Advanced Clinical Practice

Toronto General Hospital (TGH)

(6 positions per year)

Clinical Curriculum 

The Advanced Clinical Practice Fellowship is designed for the candidate that would like to gain more experience in high-risk anaesthesia and will involve predominantly surgical oncology, vascular, cardiac patients for non-cardiac procedures as well as previous organ transplant patients for various procedures as well as potential organ transplant recipients. It is well suited to the recent graduate that would like an additional year of experience prior to embarking on a busy community practice as well as to the graduate of a subspecialty program such as cardiac who want to familiarize themselves with procedures involving regional and neural axial techniques, cardiac output monitoring and post-operative pain management. The fellow will be assigned to services that include surgical oncology, hepatobiliary, urology, head and neck, reconstructive plastic surgery as well as on call thoracic non-lung transplant cases. The fellow will also be involved in the pre-admission clinic for pre-operative assessment and assessment of surgical risk. The environment is well suited to a candidate preparing for licensing exams wishing to integrate into the Canadian Healthcare system.

Call duties

At this time call duties are in house and start at 16:00. Call are done on a rotational basis and shared amongst the ACP and advanced airway fellows.

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.


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.

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 anesthesiologist 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 and medical officer year)

A current and valid ACLS certification is a requirement.

Applicants need to apply by using the online platform:

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

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