Endocrinology

Dr. Jill Hamilton’s research and clinical interests focus on children and adolescents at risk for the development of type 2 diabetes and weight-related health issues.

This includes children and adolescents with complex obesity due to hypothalamic tumors or genetic causes of hypothalamic dysregulation.  The main areas of research include (i) evaluation of the determinants of metabolic risk and mechanisms for weight gain (ii) food intake and appetite hormone regulation, and (iii) treatment of complex obesity and type 2 diabetes. I have over 150 peer-reviewed publications and have received research funding from agencies including Canadian Institutes for Health Research (CIHR), National Institute of Health (NIH), Heart and Stroke Foundation and Canadian Diabetes Association. 

Dr. Mahmud's current research focuses on diabetes, specifically clinical and lifestyle-based interventions in high risk pediatric groups, and translational research relating to co-morbid autoimmune conditions and social determinants including the early evaluation and prevention of related complications.

He is the lead investigator for the Adolescent Type 1 diabetes Treatment with SGLT2i for hyperglycEMia & hyPerfilTration (ATTEMPT) study, an international, double-blind, randomized control trial. Dr. Mahmud also serves as principal investigator of the Adolescent Diabetes Cardio-Renal Intervention Trial (AdDIT) Expansion in Canada, and is currently engaged with the CanSOLVE CKD-SPOR Initiative.  

Dr. Mahmud has a longstanding interest in Celiac Disease as an association with Type 1 Diabetes. He serves as principal investigator of a dietary intervention study, the Celiac Disease and Diabetes - Dietary Intervention and Evaluation Trial (CD-DIET), which has now concluded, and its ongoing follow-up study the Celiac Disease and Diabetes Longitudinal Follow-Up Evaluation (CD-LiFE).    

Dr. Mahmud is also leading the Diabetes Registry, a platform designed to expand patient access to diabetes-related research at SickKids, and is currently serving as chair for the 2020 International Society for Pediatric and Adolescent Diabetes (ISPAD) virtual conference. 

Dr. Palmert has a long-standing interest in the regulation and disorders of pubertal timing. He has conducted clinical studies of precocious and delayed puberty and in parallel has directed a laboratory-based program designed to identify and understand genetic factors that regulate the onset of puberty.

His interest in the regulation of pubertal timing and in male-female differences in its onset has led to the expansion of his laboratory-based program to include investigation of the bases of sex differences in the brain, including examination of the effects of sex steroids and sex chromosomes on brain structure and function. In the clinical realm, Dr. Palmert has conducted research focused on improving outcomes of youth with type 1 and type 2 diabetes, improving the care of transgender adolescents, and optimizing the use of resources and diagnostic tests within the endocrine clinics.   

Dr. Shulman’s research program is focused on developing and evaluating health services interventions to improve health outcomes and the quality of care for youth living with diabetes as they transition to adult care. She is particularly interested in developing and evaluating interventions that leverage existing population-level administrative datasets to inform health system change. She works with teams of researchers from disciplines including health service research, implementation science, and quality improvement.   

Currently, Dr. Shulman has two multi-centre research studies with active participant recruitment, one called "Bridging the gap to optimize care and outcomes for youth with diabetes between pediatric and adult diabetes care (BTG)", which is a survey study investigating the gaps in services and other issues that young adults with type 1 diabetes face during their transition to adult care. The second is called "Keeping in Touch (KiT) with Young Adults as They Transition Through Type 1 Diabetes Care (KiT)" which is a research study that builds and tests a digital app to improve the process and health outcomes of adolescents and young adults living with T1D as they transition to adult care. 

Dr. Wasserman’s research focuses primarily on paediatric thyroid cancer and spans both clinical and translational domains. Thyroid carcinoma is the most common endocrine malignancy and is the most common cancer in adolescent and young women in Canada. Although frequently more extensive and aggressive than thyroid cancer in older adults, paediatric and adolescent thyroid carcinoma is generally associated with excellent prognosis.

Dr. Wasserman’s research aims to identify the biological underpinnings of this behaviour and to identify improved treatment and follow-up paradigms for paediatric and adolescent patients with thyroid malignancies. His team is using a number of research modalities to explore this including both genomic approaches as well as population-level databases.

Dr. Diane Wherrett's research interests are focused on type 1 diabetes with the goal of delaying and preventing progression of the disease. She is the Centre Director and Steering Committee Member for Type 1 Diabetes TrialNet, an international research organization which shares this mission.

She is the lead investigator for all eleven TrialNet sites across Canada. Dr. Wherrett is chair of TrialNet's NIH funded, risk screening study "Pathway to Prevention" which offers unique screening that can identify the early stages of T1D years before any symptoms appear and can assess an individual's personal risk of developing the disease. Dr. Wherrett is also involved in several ongoing clinical trials which aim to slow down or stop early stage T1D from progressing to clinical diagnosis. 

The fellowship program aims to provide broad training in clinical pediatric endocrinology with opportunities to develop clinical, research and education skills. The program is two or more years of training. The first year is predominantly a clinical year, with the second year of training tailored to the trainee’s career goals in either clinical endocrinology, clinical or basic research, education or quality improvement. There may be a possibility of further research training dependent on the availability of funding.

Clinical training

The clinical training for fellows offers an extensive exposure to both in-patient and ambulatory pediatric diabetes and endocrinology.  

• Diabetes Service: three diabetes clinics a week that take place in the context of a large multidisciplinary team of endocrinologists, diabetes nurse educator, dietitians, social workers and psychologists 
• General endocrine service: follows children with all type of endocrine disorders with four general endocrine clinics a week 
• Subspecialty endocrine clinics: in addition to general endocrine clinics, there are subspecialty clinics which the trainees will have exposure to including: Bone Health, Calcium disorders, Endocrine-gynecology clinics, Late Effects of Cancer therapy, Complex Obesity, Transgender and Multi-disciplinary Urogenital clinics. 

Research training 

Primary research activities in the Division of Endocrinology occur in a variety of different areas of clinical investigation. Further research opportunities may also be available with other researchers within the University of Toronto. 

Application process 

Canadian trainees are to apply through CaRMS.

To apply to the program, please submit your fellowship application through our online form and include the following attachments: 

• Current Curriculum Vitae 
• Copy of Medical Degree 
• Academic Transcripts (undergraduate and postgraduate) 
• Copy of Paediatrics Specialty Certificate (if you are currently a Paediatric trainee, please arrange for your Program Director to provide us with a letter of good standing) 
• Letter of Intent describing your interest in endocrinology and career interests 

We are currently accepting applications for the Fellowship program, with a commence date of July 2026. The deadline date to apply is Monday, January 13, 2025.

Endocrinology Fellowship Application

In addition, please ask three individuals who know you well to send confidential letters in support of your application to endo.program@sickkids.ca. One letter should come from your residency program director. Your referees should comment upon your interpersonal skills, clinical skills and provide us with some insights regarding your background or potential for research.  

Applicants will need to have completed paediatric training by the time fellowship training begins.

If you have applied to the U.S. Match through the National Residency Matching Program (NRMP), please be advised that the University of Toronto is a participating institution and adheres to the match policy.

The policy states that "applicants who have matched to a program or have accepted a position during the Supplemental Offer and Acceptance Program (SOAP), shall not apply for, discuss, interview for, or accept a concurrent year position in another program prior to the NRMP granting the requested waiver." 

The elective program is geared towards Paediatric Residents training in Canada as well as Canadian and International Medical Students. This is a three to four-week elective designed to be a mix of clinics plus inpatient service. The rotation is not divided into separate clinics and service weeks. This is to maximize clinical exposure and introduce residents to the organizational skills required to balance inpatient and outpatient work, which many paediatricians need to manage. There will be hands on patient care, ward rounds, divisional rounds and attendance at diabetes and endocrine clinics. Students are also exposed to the academic activities of the Division of Endocrinology, including case discussions, case reviews and journal clubs. This elective is coordinated though the Electives Office at the University of Toronto in consultation with Dr. Carol Lam, Program Director.  

Due to the lengthy process required for permits, licensing and registrations, the Division of Endocrinology currently does not accept international Paediatric Resident Electives. However, we do have an Observership Program (detailed in the next section). 

Application procedures for Paediatric Residents training in Canada

• Applications for Paediatric Residents training in Canada are submitted through U of T/PGME Electives Portal. 

Application procedures for Medical Students

• Applications for Canadian medical students are submitted through MEDSIS. 
• Applications for international medical students are submitted through the AFMC Portal. Please note that international medical students will be required to submit their CV showing their past clinical experience as well as their TOEFL scores. 

The observership program is designed to help non-licensed International Medical Graduates gain experience in the Canadian healthcare system. The Division of Endocrinology supports this endeavour through a 2-4 week observership where the individual observes activities in clinics, ward and divisional rounds. These physicians must be in a pediatric endocrinology training program or currently practicing in pediatric endocrinology and meet the criteria for an observership in our division. 

We are only able to accept a limited number of observers into our division, due to the overwhelming number of applications for observerships, and the large number of trainees and elective medical students and residents rotating through our busy subspecialty program. 

For more information, please contact: 

Dr. Carol Lam, Training Program Director
Nirthikaa Parameswaran, Education Administrative Coordinator

Paediatric Endocrinology Training Program 
The Hospital for Sick Children 
The University of Toronto 
Phone: 416-813-5991 
Email: endo.program@sickkids.ca