Department of Anesthesia

Regional Anesthesia and Pain Management (TWH)

Toronto Western Hospital

(4 Positions per year)

Clinical Curriculum

The Toronto Western Hospital performs approximately 3,000 regional anesthesia procedures each year. Fellows will gain experience in a variety of regional anesthesia techniques performed for orthopedics, plastics, and general surgery. Fellows will learn to perform neuraxial and upper and lower limb peripheral nerve block techniques with ultrasound guidance under the direct supervision of an attending regional anesthesiologist. Experience in continuous catheter perineural infusion techniques for both the upper and lower extremities is also gained.

Fellows will also participate in the Acute Pain Service rotation and non-regional anesthesia cases during the training year. The Acute Pain Service manages approximately 2,000 patients per year including some referrals with challenging chronic and cancer pain.

Outside of the work in the block room, fellows will also provide clinical anesthesia care for a range of inpatient and ambulatory adult surgical cases including but not limited to orthopedics, general surgery, bariatric surgery, spine surgery, neurosurgery, and urology.

Call Duties

Fellows will participate in general emergency on-call duties at a frequency of approximately 4-5 calls per month.


Regional anesthesia fellows at Toronto Western Hospital are expected to actively participate in academic, research, and educational activities. Over the course of the year, up to 20% of working days may be allocated as academic time for this purpose. Examples of academic activities that fellows are involved in include the design of new research projects, conduct of ongoing clinical research, data analysis and writing of scientific papers, as well as preparation of monographs and book chapters.


Regular Regional Rounds are held at the departmental level throughout the year which will include journal discussions, case discussions, and didactic presentations. Fellows are expected to participate in these rounds to gain experience in presentation and teaching. Fellows are also expected to take an active role in resident education in regional anesthesia. There are opportunities for assisting as faculty at regional anesthesia workshops organized by the Regional Anesthesia group at Toronto Western Hospital.

Applications and Enquiries

Four 1-year fellowship positions are currently offered, beginning every July.

Applications should be sent in between 18-24 months before the anticipated start date of the fellowship.

The required documents and information to complete the application include:

  1. An updated curriculum vitae
  2. Letter of intent stating the applicant's goals and objectives in undertaking the fellowship.
  3. Names and contact details of 3 referees

Please also refer to the University of Toronto Department of Anesthesia webpage at for further details on general eligibility requirements for undertaking fellowship training.

Note: Due to the high volume of applications, only complete applications will be considered. Only shortlisted candidates will be contacted by the department. At this time additional supporting materials, including a short personal testimonial video, may be requested.

If you are interested in applying for the Regional Anesthesia and Pain Management fellowship at Toronto Western Hospital for 2020-2021, please complete this online application form.