Outline - Transplant Hepatology Fellowship Program MOT/UHN

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TRANSPLANT HEPATOLOGY FELLOWSHIP
PROGRAM
Multiorgan Transplant Program (MOT), University Health Network/Toronto
General Hospital, University of Toronto, Toronto, Canada
Contact: Dr. Eberhard L. Renner, M.D., FRCPC, Professor of Medicine, Director GI
Transplantation, NCSB 11C-1238 attn. Ms. Kimberley Burke, Administrative Coordinator, phone
(416) 340-5221 or E-mail Kimberly.Burke@uhn.on.ca
Transplant Hepatology Fellowship Program
ER 2/12/2016
SUMMARY
Introduction
There is increasing demand for physicians experienced in treating patients pre-, peri- and
post-liver-transplantation. Expertise in Transplant Hepatology requires training beyond
what is typically offered in a Gastroenterology/Hepatology fellowship. The Liver
Transplant Program at the Multiorgan Transplant Program (MOT)/University Health
Network (UHN) offers this additional training in a Transplant Hepatology Fellowship.
Goals of the Program:
 to provide training in all aspects of (academic) liver transplantation
 to enable the successful candidate to become an independent (academic)
Transplant Hepatologist.
Setting:
The liver transplant program at UHN performs annually approx. 150 liver transplants (of
which approx. 50 are live donor transplants) and follows more than 1’200 liver transplant
recipients long-term. It is run by 6 full time staff surgeons and 5 full time staff
hepatologists. There are 3-5 transplant hepatology fellowship positions (staff/fellow ratio
of >1:1). Clinical services include inpatient (ward, intermediate and intensive care units)
and outpatient activities (assessment, pre- and post-transplant Clinics, day care unit). In
addition to patient management conferences, the program offers weekly a number of
formal teaching events and ample opportunity to participate in ongoing clinical/lab-based
research.
Profile of Applicants:
 Interest in liver transplantation in an academic setting
 Medical license (in Canada or country of origin)
 Subspecialty training in Gastroenterology/Hepatology completed (in Canada or
country of origin)
 Willingness to participate in in-hospital night-time on-call schedule for
Multiorgan Transplant ward (approx. 4 nights per month).
Start date: Jan 1st or Jul 1st.
Duration: Two years (one year possible for selected candidates, depending on previous training and
references; candidates seeking a two year training opportunity will be given preference)
Stipend: Approx. CAD 60’000 a year.
Application: Interested physicians should send a short cover letter stating the reason for
applying, an updated CV (including list of publications) and three letters of support to:
Eberhard L. Renner, M.D., FRCP(C)
Professor of Medicine
Director GI Transplantation
University of Toronto
Toronto General Hospital/NCSB 11C-1238
585 University Ave.
Toronto, ON
Canada M5G 2N2
Phone: (416) 340-5221
E-mail: Eberhard.Renner@uhn.on.ca
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TABLE OF CONTENTS
Introduction
p. 4
Setting
p. 4
Goals of the Program
p. 4
General Learning Objectives
p. 4
Profile of Applicants
p. 5
Number of Fellowship Positions
p. 5
Start date
p. 5
Duration
p. 5
Stipend
p. 5
Application Process
p. 5
Overall Structure of Program
p. 6
Rotation Scheme
P. 6
Mentoring
p. 6
Evaluation of Fellows
p. 7
Evaluation of Fellowship Program
p. 7
Members of Education Committee
p. 7
APPENDIX I: Specific Learning Objectives
p. 8
APPENDIX II: Schedule of Main Activities within Rotations
p.11
APPENDIX III: Questionnaire for Periodic Evaluation of Program by Fellows
p.15
APPENDIX IV: Evaluation for Transplant Hepatology Fellows
p.18
APPENDIX V: Template for Advertisement
p.19
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FELLOWSHIP PROGRAM IN TRANSPLANT HEPATOLOGY – Liver Transplant Program,
MOT, UHN/University of Toronto
Introduction
There is increasing demand for physicians experienced in treating patients pre-, peri- and
post-liver-transplantation. Expertise in Transplant Hepatology requires training beyond
what is typically offered in a Gastroenterology/Hepatology fellowship. In the US, the
American Board of Internal Medicine has recently accredited a subspecialty policy for
Transplant Hepatology.
The Liver Transplant Program at the Multiorgan Transplant Program (MOT)/University
Health Network (UHN) offers a Fellowship Program in Transplant Hepatology that is
open to qualified national and international candidates.
Setting:
The liver transplant program at UHN performs annually approx. 150 liver transplants (of
which approx. 50 are live donor transplants) and follows more than 1’200 liver transplant
recipients long-term. It is uniquely embedded with other solid organ transplant programs
(heart, lung, kidney, pancreas, small bowel) in an interdisciplinary organizational
structure, the Multiorgan Transplant Program (MOT). The liver transplant program is run
by 6 full time staff surgeons and 5 full time staff hepatologists. The clinical activity of all
staff hepatologists focuses strictly on transplantation. There are 3-5 transplant hepatology
fellowship positions, leading to a staff/fellow ratio of >1:1. Clinical services include
inpatient (ward, intermediate care and intensive care unit) and outpatient activities
(assessment, pre- and post-transplant Clinics, day care unit). In addition to patient
management conferences such as weekly listing and live donor meetings, there are
several regular teaching events including weekly MOT rounds and liver transplant
seminars, as well as monthly clinical and research rounds, quality assurance rounds, liver
pathology rounds, hepatobiliay rounds and journal club. There is ample opportunity to
participate in ongoing clinical and/or lab-based research activities supervised/mentored
by one of the staff hepatologists and/or surgeons.
Goals of the Program:
 to provide training in all aspects of liver transplantation
 to enable the successful candidate to become an independent Transplant
Hepatologist
 to further individual talents in research and/or education thereby providing the
best possible basis for an academic carrier in Transplant Hepatology
General Learning Objectives (for Specific Learning Objective see APPENDIX I)
The successful candidate will be able to
 judge indications and contraindications of and to appropriately select patients for
liver transplantation
 manage pre-transplant conditions/complications of chronic liver disease including
portal hypertensive GI bleeding, portal hypertensive fluid retention, SBP and
hepato-renal syndrome, hepatic encephalopathy, hepatic pruritus, hepatocellular
carcinoma and other hepatobiliary malignancies, porto-pulmonary hypertension
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and hepato-pulmonary syndrome, malnutrition and obesity in the liver transplant
candidate, as well as underlying liver diseases such as chronic hepatitis B/C virus
infection and metabolic liver disorders in the cirrhotic awaiting a transplant
contribute to the interdisciplinary management of patients with fulminant hepatic
failure
apply the criteria for selection and allocation of donor organs (including live
donor assessment)
contribute to the interdisciplinary perioperative management of deceased and live
donor liver transplant recipients (and live liver donors)
manage medical issues of liver transplant recipients, including
immunosuppression, acute and chronic rejection, infectious complications,
metabolic consequences such as diabetes, dyslipidemia, hypertension and weight
gain, renal dysfunction, as well as disease recurrence in the graft
deal with ethical issues involved in deceased and live donor liver transplantation
Profile of Applicants:
 Interest in an academic carrier as a Transplant Hepatologist
 Medical license (in Canada or country of origin)
 Subspecialty training in Gastroenterology/Hepatology completed (in Canada or
country of origin)
 Willingness to participate in in-hospital night-time on-call schedule for
Multiorgan Transplant ward (approx. 4 nights per month).
 Ideally, offer for an (academic) position to return to after completion of
fellowship
Number of Fellowship Positions:
3 –5
Start date
Yearly, July 1 or January 1.
Duration:
Two years (one year possible for selected candidates, depending on previous training and
references; candidates seeking a two year training opportunity will be given preference)
Stipend:
CAD 60’000 a year
Application Process:
Interested physicians should send a short cover letter stating the reason for applying, an
updated CV (including list of publications) and three letters of support to
Eberhard L. Renner, M.D., FRCP(C)
Professor of Medicine
Director GI Transplantation
University of Toronto
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Toronto General Hospital
NCSB 11C-1238
585 University Ave.
Toronto, ON
Canada M5G 2N2
Phone: (416) 340-5221
E-mail: Eberhard.Renner@uhn.on.ca
Applications must be received the latest one year prior to the planned start date. An
education committee comprised of all staff transplant hepatologists will screen the
applications, may ask for additional references and/or invite promising candidates for an
interview (by phone if an interview in person is felt not to be feasible) and will decide on
acceptance. Applicants will be notified about the decision the latest 6 months prior to the
planned start date.
Overall Structure of Program:
 Year one:
o clinical focus with rotation through in-patient ward (including approx. 1/7 inhospital night-time on-calls) and outpatient Clinics
o active participation in teaching events (presentations at internal seminars,
rounds, case discussions etc.)
o own clinical research project (or lab-based research depending on interest and
previous training).

Year two:
o research focus with own clinical research project (or lab-based research
project depending on interest and previous training)
o rotation through in-patient ward (including approx. 1/7 in-hospital night-time
on-calls) and outpatient Clinics
o active participation in teaching events (presentations at internal seminars,
rounds, case discussions etc.)
Rotation Scheme (for detailed description of main activities see APPENDIX II):
Monthly rotation through inpatient service, outpatient service and research/elective block.
A detailed rotation schedule will be defined for each fellow by the program director at
least 3 months in advance.
Mentoring:
Fellows will be mentored by a) the Program Director and b) the staff physician
supervising their research project(s). The Program Director will conduct an entrance
interview with all fellows during which specific training interests and carrier plan is
discussed and each fellow’s personal goals for the fellowship are fixed in writing. This
and regular evaluations (see below) assure that the goals of both, program and trainee are
met.
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Evaluation:
 Fellows:
o Fellows will be evaluated by the supervising staff at 3 and 6 months after the
start of the fellowship, and every 6 months thereafter.
o The program director will compile these evaluations and discuss the compiled
evaluation in person with the fellow.
o Based on an entrance interview (cf. above) at the start of the fellowship, and
the evaluation-discussions, fellow and program director will agree and fix in
writing the aims for the individual fellow for the next time period.
o At the end of the fellowship, fellows who at least meet expectations as an
independent consultant in their final evaluation by the supervising staff (cf.
APPENDIX IV) will get a certificate by the MOT/UHN acknowledging
successful completion of the fellowship.

Fellowship Program:
o Structured evaluation of program (teaching events and teaching staff) by
fellows using questionnaire (see APPENDIX III) every 6 months
o Eliciting oral feedback from fellows during evaluation discussions (cf. above)
and exit interview to be conducted by the Program Director with each fellow
at the end of the fellowship.
o Statistics on publication record of fellows during fellowship and carrier path
thereafter
o At least quarterly meetings of Education Committee to detect problems and
improve/solve them
Members of Education Committee:
Dr. Gary Levy
Dr. Les Lilly
Dr. Eberhard Renner (acting director of fellowship program)
Dr. Nazia Selzner
Dr. George Therapondos
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APPENDIX I
Specific Learning Objectives
Clinical Skills
 Takes history, does physical and arrives at appropriate differential diagnosis in
pre-, peri- and post-liver transplant patients.
 Orders laboratory, radiological and other diagnostic procedures including liver
biopsy in a medically appropriate and cost-effective way; demonstrates
knowledge in the interpretation of these investigations.
 Arrives at an acceptable plan of management, demonstrating knowledge in the
non-operative and operative treatment of the disease process.
 Manages patients in the ambulatory setting, demonstrating knowledge of common
office techniques and procedures.
 Manages the patient throughout the entire in-hospital course, demonstrating
knowledge of common office techniques and procedures.
 Provides a plan for patient discharge and follow-up.
Cognitive Knowledge
 Knows the principles of organ allocation and the ethical issues involved
 Knows the principles of liver preservation, including mechanisms of preservation
and reperfusion injury
 Knows indications and contraindications of liver transplantation
 Knows immunology and pathology of rejection, and the mechanisms of action of
immunosuppressive drugs
 Knows the epidemiology, clinical presentation, diagnosis and therapy of
transplant-related postoperative complications including infections, tumors,
immunosuppression-related complications and recurrence of underlying diseases
in the graft.
 Knows the ethical questions and positions relevant to liver transplantation.
Technical Skills
 Adds to experience with liver biopsy
 Adds to experience with paracentesis
 Adds to experience in upper GI endoscopy including treatment of portal
hypertensive varices
 Adds to experience in diagnostic lower GI endoscopy
Communicator
 Obtains and synthesizes the relevant history from patients, their families and the
community
 Demonstrates an appreciation of the unique relationship between transplant
patients and their families and be able to deal effectively and compassionately
with patients and family members by establishing therapeutic relationships.
 Demonstrates an appreciation of the psychological needs of transplant patients.
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Listens effectively
Demonstrates effective communication skills including oral presentations at
rounds and conferences.
Writes or dictates timely meaningful notes and reports on all patients
Can summarize a patient’s condition concisely
Presents consults verbally in an understandable way
Communicates effectively and empathetically with his/her patients and their
families.
Can conduct a family meeting effectively.
Can and does discuss treatment plans with the charge nurse on the team.
Communicates treatment plans to all members of the team so that they
understand.
Demonstrates skill in working with others who present significant communication
challenges such as ethno-cultural background different from the physician’s own,
anger or confusion
Collaborator
 Consults effectively with other physicians and health care professionals.
 Contributes effectively to other interdisciplinary team activities.
 Uses the team approach in the management of complex patients effectively.
 Demonstrates respects for ancillary staff
 Participates in discharge planning rounds
Manager
 Utilizes resources effectively to balance patient care, personal learning needs, and
outside activities.
 Does notes and dictations appropriately and in a timely fashion.
 Comes to morning rounds, clinics, teaching sessions and academic events on
schedule/time.
 Books tests and procedures appropriately and efficiently.
 Multitasks appropriately and effectively, prioritizes tasks appropriately and
understands the principles of effective delegation.
 Delegates responsibilities appropriately and/or accepts delegated tasks
appropriately.
 Understands population-based approaches to health care services and their
implication for medical practice and preordination to access.
 Maintains and demonstrates an up to date personal log of procedures.
Health Advocate
 Identifies the important determinants of health affecting patients.
 Demonstrates an understanding of injury prevention.
 Recognizes and responds to those issues where advocacy is appropriate.
 Contributes to health-maintenance advocacy for patients, including such areas as
smoking, alcohol and recreational drug use.
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Understands the importance of organ donation and the strategies that can improve
the opportunity for a patient and their family to donate.
Scholar
 Develops, implements and monitors a personal continuing education strategy.
 Critically appraises sources of medical information.
 Facilitates learning of patients, house staff / students and other health care
professionals through formal and informal teaching opportunities.
 Presents at rounds at a level relevant to year of training.
 Attends and participate in academic activities including Seminar, Rounds,
Conferences and Journal Club.
 Contributes to development of new knowledge to foster the academic growth of
the specialty of transplantation by participating in scholarly work.
Professional
 Delivers the highest quality care with integrity, honesty and compassion.
 Exhibits appropriate personal and interpersonal professional behaviours.
 Has an ethical relationship with colleagues, patients, and relatives.
 Demonstrates sensitivity to age, gender, culture and ethnicity in dealing with
patients and their families.
 Has a complete knowledge of the principles of biomedical ethics and medical
jurisprudence.
 Has knowledge and understanding of the professional legal and ethical codes to
which all physicians are bound.
 Recognizes and respects his/her own limitations of professional competence.
 Recognizes the importance of maintenance of competence and evaluation of
outcomes.
 Understands the legal issues related to informed consent, confidentiality, and
refusal of treatment.
 Has the ability to recognize, analyze and know how to deal with unprofessional
behaviours in clinical practice, taking into account hospital, university and
provincial regulations.
 Dresses appropriately and cleanly, arrives in time.
 Displays teamwork and respect for all members of the health care team.
 Answers pages and responds in a timely fashion.
 Maintains patient privacy and dignity and acts with personal integrity.
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APPENDIX II
Main Activities within Rotations
1. Inpatient Rotation (duration usually one month):
o “Runs” the in-patient ward (incl. ACU) in (1-2 weekly) rotation with the surgical
fellows (and, in some months, a rotating GI resident). Work starts at 0700 with
the morning rounds and ends after sign-out rounds in the late afternoon. The
responsibility for the ward is with the fellow on service for the week. If this is a
surgical fellow/rotating GI resident, the transplant hepatology fellow participates
in the morning/sign-out rounds and assists with the ward work during the day
(this includes covering the ward during times the surgical fellow is in the OR).
o works on research project
o participates in educational events (cf. Table 1, bold print)
Table 1: Daily Schedule of Activities during Inpatient Rotation:
Morning
Monday
Tuesday
0700~1600
0700~1600
ward
rounds/
inpatient
care
ward
rounds/
inpatient
care
Wednesday
0700~0900
ward
rounds
0800-0900
MOT
rounds
0900~1600
ward
rounds/
inpatient
care
Thursday
Friday
0700- 0800
Liver TPL
Seminar
07000900
ward
rounds
0800~1600
ward
rounds/
inpatient
care
0900-1000
Listing
meeting
Saturday
(if 1.
call)
Sunday
(if 1.
call)
0700approx.
1200
0700approx.
1200
ward
rounds/
inpatient
care
ward
rounds/
inpatient
care
~1600
sign-out
rounds
~1600
sign-out
rounds
1000~1600
inpatient
care
Afternoon
~1600
sign-out
rounds
~ 1600
sign-out
rounds
1830- …
HB
rounds
(monthly)
1830- …
~1600
sign-out
rounds
~ 1500
sign-out
rounds
1600-1700
Clinical/
Research/
QA
Rounds
~1600
sign-out
rounds
JC
(monthly)
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2. Outpatient Rotation (duration usually one month):
o participates in Assessment Clinic (Tuesday afternoon), Pre-transplant Clinic
(Wednesday afternoon) and post-transplant Clinics (Monday morning,
Wednesday morning, Thursday morning)
o works on research project
o participates in educational events (cf. Table 2, bold print)
Table 2: Daily Schedule of Activities during Outpatient Rotation:
Morning
Monday
Tuesday
Wednesday
Thursday
0800-0900
Liver Path
Rounds
0800-0900 Live
Donor Meeting
0800-0900
MOT Rounds
0900-1200
Interventions
(with LL)
0900-1200
Post-OLT
Clinic (with
ER)
0700- 0800
Liver TPL
Seminar
0900-1300
Post-OLT
Clinic (with LL)
0900-1200
Post-OLT
Clinic (with
GT)
Friday
0900-1000
Listing meeting
0800-1200
Endoscopy
(with LL) and/or
intervention (with
TG)
Afternoon
1200-1600
Assessment
Clinic (with LL,
ER, GT)
1830- …
HB rounds
(monthly
1300-1600 PreOLT Clinic
(with LL, ER,
GT)
1600-1700
Clinical/
Research/
QA Rounds
1830- …
JC (monthly)
3. Research Rotation (duration typically one month):
o works on research project
o participates in educational events (cf. Table 3, bold print)
o
provided progress in assigned research project is deemed satisfactory, this rotation may also be
used for an elective; electives are chosen and individually arranged after discussion with the
program director in areas related to liver transplantation such as to hepatopathology or transplant
ID; discussions must start at least 3 months in advance.
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Table 3: Daily Schedule of Activities during Research Rotation:
Monday
Morning
Tuesday
0800-0900
Liver Path
rounds
Wednesday
Thursday
0800-0900
MOT Rounds
0700- 0800
Liver TPL
Seminar
Friday
Afternoon
1600-1700
Clinical/
Research/
QA Rounds
1830- …
HB rounds
(monthly
1830- …
JC (monthly)
Other Activities
Independent of the above rotations, fellows will
 take approx. 1/7 in-house night calls for MOT
 participate in other rounds/conferences/teaching activities, as time permits
 work by themselves through the most recent Transplant Hepatology CAQ Review
Course electronically available
(http://www.amedcoesystems.com/presentations/aasld/index.html)
 develop/lead the research project that is assigned to them by the program director in
consultation with the staff hepatologists (one of whom will serve as mentor); aim: at
least one presentation at an international meeting and at least one publication per
year.
Holidays, Meeting Attendance and Sick Leave
 Fellows are allowed to take 20 working days a year as holidays (missed on-call nights
must be compensated prior or after); the start/end date of any holiday break or other
foreseeable absence (meetings) from the service has to be coordinated with/approved
by the program director 6 months in advance.
 Meeting attendance: Fellows are encouraged to submit abstracts on their research
projects to the pertinent international (AASLD, ATC, ILTS) and/or national (CASL,
CTS) meetings. The program will (at least partially) support the attendance of one
meeting per year for each fellow, provided the work of the fellow has been accepted
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for presentation. The fellow must seek pre-approval of expenses (travel, hotel and
meeting registration) with the program director at least 3 months in advance. In order
re-imbursement of pre-approved expenses can proceed, the fellow must supply the
program director with originals of receipts (including boarding passes, hotel, meeting
registration).
Fellows with sick leaves exceeding a total of 30 working days during a calendar year
will automatically fail that fellowship year; this can be appealed with the Educational
Committee (attn. program director), provided it was attributable to exceptional
circumstances such as a serious illness or accident and the fellow’s overall
performance, as determined by the majority of evaluations for that year exceeds
expectations.
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APPENDIX III
Questionnaire for Periodic Evaluation of Program by Fellows
1. During the past period of rotation, my training expectations were
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
2. During the past period of rotation, the balance between clinical duties, research and
teaching was overall
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
3. During the past period of rotation, I experienced the clinical duties assigned to me as
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
4. During the past period of rotation, I experienced the formal and bedside teaching as
please, specify ……………………………………………………………..
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……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
5. During the past period of rotation, I experienced the time/effort required for preparing
presentations at seminars and rounds etc. as
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
6. During the past period of rotation, I experienced the time/opportunity for
developing/pursuing my research projects as
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
7. During the past period of rotation, I experienced the overall atmosphere within the
team/program as
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
8. During the past period of rotation, I experienced the interaction of staff
physicians/surgeons and allied health cares professionals with me as
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please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
9. During the past period of rotation, I felt that my efforts of reaching my training goals
were overall
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
please, specify ……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
10. During the last period of rotation, I recognized the following as additional weakness
of the fellowship program
……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
and have the following suggestion for improvement
……………………………………………………………..
……………………………………………………………..
……………………………………………………………..
THANK YOU FOR YOUR FEEDBACK!
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APPENDIX IV:
Evaluation of Transplant Hepatology Fellows
CanMEDs Roles
(Listed overleaf)
Unsatis
-factory
Needs to
improve
Meets
expectations
Exceeds
expectations
Outstanding
Not
applicable
Basic science knowledge
1, 6
Critical evaluation of scientific papers
1, 6
7
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6
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All
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CRITERIA
A. FUNDAMENTAL SKILLS
Clinical knowledge & skills
1
Research protocol execution
6
Quality of written & oral reporting
Skilled use of equipment
2, 6
B. EMERGENCY CARE
Performance under emergency conditions
C. PROFESSIONAL ATTITUDE
Ethical standards (eg, recognizes & addresses moral
and ethical issues)
Equity issues (eg, sensitive to gender, culture, etc)
Physician-Patient relationship
7
2, 7
Team relationship
2, 3, 7
Sense of responsibility
4, 5, 7
Self-assessment ability
7
Self-directed learning
1, 6, 7
D. RESEARCH & LABORATORY SKILLS
Grant writing ability
4, 6
Technical Skills (research design, data gathering, etc)
6, 7
Ability to address ethical issues in research
6
E. SCHOLARLY ACTIVITY
Publication (preparation, abstracts submitted, publication)
1, 6
Quality of presentations
1, 6
Participation / Attendance in Grand Rounds
6, 7
Ability to function as an independent researcher
F. TEACHING PERFORMANCE
3, 4, 5, 6
G. OVERALL COMPETENCE
Ability to function as an independent consultant
H. CERTIFICATE: Should a certificate be issued for this trainee upon completion?
Yes 
No 
18/19
Transplant Hepatology Fellowship Program
ER 2/12/2016
APPENDIX V: Template for Advertisement
TRANSPLANT HEPATOLOGY FELLOWSHIP
Multiorgan Transplant Program, University Health Network/Toronto General Hospital,
University of Toronto, Toronto, Canada
We invite applications for x Transplant Hepatology Fellowship positions starting
Jan 1/July 1, 200x. With annually approx. 150 liver transplants (of which approx. 50
are live donor transplants) and its unique organization within an interdisciplinary
Multiorgan Transplant Program, our Liver Transplant Program not only offers
training in all clinical aspects of transplant hepatology, but also ample opportunity
for clinical and/or lab-based research.
Goals of the Program:
 to provide training in all aspects of (academic) liver transplantation
 to enable the successful candidate to become an independent (academic)
Transplant Hepatologist.
Profile of Applicants:
 Interest in liver transplantation in an academic setting
 Medical license (in Canada or country of origin)
 Subspecialty training in Gastroenterology/Hepatology completed (in Canada or
country of origin)
 Willingness to participate in in-hospital night-time on-call schedule for
Multiorgan Transplant ward (approx. 4 nights per month).
Start date: Jan 1/July 1, 200x.
Duration: Two years (one year possible for selected candidates, depending on previous training and
references; candidates seeking a two year training opportunity will be given preference)
Stipend: Approx. CAD 60’000 a year.
Application: Interested physicians should send a short cover letter stating the reason for
applying, an updated CV (including list of publications) and three letters of support to:
Education Committee
attn.: Eberhard L. Renner, M.D., FRCP(C)
Professor of Medicine
Director GI Transplantation
University of Toronto
Toronto General Hospital
NCSB 11C-1238
585 University Ave.
Toronto, ON
Canada M5G 2N2
Phone: (416) 340-5221
E-mail: Eberhard.Renner@uhn.on.ca
Applications must be received by x. The Education Committee may invite promising
candidates for an interview and will decide on acceptance. Applicants will be notified by
x.
19/19
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