Advanced Clinical Practice

(6 positions per year)

Clinical Curriculum

The Advanced Clinical Practice Fellowship is designed for candidates who would like to gain more experience in high-risk anesthesia and will involve predominantly surgical oncology, vascular, and cardiac patients for non-cardiac procedures, as well as previous organ transplant patients for various procedures and potential organ transplant recipients.

It is well suited to the recent graduate who would like an additional year of experience prior to embarking on a busy community practice. It’s also valuable to those graduates of a subspecialty program, such as cardiac, who want to familiarize themselves with the Canadian medical system, culture, and language, as well as procedures involving regional and neural axial techniques, cardiac output monitoring, and post-operative pain management, before moving on to the subspecialty. The fellow will be assigned to services that include surgical oncology, urology, head and neck surgery, reconstructive plastic surgery, and on-call thoracic non-lung transplant cases. The fellow will also be involved in the pre-admission clinic for pre-operative assessment and assessment of surgical risk. The environment is well suited to a candidate preparing for licensing exams and wishing to integrate into the Canadian healthcare system.

Call duties

At this time, call duties are in-house and start at 16:00. Calls are done on a rotational basis and shared amongst the ACP and advanced airway fellows.

Education Curriculum

Weekly teaching sessions are held Tuesdays at 17:00, covering various TGH practice-specific topics. Echocardiography lectures and case discussion rounds are done Wednesdays and Thursdays at 17:00, and attendance and participation are encouraged. Monthly professor rounds are organized on Mondays at 17:00. Departmental rounds are scheduled for Friday mornings at 07:30.

A fellow-lead journal club/topic discussion round focusing on relevant topics has recently been initiated, running every 4-6 weeks, normally scheduled on Mondays at 17:00.

Research

Participation in research and education is expected. Research is integrated into the fellowship, with academic time provided to those involved in projects, with a goal of one non-clinical day per week up to a maximum of 40 days over a 12-month fellowship period.

Participation and presentation at academic conferences are encouraged. Travel grants are available for research presentations at eligible North American meetings.

Application requirements and process

The fellowship is aimed at anesthesiologists in their early professional careers. Interested applicants need to have successfully completed all the required anesthesia examinations, be registered with the official regulatory authorities, and have at least 5 years of anesthesia training and experience at an academic centre. (1 of the 5 years may include a rotational year, also known as an internship, a houseman year, and a medical officer year).

Experience as a staff anesthesiologist based in the operating room in an academic setting for 1-2 years is strongly advised. Your clinical anesthesia practice should be current, and exposure during the preceding three years of a fellowship should have a strong operating room component.

A current and valid ACLS certification is a requirement.

Applicants need to apply by using the online platform.

Shortlisted candidates will be contacted 12–18 months before the tentative start date for reference letters and to further the application. Please do not send any reference letters until requested to do so.

Successful candidates will be notified about 9–15 months ahead of a potential start date. An interview might be required.

Begin Your Application

Applicants can apply using the online platform:

• The July 2025 application session has now closed.
• If you are interested in applying for January 2026, please complete this online application form.
• If you are interested in applying for July 2026, please complete this online application form.

Send direct inquiries to:

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