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.
Schulich School of Medicine
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.
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 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.
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.
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:
- 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
- 1151 Richmond St.
- 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:
- Apply Here