Hepatobiliary and Transplantation Anesthesia (TGH)

Toronto General Hospital 

(3-4 positions per year)

Clinical Curriculum

The fellowship for liver transplantation and major surgical oncology is a fellowship program developed at Toronto General Hospital. The fellow will be actively involved in the peri-operative and intra-operative care of patients undergoing liver transplant, kidney transplant, kidney-pancreas transplant and occasional “cluster” transplantation. Another component of this fellowship is the anesthetic care of patient undergoing major surgical oncology procedures on the hepatobiliary and general surgery. 

A fellow is assigned each day to see the patients that are candidates to be listed for transplant and seen in the outpatient clinic. The fellow will assess the patient, review the considerations for transplant with the consult clinic attending and together they will plan further investigations and optimization. There is an expanding living related program for both the liver and kidney recipients. In addition to transplant recipients the fellows will be involved in the screening and teaching of prospective living related donors. Counseling regarding thoracic epidurals and the management of postoperative pain is a major commitment of the department and the transplant program. 

Call duties

Home call for liver and kidney pancreas transplants occurs one week in four weeks for an entire week. The fellow starts Monday and finishes Sunday with Monday off post call. They will also be assigned two to three weekdays per month OR call with academic days scheduled pre and post call.  

Education Curriculum

Hepatobiliary rounds and liver transplant rounds occur each Friday in a block of time for much of the morning. An attending staff and fellow will participate each week and represent anesthesia at the listing rounds. Tuesday weekly Fellows’ rounds at 17:00 are mandatory. 

Research

There will be opportunities to complete existing research projects, initiate new ones and to present findings at local, national and international meetings. Participation and presentation in academic conferences is encouraged.  

Applications and Enquires

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

Dr. Coimbatore Srinivas 
Director, Fellowship Program 
Toronto General Hospital 
200 Elizabeth Street, EN3-438 
Toronto, ON Canada M5G 2C4 
coimbatore.srinivas@uhn.ca

Note: Due to high volume of applications, only shortlisted candidates will be contacted by the department.

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