Fellowship Programs

Clinical Biochemistry

The post-doctoral training program in Clinical Biochemistry is accredited by the Canadian Academy of Clinical Biochemistry. This program involves the University and the academic hospitals of the Hamilton Regional Laboratory Medicine Program; St. Joseph's Healthcare Hamilton (St. Joseph’s Hospital, Centre for Ambulatory Health Services), Hamilton Health Sciences (McMaster University Medical Centre, Hamilton General Hospital, Juravinski Hospital and Cancer Centre). Each site maintains an active laboratory with both routine and specialized services.

The training program is two years duration and follows the syllabus of the Canadian Academy of Clinical Biochemistry. This program aims to provide the fellows with the opportunity to become knowledgeable and competent clinical biochemists, with the skills required to be both an effective consultant for clinical colleagues and a capable Clinical Biochemistry laboratory professional.

The two-year training program follows the syllabus of the Canadian Academy of Clinical Biochemistry.  This program aims to provide the fellows with the opportunity to become knowledgeable and competent clinical biochemists, with the skills required to be both an effective consultant for clinical colleagues and a capable Clinical Biochemistry laboratory professional.  The program prepares students for a career as a biochemist in an academic, community or commercial clinical biochemistry laboratory.  Rotations in the various laboratories will expose students to the various instruments and methodologies of a modern medical laboratory.  They will learn the pathophysiology of disease in order to integrate laboratory testing and clinical medicine.

The McMaster program is unique in that Clinical Biochemistry fellows train alongside the Medical Biochemistry residents.  This collegial training is benefical to both groups through reciprocal teaching, learning and sharing of expertise.

The program provides the environment necessary for the fellow to develop skills in self-evaluation, self-directed learning and critical appraisal that enables the clinical biochemist to proficiently pursue life-long learning.  Individuals completing the program will be equipped to adapt to the changes that will occur in the profession throughout their careers.

Students will have the opportunity to experience all topics in the curriculum, including pathophysiology and analytical chemistry.  They will rotate through the laboratories at all four of major hospitals in Hamilton.  Elective opportunities in community hospital and large commercial laboratories are also available.  Students are expected to complete a research project that will result in a presentation at the Pathology and Molecular Medicine Residents' Research Day and an abstract at the Canadian Society of Clinical Chemists annual meeting.

Students are members of the Clinical Chemistry and Immunology Discipline Committee and, as such, take part in all meetings and carry out responsibilities on behalf of the committee.  Students accept greater levels of responsibility as their training progresses, including acting as the first point of contact for the clinical biochemistry service as the biochemist-on-call.

At the completion of the training period, the fellow will be able to:

  • Discuss normal biochemical pathways and the etiology and pathogenesis of the biochemical disorders of disease
  • Act as a consultant in the selection of appropriate laboratory tests
  • Understand the interpretation of biochemical data and its integration with the clinical practice of medicine
  • Understand the principles of selection of laboratory equipment
  • Evaluate proposed biochemical tests and validate their use in clinical service
  • Establish and maintain a quality control program
  • Organize a clinical biochemistry laboratory and assume responsibility for its administration
  • Demonstrate an ability to develop research protocols and interpret research data
  • Demonstrate an ability to teach clinical biochemistry

Canadian citizens or permanent residents, with an earned doctorate in one of the life sciences or chemistry within the past five years, may apply by submitting the following documents:

Please forward these documents by January 15th to:

Elena Bidochka, Program Administrative Assistant
McMaster University
Department of Pathology and Molecular Medicine
1200 Main Street West, HSC-3N26
Hamilton, ON L8N 3Z5

OR by Email: (all documents must be in PDF format and legible)    clinchem@mcmaster.ca

Program Details

  • ...

    Program Director

    Dr. C. Balion

  • ...

    PROGRAM COORDINATOR

    Gina Furlong

Accreditation

Canadian Academy of Clinical Biochemistry

Program Length

Two years

Session Dates

July 1-June 30

Training Sites

McMaster Medical Centre (MUMC), St Joseph’s Hospital (SJH), Juravinski Hospital (JH) Hamilton General Hospital (HGH)

Evaluation Methods

Direct Observation, Written, Oral Exams

Current Fellows

Josko Ivica Research Fellow
Ola Ismail Research Fellow

Forensic Pathology

The Department of Pathology and Molecular Medicine, Laboratory Medicine McMaster University, invites applications for a one-year Forensic Pathology Residency Program (PGY-6) / Fellowship.  We are currently reviewing applications for July 2020 - June 2021 academic year.

The Department of Pathology and Molecular Medicine and the Hamilton Regional Laboratory Medicine Program’s Regional Forensic Pathology Unit provides outstanding forensic pathology services for South Central Ontario, serving a population of over 2.2 million in a newly renovated state-of-the-art facility located at Hamilton Health Sciences Centre.

 

The dedicated Forensic Pathology Unit is recognized as a centre of excellence for the delivery of the full cross section of forensic cases and as an integrated provincial site of Ontario Forensic Pathology Service (OFPS). A high volume of complex cases provides a wide variety of material for study and research with the unit per forming in excess of 1200 cases annually, including in-house subspecialty support by paediatric pathology, neuropathology and cardiac pathology.

**As of July 1, 2018 we will have transitioned to the Competency by Design curriculum, as per the Royal College requirements. **

As per Royal College Requirements this is a twelve-month residency program that will allow for supervised training with increased responsibility as the year progresses. The training period must include:

The year will consist of Eleven (11) months of training in death investigation and training and experience regarding postmortem examinations. One (1) month or the equivalent spent as a dedicated elective which may be taken in one or more of the following rotations: Pediatric pathology, Child abuse pediatrics, Neuropathology Cardiovascular pathology, Forensic science (i.e. toxicology, chemistry, biology (including DNA), trace evidence, firearm and tool mark examination), Forensic anthropology , Forensic odontology, Forensic entomology and additional training in core Forensic Pathology

This program has been granted approval by the Royal College of Physicians and Surgeons of Canada and the candidate will be eligible, and expected, to seek certification by the subspecialty examinations offered annually by the Royal College. Training requirements can be found on the Royal College website: Click Here

To be eligible candidates must:

  • be a Canadian citizen or have Permanent Residency status
  • possessan MD Degree [Canadian Medical Graduate (CMG) / US Medical Graduate (USMG) /International Medical Graduate (IMG)]
  • be currently enrolled in a Canadian medical school
  • be completing a General or Anatomical Pathology Royal College training program by June 30 of the PGY-5
  • IMG candidates must have successfully passed the Medical Council of Canada Evaluating Examination (MCCEE)

Remuneration will be in accordance with the terms of the current PARO-CAHO agreement: agreement can be found on the PARO website: http://www.myparo.ca/

All eligible candidates must complete:

  • the McMaster University application form (http://fhs.mcmaster.ca/postgrad/) under “Forms and Manuals”
  • include a brief personal letter outlining career goals and objectives
  • Curriculum Vita
  • names and addresses of two referees
  • copy of MCCEE examination results (if applicable)

Subspecialty Training Requirements in Forensic Pathology (Royal College)

ELIGIBILITY REQUIREMENTS

Royal College Certification in Anatomical Pathology, General Pathology, or enrolment in a Royal College approved training program in these areas (see requirements for these qualifications). All candidates must be certified in Anatomical Pathology or General Pathology in order to be eligible to write the Royal College certification examination in Forensic Pathology.

MAC STUDENTS:

Forensic: Students will acquire first-hand knowledge of legal medicine and investigation with emphasis placed on medical-legal autopsy techniques and preparation. Students have opportunities to attend rounds, lectures and seminars. We do not permit attendance at homicides, paediatric or decomposed cases. Furthermore, if the student happens to socially know the decedent they will not be permitted for a specific case. The forensic pathologist will be the person making the final decision regarding the attendance for an elective or for a specific case. Students must provide a statement of goals and objectives for the exposure/rotation. Accommodation varies on staff availability, however there is a 2 student maximum at any given autopsy.

VISITING STUDENTS:

Forensic: Students will acquire first-hand knowledge of legal medicine and investigation with emphasis placed on medical-legal autopsy techniques and preparation. Students have opportunities to attend rounds, lectures and seminars. We do not permit attendance at homicides, paediatric or decomposed cases. Furthermore, if the student happens to socially know the decedent they will not be permitted for a specific case. The forensic pathologist will be the person making the final decision regarding the attendance for an elective or for a specific case. Accommodation varies on staff availability however there is a 2 student maximum at any given autopsy. Students must provide a statement of goals and objectives for the exposure/rotation, as well as a copy of their CV and a letter of support from their home programme.

If you are interested in an elective in Forensic Pathology as part of your postgraduate training you must first ensure that this meets your program requirements and our McMaster Postgraduate Office requirements.http://fhs.mcmaster.ca/postgrad/electives.html

The Forensic Pathology fellowship program accepts elective requests from residents currently enrolled in postgraduate training programs outside of McMaster University. If you are interested in arranging an elective in forensic pathology please email furlong@mcmaster.ca  Please ensure you include information on the specific rotation, dates and site you are interested in.

Program Director:
Dr. L. Kocovski , MD, FRCSC, FRCPC
Forensic Pathology Program Director

Postgraduate Education Coordinator:
Gina Furlong
HSC 3N26D
furlong@mcmaster.ca

 

Program Details

  • ...

    Program Director

    Dr. L. Kocovski

  • ...

    PROGRAM COORDINATOR

    Gina Furlong

Accreditation

Royal College of Physicians & Surgeons of Canada

Program Length

One year

Training Sites

Hamilton General Hospital (HGH)

Evaluation Methods

Direct Observation, Written and Practice Exams

Current Fellows

Jennifer Dmetrichuk PGY6

Genetics

The Canadian College of Medical Geneticists (CCMG) post-graduate fellowship training program provides clinical and laboratory training in genetics. McMaster University offers a full range of two or three year subspecialty genetics programs that follow the guidelines established and published by the CCMG.

The clinical training path includes programs in either clinical genetics or metabolic genetics (clinical biochemical genetics). This path is for trainees with a medical doctor (MD) degree and at least three years of residency training in a program accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC) and/or Collège des Médecins du Québec (CMQ).

The laboratory training path includes programs in cytogenetics, molecular genetics, and biochemical genetics (laboratory) for trainees with a PhD or an MD with training in a laboratory-based residency program. In general, a PhD trainee must have strong genetics experience acquired during their MSc or PhD.

The CCMG training guidelines are modeled after the CanMEDS framework. This framework includes the competencies required of specialists and the role of the specialist beyond that of the specialty medical expert. The other roles of the specialist are now recognized as that of communicator, collaborator, manager, health advocate, scholar, and professional. The detailed objectives describe minimal standards and in no way exclude the necessity for mastery of additional knowledge, skills or attitudes necessary for the practice of genetics.

 

The mission of the Canadian College of Medical Geneticists (CCMG) is to establish and maintain high quality professional and ethical standards of medical genetics services in Canada and to help ensure that the highest quality of service is delivered to the Canadian public. The CCMG program at McMaster offers postgraduate fellowship training in clinical genetics, cytogenetics, molecular genetics and biochemical genetics.

The length of the program is two years for cytogenetics and molecular genetics, and three years for clinical genetics and biochemical genetics. The training guidelines can be found at the CCMG website.

The Program offers a wide variety of rotations in clinical genetics, cytogenetics, molecular genetics, biochemical genetics, prenatal screening and diagnosis, hematology, fetal pathology, and cancer genetics. The program is set up to enable trainees to learn from diverse genetic cases and to be exposed to different techniques in genetics testing.

Research is strongly encouraged. Fellows are expected to generate research proposals or participate in research projects. Submitting abstracts and having poster presentation in the national and international meetings are encouraged.

OBJECTIVES OF TRAINING AND SPECIALTY REQUIREMENTS

Please refer to the training guidelines at the CCMG website.

EDUCATIONAL ACTIVITIES

Fellows will be expected to participate in many educational events from different departments, such as weekly academic half days and genetics grand rounds in the Department of Pathology and Molecular Medicine, pediatric grand rounds in the Department of Pediatrics, or prenatal ultrasound teaching rounds. The content covers not only specialized areas in genetics, but also in pediatrics, prenatal diagnosis, laboratory management, quality assurance, biomedical ethics, and evidence-based journal clubs. There are also numerous ongoing rounds at various hospital sites and the McMaster campus. By studying cases at these multi-disciplinary rounds, the fellows will have the opportunity to communicate and collaborate with clinical colleagues and learn how to integrate these cases into genetics service.

RESOURCES

The genetics laboratories at McMaster University Medical Centre has an annual workload of over 10,000 specimens for genetic testing. There are six CCMG or ABMG certified geneticists, who are experienced in clinical genetics service, research, and teaching. Through the McMaster Library resources the fellows have access to a vast variety of professional journals. London Dysmorphology Database and POSSUM Database are also available. Each fellow is allocated a generous travel fund per year to attend and present at conferences. Fellows can use a limited part of their travel funds to attend workshops and courses.

EVALUATION

Fellows are evaluated after every rotation. Case logbooks are required to fill in for each rotation for credentials purpose. The forms are available at the CCMG website. Every three months, the fellows meet with their committee members to monitor their progress. Informal discussion with the program director or supervisor throughout the rotation is also encouraged.

EXAMINATION

The fellows are expected to write the CCMG or American Board of Medical Genetics (ABMG) exam, which is held once every two years. The CCMG exam has two parts: written exams (general and specialty, essay type questions) and specialty oral exam. The ABMG exam has written exams with computer-based multiple choice format. Details information will be available in the CCMG website or ABMG website.

For candidates who wish to apply to laboratory specialty (clinical cytogenetics, clinical molecular genetics, and clinical biochemical genetics), the application deadline is June 30th. The documents required include a completed application form (clearly describing why you wish to pursue a career as a service laboratory geneticist, the relationship between your training and the chosen field of specialty, your technical, teaching or supervisory experience, and communication skills), a most up-to-date CV, and three reference letters.

The committee will select the best candidate by the end of July to apply to Ministry of Health and Long Term Care Laboratory Genetics Fellowship funding. Please note that only two candidates across the three specialties will be funded in Ontario each year.

For candidates who wish to apply to clinical genetics, please contact Program Director by e-mail mccready@hhsc.ca

Electives can be arranged on an ad-hoc basis. If you are interested in an elective opportunity, please contact the Program Director Dr. E. McCready to arrange.

Program Details

  • ...

    Program Director

    Dr. E. McCready

  • ...

    PROGRAM COORDINATOR

    Gina Furlong

Accreditation

Canadian College of Medical Geneticists CCMG website.

Program Length

Two-three years

Session Dates

July 1 - June 30

Training Sites

McMaster Medical Centre (MUMC), St Joseph’s Hospital (SJH), Juravinski Hospital (JH) Hamilton General Hospital (HGH)

Evaluation Methods

Direct Observation, Written, Oral Exams

Current Fellows

Muneera Al-Shammari Clinical Fellow
Laila Schenkel Clinical Fellow
Shamini Selvarajah Clinical Fellow
Darci Butcher Clinical Fellow

Transfusion Medicine

Trainees in the TM program are senior learners who have completed one or more programs in any of Adult or Pediatric Hematology, Hematopathology, General Pathology or Anesthesiology. Clinical Fellows not pursing Royal College certification may also be trained in the program. The 1-2 year training program fulfills the requirements of the Royal College of Physicians and Surgeons of Canada for an area of Focused Competency (Diploma) in Transfusion Medicine. There are 4 core hospital rotations structured to provide exposure to both clinical and laboratory-based Transfusion Medicine focusing on the recipient; and one core rotation with Canadian Blood Services focusing on the donor. Participating sites include McMaster University Medical Centre, Juravinski Hospital, Hamilton General Hospital, St. Joseph’s Healthcare and the Canadian Blood Services – Hamilton centre, Toronto centre, and (Head Office -Ottawa).

During the Transfusion Medicine training program, trainees work closely with hematologists, pathologists and technologists whose interests span diverse areas of Transfusion Medicine including clinical and basic research. Biostatistics and critical appraisal are emphasized through exposure to the McMaster Transfusion Research Program, based at the MUMC site (Nancy Heddle, director). Academic Half-Day sessions are organized for all TM trainees in Canada by Canadian Blood Services and are presented by teleconference once per week. They include Journal Clubs (once per month), topic teaching and case based learning. Dedicated Multidisciplinary Academic Half-Days are organized for all Residents at McMaster University to address ethical and professional issues. Quality control and quality assurance are covered in both laboratory and clinical rotations.

 

MCMASTER UNIVERSITY MEDICAL CENTER rotation (2 months) covers blood bank serology, clinical management of transfusion needs for patients with haematological malignancy including allogeneic bone marrow transplantation, pediatric and neonatal transfusion medicine, prenatal testing, hemophilia care, therapeutic apheresis, HLA typing and platelet immunology testing.

JURAVINSKI HOSPITAL rotation (2 months) covers flow cytometry, stem cell processing and collection, and Transfusion Medicine needs for special patient population including haematological patients undergoing autologous bone marrow transplantation and orthopaedic surgery.

HAMILTON GENERAL HOSPITAL rotation (2 months) covers blood bank serology and special patient populations including trauma and cardiac surgery, prenatal testing.

St. JOSEPH’S HEALTHCARE rotation (2 months) covers TM serology, general hematology patients, nephrology patients, ICU patients, surgical and obstetrical patients, tissue banking.

CANADIAN BLOOD SERVICES rotation (Stonechurch Rd. Ancaster site- 2 months) covers donor issues including eligibility criteria, blood processing and delivery, lookback/traceback, TRALI investigations, autologous blood donations; donor apheresis.

CANADIAN BLOOD SERVICES rotation (Head Office Toronto– Donor Testing- 2 months) covers donor testing (Toronto) and policies, procedures and planning; unrelated bone marrow registry, Public Health interactions including Transfusion Transmitted Injuries Surveillance System (TTISS) (Ottawa- Head Office)

LONGITUDINAL ACTIVITIES (ongoing throughout training, see P.9) These activities continue throughout the training period and including didactic teaching sessions, operational and administrative meetings. These activities include: TM Trainee Presentation Rounds, Multidisciplinary Academic (MAD) Day, Transfusion Medicine “Lunch and Learn” sessions, TM University of Toronto Intercity rounds, Hematology Grand Rounds, Transfusion Medicine Operations meetings, Transfusion Committee meetings, CBS centre directors meeting, Research in progress meeting of the McMaster Transfusion Research Program, Quality Management Program—Laboratory Services (QMPLS) meetings (http://www.qmpls.org/) and Ontario Blood Advisory Committee (OBAC) (http://transfusionontario.org/en/cmdownloads/categories/guidelines/) meetings.

RESEARCH (2 months)

ELECTIVE (4 months)

Typical Rotation Schedule

YEAR 1

BLOCK

1

2

3

4

5

6

Dates

July/ Aug

Sept/ Oct

Nov/ Dec

Jan/ Feb

Mar/ Apr

May/ Jun

 

MUMC

JH

HGH

CBS

SJH

Research

 

YEAR 2

BLOCK

7

8

9

10

11

12

Dates

July/ Aug

Sept/ Oct

Nov/ Dec

Jan/ Feb

Mar/ Apr

May/ Jun

 

CBS (HO/DT)

Research

Elective

CBS

Elective

Research

MUMC = McMaster site; SJH = St Joseph’s Hamilton; JH= Henderson Hospital; HGH = Hamilton General Hospital; R = Research; E = Elective; CBS = Canadian Blood Services; HO = Head Office (Ottawa); DT-Donor Testing- Canadian Blood Services, Toronto

Academic half days are organized jointly by the Chief Resident and the CBS Trainee Coordinator, Dr. Robert Skeate, for all Transfusion Medicine Trainees in Canada. Half-days occur on a weekly schedule consist of a rotating schedule of Journal Club sessions (co-ordinated by Dr. Donald M. Arnold), Topic Teaching sessions, Case-Based Learning & Textbook Review sessions, and Scientific Sessions. All sessions are conducted via teleconference with the slide set distributed in advance and available on the TM Website. The chief resident moderates the session and one or more faculty members including a content expert are invited to attend. All of these learning activities are self-approved group learning activities (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada. The current schedule for academic half-day as well as archived presentations from past academic half-days are kept on the CBS TM Website.

Journal Club sessions involve the discussion and critical appraisal of a recent journal article relevant to Transfusion Medicine. The topics for journal club presentations must be approved by the journal club coordinator in advance.

Topic Teaching sessions are a series of tutorials that provides guidance from experts on key topics in transfusion medicine - what is important? What is relevant? CBS Medical and Scientific staff will take a lead role in providing this guidance. These sessions are designed to cover specific RCPSC Subspecialty Committee Topics which are identified in the distributed pre- reading material.

Case Based Learning & Textbook Review sessions follow a 2-year rotating curriculum that covers most chapters of 3 key Transfusion Medicine textbooks- Mollison’s Blood Transfusion in Clinical Medicine; Hillyer’s Blood Banking and Transfusion Medicine; and the AABB technical manual (reference copies of these textbooks are available through the Program Director’s office) -- cutting edge science.

Scientific Sessions are presentations by CBS faculty.

RESEARCH

Trainees are required to complete a research project during their Transfusion Medicine training program. Projects can include quality assurance projects, systematic reviews, clinical research, or basic science projects. Trainees are encouraged to present their results at national and international meetings (e.g. Canadian Society for Transfusion Medicine, American Association of Blood Banks, American Society of Hematology, Royal College of Physicians and Surgeons of Canada). The Program Director can help trainees identify suitable faculty supervisors to suit their needs.

 

Subspecialty training requirements in transfusion medicine

See: standards of accreditation for the area of focused competence (AFC) program in transfusion medicine from the royal college.

Eligibility requirements

Candidates must have royal college certification in internal medicine + hematology, pediatrics + pediatric hematology oncology, hematological pathology, anesthesiology or general pathology.

Applications to receive funding for a transfusion medicine resident through Canadian blood services must be received at Canadian blood services by January 31st for a start date of July of that same year. •the application, submitted by the university’s transfusion medicine program director, must include the following:

  • The potential trainee’s cv (preferably including a statement of interest and career plans)
  • Copies of letters of references for the trainee received by the university program
  • A letter stating that the candidate will be admitted to the university’s transfusion medicine training program.

Note:  the candidate must:

  • Be a Canadian citizen or have landed immigrant status, in Canada
  • Have a license to practice medicine in the province in which the training will occur.

Canadian blood services will allot the available funding using the following considerations:

  • Evaluation of the potential trainee’s application by a medical/scientific committee whose membership includes Canadian blood services employees plus representation from without Canadian blood services; the latter will include only physicians/scientists who are not affiliated with any of the currently accredited training programs;
  • Geographical distribution of funding (since funding of these positions comes from all provinces serviced by Canadian blood services);
  • Trainee and program preferences (i.e. for situations in which a trainee applies to more than one program and/or a program submits more than one application to Canadian blood services).

Canadian blood services’ decision regarding funding will be communicated to the program directors by March 7th of the same year.

CBS transfusion medicine physician trainee funding application for the 2019/2020 academic year

If you have any questions regarding the application process, please contact: Dr. M. Zeller, program director zeller@mcmaster.ca

 

Program Details

  • ...

    Program Director

    Dr. M. Zeller

  • ...

    PROGRAM COORDINATOR

    Gina Furlong

Accreditation

Program Length

2 years

Session Dates

July 1 - June 30

Training Sites

McMaster Medical Centre (MUMC), St Joseph’s Hospital (SJH), Juravinski Hospital (JH) Hamilton General Hospital (HGH), Public Health Laboratory (Toronto), Public Health Office (Hamilton)

Evaluation Methods

Rotation evaluations (ITERs), 360° Direct Observation, Written, Oral and Laboratory Practical Exams

Current Fellows

Pierre Aurele Morin Clinical Fellow