Interprofessional Arthritis Fellowship Opportunity at University Health Network
The Arthritis Program, at University Health Network (UHN), is focused on leading the way in innovative Inter-professional models of care. The ‘Inter-Professional Arthritis Fellowship’, is a position that was created in response to the expanding and changing roles of healthcare professionals within the current healthcare landscape in Ontario.
The fellowship is designed to develop the skills of experienced clinicians under the guidance of specialist orthopaedic surgeons, current extended scope physiotherapists (ESPs) and arthritis researchers over a 1-year period. At the end of the year, the ESP will have advanced knowledge and skills in the diagnosis and management of patients with various musculoskeletal conditions. The fellowship will provide resources and knowledge such that the fellow will be equipped to act as a first point of care within an inter-professional team. Expected competencies at the end of the fellowship include; ordering and interpretation of laboratory tests pertinent to the care of patients with arthritis/musculoskeletal conditions, ordering and interpretation of imaging (radiographs, magnetic resonance imaging, bone density, ultrasound), and detailed knowledge of surgical procedures for each clinical area completed within the fellowship.
The overarching goal of the fellowship is to provide early access to excellent care within an inter-professional team by developing ESPs who are skilled clinicians and leaders. As such, the fellowship is specifically designed to meet the growing demand for registered physiotherapists or advanced practice clinicians looking to advance their training and become an ESP, or for existing ESPs wishing to further their expertise in inter-professional musculoskeletal/arthritis care.
The fellowship will draw from existing and newly developed internal and external resources to explore the theoretical and practical skills essential to develop the level of practice required for ESPs to work safely, effectively & legally within the scope of their practice.
Eligibility for Application:
- The innovative fellowship program has been designed to attract high caliber physiotherapists or advanced practice clinicians to deliver specialist care for joint and spine patients using an upstream, shared-care model of care.
- The preferred candidate would be a senior physiotherapist or advanced practice clinician with interest in inter-professional models of care, wishing to work in an Extended Scope Practitioner role, or an ACPAC Program-trained clinician seeking to join an inter-professional team and further develop their knowledge and skills in musculoskeletal/arthritis care.
The fellowship will include four components; clinical, education, leadership and research. Each component will run concurrently with the fellowship time divided 60:40 between clinical and research/educational time.
- Three sets of four-month clinical rotations with co-supervisors consisting of an orthopaedic surgeon and an ESP in a preceptorship model in the clinical areas of: shoulder/elbow; hip/knee; foot/ankle; or spine. Depending on the learning needs of the fellow, the time in each clinical area can be variable; and may not need to be three areas.
- At the end of each clinical rotation, there will be an evaluation to ensure the fellow has met the learning needs and has all the skills, experience and confidence to work an ESP.
- Clinical supervision will be as follows:
- Shoulder/Elbow – Dr. Christian Veillette/Dr. Tim Leroux /Christopher Hawke (ESP)
- Hip/Knee – Dr. Nizar Mahomed/Dr. Rod Davey/Emily May (ESP)
- Foot/Ankle – Dr. Johnny Lau
- Spine – Dr. Raj Rampersaud/Dr. Stephen Lewis/Angela Sarro (Nurse Practitioner)
- Preferred that the Advanced Clinician Practitioner in Arthritis Care (ACPAC) program will completed in conjunction to the fellowship (if not already completed).
- Participation in City Wide IPAC Rounds conducted 6 times/year on clinical topics and presented by ESPs and Faculty across the Greater Toronto Area and academic hospitals, available by webcast to disseminate the rounds to the community of practice.
- Participation in UHN ESP Journal Club 4 times/year.
- Completion of self-directed learning log related to each of the clinical areas.
- Attendance at relevant weekly rounds, e.g., Spine Rounds Monday and Tuesday 7-8 a.m.
- Completion of radiology update for each clinical area.
- Completion of physiatry clinic observation related to pain management.
- Acquisition of skills related to leadership and management to support the Arthritis Program, align with UHN strategy, develop leadership within the ESP community, and be proactive in health system-level needs of patients with arthritis, through enrolment in a Michener Institute Leadership course; or equivalent.
- Completion of research modules on Good Clinical Research (UHN Elearning modules).
- Participation in Journal Club evaluating current evidence in orthopaedic care.
- Completion of a research project in population health and value-based healthcare delivery with the support of the Health Services Research Program and Data Management Team within the Arthritis Program, with suitability for publication in a peer-reviewed journal, such as:
- Analysis of existing data set
- Case report
Potential interested candidates are encouraged to submit a letter of interest and copy of curriculum vitae to: Leslie Soever at email@example.com by March 4, 2019.