Dr. Natalie Jewitt
Ms. Jenny Loor
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.
The fellowship is focused on advancing the trainee’s knowledge of quality-of-life concerns, pediatric pain and symptom management, the provision of psychosocial support across the illness trajectory and end-of-life care. The trainee will become familiar with comprehensive, interdisciplinary care, evaluation, and management of children with diverse advanced illnesses and their families, and will be responsible for the care of inpatients and outpatients in varied settings, including an academic teaching hospital, hospice, and home.
This program consists of 26, 4 week blocks. The blocks are scheduled as core, selective, or elective rotations, with some rotations spanning more than one block. Core rotations include paediatric palliative care with PACT (Paediatric Advanced Care Team) at The Hospital for Sick Children (Sickkids) and Emily’s House Children’s Hospice, adult palliative care with The Temmy Latner Centre through Mount Sinai Hospital, Complex Care at Sickkids and Holland Bloorview, and acute and chronic pain experiences at SickKids. Elective opportunities include paediatric palliative care rotations at other Canadian centres, prenatal genetics opportunities, and experiences with PEACH (Palliative Education and Care for the Homeless) fostered by Inner City Health Associates. The schedule is flexible to meet the needs of each resident, within the structure provided by the RCPSC in the “Pediatric Palliative Medicine Training Experiences”. As our curriculum is currently transitioning to Competency by Design, the duration of rotations is approximate and can be adjusted to meet the learning needs of the trainee.
Formal academic curriculum includes:
Our Paediatric Palliative Medicine program at the University of Toronto thrives on a diverse patient population, excellent resources, and an outstanding teaching faculty.
Based out of The Hospital for Sick Children, our fellows routinely care for patients with varied and complex medical diagnoses. The Hospital for Sick Children provides primary, secondary and tertiary care to the local community, and tertiary and quaternary level care to the rest of Ontario and beyond, when required. All paediatric subspecialities exist at The Hospital for Sick Children, which ensures exceptional patient volume and diversity. For example, our team works closely with the Heart Transplant Program, the Complex Care Program and the NAIT (New Agents and Innovative Therapies) oncology team. Through these collaborations, our fellows are regularly exposed to innovative advancements in care.
Our program also provides symptom management and end-of-life care at Emily’s House Children’s Hospice, a 10 bed paediatric hospice in downtown Toronto. Emily’s House offers a unique learning environment for our fellows, where the care plan focuses on making every day matter and living life to the fullest of abilities. Our program also has strong collaborative relationships with community partners across Ontario. These relationships enable home-based palliative care for our patients, and engage our fellows in building palliative care networks.
Our fellows also have unique opportunities to work alongside and learn from our expert interdisciplinary team. These experiences include providing sibling support through backyard visits with our experienced Community Psychosocial Support professional, and supporting bereaved parents through Coffee Klatches with our Grief Support Coordinators.
While the focus is paediatric palliative care, fellows with our program learn to provide palliative care across the age spectrum (from prenatal palliative care consultation through our IMPACT (Infant Maternal Perinatal Advanced Care Team) program out of Mount Sinai Hospital, to home visits for octogenarians with our adult palliative care colleagues at the Temmy Latner Centre).
Fellows also have countless opportunities to partner with faculty at the SickKids Research Institute (Canada’s largest, hospital-based child health research institute), contribute to medical education (both at the undergraduate and postgraduate level) and participate in quality improvement initiatives.
Effective October 4th, 2023
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
Frequency of Calls
1 in 4 In-hospital, 1 in 3 home
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
Extended Health Insurance
Provincial Dues (% of salary)
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.
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)
$127.60 in-hospital; $63.80 home call or qualifying shift on shift-based services.
$140.36 in-hospital; $70.18 home call or qualifying shift on shift-based services.