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: 36
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 65,000 annual visits
  • Comparatively more flexibility in scheduling — PGY2 experiences are preceptor-based
  • Great internal medicine rotation with little or no ward work allowing for increased sub-specialist training (clinics, ward, procedural skills) with call consisting of ER consults
  • Weekly teaching sessions are an integral part of the learning environment —strong, family medicine focused teaching from both family physicians and specialists highlighted by procedural skills workshops and problem-based small group learning

Hospital, Community, Teaching Unit and Program

The Michael Garron Hospital (TEHN) is a regional, acute care hospital that provides an extensive range of primary, secondary and tertiary population-based programs and services. TEHN serves a very large and fascinating, culturally diverse community. It is a community that has seen a burgeoning re-growth of young families combining paediatrics and obstetrics with a large elderly population that lends to a challenging and rewarding medical experience. At present, TEHN serves over half a million people living in the Borough of East York, Southwest Scarborough and East Toronto.

As a teaching unit within the University of Toronto Department of Family & Community Medicine (DFCM), Michael Garron Hospital currently provides clinical training for 36 Family Medicine Residents (18 PGY1s and 14 PGY2s + 4 rural-based residents). Due to its hands-on exposure and penchant for resident independence TEHN has also served as a training site for PGY1 rural residents since the inception of the DFCM rural program over ten year ago. These rural residents spend their second year at a rural site but remain connected to TEHN using the hospital’s state of the art telecommunications hookup for academic teaching sessions.

The TEHN teaching unit takes a broad view of the community-based nature of family practice. We consider that one of the important tasks of the family physicians is to learn about their community, its health problems and its resources.

The division’s core activities include Family Medicine teaching at three community practice 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 nine 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 new teaching unit on Danforth Ave just east of Coxwell Ave. A nine person clinic with a full interdisciplinary team, working in a fully electronic environment

As a consequence, there is an abundance of choice with regard to resident exposure to a diversity of community practices. The practitioners associated with these sites are also active in family practice obstetrics, chronic and rehabilitative medicine, emergency medicine, family counselling, palliative care (both on the ward and in the community), research and community medicine. In total, there are over 25 full and part time Family Medicine teachers in the TEHN division.

With the advent of the Family Health Team at TEHN in 2006, all family practice sites are benefiting from interdisciplinary health providers who work collaboratively with the physicians and who are committed to teaching residents in an interprofessional way. We have adult and child psychiatrists who hold regular roundtables with the staff and residents as well as dietitians, chiropodist, therapists, clinical pharmacist, nurse practitioners, nurses, and a care navigator who are actively involved in teaching and collaborating with our learners.

Residents coming to the TEHN division will also receive direct hands-on patient contact with the supervision of excellent clinical teachers in all speciality areas.

Curriculum

Unique rotations or opportunities students should be aware of:

  • All PGY2 speciality rotations are preceptor-based, combining in-hospital and in-office experience. Supervision is normally one-on-one with speciality physicians specifically tailoring their teaching towards the needs of family medicine residents.
  • A group of young and keen family physicians 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 65,000 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.
  • TEHN is proud to have 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 exist in community-based services and agencies.
  • There is also dedicated time available to spend counselling your patients with an experienced therapist.
  • TEHN has 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.
  • To enhance procedural skills, we have incorporated three to four procedural workshops facilitated by family physician teachers into our academic program. In addition, our ER Department organizes three to four ER workshops in such diverse areas as casting, ECG interpretation, airway management, suturing and wound care, etc.
  • Sports medicine, ENT, ophthalmology and dermatology are integrated into our 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. Alex Copeland
Dr. Melini Gupta
Dr. Stephen Lee
Chief Residents

j.mount@utoronto.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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