University of Toronto Faculty of Medicine

The University of Toronto Faculty of Medicine is the medical school of the University of Toronto. Founded in 1843, the faculty is based in Downtown Toronto and is one of Canada's oldest institutions of medical studies, being known for the discovery of insulin, stem cells and the site of the first single and double lung transplants in the world. The school was recently ranked 4th in the world for clinical medicine, oncology and surgery by the US News and World Report 2019.

University of Toronto Faculty of Medicine
The FitzGerald Building (foreground) and the Terrence Donnelly Centre for Cellular and Biomolecular Research
TypeFaculty (medical school)
Established1843 (1843)
AffiliationUniversity of Toronto
DeanL.Trevor Young
Location
Discovery District, Toronto
,
Ontario
,
Canada
Websitewww.facmed.utoronto.ca

History

Frederick Banting joined by Charles Best in office, 1924

The university originally opened its medical school in 1843, providing instruction in medicine and medical sciences. In 1853, it suspended the school's teaching program and transferred teaching duties to the city's three proprietary schools: Trinity Medical College, the Toronto School of Medicine and Woman's Medical College. Because proprietary schools could not grant degrees, the university's medical school retained the responsibility of holding examinations and conferring medical degrees. As the university kept raising its standards, the medical examinations became increasingly rigorous and scientific.[1] This led to fewer medical students from proprietary schools deciding to obtain university degrees, which were not required for medical practice at the time.[1]

Recruitment ad from 1906, showing course fees, subjects and other information.

In 1887, the university resumed medical teaching in its Faculty of Medicine. The faculty promptly absorbed the Toronto School of Medicine, which could no longer compete with the university as it faced heavy costs of scientific work and higher examination standards set by the faculty.[1]

The Faculty, in partnership with the University of Toronto Mississauga and Trillium Health Partners[2] opened the Mississauga Academy of Medicine in August 2011 with 54 first-year students. As of 2014, the Academy has a total of 216 students enrolled in the four-year program. The new facility is located across two floors inside the new Terrence Donnelly Health Sciences Complex and provides brand new classrooms, seminar rooms, computer facilities, learning spaces and laboratories.[3] Students are provided with fully equipped student lounge and outdoor terrace to relax and socialize. Students are able to share lectures and learning experiences both inside and outside the classroom through advanced technologies.[3]

Curriculum

The Medical Sciences Building is the administrative centre of the Faculty of Medicine
The McMurrich Building contains offices of medical faculty members and researchers.

In 2016, the Faculty of Medicine will be implementing the new Foundations Curriculum, moving away from the traditional lecture based style of teaching based on anatomy, physiology, pathology and pharmacology and into a problem based learning approach with early clinical exposure, similar to the approach first pioneered at McMaster University Medical School.[4]

The Doctor of Medicine program at the University of Toronto is a 4 year MD program with a total enrolment of about 850 students. The first two years are known as the preclerkship curriculum, during which M.D. candidates acquire the basic biomedical and human anatomy knowledge. The principles of medical ethics, professionalism and medical jurisprudence are also taught in preclerkship. The final two years form the clerkship curriculum that takes place in hospitals and ambulatory clinics. The core clerkship rotations cover the essential medical specialties: surgery and internal medicine, psychiatry, pediatrics, obstetrics and gynecology, family medicine, ambulatory experience, neurology, emergency medicine, anesthesia, ophthalmology, otolaryngology and dermatology. Additional rotations are devoted to elective clerkships that provide training in subdisciplines within the major specialities.

In 2015, the average accepted undergraduate weighted GPA was 3.96 (on the Ontario Medical Schools Application Service 4.0 scale) and the median score in the numerically graded sections of the MCAT was 11.[5][6] The University of Toronto is one of only a few programs in Canada to accept international students through its regular admission process. The faculty also offers the MD/PhD degree jointly with University of Toronto doctoral programs, in addition to other degrees of master of science, master of public health, master of health science, doctor of philosophy, and post-doctoral fellowships.

Hospitals and research

The Faculty of Medicine is the only medical school in the Greater Toronto Area and operates a health network that comprises twelve teaching hospitals with significant emphasis on tertiary care, including medical treatment, research and advisory services to patients and clients from Canada and abroad.[7]

The faculty is associated with two level 1 adult trauma centres, a multi-organ transplant hospital, a pediatric hospital, a psychiatric hospital, a geriatric hospital, four rehabilitation institutes and several general hospitals.

The teaching hospitals are arranged in four hospital networks, which are the University Health Network, Unity Health Toronto, the Sinai Health System, the Trillium Health Partners, as well as three major teaching hospitals outside of the system, Sunnybrook Health Sciences Centre, Women's College Hospital and The Hospital for Sick Children.

  • Unity Health Toronto consists of St Michael's Hospital, an adult hospital and trauma center, Providence Healthcare, a rehabilitation institute and St. Joseph's Health Centre, a community teaching hospital.
  • Sinai Health System consists of Mount Sinai Hospital, a general hospital and Bridgepoint Active Healthcare, a rehabilitation institute.
  • Trillium Health Partners consists of Mississauga Hospital, a general hospital, Credit Valley Hospital, community teaching hospital,
  • Sunnybrook Health Sciences Centre is an adult hospital with regional cancer and trauma centres.
  • Women's College Hospital is an ambulatory hospital focused on women's health.
  • The Hospital for Sick Children is the pediatric medical centre specializing in treatments for childhood diseases and injuries.[9]

Rotations may also involve community teaching hospitals, which include North York General Hospital, St. Joseph's Health Centre, Toronto East General Hospital, Scarborough General Hospital, Credit Valley Hospital and Markham Stouffville Hospital.

MaRS Discovery District is an affiliated corporation that was established to help commercialize the faculty's life science and medical research through partnerships with private enterprises.

A laboratory at The Centre for Applied Genomics of the Hospital for Sick Children
Interior of the MaRS Discovery District research park facility
University of Toronto fully affiliated teaching hospitals
Institution Main specialty Affiliated research arm
Princess Margaret Cancer Centre (University Health Network) Medical Oncology, Radiation Oncology, Surgical Oncology Ontario Cancer Institute
Toronto General Hospital (University Health Network) Cardiology, Multi-Organ Transplant, Cardiac Surgery, Thoracic Surgery Toronto General Research Institute
Toronto Western Hospital (University Health Network) Neurology, Neurosurgery, Ophthalmology, Rheumatology Krembil Research Institute
Holland Bloorview Kids Rehab Paediatric rehabilitation Bloorview Research Institute
Centre for Addiction and Mental Health Psychiatry, Addiction Medicine
Mount Sinai Hospital (Sinai Health System) Multispecialty: Inflammatory bowel disease, High Risk Pregnancy, Orthopedic Oncology Samuel Lunenfeld Research Institute
Hospital for Sick Children Paediatrics, Paediatric Surgical Specialities SickKids Research Institute
St. Michael's Hospital (Unity Health Toronto) Trauma Surgery, Inner City Health, Gastroenterology Li Ka Shing Knowledge Institute
Sunnybrook Health Sciences Centre Multispecialty: Oncology, Trauma Surgery, Burn Injuries Sunnybrook Research Institute
Toronto Rehabilitation Institute (University Health Network) Physiatry
Baycrest Centre for Geriatric Care Geriatrics, Neurophysiology Research Centre for Aging and the Brain
Women's College Hospital Obstetrics and Gynecology, Women's Health, Dermatology Women's College Research Institute

Reputation

The school was ranked 5th in the world and 1st in Canada by the Academic Ranking of World Universities in 2019 and the U.S. News and World Education Rankings for Clinical Medicine in 2018,[10] and 11th in the world and 1st in Canada by the QS University Subject Rankings for Medicine in 2018.[11] In subject areas, the medical school was ranked 5th in the world and first in Canada by the Academic Ranking of World Universities in 2019. It was ranked 4th in the world for medicine and for surgery by the US News and World Report in 2019.

Notable faculty and alumni

  • Jennie Smillie Robertson, class of 1909: First female surgeon in Canada
  • Maud Menten, class of 1911: Developed the mathematics of enzyme kinetics with Leonor Michaelis
  • Theodore Drake, class of 1914: Pediatrician and inventor of the baby food Pablum
  • Norman Bethune, class of 1916: Physician, humanitarian and medical innovator
  • Frederick Banting, class of 1916 and Charles Best, class of 1925: Co-discoverers of insulin with professor of physiology John James Richard Macleod
  • Jessie Gray, class of 1934 and professor of clinical surgery: Canada's "First Lady of Surgery", lecturer, and researcher
  • Wilfred Gordon Bigelow, class of 1938: Developed the artificial pacemaker and the use of hypothermia in open heart surgery
  • Robert Gordon Bell, class of 1943: Pioneered treatment of alcohol addiction in Canada and invented the alco-dial, a device to estimate blood alcohol levels.
  • Henry J. M. Barnett, class of 1944: Pioneered use of aspirin as a preventive therapy for heart attack and stroke
  • Robert B. Salter, class of 1947: Developed the continuous passive motion (CPM) treatment to aid recovery of joints after trauma
  • William Thornton Mustard, class of 1947: pediatric cardiac surgeon, developed the Mustard procedure, a procedure to treat transposition of the great arteries
  • Ernest McCulloch, class of 1948: Cellular biologist and Lasker Award recipient credited with the discovery of the stem cell
  • Shaf Keshavjee, class of 1985: Transplant surgeon and ex-vivo lung transplant pioneer
  • John C. Boileau Grant, professor of anatomy, 1930–56, Author of Grant's Atlas of Anatomy and Grant's Dissector
  • William Boyd, professor of pathology, 1937-1951, Author of Surgical Pathology, Pathology of Internal Disease, Textbook of Pathology and Introduction to Medical Science
  • James Till, professor of medical biophysics, 1958–97: Academic on Internet research ethics
  • Tak Wah Mak, professor of medical biophysics, 1975–: Discovered the T-cell receptor
  • Tirone E. David, professor of surgery, 1980–: Developed valve-sparing aortic root replacement
  • Lap-Chee Tsui, professor of molecular and medical genetics, 1983–2002: Former president of the Human Genome Organisation, vice-chancellor of the University of Hong Kong
  • Anthony Pawson, professor of molecular and medical genetics, 1985–2013: Researcher in signal transduction
  • John E. Dick, professor of molecular genetics: Identified the cancer stem cell
  • C. Miller Fisher, described lacunar strokes and identified transient ischemic attacks as stroke precursors.
  • Brenda Andrews, professor at the Donnelly Centre for Cellular and Biomolecular Research and researcher
  • Daniel J. Drucker OC, FRS, class of 1980, professor of medicine: renowned for his identification of, and discovery of the many and novel clinical uses for, the glucagon-like peptides which, among other things, led to a revolution in the therapy of type II diabetes

See also

  • The Centre for Applied Genomics
  • University of Toronto Joint Centre for Bioethics
  • IBBME
  • SciNet Consortium

References

  1. "What medical school was recognized as among the "best on the continent" within 20 years of its opening?". History Q & A. University of Toronto Department of Public Affairs. 2002. Retrieved November 2, 2008.
  2. "Mississauga Academy of Medicine". University of Toronto Mississauga. Retrieved March 27, 2012.
  3. "Mississauga Academy of Medicine". University of Toronto. Archived from the original on March 28, 2012. Retrieved March 27, 2012.
  4. "Frequently Asked Questions". University of Toronto Faculty of Medicine. University of Toronto. Archived from the original on October 18, 2015. Retrieved January 17, 2016.
  5. Henheffer, Tom. "Canada’s Best Professional Schools: Where did you go, Marcus Welby?". Macleans. September 17, 2009
  6. "Admission Statistics". University of Toronto Faculty of Medicine. 2009.
  7. "Hospital Partners". Experience Research. Office of the Vice-President, Research, University of Toronto. 2008. Retrieved March 15, 2009.
  8. "Toronto General Hospital". Archived from the original on October 5, 2006. Retrieved November 30, 2008.; "Princess Margaret Hospital". Archived from the original on October 4, 2006. Retrieved November 30, 2008.; "Toronto Western Hospital". University Health Network. Archived from the original on October 4, 2006. Retrieved November 30, 2008.
  9. "BioDiscovery Toronto – Hospital for Sick Children". BioDiscovery Toronto. 2006. Archived from the original on May 13, 2006. Retrieved November 30, 2008.
  10. https://www.usnews.com/education/best-global-universities/clinical-medicine
  11. http://www.topuniversities.com/university-rankings/university-subject-rankings/2018/medicine#sorting=rank+region=+country=+faculty=+stars=false+search=

Further reading

  • Michael Bliss. The Discovery of Insulin. University of Chicago Press, 1982.
  • Michael Bliss. Banting: A Biography. University of Toronto Press, 1992.
  • Marianne Fedunkiw. Rockefeller Foundation Funding and Medical Education in Toronto, Montreal, and Halifax. McGill-Queen's University Press, 2007.
  • Ernest McCulloch. The Ontario Cancer Institute: Successes and Reverses at Sherbourne Street. McGill-Queen's University Press, 2003.

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