An initiative of
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Dr. Janet Lui
Program Director
Miche Steenbakkers
The highlights of the Queen’s Adult Hematology Training Program include:
Learning environment – “Big” learning in a “small” program: The core teaching faculty is a small group of friendly Hematologists and Hematopathologists who work well together. Residents and faculty get to know each other well, and the resulting relationship is more collegial than hierarchal. In addition to a full academic curriculum, we have plenty of patient volume. There are only a few community hematologists in our catchment area, so we see the full spectrum of referrals from common primary care hematologic problems to more complex tertiary care problems. Furthermore, all tertiary care Hematology in our region comes to the Kingston Health Sciences Centre (KHSC) where our residents do all their local training. There are no missed learning opportunities because the patient ended up at another hospital! All mandatory adult Hematology rotations are completed at KHSC, with the exception of Community Hematology and Allogeneic Hematopoietic Stem Cell Transplantation (generally completed in Ottawa, our partner transplant site).
Longitudinal resident clinic: Residents see new patient consults and follow their own patients longitudinally in their resident clinic, which continues across rotations (except for out-of-town rotations). This invaluable learning experience is a highlight of our program, and provides an optimal environment for residents to develop into skilled, confident, and independent hematologists. The clinic is situated at the Cancer Centre of South Eastern Ontario, which has recently been renovated.
Community Hematology rotation: Another highly successful rotation in our curriculum, this rotation hones your Hematology consultancy skills, and is valuable regardless of whether a community or academic practice is pursued after residency.
Laboratory training: We pride ourselves in providing excellent laboratory training, particularly in morphology. This is thanks to our exceptional Hematopathologists, who provide much one-on-one teaching at the microscope, as well as research opportunities. Additionally, Dr. Jeannie Callum, a Transfusion Medicine specialist and lead for the QUEST transfusion research program at the University of Toronto, has recently joined KHSC and is actively working to improve local Transfusion Medicine practice, education, and research.
CBME: Locally, we have transitioned residency training program to a competency-based model (the first in the country!), as noted in the Important Information section.
This residency program is for 2 years.
Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.
This is a two year program. Each year of training is comprised of 13 blocks, with each block lasting four weeks. The rotation schedule will be connected to the CBME framework.
Transition to Discipline/Foundations of Discipline: 4 blocks consisting of Consult/Ward/Clinics/Lab Morphology
Core of Discipline: 19 blocks consisting of Clinics/Ward/Consults/Electives/Research/Community/Allogeneic Stem Cell Transplant/Hemostasis/Transfusion/Pediatrics
Transition to Practice: 3 blocks consisting of Junior Attending Ward/Junior Attending Consults/Lab Consolidation
Longitudinal experiences: longitudinal resident clinic, morphology teaching (new for the 2021-22 academic year!)
The Longitudinal Resident Clinic is a weekly half-day clinic at the Cancer Centre of South-eastern Ontario (CCSEO) that runs continuously across the two years, concurrent with other rotations. Each resident is supervised by an attending physician, and will be assigned new patients whom she/he will follow longitudinally. It also serves as a follow-up clinic for interesting inpatients seen by residents on the Consult or Ward service. Attendance by each resident is continuous, except when away for out-of-town rotations.
The trainee will decide upon a Hematology research project in discussion with the Research Director early in the program, which will be carried out over the remainder of the residency. There is 1 protected rotation block that are dedicated to research; the resident may also use elective time for research. The trainee will be expected at to present at a research forum, either locally (the Department of Medicine research day), nationally, or internationally. The research supervisor may be Queen’s faculty or a faculty member at another academic institution.
Hematology Journal Club: Yes, critical appraisal can be both educational and entertaining! Every week journal articles are presented, critiqued, and discussed by a rotation of attendings and trainees. You never know what the attendings are going to say at Journal Club.
Hematology Academic Half Day: Weekly hematopathology and clinical presentations are repeated every academic year, so no one has to miss an academic half day due to being on an away rotation. Lunch is provided!
Multidisciplinary Case Conference (“tumour board”): held weekly, this is a multidisciplinary forum to discuss the management of complex malignant patients, attended by Hematology, Medical Oncology, Radiation Oncology, Hematopathology, and Radiology.
Hematopathology Slide Conference: Prepared to be quizzed! This is a weekly presentation of classic and interesting morphology from current cases, with clinical correlation and discussion. Flame retardant clothing is not provided.
Practice exams: Local, national (the annual National Hematology Retreat), and international (the ASH in-training examination) formative examinations help guide residents’ learning, especially in preparation for the Royal College examination!
“Camp with the Bank” Transfusion Medicine 101 (by video webinar) – mandatory for PGY4s.
Annual ASH meeting: Trainees are strongly encouraged to attend the ASH meeting each year. Funding is provided.
NEW: National Pediatric Hematology Workshop – to be attended at least once during residency, when available.
Dr. Feilotter’s genetics mini-series, when available.
Other: attendance is optional but encouraged at Medical Oncology Grand Rounds (relevant sessions), Medical Grand Rounds, Medical Morbidity and Mortality Rounds, U of T monthly transfusion rounds (by video conference), Dr. Robinson’s pharmacology sessions (when applicable/available).
Call
Home call is carried out approximately one night per week and one weekend in four; the call schedule is shared with the Medical Oncology residents. Routine ward on-call issues are managed by the in-hospital subspecialty PGY1 resident. The Hematology Resident provides back-up for the on-call PGY1 and takes front-line responsibility for Hematology telephone consults from the hospital and from the region. The Hematology Resident is also responsible for coming in to admit unplanned, new ward admissions (either from the community or transferred from another hospital); the ward generally only admits malignant hematology patients requiring (or will likely be requiring) inpatient chemotherapy. Back-up is provided by attendings in both Hematology and Medical Oncology. On weekends, the Hematology Resident will round on the inpatients on the Hematology and Medical Oncology wards, and complete Hematology (but not Medical Oncology) inpatient consults.
Ontario | |||
|---|---|---|---|
Effective October 4th, 2023 | |||
PGY1 | $67,044.99 | ||
PGY2 | $72,804.48 | ||
PGY3 | $78,190.61 | ||
PGY4 | $84,712.26 | ||
PGY5 | $90,073.03 | ||
PGY6 | $95,190.86 | ||
PGY7 | $99,836.15 | ||
PGY8 | $105,844.41 | ||
PGY9 | $109,734.47 | ||
Professional Leave | 7 working days/year Additional time off provided for writing any CND or US certification exam, leave includes the exam date and reasonable travel time to and from the exam site. Additional RCPSC & CFPC Certification Examination Prep Time
|
Annual Vacation | 4 weeks |
Meal Allowance | No |
Frequency of Calls | 1 in 4 In-hospital, 1 in 3 home |
Pregnancy Leave | 17 weeks |
Parental Leave | 35 weeks, 37 weeks if resident did not take pregnancy leave |
Supplemental Unemployment Benefit (SUB) Plan | Top-up to 84% 27 weeks for women who take pregnancy and parental leave; 12 weeks for parents on stand-alone parental leave. |
Provincial Health Insurance | Yes |
Extended Health Insurance | Yes |
Provincial Dues (% of salary) | 1.3% |
Dental Plan | 85% paid for eligible expenses |
CMPA Dues Paid | Under current arrangements, residents are rebated by Ministry of Health and Long Term Care for dues in excess of $300. |
Long-Term Disability Insurance | Yes – 70% of salary, non-taxable. |
Statutory and Floating Holidays | 2 weeks leave with full pay and benefits; 10 stat days plus 1 personal floater. Residents are entitled to at least 5 consecutive days off over the Christmas or New Year period, which accounts for 3 statutory holidays (Christmas Day, Boxing Day and New Years Day), and 2 weekend days. |
Life Insurance | Yes, 2x salary |
Salary and Benefit Continuance | A resident that can’t work due to illness or injury will have salary and benefits maintained for 6 months or until end of appointment (whichever occurs first) |
Call Stipend | Regular: $127.60 in-hospital; $63.80 home call or qualifying shift on shift-based services. Weekend premium: $140.36 in-hospital; $70.18 home call or qualifying shift on shift-based services. |
Visit the PARO website.
www.myparo.ca
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