Abdominal Organ Transplantation Anesthesia

Toronto General Hospital (TGH)

(4-5 positions per year)


Clinical Curriculum

The Abdominal Organ Transplant Anesthesia (AOTA) fellowship focuses on liver, pancreas, kidney, bowel transplantation and major abdominal surgical oncology anesthesia. The Toronto General Hospital (TGH) is the largest transplant center in Canada and is amongst the largest centers in North America. Currently, the hospital performs 180-220 kidney transplants, 180-220 liver transplants, 25-35 pancreas transplants and 2-4 bowel transplants yearly. Included in these numbers are the Living Donors program for both kidney and liver transplants and accounts for an average of 50-60 transplants of each organ, every year.

As a fellow, you will be actively involved in the management of these patients during the whole perioperative period, from preoperative assessment, optimization, anesthetic and post-operative care. This also includes participating in the transplant listing meetings in which each patient and their respective challenges are discussed with a multidisciplinary team to guarantee optimal communication between teams involved, continuity of care and the best possible outcomes. Listing meetings are presently done over Teams video conferencing and fellows will be invited to these meetings upon request. Liver Listing at 9:00 AM (EST) and Kidney/Pancreas Listing at 1:00 PM (EST) on Fridays.

The living donor program for both the liver and kidney recipients are expanding rapidly and our protocols are constantly reviewed to better attend this specific patient population. Fellows will be involved in both living donor and recipient case management.

As mentioned above, the AOTA program also carries a significant load of oncologic procedures such as complex pancreatectomies, liver and bowel resections. Currently there has been a significant expansion in the number of procedures being done in a minimally invasive manner, such as laparoscopic liver resections, bowel resections and robotic pancreatic surgery with great outcomes.

For the most up-to-date information on the program at TGH, please visit the Abdominal Organ Transplant Anesthesia Fellowship website.


Call duties

At this time call for liver transplantation is done from home, in a one in three to four rotation.


Education Curriculum

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

We are also developing a schedule of monthly multidisciplinary teaching sessions that includes the hepatobiliary surgical and the clinical hepatology teams. The goal is to discuss important topics focused in liver transplantation on a more perspective than the anesthetic self management.

There are numerous additional lectures and seminars conducted at TGH and elsewhere. We will try to keep you updated with these sessions.


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. REDCAP database in the liver transplant recipients and donors are available to consider research questions.

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


Application Requirements and Process

The fellowship is aimed at anesthesiologists in their early professional career. 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, houseman year or medical officer year)

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.
 

 

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