SickKids is a level I paediatric trauma centre and has a broad referral base for emergent conditions.

Becoming confident with the acute management of fractures, complex trauma and bone and joint infections is an essential aspect of paediatric orthopaedic training. Principles and experience gained from these areas translate broadly to elective scenarios. Clinical fellows take call on a 1 in 5 basis in a hierarchical roster together with residents and faculty. Primary calls to the emergency department, the ward and from other institutions are fielded by the residents. Fellows assume duties that are transitional on their way to becoming faculty themselves.