Office of Postgraduate Education  Centre for Addiction & Mental Health, College St. Site
250 College Street, Suite 841 • Toronto ON M5T 1R9  Canada  Tel: 416-979-6911  Fax: 416-979-6928
PGY-4: 2015-2016 Chronic Care & Addictions and C/L & Collaborative Care Core Rotations Preference Form
Please rank, in order of preference, your options (hospital/rotation) for Chronic Care and Addictions & Consultation Liaison and
Collaborative Care Core Rotations. Please email the completed form to julia.bella@utoronto.ca by January 14, 2015.
Chronic Care and Addictions Core Rotations Hospitals/Descriptions
St. Michael’s Hospital (ACT)
Sunnybrook Health Science Centre (ACT)
University Health Network (ACT)
St. Joseph’s Hospital (ACT)
Centre for Addiction and Mental Health (Schizophrenia, Law and Mental Health or Mood Disorders - see
descriptions for rotation options; mini-match to occur at later date)
3 Month-CAMH Schizophrenia with 3 Month-Ontario Shores Law and Mental Health
3 Month-CAMH Schizophrenia with 3 Month-CAMH Dual Diagnosis
3 Month-CAMH Schizophrenia with 3 Month-Ontario Shores Dual Diagnosis
Consultation Liaison and Collaborative Care Hospitals: **Collaborative Care assignments are linked to the
Consultation-Liaison hospital
Mount Sinai Hospital, St. Michael’s Hospital, Sunnybrook Health Sciences Centre, University Health Network,
Women’s College Hospital/Toronto Rehabilitation Hospital (WCH/TRI)
Name
Telephone
Date
 July 2015 to December 2015
Order of
Preference
Name of Hospital
Name of Rotation
1
2
3
4
5
6
7
8
9
10
11
12
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PGY-4: 2014-2015 Chronic Care & Addictions and C/L & Collaborative Care Core Rotations Preference Form
Name
Telephone
Date
 January 2016 to June 2016
Order of
Preference
Name of Hospital
Name of Rotation
1
2
3
4
5
6
7
8
9
10
11
12
If the logistics of the match dictate that you will either receive the SITE of your choice or the SEQUENCE (i.e. July
vs January) of your choice, which is most important to you? □ SITE or □ SEQUENCE
Comments:
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