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Definition of a clinical fellow: A clinical fellow is a medical doctor seeking postgraduate training in a specialty, or subspecialty discipline outside a recognized Royal College or CCFP training program.
A Ph.D student is someone who is studying for a Ph.D. Usually the term is used for someone who is still in the coursework phase of their degree, which takes the first 2-3 years. A Ph.D fellow is a Ph.D student who is receiving a fellowship for their degree. A fellowship is usually an academic prize that covers the tuition and mandatory fees for the student as well as a monthly stipend, usually for nothing in return. Sometimes they require a minimal amount of teaching and/or research.