Message from the chief of Pediatrics
Dr. Michael Sgro, chief of Pediatrics
The Department of Pediatrics at St. Michael's Hospital is an academic department, fully affiliated with the University of Toronto, Department of Medicine. Our department provides neonatal and pediatric services for southeast Toronto’s diverse inner city population of nearly half a million people, and is considered a leader in urban neonatal, child and youth health care as well as social pediatrics. The Department’s mission is to provide exemplary care for Toronto’s inner city population, and our members are dedicated to caring for vulnerable or “at-risk” children whose social circumstances may provide barriers that impact their overall health and development.
Since the Department of Pediatrics was founded in 2001, it has grown exponentially from two pediatricians and one nurse to more than 25 pediatricians, three neonatologists and various other pediatric subspecialists with over 50 nurses and interdisciplinary health care team members serving Toronto’s inner city children and youth. In addition, the Neonatal Intensive Care Unit has grown from a 12-bed to a fully-funded 20-bed, Level 2 NICU with over 550 neonatal admissions per year. We are also a preferred referral site for other neonatal admissions and a partner in the Toronto Centre for Neonatal Health.
The Department’s Pediatric Ambulatory Clinic provides outpatient services that includes general pediatric consultative services, antenatal consultations for high-risk pregnancies due to either maternal or fetal issues, developmental and school problem assessments, neonatal follow-up, specialized nutrition services, newcomer to Canada assessments and care, and subspecialty consultation clinics in adolescent medicine, child development, mental health, cardiology, dermatology, hematology and rheumatology. In addition, the department aims to alleviate barriers to accessing child and youth medical, developmental and mental health care through providing St. Michael’s outreach pediatric clinics at nearly 10 inner city sites, including schools, family medicine health teams, EarlyON child and family centres, and homeless shelters.
The Department of Pediatrics at St. Michael’s Hospital is fully affiliated and is an integral part of the Department of Pediatrics at The University of Toronto and has developed focused research in a number of areas including neonatology, TARGet Kids!, the Model Schools Pediatrics Health Program and Child Development, Adolescent health and well-being. Under the leadership of the director of Research, Dr. Michael Sgro, the research group has grown extensively over the last 15 years and has included programmatic expansion within the department as well as development of formal linkages between the Department of Pediatrics, the Li Ka Shing Knowledge Institute and the Applied Health Research Centre at St. Michael’s Hospital, and with support from The University of Toronto.
The Department of Pediatrics at St. Michael’s serves Canada’s most densely populated inner city community and one of the most economically deprived, resource-restricted communities in Canada. Culture and socioeconomic status are considered two of the 12 key determinants of health for children today. The Department of Pediatrics has a long-standing commitment to the children and youth of our Inner City neighbourhoods, many of whom face additional social, economic and cultural barriers to the access of medical care. Ultimately, it is our vision that the specialized care provided to the children in St. Michael’s Hospital community will make an impact by narrowing the gap, improving long-term developmental and mental health issues and enhancing the health of future adults in our community. Our program continues to be extremely successful from the perspective of establishing linkages with our local partners and creating collaborative networks across the spectrum of care. The research group anticipates that its future impact and development will continue to grow given the establishment of this highly creative and productive team, powerful new data linkages and important collaborations with other prestigious institutions.
|Dr. Jillian Baker||Dr. Tony Barozzino||Dr. Joey Bonifacio||Dr. Douglas Campbell|
|Dr. Sloane Freeman||Dr. Joelene Huber||Dr. Jonathon Maguire||Dr. Ripudaman Minhas|
|Dr. Paul Pencharz||Dr. Michael Sgro||Dr. Elizabeth Young|
|Ramanan Aiuadurai||Kathleen Hollamby||Francine Milone|
Dr. Ra Han, director of Pediatric Medical Education
St. Michael’s Hospital is an academic teaching hospital fully affiliated with the University of Toronto and a full member of the Toronto Academic Health Science Network. The Department of Pediatrics at St. Michael’s Hospital provides outstanding education to medical students in both the classroom and clinical setting in undergraduate medical education as a member of the FitzGerald academy at the University of Toronto. Teachers and educators in our department have been instrumental in developing innovative programs in the Faculty of Medicine at the University of Toronto such as the Longitudinal Integrated Clerkship which enables students to participate in the comprehensive care of patients over time, develop continued learning relationships with dedicated preceptors, and navigate complex health systems to advocate for patients and families. Nursing students, international medical student observers, and elective medical students from across the country join us each year to learn from our health care team.
The Department of Pediatrics at St. Michael’s Hospital provides core and advanced postgraduate medical training for residents and clinical fellows in Pediatrics, Family Medicine, and Obstetrics and Gynecology programs at the University of Toronto. Residents and clinical fellows are an integral part of the health care team in providing excellent medical care in an academic hospital and gain valuable experience under dedicated clinical supervisors to become skilled physicians in their field. The Pediatric Ambulatory Clinic provides opportunity to participate in general pediatric consultative services, primary care for children with complex medical issues, developmental and school problem assessments, antenatal consultations, neonatal followup, specialized nutrition services, newcomer to Canada assessments and care, and subspecialty consultation clinics in adolescent medicine, child development, mental health, cardiology, dermatology, hematology and rheumatology clinics. Learners may also participate in inner city pediatric outreach clinics at multiple downtown sites, including schools, family medicine health teams, EarlyON child and family centres, and shelters. Neonatology and care of the newborn rotations take place in the 20-bed advanced Level 2 Neonatal Intensive Care Unit (NICU) with more than 550 newborn admissions per year from within the hospital and transferred in from across the province, attendance at some of the 3,000 deliveries at St. Michael’s Hospital each year, and the inpatient postpartum ward. There are weekly educational academic rounds, patient care conferences, competency-based teaching from award-winning educators, and regular simulation training.
For more information about learning at St. Michael’s department of Pediatrics, contact Kathleen Hollamby at HollambyK@smh.ca
Dr. Douglas Campbell, Allan Waters Family Simulation Centre Medical Director
Much like the aviation industry uses flight simulators to train pilots, health care professionals use patient simulators to learn first-hand how to care for patients and respond to critical situations in a controlled safe environment. Health care simulation involves a range of activities that share a similar purpose: to improve the safety, effectiveness and efficiency of health care services.
St. Michael's Hospital was a pioneer in simulation, opening Canada's second simulation centre in 1996. In 2011 the simulation centre moved from its one-room location in the hospital to a four-room facility in the Li Ka Shing Knowledge Institute across the street. It was renamed the Allan Waters Family Simulation Centre and is one of the newest and most advanced hospital simulation centre in Canada. In 2015 we received Simulation Accreditation from the Royal College of Physicians and Surgeons of Canada receiving exemplary standing in all areas.
The centre provides focused simulated training for health care workers and serves as a toolkit for organizational preparedness, and policy and process development. We assist in developing earning opportunities to prepare students, allied health care professionals, researchers, physicians and surgeons for actual patient care environments. We have an active in situ simulation program which involves simulated patient scenarios in the actual patient environment. This allows health care training and improvement of the physical environment and policy and process which keeps our patients safe.
For more information or questions about the simulation centre or to make a booking request email email@example.com
To speak with a member of the simulation team call 416-864-6060 ext. 77431