Ambulatory and Regional Anesthesia (WCH)

Women's College Hospital

The Department of Anesthesia and Pain Management of the University of Toronto offers a 12-month fellowship training program in Ambulatory and Regional Anesthesia based at Women’s College Hospital. This fellowship aims to confer the clinical skills and academic proficiency for the Consultant Anesthesiologist with special interest in Regional Anesthesia and a focus on integrating regional anesthesia into ambulatory practice. 

 Clinical Experience 

The fellowship program is based at Women’s College Hospital and will include clinical commitments at Toronto Western Hospital and Princess Margaret Hospital.

Women's College Hospital is at the leading edge of discovery and practice when it comes to ambulatory surgery. It is a unique setup, one of its kind in the country, where all surgical procedures are done on a day surgery basis. The surgical services provide comprehensive care specializing in ambulatory surgery in the areas of:

•    general surgery 
•    oncology (specializing in cancers in women including breast and thyroid cancer)
•    hand surgery 
•    plastic surgery (e.g. breast reconstruction) 
•    gynecology 
•    orthopedic surgery (with a focus on sports injuries) 
•    urology (male infertility)
•    ENT

Regional Anesthesia services have expanded significantly to facilitate the performance of several surgeries on a day surgical basis. The department has a dedicated four bedded block room to provide RA for the above specialties. It is equipped with ultrasound machines and taught by experts and fellowship trained regional anesthetists. A variety of blocks are performed that caters to ambulatory practice.

Over 3500 ambulatory surgical procedures are performed a year. Fellows will learn the clinical skills, principles, practices, and patient care in ambulatory & regional anesthesia. Fellows will also be exposed to the organizational aspects of running an ambulatory service, pre-anesthesia clinics, block room setup, postoperative follow up of day surgical patients. 

Fellows will also have the opportunity to work in the Toronto Western Hospital  to gain further exposure to other surgical specialties, including anesthesia for spine surgery, neurosurgery, major orthopedic surgery, urology, bariatric surgery; although this will not be the focus of this program.  On call commitments will be at Toronto Western Hospital. 

Research Experience

•    Fellows will have the opportunity to participate in various clinical research projects under the supervision of fellowship-trained regional anesthesiologists including Drs. Richard (Ricky) Brull, Kyle Kirkham, Anuj Bhatia, and Arun Prasad.
•    Approximately 20% of working hours are allocated to research and educational activities based on productivity. 
•    Under supervision, fellows are expected to initiate at least one research project and participate in departmental academic activities. Fellows are encouraged to attend and present their research at a national or international meeting during the year. 

Education and Teaching

•    Core curriculum lectures will be delivered by experienced staff aimed at learning critical aspects of ambulatory and regional anesthesia
•    Regular Fellow rounds are held throughout the year which will include journal discussions, case discussions, and research or didactic presentations. Fellows will present in these rounds to gain experience in presentation and teaching. 
•    Teaching is a core component of the fellowship, and fellows will be able to instruct and supervise residents in the operating room. 
•    The department has grand rounds on a weekly basis which the fellows can benefit from learning the topical issues and relevant literature.

 

Administrative Aspects

•    Three positions are offered per year, starting on the 1st of July. 
•    The duration of the fellowship is 1 year. 
•    Fellows will participate in general emergency on-call duties at a frequency of approximately 1 in 15, depending on the total number of fellows in the department at any one time. 
•    This fellowship is not approved at present for ACGME sub-specialty certification.
•    This fellowship is not approved by the Royal College of Physicians and Surgeons of Canada for training leading to specialty certification in anesthesiology.

Application Process

•    Prospective fellows must have specialty certification in anesthesiology, and have completed training equivalent to that stipulated by the Royal College of Physicians and Surgeons of Canada.
•    Applications are usually received at least 12months in advance of the fellowship start date..
•    Applicants must submit all of the following: 
(1) a letter of intent stating personal goals and objectives in undertaking the fellowship, 
(2) an up-to-date curriculum vitae, and  

•    We will solicit three references if shortlisted for an interview. Candidates are welcomed to make an in-person visit to the department to ascertain if it meets their training objectives and personal goals. 
•    Successful applicants will be notified approximately 12 months in advance of the commencement date.

Application materials should be sent to:  

Dr. Arun Prasad MBBS DA FRCA FRCPC
Ambulatory & Regional Anesthesia Fellowship Program Director
University Health Network - Toronto Western Hospital
399 Bathurst Street, McL 2-405
Toronto, ON M5T 2S8
Canada 
E: Arun.Prasad@uhn.ca

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