Fellows are also enrolled in a McGill University immunology course during their first year of fellowship.

At the successful completion of training, fellows are eligible to write the following certifying exams: ABAI, Royal college of Physicians and Surgeons of Canada, and the College of Physicians of Quebec. Graduates of Canadian and American residency programs are invited to apply.

Additional information can be found at: http://www.childrensallergy.cc and http://www.medcor.mcgill.ca/postgrad/
Trainees Accepted Each Year
1-3
Number of Graduates Last 5 Years and Subsequent Career Choice
Since 2000, 8 pediatric A/I Fellows have graduated. 4 are currently in academic positions, 3 in private practice, 1 in combined private/academic practice.
Application Deadline
July 15 of the year preceding entry
Joint Residency (Fellowship) Availability
Combined A/I and Rheumatology Fellowship is possible if eligibility is met by both certifying boards
Electives for Residents and Students
Yes
Special Requirements
Graduates of U.S. Residency programs (Internal Medicine or Pediatrics) are eligible provided they are American or Canadian residents. Graduates of U.S. residency programs without U.S. or Canadian Permanent Resident or Citizenship status are not eligible.
McMaster University, Hamilton
Address
HSC-3V40
McMaster University Medical Center
1200 Main Street West
Hamilton, ON L8N 3Z5
Phone: (905) 521-2100, ext 76374
Fax: (905) 521-4971
Email: scimeann@mcmaster.ca
Director
Susan Waserman, MSc, MDCM, FRCPC
Major Goals of Training Program
This well established program is fully integrated to provide accredited residency training in Adult and Pediatric Immunology/Allergy. Trainees develop their skills (diagnosis, treatment, consultation) through their involvement in a wide variety of clinics for allergic and immunologic disorders, in addition to inpatient consultations. There is also ample opportunity to spend elective time in multi disciplinary clinics such as Dermatology, Rheumatology, Respirology, Hematology, Nephrology, and Gastroenterology (all Adult and Pediatric).

In addition to direct clinical supervision and teaching rounds, the educational experience includes regularly scheduled seminars, immunology courses, and journal clubs. Trainees are strongly encouraged and supported in research endeavors, especially in the second year. They can select from many different basic and clinical research areas, with supervision from any of a large number of mentors of international renown.
Trainees Accepted Each Year
up to 3
Duration of Fellowship
2 years
Number of Graduates Last 5 Years and Subsequent Career Choice
6 (2 practice, 4 research-academic)
Application Deadline
June 30 for following calendar year
Electives for Residents and Students
See goals, above
Special Requirements
Must be a graduate of an accredited medical school
University of Manitoba (Adult)
Address
University of Manitoba
Section of Allergy & Immunology
Department of Internal Medicine
820 Sherbrook Street, Room GC319
Winnipeg, MB R3A 1R9
Phone: (204) 787-3186
Fax: (204) 787-3216
Email: ckalicinsky@exchange.hsc.mb.ca
Program Director
Chrystyna Kalicinsky, MD
Major Goals of Training Program
The training program is based upon a series of rotations through relevant subspecialties that include adult and pediatric allergy and clinical immunology, diagnostic clinical laboratory immunology, transplantation immunology, respirology, occupational and environmental medicine, dermatology, otolaryngology and immunopathology. Rotations are adjusted to the needs of the fellows. Time is allotted for basic and clinical research, Affiliated facilities include basic clinical science laboratories dedicated to the investigations of collagen vascular disease and immediate hypersensitivity disease and access to basic immunology laboratory experience in the investigations of IgE-mediated sensitivity. Research activities include investigation of drug hypersensitivity, autoimmunity, asthma and clinical pharmacology of anti-allergic medications. Emphasis of the program is on a good knowledge of basic immunology and the application of this to the understanding and treatment of allergic and immunologic disease.
Trainees Accepted Each Year
1-2
Duration of Fellowship
2 years
Number of Graduates Last 5 Years and Subsequent Career Choice
5 (4 private practice, 1 academic)
Application Deadline
August 1
Joint Residency (Fellowship) Availability
Available only in Internal Medicine
Electives for Residents and Students
Yes, Clinical Practice or Laboratory Immunology
Special Requirements
Certification or eligibility in Internal Medicine
University of Toronto and Affiliated Hospitals
Address
Dr. Stephen D. Betschel
Program Director (Adult program)
Division of Clinical Immunology & Allergy
Dept. of Internal Medicine
St. Michael's Hospital & University of Toronto
4 CC Specialty Clinics
St. Michael's Hospital
30 Bond St.
Toronto, ON M5B 1W8
Phone: (416) 864-5074
Fax: (416) 864-5421
Email: wonbet@sympatico.ca
Director
Dr. Stephen D. Betschel
Deputy Chairman
Dr. Gordon Sussman
Major Goals of Training Program
The primary objective of the program is to train specialists in Clinical Immunology and Allergy in a capacity to professionally, skillfully, and ethically diagnose and treat patients with Allergic and Immunologic diseases. The program highly encourages further clinical and research training upon completion.

The duration of the program is two years as accredited by the Royal College of Physicians and Surgeons of Canada. Exceptions may be made for training to be less than two years if the objective is to compliment training in other subspecialties.

The program has mandatory rotations in Rheumatology (2 months), Respirology (2 months), Clinical Immunology Laboratory (3 months), Pediatric Immunology (3 months) and adult allergy (6 months). Elective and research time account for 8 months.
Trainees Accepted Each Year
Flexible. Depending on competitive process.
Duration of Fellowship
2 years
Number of Graduates Last 5 Years and Subsequent Career Choice
10 (3 academic)
Application Deadline
September of preceding year
Joint Residency (Fellowship) Availability
No
Electives for Residents and Students
Available
Special Requirements
Completion of 3 years of Internal Medicine Program Accredited by the Royal College of Physicians and Surgeons of Canada.
University of Western Ontario
Address
The London Health Sciences Centre
375 South Street
Box 5375
London, ON N6A 4G5
Phone: (519) 685-8167
Fax: (519) 685-8274
Email: moote@uwo.ca
Director
D.W. Moote, MD
Major Goals of Training Program
This program is accredited for internal medicine only. Not pediatrics.

1. To train physicians with a background in Internal Medicine to become competent in the clinical practice of Clinical Immunology and Allergy, with an emphasis on atopic diseases. Training will be sufficient to practice as a consultant, and be eligible for certification by the Royal College of Physicians and Surgeons in Clinical Immunology and Allergy.

2. To provide additional basic, clinical and research experience and opportunities to trainees who with to pursue research and academic careers in Clinical Immunology and Allergy.

Trainees will receive supervised clinical experience and opportunities in the Clinical Immunology and Allergy services at all University of Western Ontario teaching hospitals, and in selected private offices. The major emphasis in training is on atopic diseases. Training will include exposure to children and adults, as in-patients and in out-patient consultation clinics.
Trainees Accepted Each Year
1
Duration of Fellowship
2 years
Number of Graduates Last 5 Years and Subsequent Career Choice
3 (part-time academic)
Application Deadline
September 1 of preceding year
Joint Residency (Fellowship) Availability
No
Electives for Residents and Students
Yes
Special Requirements
Applicants must have completed three years of training in Internal Medicine (not Pediatrics) under section 2(a) of the Royal College of Physicians and Surgeons. Applicants must be currently enrolled in an Internal Medicine Program in Canada.


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