Psychiatry, Health and Disease
Code
PHD-CE-01
Title
Assessment and
Management of Eating
Disorders
Contact Info
Inquiries: Dr. Woodside, (416) 340-4445
Supervisor(s): Drs. B.Woodside, P. Colton, K.
Sutandar
Place: Toronto General Hospital
Time: Flexible
No. of Residents: 2
Description
This elective would provide exposure for residents to the assessment and
management of patients with anorexia and bulimia nervosa and their families.
The experience could include training in cognitive behavioural and
interpersonal group and individual therapy, pharmacotherapy and family
therapy in an outpatient, day hospital and inpatient setting. This elective may
span the entire academic year.
PHD-CE-02
Cardiac Psychiatry
PHD-CE-03
Cardiovascular Psychiatry
Inquiries: Dr. Shree Bhalerao,
(416) 864-5320, Fax (416) 864-5793
Supervisor(s): Dr. Shree Bhalerao
Place: St. Michael's Hospital
Time: Suit the Resident
No. of Residents: 1
Inquiries: Dr. Baker, (416) 603-5934
Supervisor(s): Dr. Brian Baker
Place: Toronto Western or General Hospital
Time: Negotiable
No. or Residents: 1
PHD-CE-04
Clinic for HIV-Related
Concerns
Inquiries: Dr. DeRoche
Supervisor(s): Drs. P. DeRoche, J.Hunter, D. Higgins,
A. Peterkin
Place: Mount Sinai Hospital
Time: To be arranged
No. of Residents: 1 or 2
PHD-CE-05
Health and Mental Health
Issues of Immigrants and
Refugees
Inquiries:
Supervisor(s): Drs. C. Chalin, R. Meier
Place: St. Joseph’s Health Centre
Time: TBD
No. of Residents: 1 Resident per six month rotation
One year elective in the area of cardiac psychiatry. The focus will be on both
inpatients and outpatients with the focus being chosen by the resident.
Residents will be exposed to a vast array and psychiatric sequalae associated
cardiac disease. Residents are provided with options of participating in
numerous research projects. The program is also designed to improve
interviewing and management skills through numerous observed interviews.
The resident will have the opportunity to participate under supervision in the
assessment and management of cardiac patients who have been referred to
the cardiovascular psychiatric clinic for their psychiatric complaints. The
resident may also be involved in research projects in the areas of psychiatric
disorders (e.g. myocardial infarction, sudden death, hypertension,
palpitations).
The Clinic for HIV-Related Concerns provides psychiatric and psychosocial
support for persons with HIV-Spectrum disorders, their families and friends.
Consultations, assessments and therapy are provided. Such therapy includes
crisis intervention, individual, couple, family and group therapies as well as
home based psychiatric care for home bound patients and specialized services
for women. The staff works as a multidisciplinary team. The team includes
psychiatric residents, psychiatric nurses, a couple and family therapist, an
occupational therapist, and 5 staff psychiatrists. Residents actively participate
in consultations, assessments, and ongoing treatment. They receive individual,
weekly or biweekly supervision of their cases, including psychotherapy
supervision, from one of the staff psychiatrists. They learn about the
psychosocial, psychiatric, neuropsychiatric and psychotherapeutic aspects of
AIDS. They will also gain first-hand knowledge of community resources
available to people affected by HIV. This seminar may span the entire
academic year, and may count as two elective “blocks.”
This elective will address health/mental health issues of immigrants and
refugees who have come to Canada recently and in the past, with the provision
of experience and knowledge of resources in the community that address their
needs. Objectives: (1) To identify mental health issues associated with early
and later stages of the immigrant experience (2) To provide experience with
different approaches to addressing mental health needs of refugees and
immigrants across the life course (3) To introduce Agencies and resources
within the community meeting mental health needs of refugees and
immigrants (4) To build on theoretical frameworks for treatment and service
provision.
PHD-CE-06
HIV Psychiatry
Inquiries: Dr. Halman
(416) 864-3082 Fax: (416) 864-3091
Supervisor(s): Dr. M. Halman
Place: St. Michael’s Hospital
Time: 3-4 hours/week, negotiable
No. of Residents: 2
PHD-CE-07
Medical
Humanities/Narrative
Medicine
PHD-CE-08
Mindfulness Based Stress
Reduction Group
Inquiries: Dr. Peterkin, (416) 586-4800 ext. 3204
Supervisor(s): Dr. A. Peterkin
Place: Mount Sinai Hospital
Time: Tuesdays or Thursdays
No. of Residents: Negotiable
Inquiries: Dr. Kathy Margittai,
kathy.margittai@utoronto.ca
416-483-3778 voice fax 416-487-6221
Supervisor: Dr. Kathy Margittai
Place: North York General Hospital
Time: ½ day per week, Fri. afternoons (Jan. - June)
No. Residents: 1 or 2
PHD-CE-09
Neurodevelopmental
Disorders
Inquiries: Dr. Sandor, (416) 603-5794
Supervisor(s): Drs. P. Sandor, M. Pearce
Place: Toronto Western Hospital
Time: Negotiable
No. of Residents: 1-2
PHD-CE-10
Neurology and Psychiatry
PHD-CE-11
Neuropsychiatry
Inquiries: Dr. Zahn, (416) 603-5580
Dr. Shapiro, (416) 603-5273
Supervisor(s): Drs. C. Zahn, C. Shapiro, and staff
neurologists
Place: Toronto Western Hospital
Time: Negotiable
No. of Residents: 1
Inquiries: Dr. P. Sandor, (416) 603-5794,
Dr. C. Shapiro, (416) 603-5273
Supervisor(s): Dr. P. Sandor, C. Shapiro
Place: Toronto Western Hospital
Time: Negotiable
Six month or one year elective designed to develop psychiatrists skilled in the
assessment and management of persons with HIV/AIDS. Experience will focus
on outpatient assessment and management of a range of HIV-related mood
and cognitive dysfunction disorders within a setting emphasizing continuity of
comprehensive HIV care. There is an opportunity to also work at Casey House
Hospice, providing psychiatric care in a residential palliative and supportive
care facility for persons with HIV/AIDS (Thursday mornings 8:30 to 11:30 am
only).
An opportunity to explore how reading, writing and exposure to the
humanities enhance medical practice and clinician satisfaction. Residents will
have the chance to participate in the publication of ARS MEDICA: A Journal of
Medicine, the Arts and Humanities (see ww.ars-medica.ca) and to pursue
personal writing/research projects.
The Mindfulness-Based Stress Reduction (MBSR) program at NYGH is a 9 week
psycho-educational group, providing intensive instruction in mindfulness using meditation, yoga and cognitive restructuring, for individuals suffering
from a variety of chronic health problems (eg. cancer, migraines, fibromyalgia,
arthritis, hypertension, etc). Residents will have a chance to discuss/review
ongoing research in this area, as well as to actively participate in the group
process, and eventually lead some of the meditations. For motivated
individuals, there is also an opportunity to participate in related research.
When you complete this elective, you will be able to assess children,
adolescents and adults with a variety of childhood onset, neurodevelopmental
disorders (ADHD, OCD, Tourette’s Syndrome, learning disabilities and
aggressive behaviour). You will learn the neurochemical basis of these
disorders and their pharmacological and behavioural management. You will
understand the impact of these disorders on psychological and social
development of the affected individual. You will be able to observe the effect
of these disorders on the family dynamics and you will develop an approach to
family intervention. The resident will also have the opportunity to participate
in a systematic multidisciplinary assessment of children with Asperger
syndrome and to learn more about neuropsychological testing methods and
the role it can play in clinical management of patients with
neurodevelopmental disorders.
A single elective combining neurology and psychiatry will be offered for the
first time. The resident will have the opportunity to spend three months on the
neurology service with a variety of neurologists at the Toronto Western
Hospital. The content in each three month block will be tailored to the
resident’s needs. The key objective of this attachment is to provide psychiatry
residents with an in-depth exposure to neurology and to appreciate the
interface between neurology and neuropsychiatry.
Two electives, six months each, are available July to December and January to
June. One twelve month rotation can be negotiated. The resident will have an
opportunity to become acquainted with the biological underpinnings of human
behaviour. This will occur in the context of assessing and treating patients
with various movement disorders, epilepsy, chronic pain, head injury and
No. of Residents: 1-2
PHD-CE-12
Outpatient Consulting with
Family Physicians
Inquiries: Dr. Peterkin, (416) 586-4800 ext. 3204
Supervisor(s): Dr. A. Peterkin
Place: Mount Sinai Hospital
Time: Tuesdays or Thursdays
No. of Residents: Negotiable
Inquiries: Dr. Geist, (416) 813-7583
Supervisor(s): Drs. R. Geist, A. Lefebvre, M. Hanson
Place: Hospital for Sick Children
Time: Negotiable
No. of Residents: 1-2
Inquiries: Dr. Devins, (416) 340-3113
Supervisor(s): Dr. G. M. Devins
Place: University Health Network:
Toronto General Hospital
Time: 3 hours (negotiable)
No. of Residents: 2
PHD-CE-13
Pediatric
Medical/Psychiatry
PHD-CE-14
Psychosocial Impact of
Chronic Disease: Gender
and Ethnocultural
Moderators
PHD-CE-15
Psychosocial Oncology
Inquiries: Dr. Rodin, (416) 946-4501 ext 4505
Supervisor(s): Dr. G. Rodin, Head,
Psychosocial Oncology and Palliative Care
Dr. M. Elliott, Head, Psychiatry Service
Drs. Sonu Gaind, K.Miller, T. Melynk, Madeline Li,
Psychiatrists
Dr. G. Devins, Head Psychosocial Research
Dr. Mary Jane Esplen, Senior Research Group
Psychotherapy and Psychosocial Aspects of
Genetic Risk
Drs. N. D’Agostino, L. McLean, M. Taube-Schiff
(Psychology)
Drs. K. Edelstein and L. Bernstein
(Neuropsychology)
Place: Princess Margaret Hospital
Time: To be arranged
No. of Residents: Flexible
PHD-CE-16
Shared Care - Family
Practice Unit (FPU)
Inquiries: Dr. Nadiya Sunderji
416 323 6359 or Nadiya.Sunderji@wchospital.ca
disorders of sleep-wake cycle. The focus of the elective will be adjusted to
emphasize resident’s interests. Completing this elective will increase
residents’ knowledge of psychosomatic psychiatry and behavioural and
neuropharmacological management of the behavioural disturbances in
patients with neuropsychiatric disorders. This seminar may span the entire
academic year and may count as two elective “blocks.”
Involves seminars with family medicine residents, observed interviews,
assessment of patients referred by family doctors and ongoing follow-up of
patients in tandem with their family doctors.
Residents interested in medical psychiatry in the pediatric population will have
an opportunity to work with eating disorders, consultation/liaison activities,
and consultations to pediatricians. The experience will be tailored to the
specific interest of the residents and may include a research and clinical
component with children, adolescents and their families.
An opportunity to participate in an active research group focusing on the
psychosocial impact of chronic disease and the gender and ethnocultural
moderators of such effects. Residents will participate in a weekly research
seminar and take responsibility for preparing a data-based manuscript for
publication. Previously gathered data will be available from one of a number
of chronic illness groups (e.g., end-stage renal disease, multiple sclerosis,
rheumatoid arthritis, osteoarthritis, systemic lupus erythematosus, various
sleep disorders). Alternatively, residents can receive supervision in the
collection and analysis of new data from these or other patient populations.
Set in Canada’s largest cancer hospital, Princess Margaret Hospital, the
Psychosocial Oncology and Palliative Psychiatry Selective allows the residents
to construct the rotation according to their interests and needs. There are a
breadth of opportunities in the domains of clinical, education and research
related to psychiatric and psychosocial aspects of cancer and palliative care. All
residents get to hone and extend their diagnostic and formulation skills as
work with cancer patients involves an understanding of development, coping
attachment, trauma, and biologic medicine. It also involves learning about the
psychiatric and psychosocial aspects of cancer along the disease trajectory
(prevention, detection, diagnosis, treatment, rehab, survivorship, palliation
and end of life care). Exposure to a variety of cancer site groups is ensured.
Liaison and interprofessional practice are also skills that are acquired in this
placement. Depending on interest there is the opportunity to set up individual
or group psychotherapy supervision. Mindfulness based stress reduction is
another skill that is taught in the POPC. Research, writing and education
options are available according to the resident’s objectives and goals. Ongoing
research projects exist in palliative and end of life care, self-concept,
neuropsychiatric and neuropsychological aspects of brain cancer, depression
and cytokines, stress response syndromes, screening, martial and group
interventions and pain.
This elective offers residents of all levels the opportunity to spend ½ or 1 day
per week providing shared care services to the Family Practice Unit at
Supervisor(s):
Place: Women’s College Hospital
Time: spend ½ or 1 day per week
No. of Residents:
PHD-CE-17
Shared Care - Women’s
Health in Women’s Hands
Inquiries: Dr. Nadiya Sunderji
416 323 6359 or Nadiya.Sunderji@wchospital.ca
Supervisor(s):
Place: Women’s College Hospital
Time:
No. of Residents:
PHD-CE-18
Sleep Disorders
Inquiries: Dr. Shapiro, (416) 603-5273
Supervisor(s): Drs. C. Shapiro, L. Reinish, H. Driver
Place: Sleep and Alertness Clinic
Toronto Western Hospital
Time: Mon. 2:00 pm, Wed. 9-5 pm, Fri. 8-12:00 pm
No. of Residents: 1
Women’s College Hospital. As the FPU sees men and women of all ages,
residents would gain a broad exposure to general psychiatry issues. The
purpose of the rotation is to equip residents with the knowledge and skills to
function as a consultant in a primary care setting. This includes gaining an
appreciation for the unique challenges in primary mental health care, the
ability to manage the range of mental health problems seen in primary care,
the capacity to function effectively as a team member working with
interdisciplinary health care providers, and the additional ability to plan and
evaluate program components. The goal of the shared care program is to
provide support to family physicians and family medicine residents through
behind-the-scenes case consultation, didactic teaching, and other educational
activities; some direct treatment of patients in the FPU may also be involved.
This elective provides an opportunity to experience an alternate model of
providing psychiatric care that differs from the usual consultative model, as
well as teaching opportunities. Supervision would be provided for
approximately 1 hour per week plus additional supervision on an as needed
basis, and would be tailored to the resident’s level of training and individual
learning objectives. We welcome your involvement in this program.
This elective offers senior residents the opportunity to provide shared care
services to Women’s Health in Women’s Hands (WHIWH). WHIWH is a
community health centre in downtown Toronto that provides primary care to
non-white women, 75% of whom are women without legal status in Canada.
Residents would gain a broad exposure to general psychiatry issues, as well as
mental health issues affecting this marginalized population (e.g. HIV, trauma).
The purpose of the rotation is to equip residents with the knowledge and skills
to function as a consultant in a primary care setting with a unique patient
population. This includes gaining an appreciation for the challenges in primary
mental health care with this unique cultural population, the ability to manage
the range of mental health problems seen in primary care, the capacity to
function effectively as a team member working with interdisciplinary health
care providers, and the additional ability to plan and evaluate program
components. The goal of the shared care program is to provide support to
primary care providers through behind-the-scenes case consultation, didactic
teaching and other educational activities, in addition to direct treatment of
patients. This elective provides an opportunity to experience an alternate
model of providing psychiatric care that differs from the usual consultative
model, as well as teaching opportunities, and experience with outreach work
to a community agency. Supervision would be provided for approximately 1
hour per week plus additional supervision on an as needed basis, and would be
tailored to the resident’s individual learning objectives. We welcome your
involvement in this program.
The resident will have the opportunity to see patients with psychiatric
disorders but with related sleep difficulties and more generally to learn about
sleep medicine. The opportunity to participate either in short term insomnia
group treatments or a long-term psychodynamic group for insomnia is a
possibility.
PHD-CE-19
Sleep Medicine
Inquiries: Dr. C. Shapiro 416-603-5273
Supervisor(s): Drs. C. Shapiro, R. Hawa, A. Ong
Place: Toronto Western Hospital,
Neuropsychiatry program
Time: TBA
No. of Residents: 1
PHD-CE-20
Traumatic Brain Injury
Inquiries: Dr. Shree Bhalerao,
(416) 864-5320, Fax (416) 864-5793
Supervisor(s): Dr. Shree Bhalerao
Place: St. Michael's Hospital
Time: Suit the Resident
No. of Residents: 1
PHD-CE-21
Wasser Pain Management
Centre
Inquiries: Dr. Moran, (416) 586-8418
Supervisor(s): Dr. P. Moran
Place: Mount Sinai Hospital
Time: Thursdays, 10:00 a.m. to 2:00 p.m.
No. of Residents: 1
PHD-CE-22
Neuropsychiatry
Inquiries: Dr. Alan Fung, (416) 632-8701
Supervisor(s): Dr. Alan Fung, Dr. Alan Lowe
Place: North York General Hospital
Time: Negotiable
No. of Residents: 1-2
PHD-CE-23
Psychiatry in Clinical
Genetics
Inquiries: Dr. Alan Fung, (416) 632-8701
Supervisor(s): Dr. Alan Fung, and staff medical
geneticists
Place: North York General Hospital
Time: Negotiable
No. of Residents: 1
This elective will expose the resident to the field of sleep disorders medicine
from the perspective of the consultant subspecialist psychiatrist. Residents will
be trained in the evaluation and treatment of sleep disorders including
narcolepsy, insomnia, parasomnia, circadian rhythm disorders and sleep
related movement and breathing disorders. They will also be exposed to the
interface of psychiatric disorders, psychotropic medications and sleep
pathology. The resident may also become involved in an ongoing research
project.
One year elective in the area of Traumatic Brain Injury with a focus on acute
inpatient management. Residents will also be exposed to outpatients through
the Head Injury Clinic and private practice. In addition to a focus on the vast
psychiatric sequalae associated with traumatic brain injury, residents will also
be able to strengthen their skills in interviewing and management of this
patient population with numerous observed interviews designed in a Royal
College format. An option of participating in a multitude of research projects
will also be available.
Outpatient clinic specializes in assessment and treatment of pain disorder.
Participants have an opportunity to attend Thursday rounds with the Wasser
Pain Management Centre multidisciplinary team involving psychiatry,
neurology, dentistry, facial surgery, anaesthesiology, ENT and radiology.
Research opportunities. Biopsychosocial assessment of chronic pain patients
by the psychiatrist.
Six-month or one-year elective designed to provide residents an overall
understanding of the assessment and management of neuropsychiatric
disorders, with a focus on movement disorders, seizure disorders, and sleep
disorders. Residents will participate in the provision of psychiatric consultation
and follow-up care to patients in the Multidisciplinary Huntington's Disease
(HD) Clinic at North York General Hospital - which is the largest HD clinic in
Canada based in a clinical genetics department. Residents will also have the
opportunity work with a sleep neuropsychiatrist to further their understanding
of sleep disorders and the field of sleep medicine - including exposure to a
sleep clinic and laboratory. The third component of the elective, based in an
outpatient setting, provides residents with exposure to patients with a variety
of neuropsychiatric presentations - including Parkinsonism, seizure disorders,
treatment-resistant depression, etc. In addition to the supervision by two staff
neuropsychiatrists, residents will have the opportunity to work with staff
physicians, fellows and residents from neurology and medical genetics - as well
as genetic counsellors and other allied health professionals. The interested
residents may also participate in a variety of research endeavours - ranging
from clinical epidemiological studies to clinical trials. Scholarly publications are
encouraged but not mandated, and research mentorship will be provided.
A unique opportunity for residents to further their knowledge and skills in the
psychiatric and psychosocial aspects of clinical genetic disorders. The one-year
elective (six-month may be considered) is based at the North York General
Hospital Department of Clinical Genetics - which is one of the largest regional
genetics programs in Ontario, with particular expertise in pre-natal testing,
neurogenetics (focusing on Huntington's disease), and hereditary breast
PHD-CE-24
Community Sleep Medicine
Inquiries: James MacFarlane, PhD, 905 467 7430;
Sue Wiercinski, 416 488 6980 x32
Supervisor(s): Dr. Adam Blackman
Place: Toronto Sleep Institute, 586 Eglinton Ave East,
Suite 208, Toronto M4P 1P2
Time: Negotiable
No. of Residents: 1-2
cancer. The resident will provide psychiatric consultation and follow-up care to
patients and families presenting to the Genetics department, and may decide
to focus on one or more areas of genetic disorders. An integrated bio-psychosocio-cultural-spiritual management approach is emphasized. In addition to
supervision by the staff psychiatrist, the resident will also have the opportunity
to work with staff physicians, fellows and residents from medical genetics - as
well as genetic counsellors and other allied health professionals. The
interested residents may also participate in a variety of research endeavours ranging from clinical epidemiological studies to clinical trials. Scholarly
publications are encouraged but not mandated, and research mentorship will
be provided. Through the elective, the resident will not only gain a sound
exposure to the rapidly-growing field of clinical genetics, but will also have the
opportunity to contribute to the emerging field of 'psychiatry in clinical
genetics'.
This elective or selective will provide comprehensive training for residents in
the assessment and management of patients with a variety of sleep-wake
disorders. Our community based multidisciplinary team includes
respirologists, neurologists, otolaryngologists, psychiatrists, pediatricians,
psychologists, physiologists, and polysomnographic technologists. This team
will be able to expose Residents to the entire field of sleep disorders medicine,
which intersects many medical disciplines. Special emphasis will be placed on
disorders of sleep and daytime functioning which specifically pertain to
psychiatric and psychological disorders. The experience will include training in
sleep-specific cognitive behavioural and pharmacotherapy. This elective may
span the entire academic year and may count as two elective “blocks.”