Medical Microbiology Residency Training Program.

Residency program overview

a group of students posing for a picture

Program curriculum

Medical Microbiology Transition to Discipline and Foundations of Discipline (PGY-1: Basic Clinical Training)

The majority of the first year of training is designed to give the trainee a broad base of clinical training to support an understanding of Medical Microbiology in the hospital and community and consists of medical and surgical rotations. This corresponds to Transition to Discipline and Foundation of Discipline stages of CBD. The resident will do the first three blocks in Transition to Discipline which consists of one introductory block in the Microbiology Laboratory, one Adult Infectious Disease block and one block of General Internal Medicine. The remaining blocks are selected to complete a broad exposure and therefore will include rotations in Internal Medicine or Subspecialties, Pediatrics, Family Medicine, General Surgery, and Emergency Medicine.

Medical Microbiology Foundations of Discipline and Core of Discipline (PGY-2 to PGY-5 years)

Years two to four of the training Program encompasses the components of the Foundations of Discipline and Core of Discipline stages of CBD.

The second year is the first year of core microbiology training, however ongoing clinical exposure is provided to maintain the trainee's understanding of the role of the Microbiology laboratory in clinical medicine. The majority of time will be spent in the Microbiology laboratory. Trainees will rotate through and spend ample time in Bacteriology, Mycobacteriology, Mycology, Molecular and Serology sections of the laboratory. Clinical rotations will include Adult and Pediatric Infectious Disease Consult services. The formal Quality and Laboratory Management longitudinal curriculum will also begin. Towards the end of the year there will be dedicated research and elective time. The resident is however encouraged to engage in research and related activities earlier. They are required to start coverage of the Microbiology Service after hours.

During the PGY-3 to 4 years and the beginning of PGY5 year the core microbiology training continues, and trainees gradually assume a more senior role and responsibilities in the laboratory and other rotations. They will lead laboratory quality initiatives, validations etc. and attend various Laboratory and Hospital Committee Meetings. Parasitology training is at Public Health Ontario Laboratories. Quality and Laboratory Management longitudinal curriculum will continue, and residents are expected to complete quality improvement projects in the laboratory. There are requirements for Clinical Rotations however in addition to Infectious Disease Consult Service, these will also include Infection Control, Antimicrobial Stewardship and Public Health. The opportunity for electives and research blocks is incorporated throughout the years as well. A longitudinal clinic will also add to the trainees’ clinical experience and give them an appreciation for longitudinal care of patients. The clinics that residents can participate in are General Infectious Disease, HIV, Travel and Tropical Medicine, Mycobacteria, Hepatitis, and Sexual Health. 

PMedical Microbiology Transition to Practice (PGY-5 year):

The final year of training encompasses the final components of Core of Discipline and Transition to Practice stages of CBD.

The final year of training is planned to provide further experience in microbiology and the trainee accepts a greater level of responsibility to finally perform at the level of a Junior Attending Medical Microbiologist. The final year is flexible and can be planned to take the needs and interests of the resident into account. Dedicated research experience is strongly encouraged this year although research projects are expected at all levels of training. 

Research

a researcher looking in a microscope

During their training, the trainee is expected to participate in a research project that is to be presented at the annual Pathology and Laboratory Medicine Research Day, Annual Microbiology and Infectious Disease Research Day and at an annual national or international conference. Research blocks are built into the rotation schedule and are designed to be flexible to support the opportunities that develop or emerge over the course of the training. The research interests of members of the Division of Microbiology and the Division of Infectious Diseases are diverse and include molecular diagnostics, laboratory detection and molecular epidemiology of antimicrobial resistant bacteria, epidemiology of hospital-acquired infections, viral pathogenesis and vaccine development, hepatitis, basic and clinical aspects of HIV/AIDS, tropical diseases, etc. Support is available for residents to attend meetings and present their research. 

Resources

The Ottawa Hospital – General Campus

  • Regional Microbiology Reference Laboratory
    • General bacteriology – adult and pediatric
    • Containment level 3 mycobacteriology laboratory
    • Molecular diagnostics
    • Mycology
  • Adult Infectious Disease Clinical Training
    • Hematopoietic Stem Cell and Solid Organ Transplant
    • Orthopedic Surgery
    • Rehabilitation Center
    • Cystic Fibrosis Center
    • Ottawa Research Institute

The Ottawa Hospital – Civic Campus

  • Adult Infectious Disease Clinical Training
    • Neurosurgery
    • Ottawa Heart Institute
    • Regional Trauma Center

Children’s Hospital of Eastern Ontario

  • Regional Microbiology Reference Laboratory
    • Molecular diagnostics including laboratory developed tests and viral load testing
    • Serology
  • Pediatric Infectious Disease Clinical Training
  • CHEO Research Institute

The Eastern Ontario Regional Laboratory Association (EORLA), working with 18 hospitals in Eastern Ontario, provides lab services for community and tertiary medical/surgical care. The main Microbiology Training site is the Regional Microbiology Reference Laboratory of EORLA, located at the General Campus of TOH and CHEO. The Ottawa Hospital is a multi-site hospital with 1200 beds and provides tertiary care to service. The referral area also includes patients from Eastern Quebec and Nunavut. The University of Ottawa Heart Institute is located within the Ottawa Hospital Civic campus and provides tertiary level cardiac medical and surgical care including transplantation. The Civic Campus is the trauma center in Ottawa and is supported by the full complement of surgical services. The General Campus provides tertiary level care for the medical subspecialties with kidney and bone marrow transplantation, TB, HIV and HCV clinics. Services for high-risk pregnancy and a level 3 NICU are present at the General Campus. All regional pediatric services are centralized at the Children’s Hospital of Eastern Ontario.