Postgraduate Residency Program Details: Toronto East Health Network

South East Toronto Family Health Team Coxwell Site; Flemingdon Community Health Centre; South East Toronto Family Health Team Danforth Site

Quick Facts

Number of residents: 32
Curriculum type: block rotations
PGY1 elective/selective months: 1
PGY2 elective/selective months: 2
PGY1 obstetrics and gynaecology months: 1
PGY2 obstetrics and gynaecology months: 1 (primarily office-based gynaecology 1:1 preceptor)

Program Highlights

  • Full-service hospital in a friendly, community environment — greater emphasis on resident education as opposed to service
  • A busy and popular emergency service with over 76,500 annual visits
  • Comparatively more flexibility in scheduling — PGY2 experiences are preceptor-based
  • Hybrid-style internal medicine rotation with a combination of ward work and sub-specialist training (clinics, ward, procedural skills) with call consisting of ER consults
  • Weekly teaching sessions as an integral part of the learning environment —strong, family medicine focused teaching from both family physicians and specialists 
  • Hands-on, skills-based teaching, including procedural skills workshops, simulation sessions, and on-site ACLS training
  • Annual rural retreat and wellness events

Hospital, Community, Teaching Unit and Program

Michael Garron Hospital (formerly the Toronto East General Hospital) is a regional, acute care hospital that provides an extensive range of primary, secondary and tertiary population-based programs and services. It is situated in a community that includes the eclectic neighborhoods of The Beaches and Riverdale along with the more traditional residential quarters of East York. In recent years, the area has experienced a burgeoning regrowth of young families which provides active pediatrics and obstetrics experiences for learners. Furthermore, the area's large immigrant population brings a culturally rich interaction. At present, MGH serves over half a million people living in the Boroughs of East York, Southwest Scarborough and East Toronto.

As a teaching division within the University of Toronto Department of Family and Community Medicine, the Family Medicine Residency Program at Michael Garron Hospital traditionally provides clinical training for over 30 Family Medicine Residents per year, and is currently one of the largest Family Medicine Residency Program sites affiliated with U of T. MGH is also a base site for the DFCM Rural Program residents. Residents in the rural program spend their PGY-1 year at the Michael Garron Hospital site, followed by a full PGY-2 year at a rural site, effectively preparing them for a future rural practice.

At MGH, we believe that one of the main responsibilites of Family Physicians is to known their community, its health problems, and its resources. As a training program, we work with residents to teach them how to learn about a community and its needs.

In addition to their Family Medicine block experiences, all of our residents have a weekly Half Day Back, in which they see their own patients at one of three community clinic sites:

  • Flemingdon Community Health Centre – a seven person Community Health Centre located just north of TEHN at Don Mills and
  • Overlea. The centre serves a large multi-ethnic population and has many outreach clinics (teen clinic, elderly clinic, etc).
  • South East Toronto Family Health Team (Coxwell Site) – a twelve-person Family Medicine Teaching Unit located across from TEHN. The practice has many resources that enhance the teaching and learning experience in an interdisciplinary environment, as well as offering a fully electronic paperless office experience to residents.
  • South East Toronto Family Health Team (Danforth Site) – a ten-person Family Medicine teaching unit on Danforth Ave just east of Coxwell Ave. This site features an interdisciplinary team, working in a fully electronic environment.

Our family physician faculty are supporitve preceptors who are also active in Family Medicine obstetrics, emergency medicine, palliative care, chronic and rehabilitative medicine, family counselling, research, and community medicine. In total, there are over 32 full and part-time Family Medicine teachers in the MGH division in addition to a full range of ancillary health care staff.

Each of our three sites also offers an interdisciplinary approach to primary care medicine, and work closely with allied health professionals like psychiatric consultants, nurse practitioners, dieticians, chiropodists, and others to ensure the highest quality of care for patients. As a result, our Family Medicine residents gain a complete perspective of community practice.

Curriculum

Unique rotations or opportunities include:

  • All PGY2 specialty rotations are preceptor-based, combining in-hospital and in-office experience. Supervision is normally one-on-one with specialty physicians specifically tailoring their teaching towards the needs of family medicine residents.
  • A group of young and keen family physicians that work closely with residents to provide an exciting hands-on family medicine obstetrics experience.
  • Hospitalist medicine service providing a unique opportunity to learn inpatient medicine under the auspices of a hospitalist.
  • Strong family medicine presence with inpatient care through the hospitalist and palliative care/rehab programs.
  • Popular, busy emergency room experience with over 76,500 annual visits staffed entirely by family physicians who make teaching a priority and serve as excellent role models to residents considering combining emergency medicine with their family practice career.
  • Two clinical researchers who divide their time between clinical work and research which includes dedicated time with residents to guide them through their research projects.
  • Clinical, educational and research opportunities in community-based services and agencies.
  • Dedicated time available to spend counselling your patients with an experienced therapist.
  • A very popular Wednesday morning academic program that features a balanced mix of sessions by family physicians as well as our local specialists who target their teaching to future family doctors. Twice a year core seminar days are held at one of the rural teaching sites combining excellent educational sessions from rural preceptors with the opportunity for social activities in a relaxed setting outside of Toronto.
  • A hands-on academic program featuring three to four procedural skills workshops facilitated by family physician teachers as well as three to four ER workshops in such diverse areas as casting, ECG interpretation, airway management, suturing and wound care, etc.
  • Sports medicine, ENT, women's health and dermatology integrated into core family medicine rotations as selectives.
  • New competency-based care of the elderly program and women’s health program.

If you have additional questions, please contact:

Dr. Peter Tzakas
Program Director
peter.tzakas@utoronto.ca 416-469-6580 ext. 6545

Joanne Mount
Program Assistant

j.mount@utoronto.ca 416-469-6580 ext. 6545
Dr. Stephanie Godard
Dr. Chang Lu
Chief Residents

familyresidencyprogram@tehn.ca
Your inquiry will be forwarded to
our Chief Residents for their reply.

416-469-6580 ext. 6545

TEHN Sample 2 Year Rotation Schedule

Outline of the Two Year Rotation Schedule

1st Year 

Rotation # of Months
Family Medicine 5
Medicine 1

Hospitalist Medicine Service 

1

Obstetrics/Gynecology 

1

Paediatrics

1

Emergency

1

Psychiatry

1

General Surgery

1

Elective 

1

2nd Year

Rotation # of Months

Family Medicine 

3

Emergency Medicine 

1

Teaching Practice 

2

Medicine 

1

Geriatrics 

1

Paediatrics 

1

Obstetrics 

1

Elective 

2

Palliative Care 

1

Unique rotations or opportunities students should be aware of:

  • Busy and popular emergency department
  • Competency-based care of the elderly program
  • Women’s health experience at Bay Centre for Birth Control
  • Family medicine obstetrics group
  • Hospitalist medicine service
  • Palliative care rotation
  •   Preceptor-based medicine rotation 

All PGY-2 specialty rotations are preceptor-based, combining in-hospital and in-office experience.

Family Medicine Block Time
(X indicates location of family medicine block rotations) 

Hospital Based FPU 

 

Non-hospital Based FPU 

X

Community Physicians' Offices 

X

Horizontal Electives Offered During Family Medicine Block Time: 

Ambulatory ENT 

Sports Medicine 

Ambulatory Ophthalmology 

Clinical Pharmacology 

Ambulatory Dermatology 

Chiropody 

Nutrition Counseling 

Plus a Variety of Subspecialty Outpatient Clinics 

Women’s Health 

Addiction Counselling 

Number of Family Medicine half-day back (continuity time) per week: 1 half day

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