Fellowship directory

Physicians applying for a fellowship program in regional anesthesiology/acute pain medicine must be currently enrolled in, or have completed, an accredited anesthesiology residency program. Each individual program may have additional requirements such as medical licensing. The information published here has been supplied by the individual institutions. Please check back frequently for updates. Programs with an asterisk behind the title indicate they are part of the SF Match Program. 

 

 

The Department of Anesthesia and Pain Medicine of the Western University, London, Ontario offers a 12-month fellowship training program in Regional Anesthesia and Acute Pain Management. Our training program is intended to prepare the fellow for independent practice as a regional anesthesiologist. Graduates of the fellowship should be competent in all areas of perioperative management of patients receiving neuraxial or peripheral nerve blocks.

A total of 3 fellowship places are offered each year. Two regional anesthesia beginning in July and one regional anesthesia beginning in January. Applications should be made at least 18 months in advance, and shortlisted candidates will be interviewed by Skype. Final selection decisions are generally made 1 year in advance of the start date.

Clinical Experience
We have 3 sites, University hospital, St. Joesph’s hospital and Victoria hospital. At all 3 sites, the block room model is followed. The aim of the training is to

  • Attain competence in safely siting common upper and lower limb, truncal and neuraxial blocks.
  • Have familiarity and proficiency with both single shot and catheter techniques.
  • Be able to make a comprehensive perioperative pain management assessment. This would include use of multimodal analgesia, parenteral opioid techniques, appropriate selection of blocks, and use of infusions of lidocaine and ketamine.
  • Assessment and management of the opioid dependent patient and those with complex pain management issues.
  • Be able to act as a consultant to other hospital staff including anesthesiologists, surgeons, nurses and physiotherapists.
  • Troubleshooting continuous peripheral and neuraxial nerve blocks and be facile in their ongoing postoperative management.
  • Have detailed knowledge of anatomy relevant to regional anesthesia and analgesia; the ability to impart this knowledge to other staff, residents and medical students
  • Safely and efficiently manage a block room, including communication with surgical and nursing staff. Have the knowledge and skills required to establish a new Regional Anesthesiology and Acute Pain Medicine program in his/her future practice and to adopt emerging knowledge and techniques for the acute pain management of patients whom he/she encounters
  • Train future generations of generalists and subspecialists in Regional Anesthesiology and Acute Pain Medicine
  • Provide leadership in the organization and management of an acute pain medicine service within the hospital setting composed of a variety of specialists to provide comprehensive multimodal acute pain management
  • Provide education of patients / family members, surgeons, PACU and floor nurses with regards to management of nerve blocks.
  • Provide continuing medical education to anesthesia colleagues.
  • Participate in the Acute Pain Service rotation and non-regional anesthesia cases during the training year. The Acute Pain Service manages postoperative patients at all 3 sites including some referrals with challenging chronic and cancer pain.

Research Experience
Research is an important and expected component of the fellowship. Fellows are expected to spearhead at least one original research project, including protocol creation, research grant application, ethics approval submission, and participant recruitment. This includes a minimum of one research publication arising from research performed in the department during the fellowship and attendance of at least one major conference (CAS, ASRA or ASA). Presentation of an abstract is expected.

 

Education
Regional anesthesia specific education will be ongoing throughout the specialty and take the following forms:

  • Clinical education. During specialty training days fellows will be working under the direct supervision of an experienced regional anesthetist. Opportunity will be available to hone recognition of sono-anatomy, appropriate block selection, needling skills, single shot and catheter blocks. Follow-up and post-procedure management of nerve blocks will be an important and necessary focus of this component of training.
  • Regional journal club. Journal club will be held between 2 and 4 times per month for the duration of the fellowship. Relevant articles will be presented and analysed. Fellows will be expected to present regularly (at least monthly) at these rounds, and supervise presenting residents.
  • Anatomy lab. Anatomy lab will be held between 3 and 6 times per year, and attended by residents and fellows. During these labs the fellows will initially attend as students, and have the opportunity to increase their scanning skills, learn from cadaveric dissections, and correlate sono-anatomy with cadaveric specimens. As the fellowship progresses, fellows will take on the role of teacher and demonstrator for later labs.

Assessment
Mid and end block meeting with fellowship director.
360-degree appraisal from staff anesthetists, residents, medical students, surgeons, nurses (block and PACU nurses).
3 times yearly (post PEAP, mid fellowship, end fellowship).
Personal feedback as anatomy lab tutor.
Fellows are required to keep an up to date logbook of procedures performed.

  • Candidates must possess a medical degree from a recognized University and completed specialty training before the commencement of the fellowship to a level equivalent to Royal College of Physicians and Surgeons of Canada certification.
  • There is presently no sub-specialty certification
  • International Medical Graduates must be approved by the PGE Office at Western University
  • English Language Requirement: TOEFL-iBT test: overall minimum score of 93; IELTS English test accepted – each category must score a minimum of 7.

Link for application: http://www.schulich.uwo.ca/anesthesia/education/fellowship/application_requirements.html

  • Specialty:Acute Pain/Regional Anesthesia
  • Duration:12 months
  • Start Year:
  • Positions:3
  • Deadline: Until position is filled. Applications are due at least 18 months in advance of the start date
  • Salary: $75,000 Canadian per annum
  • Contact Person: Andrea Fragassi Fellowship Program Administrator
  • Email: Andrea.Fragassi@lhsc.on.ca
  • Phone: 519.685.8500 x33384
  • Facility:
  • Address:
  • 1151 Richmond St.
  • London
  • Ontario, Canada N6A 5C1
  • Telephone: 519.685.8500 x33384
  • Website: http://www.schulich.uwo.ca/anesthesia/education/fellowship/application_requirements.html
  • Director: Dr. Shalini Dhir
  • Other affiliated faculty:
  • Participating hospitals:

The Department of Anesthesia and Pain Management of the University Health Network and the University of Toronto offers a 12-month fellowship training program in Regional Anesthesia and Acute Pain Management at the Toronto Western Hospital. Our training program aims to confer both the clinical proficiency and academic knowledge that a consultant regional anesthesiologist in modern anesthetic practice requires.

A total of 4 fellowship places are offered each year, beginning in July. Applications should be made at least 18 months in advance, and shortlisted candidates should be prepared to travel to Toronto for a site visit and interview. Final selection decisions are generally made 1 year in advance of the start date.

Clinical Experience

The Toronto Western Hospital performs approximately 3,000 regional anesthesia procedures each year. These are organized around a block room model.

Fellows will gain both organizational skills related to regional anesthesia as well as technical expertise in a variety of peripheral nerve block techniques performed for orthopedics, plastics, and general surgery. Under the direct supervision of an attending regional anesthesiologist, fellows will learn to perform interscalene, supraclavicular, infraclavicular, and axillary brachial plexus blocks, as well as distal forearm blocks of individual nerves. Lower extremity blocks routinely performed at our institution include femoral, sciatic, popliteal, and ankle blocks. Fellows will also gain expertise in continuous catheter perineural infusion techniques for both the upper and lower extremities, as well as neuraxial blocks. Fellows will master the fundamental skills of ultrasound –guided intervention, which will allow them to apply it to virtually any procedure. 

Fellows will also participate in the Acute Pain Service rotation and non-regional anesthesia cases during the training year. The Acute Pain Service manages approximately 2,000 patients per year including some referrals with challenging chronic and cancer pain.

On non-regional days and on call, fellows will have clinical exposure to the other surgical specialties at Toronto Western Hospital, which include neurosurgery, major spine surgery, general surgery, bariatric surgery, urology, and interventional radiology.

Research Experience

Regional anesthesia fellows will be allocated to spend 20% of their time in research and educational activities. There is a strong academic focus at Toronto Western Hospital, and fellows are expected to demonstrate commitment to academic work. Under direct staff supervision, regional anesthesia fellows are expected to initiate at least one research project and prepare at least one research protocol during the training year. There is ample opportunity to participate in research projects already underway in various stages from data collection to manuscript preparation, as well as to assist in the authorship of monographs and book chapters. Fellows are expected to present their research at national and international meetings as well as publish their work in high-impact journals. Our current areas of research include ultrasound-guided peripheral nerve blockade and neuraxial blockade, education and training in ultrasound-guided regional anesthesia, complications of regional anesthesia, outpatient pain management techniques, and anesthetic applications of diagnostic ultrasound.

Education

Regular Regional rounds are held at the departmental level throughout the year which will include journal discussions, case discussions, and didactic presentations. Fellows are expected to participate in these rounds to gain experience in presentation and teaching. The group conducts several regional anesthesia workshops throughout the year in which fellows are expected to participate, first as attendees, and then as faculty.

Teaching Experience

Fellows are expected to assume a teaching role and instruct both junior and senior residents in regional anesthesia techniques. Fellows will also have opportunities to further develop teaching skills as faculty at many of the educational initiatives offered by our Department of Anesthesia, including our quarterly Hands-On Ultrasound for Regional Anesthesia Workshops, the annual Regional Anesthesia and Pain Medicine Conference, and bi-annual International Symposium on Ultrasound in Regional Anesthesia in Pain Medicine.

Candidates must have completed specialty training by the time of commencement of fellowship, to a level equivalent to Royal College of Physicians and Surgeons of Canada certification. 

ACGME approved fellowship: There is presently no sub-specialty certification 

Fellowships commence on July 1st of each year. Applications are due at least 18 months in advance of the start date. The application must include a letter of intent (stating the desired start date, and describing personal goals in undertaking the fellowship as well as future career objectives), curriculum vitae, and three letters of recommendation. 

Applications are reviewed in January-March of the preceding year, and shortlisted candidates will be invited for interview. Candidates are strongly encouraged to visit the department prior to the interview if possible. Successful candidates will be notified at least 12 months in advance of the commencement date. Applications received less than 15 months before the desired start date can only be considered in the event that unexpected openings occur in the program. 

kijinn.chin@uhn.ca

  • Specialty:Acute Pain/Regional Anesthesia
  • Duration:12 months
  • Start Year:
  • Positions:4
  • Deadline: Accepted until position is filled
  • Salary: $75,000 CDN
  • Contact Person: Christine Drane Departmental Administrator, Department of Anesthesia
  • Email: christine.drane@uhn.ca
  • Phone: (416) 603-5118
  • Facility:
  • Address:
  • Christine Drane, Departmental Administrator, Department of Anesthesia, Toronto Western Hospital, University Health Network
  • 399 Bathurst St., McL 2-405
  • Toronto
  • Ontario, Canada M5T 2S8
  • Telephone: (416) 603-5118
  • Website: https://www.uhn.ca/OurHospitals/TWH
  • Director: Ki Jinn Chin
  • Other affiliated faculty:
  • Participating hospitals:
  • Documents4

The Ottawa Hospital is the major tertiary centre for the Nation’s capital and, the primary teaching centre for the University of Ottawa. It is home to the largest non military simulation centre in North America. The Regional Anesthesia Fellowship program is well established and nationally recognized. Our subspecialty core group has received Regional Anesthesia Fellowship training from a variety of locations: Brigham and Women's Harvard University, Duke University, The Monash University in Australia, The Virginia Mason Center in Seattle, The University of Toronto, University of Alberta and locally at the University of Ottawa. Our members have been awarded teaching awards for outstanding contributions to Resident, Fellow and Medical student teaching and administration in Regional Anesthetic Techniques. Former graduates of our Fellowship training program have been instrumental in the development of their own Regional Anesthesia training in their home base nationally and internationally. Our Fellowship program is one year in duration. Two Fellowship positions are open for each academic year that spans from July 1 to June 30. You will be based at either the Civic or General Campus.

Note:  Applications accepted: 18 to 12 months in advance of starting date.

Online application: please email estinson@toh.on.ca

  • Specialty:Acute Pain/Regional Anesthesia
  • Duration:12 months
  • Start Year:
  • Positions:2
  • Deadline: Accepted until position is filled
  • Salary: $100,000
  • Contact Person: Elaine Stinson Administrative Assistant
  • Email: rramlogan@toh.ca
  • Phone: (613) 761-4169 ext 1
  • Facility:
  • Address:
  • Dept of Anesthesiology Rm B307 The Ottawa Hospital Civic Campus
  • 1053 Carling Avenue, Mail Stop 249
  • Ottawa
  • Ontario, Canada K1Y 4E9
  • Telephone: (613) 761-4169 ext 1
  • Website: www.ottawa-anesthesia.org/Regional_Anesthesia_fellowship.shtml
  • Director: Reva Ramlogan
  • Other affiliated faculty:
    • Faraj Abdallah, M.D.
    • Michelle Chiu, M.D.
    • Ioana Costache, M.D.
    • Kristin Gadbois, M.D.
    • Rejean Gareau, M.D.
    • Alan Lane, M.D.
    • Anne Lui, M.D.
    • Colin McCartney, M.D.
    • Jason McVicar, M.D.
    • Desiree Persaud, M.D.
    • Reva Ramlogan, M.D. (Director)
    • Patrick Wong, M.D. (lead: General Campus)
  • Participating hospitals:
    • The Ottawa Hospital Civic Campus
    • The Ottawa Hospital Riverside Campus
    • The Ottawa Hospital General Campus

This is a clinically focused Fellowship within a fully staffed and equipped dedicated block room that performs over 2000 preoperative regional blocks per year. Ultrasound guidance is standard for all upper and lower extremity blocks. Both single injection and catheter techniques are expected competencies following completion of the Fellowship. Sixty percent of Fellowship time (3 days per week) is dedicated to regional anesthesia practice (clinical 2 days, research 1 day), with the remaining 2 clinical Operating Room days distributed throughout the scope of practice at our full-service adult tertiary care trauma centre.

  • Start dates January and July (2 Fellows each start date)
  • Acceptance ~16 months in advance
  • Annual Salary: $100,000 CDN (plus 4 weeks vacation and 1 week conference leave).
  • Special Requirements: FRCPC, FRCA, FANZCA, or equivalent
Via Website:  http://www.anesthesia.utoronto.ca/edu/fellowship/offered/smhultra.htm
  • Specialty:Acute Pain/Regional Anesthesia
  • Duration:12 months
  • Start Year:
  • Positions:4
  • Deadline: Accepted until position is filled
  • Salary: CDN $100,000
  • Contact Person: Ahmed Hamdy, MBBCh Department of Anesthesia
  • Email: HamdyA@smh.ca
  • Phone: 416.864.5071
  • Facility:
  • Address:
  • Ahmed Hamdy, MBBCh, Department of Anesthesia, St. Michael's Hospital
  • 30 Bond Street
  • Toronto
  • Ontario, Canada M5B 1W8
  • Telephone: 416.864.5071
  • Website: http://www.anesthesia.utoronto.ca/edu/fellowship/offered/smhultra.htm
  • Director: Not provided
  • Other affiliated faculty:
  • Participating hospitals: