First Year Clinical Training (10 months)The first year of the program is designed to rapidly familiarize the trainee with the full spectrum of clinical respirology. To this end, extensive experience is provided in ambulatory care (2-3 clinics per week), and in emergency and inpatient consultations (daily). The first year trainee follows the ICU in-patient population, who have been admitted under the respirology service. Extensive training is also provided in bronchoscopy and related procedures [bronchoalveolar lavage, transbronchial lung biopsy, transtracheal (Wang) needle aspiration]. The first year trainee performs on average, 150 bronchoscopies per year. The first year trainee is allowed one academic half day per week that is protected for educational development. The first year trainee also organizes and presents regularly at weekly respiratory rounds as well as bi-weekly (alternating) journal club, combined respiratory rounds (radiology, pathology, thoracic surgery and oncology), and chest radiology rounds.
In summary, at the end of the first year, the trainee has acquired sufficient experience in respiratory consultation to be able to practive relatively independently and therefore, can make informed choices about the components of the second year program they wish to avail of.