Department of Anesthesia

Advanced Airway Management (TGH)

Toronto General Hospital

(1 position per year)

Clinical Curriculum

The airway fellowship focuses on the acquisition and demonstration of expertise in airway evaluation and management, enabling the individual to serve as an essential resource in the teaching and management of difficult airways.

The fellow will be actively involved in the care of patients undergoing complex head and neck surgical procedures. Approximately 100 major head and neck procedures, 50 laryngectomies and/or pharyngectomies, several tracheal resections, retrosternal thyroidectomies, laser airway surgery, panendoscopies, awake tracheotomies, neck dissections and major reconstructions are performed each year.

Additionally, the fellow will participate in the care of patients undergoing high risk procedures in surgical oncology, vascular surgery, plastic surgery, non-cardiac procedures in patients with cardiac disease, as well as post organ transplant and potential organ transplant recipients.

The fellow will gain proficiency with a range of specific devices including a variety of supraglottic airways, bronchoscopes, video laryngoscopes and optical stylets. There is also an emphasis on identifying and managing the "difficult to extubate" airway, with various evaluation techniques, tube exchangers and supraglottic airways.

The fellow will have the opportunity to participate in the out-patient Head and Neck Clinic, assessing airways, mastering endoscopic techniques and observing the outcome of complex reconstructions. 

An elective (maximum 2 weeks/academic year) at Mount Sinai Hospital to gain experience in complex airway management for dental surgery (including individuals with developmental delay) can also be arranged.

Call duties

Fellows are assigned weekday and weekend call duty on a rotating basis.

Research and Education

Participation in research and education is expected. Research is integrated into the fellowship with academic time provided, with a goal of one non-clinical day per week, depending on clinical needs.

There will be opportunities to join existing research projects, initiate new ones and to present findings at local, national and international meetings. Tuesday weekly fellows rounds at 17:00 are mandatory, which is dedicated to a variety of topics, appropriate to the clinical practice at TGH, including relevant airway topics.

Active participation in airway workshops at the Toronto Anesthesia Symposium is expected.

Applications and Enquires

Please send an updated Curriculum Vitae and Letter of Intent to:

Dr. Adam Snyman
Director, Fellowship Program 
Toronto General Hospital 
200 Elizabeth Street, EN3-438 
Toronto, ON Canada M5G 2C4 
adam.snyman@uhn.ca

Note: Due to high volume of applications, only shortlisted candidates will be receive a response.