Overview
This fellowship is designed to provide enhanced broad-based clinical training and responsibility beyond the certification level as well as offers clinical research opportunities. It is intended to meet the needs of those interested in pursuing either an academic career or in furthering their clinical skills prior to entering clinical practice. Fellows will primarily practice independently, however, attending staff will be immediately available.
Specific Objectives
At the completion of this program, the fellow will be able to:
- Manage anesthetics in a wide variety of elective and emergency situations in the operating room. There are also opportunities to participate outside of the operating room (e.g. labour and delivery, acute pain service, cardioversions, radiology suite (diagnostic and interventional) and pre-operative assessment clinics)
- Manage anesthetics for patients with severe co-morbidities and/or having complicated surgical procedures
- Provide anesthesia consultation services to other specialties
- Work appropriately with interdisciplinary and interprofessional teams in the perioperative setting
- Manage learners and their educational needs in the operating room (e.g. residents, medical students and paramedical personnel)
If a fellow has an interest in a particular subspecialty of anesthesiology, that should be brought to the attention of the coordinator within the first two months. At that time, we will aim to designate up to 25% of their clinical time to that area of interest, and enlist support from faculty members in that subspecialty. Further efforts will be made to develop reading lists and research projects to help increase the fellow's expertise in that area.
Expectations
Fellows will spend approximately 80% of their time in the clinical environment. They will be expected to manage their cases independently, however they will always have a supervising staff on site for consultation and assistance. They will also be expected to supervise and teach medical students, residents and respiratory therapy/anesthesia assistant students in the operating room setting. Fellows will be expected to do some late call during the week (Monday to Friday), but no weekend or unsupervised night work.
Approximately 20% of their time will be spent on clinical research or study. Fellows are expected to participate in at least one research or scholarly project, with the goal of completing their project by the end of the year and submitting the results for publication and/or presentation at a recognized conference.
Fellows are expected to participate in the academic activities of the department including rounds, conferences and journal clubs. Specifically, they will be expected to present one Grand Rounds and one core resident teaching session (together with a staff member). They will also be expected to participate in weekly case management rounds, presenting at least once over the year. These cases will then be open for discussion from the other fellows, residents and staff members. There will also be bi-monthly chart reviews with the fellow, the fellowship coordinator and the program director where the fellow will be asked questions pertinent to specific charts that are pulled for the occasion. This will be more a 'one-on-one' style in order to ascertain the fellow's knowledge base, judgment and decision-making ability.
The fellowship year is designed to improve your skills as an anesthesiologist and further your career. To meet that end, the programme is constantly being revised and modified to suit the individual's needs. Please make those needs known to the fellowship coordinator, and we will do our best to design your fellowship to optimize your experience.