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  1. 1. 13th April 2008 Dear Specialist Registrar, Interventional Cardiology Toronto Fellowship We are currently in the process of inviting applications for the Boston Scientific Toronto Fellowship in interventional cardiology starting Jan 2009. Toronto General Hospital has a well established fellowship programme with very experienced and internationally renowned interventionalists as trainers. It also has a well established interventional educational programme and an active research output. Interventional fellows can expect to perform a high volume of procedures (at least 300-500 as first operator) and participate in several research projects. Several UK SpRs have gone on to top tertiary centre interventional posts after participating in this programme. We are inviting applications from Specialist Registrars who intend to specialize in interventional cardiology, with priority given to those in years 4 to 6 of their training. The application process and further details on the programme are enclosed. The closing date for applications is June 15th 2008. Yours sincerely, Dr. Doug Fraser Tim Coutts Consultant Cardiologist Director Interventional Cardiology, Manchester Royal Infirmary Boston Scientific, UK & Ireland
  2. 2. THE BOSTON SCIENTIFIC TORONTO FELLOWSHIP Toronto General Hospital, Toronto, Canada Supervising consultants - Dr V Dzavik, Dr D Fraser Toronto General Hospital is a large university tertiary centre cardiology department associated the University of Toronto. It has a well established fellowship program with very experienced and internationally renowned interventionalists as trainers. It also has a well established interventional educational programme and an active research output. Dr Vlad Dzavik, president of the Canadian Association of Interventional Cardiology, is cath lab director and responsible for the fellowship program. Interventional fellows can expect to perform a high volume of procedures using a full range of interventional devices for managing complex patients. Multiple interventional research projects are underway including single and multi-centre projects. The interventional fellow will be expected to develop research projects during his time in Toronto leading to presentation and publication. There is a well organized formal interventional training scheme co- ordinated by Dr Peter Seidelin who himself came to Toronto originally as a visiting UK interventional fellow more than 10 years ago. The educational program involves (1) a weekly clinical and research meeting, (2) monthly half day PTCA Fellows seminar run by the University of Toronto including a comprehensive set of seminar topics (3) a one day symposium run by the University of Toronto at the annual Canadian Cardiovascular Congress and (4) the opportunity to go to one or more of TCT, CRF North American Fellows course, or other meetings. The fellowship program has attracted several UK specialist registrars who have gone on to top tertiary centre interventional posts. Examples include Keith Oldroyd (Glasgow Royal Infirmary), Raj Kharbanda (John Radcliffe Hospital), Pitt Lim (St George’s Hospital), Dan Blackman (Leeds General Infirmary), Saqib Chowdhary (Wythenshawe hospital), Vaikom Mohadevan (Manchester Royal Infirmary). This is therefore a first class interventional fellowship programme. Previous UK candidates have applied directly to the fellowship program. The present opportunity involves the funding of one of their fellow posts by an educational grant from Boston Scientific. Application is restricted to UK SpRs wishing to specialize in coronary intervention, and the
  3. 3. selection process will be conducted in the UK. The grant from Boston is designed to equate approximately to the SpR basic salary without on-call. View from the current 2007 candidate – Dr Jonas Eichhöfer, Manchester Royal Infirmary The Cardiology department of the Toronto Genral Hospital has more than 30 Cardiologists including 10 Interventionalists and equal numbers of Congenital, EP and Device Consultants. There are 4 cath labs, soon 5, running from 8 am until 5.15pm and then 1 lab on call. Last year TGH performed around 2000 PCI procedures spread between 5 interventional fellows, who are involved in all cases. This means fellows can expect to perform between 400 and 500 procedures in a year. This fellowship offers excellent exposure to complex PCI with simpler cases done in the peripheral hospitals. I had the opportunity to perform all cases as first or solo operator. I gained a lot from the extensive use of IVUS and pressure wires and there is a good mix of radial and femoral experience. I was involved in the implantation of the first Impella left ventricular assist devices in Canada and the current plan is to perform around 20 complex PCIs with Impella support a year. I also found it beneficial that the Toronto General Hospital has an active percutaneous valve program which allows interesting insights into percutaneous valve implantations. Each fellow has 3 or more days in the cath lab each week with an emphasis on training rather than service commitment. The Interventional fellows only look after interventional patients with no responsibilities for CCU or the wards. There is an on call commitment for emergency out of hours procedures without ward cover and you do not take calls directly. With only a further small pre-admission clinic once every 2 weeks there is plenty of time for research. There is an exceptional interventional database with good research department support and you can expect a string of publications from a year as interventional fellow. This is a very friendly place with excellent clinicians and a beautiful part of the world. I have no hesitations to recommend this fellowship to any serious candidate Jonas Eichhöfer
  4. 4. Applications If you are interested in applying for the Boston Scientific Interventional Fellowship, please email a detailed Curriculum Vitae with letters of support from two supervisory consultants to Dr Doug Fraser ( Application for the British Columbia fellowship is separate; however candidates may apply for both fellowships. Applications will close on June 15th 2008 with a view to interviewing short-listed candidates in the week commencing 14th July. The successful candidate will be identified by a formal interview. The fellowship bursary will be available from 1 Jan 2009.* * The fellowship bursary must be paid into a trust fund or institution and cannot be paid to an individual. The fund in question can either be at the candidate’s UK institution or at the receiving institution in Canada. The selected fellow is in no way considered to be an employee of Boston Scientific.