Advanced Clinical Practice (SMH)

St.Michael's Hospital (SMH)

The Advanced Clinical Practice (ACP) Fellowship at St Michael’s Hospital (SMH) Department of Anesthesia is a program designed to offer trainees an opportunity to gain more experience in the overall context of anesthesia practice, including anesthesia for high-risk procedures.

As the adult trauma centre for Toronto Downtown, SMH is a hub for trauma, neurosurgery, complex cardiac and cardiovascular care, minimally invasive surgery and care of the homeless and disadvantaged. St. Michael’s is also one of the province’s major sites of care for critically ill patients. This combination of factors makes SMH a host for critically ill patients who need surgery and clinical care, and offers learning opportunity for physicians and other health care workers in a high quality multidisciplinary environment. SMH is a fully-affiliated hospital of the University of Toronto.

ACP fellows in this program will provide anesthesia services for of all types of surgery carried out at Saint Michael’s Hospital, except cardiac anesthesia and critical care (please see other programs offered in our Department for details about fellowship opportunities in these areas).

With 20 rooms in the Main OR complex and 6 additional rooms in the Ambulatory OR, at St. Michael's hospital we provide services for a variety of surgical specialties. These include General Surgery, Trauma Surgery, Urology, Orthopedics, Plastics, Gynecology &, Obstetrics, Minimally Invasive and Robotic Surgery, Ophthalmology, Vascular surgery, Neurosurgery, and a Spine Surgery program. We also cover 20 acute care beds in the Main Post Anesthesia Care Unit (PACU) and 10 in the Ambulatory PACU. ACP clinical fellows will have the opportunity to work in the main OR and in the ancillary anesthetic locations for elective and urgent procedures. Fellows might also be involved in providing care in the pre-assessment clinic.

Ancillary anesthetic locations include:

  • 3 cardiac catheterization and electrophysiology labs for angriography, stenting, implantable defibrillator insertion, MAZE, ablation procedures and more
  • A neuro-angiography suite providing care for patients requiring complex neurointerventional procedures
  • Multiple endoscopy suites
  • Magnetic Resonance Imaging suites
  • A dedicated floor for labor & delivery, including two ORs and multiple L&D patient rooms

ACP fellows will also be included in the on-call roster and will be required to also work nights, weekends and holidays on a rotation basis. We are proud to offer pre and post call time off for our fellows and limit the number of on-call to a monthly average of 8 night and/or weekend calls, although the actual number is usually well below the limit. All our fellows receive a competitive salary and extended health benefits.


Additional Information

Positions Offered:

  • 2 positions starting each January
  • 2 positions starting each July


Programs are 6-12 months in length, according to the trainee’s goals and objectives. Fellows usually work full-time (100%, 5 days per week), but a reduced workload (60-80%, 3-4 days/week) can be considered upon request (include details and information on application and letter of interest).


Applicants need to apply through an online platform:

Direct inquiries to:

Dr. Filipe Nadir Caparica Santos
Coordinator, Fellowship Program 
St. Michael's Hospital
30 Bond Street, 6F-501 Donnelly South
Toronto, ON Canada M5B 1W8