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About the Program

The University of Toronto is home to Canada's largest Adult Critical Care Medicine training program. Through its Royal College Residency Program and site-based Clinical Fellowship Programs, the Interdepartmental Division of Critical Care Medicine trains more than 60 residents and fellows each year.

With five leading academic teaching hospitals and an extensive network of community hospital partners, the Division provides exceptional clinical and academic training, preparing the next generation of leaders in Critical Care Medicine.

Sites Participating in the Training Program

The residents undertake core ICU rotations at the five University of Toronto teaching hospitals.

Clinical Site

Educational Site Lead

Toronto General Hospital

Dr. Ghislaine Doufle and Dr. Laura Dragoi

Toronto Western Hospital

Dr. Alyssa Louis

Mount Sinai Hospital

Dr. David McAlpine

St. Michael's Hospital

Dr. Nava Maham and Dr. Alberto Goffi

Sunnybrook Health Sciences Centre

Dr. Alya Kamani (Residents)

Dr. Cameron Guest and Dr. Shelly Dev (Fellows)

The program includes 15 months of core ICU rotations, plus an additional one-month community ICU experience. Rotations are customized to support each resident’s learning needs and career goals.

Residents are actively involved in the day-to-day operations of the ICU, including the comprehensive management of critically ill patients, supervision of junior trainees, coordination of inter-hospital patient transport, and organization of rounds and teaching sessions. Throughout the program, residents develop expertise in administrative, quality improvement, supervisory, and consultative roles essential to practicing as attending physicians. Responsibility is progressively graded over the course of each rotation and across the two-year program, with residents transitioning from a primary patient care role early in training to increasing leadership and supervisory responsibilities as their experience grows.

Mandatory Content of Training

Description

Duration

Sites in which this training may be taken

Core Critical Care Medicine

15 months

A combination of the five teaching hospitals: St. Michael's Hospital, Mount Sinai Hospital, Sunnybrook Health Sciences Centre, Toronto General Hospital, and Toronto Western Hospital. 

Community ICU

1 month

Any Level 3 ICU with direct supervision from an attending intensivist. 

Elective Content of Training

Electives are flexible and designed to support each resident’s individual career goals. Common elective choices include anesthesiology, toxicology, cardiovascular ICU, mechanical ventilation, and echocardiography.

Scholarly Work

During the program, residents may engage in research, quality improvement, or medical education scholarship, with up to six blocks available for dedicated scholarly work. Faculty provide strong mentorship and supervision, with a wide range of projects available across multiple areas of critical care medicine.

Calls

Call responsibilities vary by site and are tailored to the resident’s level of experience, competence, and training stage. All calls during core ICU rotations are in-house, and the program adheres to the PARO agreement.