Advanced Airway Management

Toronto General Hospital (TGH)

(1 position per year)

Clinical Curriculum

The airway fellowship focuses on the acquisition and demonstration of expertise in airway evaluation and management, enabling the individual to serve as an essential resource in the teaching and management of difficult airways.

The fellow will be actively involved in the care of patients undergoing complex head and neck surgical procedures. Approximately 100 major head and neck procedures, 50 laryngectomies and/or pharyngectomies, several tracheal resections, retrosternal thyroidectomies, laser airway surgery, panendoscopies, awake tracheotomies, neck dissections, and major reconstructions are performed each year.

Additionally, the fellow will participate in the care of patients undergoing high-risk procedures in surgical oncology, vascular surgery, plastic surgery, and non-cardiac procedures in patients with cardiac disease, as well as post-organ transplant and potential organ transplant recipients.

The fellow will gain proficiency with a range of specific devices, including a variety of supraglottic airways, bronchoscopes, video laryngoscopes, and optical stylets. There is also an emphasis on identifying and managing the "difficult to extubate" airway with various evaluation techniques, tube exchangers, and supraglottic airways.

The fellow will have the opportunity to participate in the out-patient Head and Neck Clinic, assessing airways, mastering endoscopic techniques, and observing the outcome of complex reconstructions.

An elective (maximum of 2 weeks per academic year) at Mount Sinai Hospital to gain experience in complex airway management for dental surgery (including individuals with developmental delays) can also be arranged.

Call duties

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

Educational 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.


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, depending on clinical needs, for a maximum of 40 days over a 12-month fellowship period.

There will be opportunities to join existing research projects, initiate new ones, and present findings at local, national, and international meetings.

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

Active participation in the airway workshops at the Toronto Anesthesia Symposium is expected.

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

If you are interested in applying, please complete the online application for the respective date:

  • The July 2024 application session has now closed.
  • If you are interested in applying for July 2025, please complete this online application form.
  • If you are interested in applying for July 2026, please complete this online application form.

If you are interested in applying, please complete the online application for the respective date.

Send direct inquiries to:

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