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Name of Institution:

Department of Otolaryngology
Faculty of Medicine
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Montreal Children's Hospital (MCH)

Type of fellowship:

Pediatric otolaryngology fellowship (Clinical with possibility of a year of Research)

This is not accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC) or the American Board of Otolaryngology (ABO)

Program Information:

One fellowship position at the MCH, starting from July 1 to June 30 of a given year.

Fellowship requirements:

• The fellow will be directly responsible to the Director of the Fellowship Training Program and the Otolaryngologist-in-Chief of the hospital at which the fellow is based. The fellow will be chosen via the San Francisco match the year proceeding the start of the fellowship – .

• If a year of research is done, the fellow will follow similar research guidelines as Enrichment year residents. This will include submission of a research proposal, implementation of the research project, presentations to the committee (initial, mid­year progress, fellowship grand rounds), and submission of a final report. The fellow must publish a minimum of one research-oriented paper during the fellowship year. Attendance at Research Topics lectures is encouraged. 

• Clinical and teaching duties and course work will be determined by the individual supervisor and the fellowship committee. These include rounds with the resident staff, lectures to medical students and residents, as well as supervision of resident consultations, and discussion with attending staff.
• Fellows will not compete with the residents for clinical or surgical case material, but will rather complement the training experience of the residents.

Fellowship Program Director:

Dr. Melanie Duval: melanie.duval [at] mcgill.ca

Teaching Faculty:

• Dr. Sam Daniel 
• Dr. Melanie Duval
• Dr. Yolène Lacroix
• Dr. John J. Manoukian
• Dr. Lily Nguyen
• Dr. Melvin D. Schloss

Academic Facilities:

The Montreal Children's Hospital serves as the main training site for pediatric otolaryngology. The hospital offers fellows a complete pediatric experience; clinics operate five days a week and consist of designed multidisciplinary sub-specialty clinics, including the complex airway, dysphagia, otology, reflux, saliva management, velopharyngeal dysfunction and vertigo clinics. A wide range of patients and referrals as well as complex cases are seen through the clinics. The Montreal Children's Hospital offers a busy consultation service, providing fellows with exposure to a wide range of pediatric otolaryngology and pathologic conditions.

The operative experience includes exposure to a wide range of more complex surgical procedures in all pediatric otolaryngology subspecialties including otology, rhinology, laryngology, and head and neck surgeries.

Fellows will have access, as the residents do, to all ³ÉÈËVRÊÓƵ Faculty of Medicine facilities including its libraries, internet services, and the Steinberg Centre for Simulation and Interactive Learning.

There is enough material to share between the residents and fellows so that the resources used for the fellowship do not interfere with residency training, however fellows will not compete with the residents for clinical or surgical case material, but will rather complement the training experience of the residents. 

Duties and responsibilities of a fellow:

Clinics:

• Staff the clinic, and help residents' training in the clinics;
• Attending specialty clinics;
• Run the fellow’s clinic one half-day per week in order to allow the fellow to take increased responsibilities in patient management and to allow for longitudinal patient follow-up;
• Assist the residents on consultations during the weekdays and discuss them with the attending staff. 

In-patients:

• Rounds with residents and supervision of all in-patient consultations and discussion with attending staff;
• Assist the residents in the management of admitted patients.

On call responsibility:

• On call responsibilities for surgical cases the resident is involved in;
• Will be taking call as back-up for the residents one weekday a week and one weekend a month.

O.R.:

• Share complex surgical procedures with the residents (head and neck masses, otology cases including endoscopic ear surgery and BAHA, FESS, sailoendoscopy, bronchoscopies with or without laser, esophagoscopies, endoscopic and open airway surgeries, surgical treatment of velopharyngeal insufficiency etc.);

• Responsibilities in the operating room will be shared with the senior resident on service. Both trainees will be expected to perform level-appropriate tasks and the fellow will be expected to participate in the supervision and teaching of the residents. 

Academic activities:

The pediatric fellow will be responsible for:

• Attending and organizing Monday morning ENT departmental and radiology rounds;
• Attending all educational activities in the Department of Otolaryngology at ³ÉÈËVRÊÓƵ, including university grand rounds, journal clubs, and pediatric-specific visiting professorships, lecturships and  seminars.

Research activities:

• The fellow's research will entail a submission of a research proposal, implementation of a research project, presentations to the committee (initial and mid-year progress, fellowship grand rounds), and submission of a final report;
• The fellow must publish a minimum of one research-oriented paper during the fellowship year. He is also encouraged to present his research project in national and international meetings;
• Attendance at research topic lectures is encouraged.

Role of the fellow toward residents and their teaching activities:

• The pediatric fellow must be heavily involved in teaching residents and students during all their daily clinical activities. S/he must be involved in teaching in the O.R. and assisting residents and must not compete with residents but rather be involved at a level suitable to his/her training. This means more active participation in difficult or revision cases that are unsuitable for senior residents and more of a teaching role in cases that are suitable for resident training;
• The fellow is expected to be active in teaching and role modeling in all the seven CanMEDS roles: medical expert, communicator, collaborator, manager, health advocate, scholar, and professional.

Fellow’s evaluation:

• The fellows will be evaluated every six months;
• The fellows will also evaluate semi-annually the teaching faculty and fellowship program;
• They should submit their clinical caseload, research activity, and publication list to the Fellowship Program Director and the Program Director of the Residency Training Program.

Fellowship certificate:

Upon successful completion of the fellowship, fellows will receive a certificate signed by:

• The Fellowship Program Director and the Program Director or Departmental Chair and the Associate Dean of Postgraduate Medical Education.

Contact information: Dr. Melanie Duval, melanie.duval [at] mcgill.ca.

2016-12-05