Fellowship Programs

Cardiac Anesthesia Fellowship

Hospital Site

Hamilton General Hospital

 

Fellowship Description

The Adult Cardiac Anesthesia Program at the Hamilton General Hospital provides exceptional and compassionate care in a large, tertiary academic centre. Affiliated with McMaster University, the department has one of the highest volumes of cardiac surgical cases in the country.

The one-year fellowship in Cardiac Anesthesia and Perioperative Transesophageal Echo is committed to providing the highest quality training for the future leaders and practitioners of cardiac anesthesia.

Our diverse program ensures fellows receive a broad clinical and educational experience in the operating room, CV-ICU, hybrid operating suites, and echocardiography labs.

On average, 1,700 cardiac cases are completed per year at the Hamilton General Hospital in the operating room with approximately 40% of these being valve cases.

 

Clinical Curriculum

 

Operating Rooms

Fellows will complete 3 to 4 days in the cardiovascular OR. It is the expectation that fellows are able to complete a minimum of 120 cases per year, including on and off pump CABG, valve repairs or replacement, minimally-invasive procedures, and other complex aortic repairs. Fellows are also expected to participate in procedures taking place in the heart investigation unit (HIU) including TAVR, Watchman procedure, and mitral clip procedure. Approximately 100 to 150 HIU procedures are managed every year.

Fellows will occasionally be assigned to elective lists in the electrophysiology (EP) lab, including pacemaker insertions, arrhythmia ablations, cardioversions, and other electrophysiological procedures that are considered complementary to their training.

 

Transesophageal Echocardiography

Fellows will spend approximately 30 days of dedicated time in the operating room completing TEE days during a 12-month fellowship. Training will be conducted mainly in the cardiac OR under the supervision of cardiac anesthesiologists. Additional elective time in the echocardiography lab can be arranged with cardiologists to complement operating room training. In the echocardiography lab, the fellow will perform and interpret exams under the supervision of cardiac faculty. This rotation will provide the fellow with a unique perspective on TEE exams that is very different from the OR environment and will allow exposure to basic TEE skills.

 

Cardiovascular ICU (ICU West)

The ICU West is a 17-bed unit that is managed by the department of Critical Care Medicine in conjunction with cardiac surgery and takes only patients who are admitted by the cardiac surgeons. Anesthesia fellows are expected to cover 2 to 4 weeks of weekday coverage (0800 to 1700). During this rotation, fellows will be engaged in the morning multidisciplinary rounds and participate in the workload as deemed necessary by the ICU coordinator. As part of a multidisciplinary team, the fellow will have the opportunity to manage postoperative bleeding, cardiac tamponade, cardiac arrhythmias, postoperative cardiac failure, infection, renal failure, stroke, and respiratory failure. In addition to the weekday coverage, there will also be a total of 3 to 5 shifts per month of evening and overnight ICU coverage. During these shifts, fellows will remain in-house and be under the supervision of the ICU staff. These calls will be distributed throughout the year.

 

Call Duties

Fellows will participate in regular call in the CV-ICU throughout the fellowship and are expected to be available as their schedule allows for emergency and interesting cases. This would include but not be limited to: tamponade, emergency CABG or valve cases, dissections, endocarditis, etc. If these cases occur late at night or early in the morning hours, the fellow would be relieved of clinical duties the following day.

 

Research

Research is encouraged within the fellowship program and, if necessary, delegated time can be made available at an average of one academic day per week throughout the year. Academic days can also be clustered to accommodate research projects and presentation preparation. There are ongoing trials in which they may participate or they may embark on their own individual research projects. Participation and presentation in academic conferences is encouraged.

 

Educational Curriculum

The training program has undertaken multiple endeavours to enhance the education of fellows through mandatory reading rounds. Weekly didactic lectures and TEE reading sessions will be offered that cover topics in cardiac anesthesia and TEE. Cardiac anesthesiologists will prepare those lectures in order to highlight challenging and unique cases.

Echo rounds, which are accredited by the Royal College, occur on a monthly basis with a rotating and comprehensive curriculum. Fellows will be expected to research and present one cardiac anesthesia topic of their choice to the fellows and staff at our monthly rounds.

Fellows are also encouraged to attend and participate in all other department and interdisciplinary rounds. These include: TEE rounds, combined cardiac surgery, ICU, perfusion and anesthesia rounds, and departmental weekly rounds.

 

Duration

One academic year: July 1 to June 30 (includes 20 vacation days and 10 conference days)

 

Qualifications

FRCA or equivalence; or FRCPC or eligibility; or completed specialist training with MCCEE or equivalence

 

Application

There are two cardiac anesthesia fellowship positions available

To access the application form, click here

For additional information on application requirements for fellowship programs at McMaster University, please click here

Download our brochure here Cardiac Anesthesia Fellowship

 

PLEASE NOTE: Applications for Fellowship are now closed for the 2018/2019 year.

Please submit completed applications for the 2019/2020 academic year to McMaster Postgrad Admissions - applications are accepted until August 31, 2018.

If you have any inquiries about the application, please email anesadm@mcmaster.ca

 

Program Director

 

Dr. Nayer Youssef, Director, Cardiac Anesthesia Fellowship Program

Hamilton General Hospital

Department of Anesthesia, Third Floor

237 Barton Street East

Hamilton, Ontario

L8L 2X2

Email: youssef@hhsc.ca

Pain / Anesthesia Fellowship

Hospital Site

Hamilton Health Sciences Corporation, McMaster University

 

Hospital Information

Approximately 500 chronic pain patients per month, 10 to 20 cancer visits per month, 120 acute pain inpatients per month.

Acute pediatric experience available.

Services directly available in the program include: Psychology, Nursing, Physical Medicine, Rehabilitation Medicine, Psychiatry, Exercise Physiology, and Vocational Rehabilitation (Ethics). Ongoing research studies in acute and chronic pain.

 

Duration

12 months or more

 

Qualifications

FRCA or equivalence; or FRCPC or eligibility; or completed specialist anesthesia training with MCCEE or equivalence

 

Additional Requirements

Individuals with specific goals/interests would do well to begin discussion well in advance to permit adequate planning. Salary negotiable.

 

Application

To access the application form, click here

For additional information on application requirements for fellowship programs at McMaster University, please click here

 

PLEASE NOTE: Applications for Fellowship are now closed for the 2018/2019 year.

Please submit completed applications for the 2019/2020 academic year to McMaster Postgrad Admissions - applications are accepted until August 31, 2018.

If you have any inquiries about the application, please email anesadm@mcmaster.ca

 

Program Director

Dr. Sean Curran, Director, Pain Fellowship Program

St. Joseph's Healthcare Hamilton, Department of Anesthesia

50 Charlton Avenue

Hamilton, Ontario

L8N 4A6

Pediatric Anesthesia Fellowship

Hospital Site

McMaster Children's Hospital, McMaster University

 
Hospital Information

154 acute beds with 40 subspecialty clinics and one of the largest NICUS in Canada. Has 180,000 annual visits to the hospital.

8 Operating Rooms with additional anesthesia services provided for Diagnostic Imaging, GI, Interventional Radiology, Radiotherapy, Oncology, and Neurology.

Surgical disciplines serviced include ENT, Urology, Opthamology, Neurosurgery, Orthopedics, Maxillo-Facial, Dental, Plastics, and General Surgery. Cardiac Surgery and Organ Transplantation are not done at this site.

Significant neonatal surgical volume.

Active Acute Pediatric Pain Service and Pediatric Simulation Program.

Rotations through NICU and PICU are also offered.

 

Duration

12 months or more

 

Qualifications

FRCA or equivalence; or FRCPC or eligibility; or completed specialist anesthesia training with MCCEE or equivalence.

 

Additional Requirements

Individuals with specific goals/interests would do well to begin discussion well in advance to permit adequate planning. Salary negotiable.

 

Application

To access the application form, click here

For additional information on application requirements for fellowship programs at McMaster University, please click here

 

PLEASE NOTE: Applications for Fellowship are now closed for the 2018/2019 year.

Please submit completed applications for the 2019/2020 academic year to McMaster Postgrad Admissions - applications are accepted until August 31, 2018.

If you have any inquiries about the application, please email anesadm@mcmaster.ca

 

Program Director

Dr. Desigen Reddy, Director, Pediatric Anesthesia Fellowship Program

McMaster University Medical Centre, Department of Anesthesia

1280 Main Street West

Hamilton, Ontario

L8S 4K1

Email: reddyd@hhsc.ca

Obstetrical Anesthesia Fellowship

Hospital Site

McMaster University Medical Centre

 

Hospital Description

The McMaster University Medical Centre (MUMC) plays a major role in the provision of healthcare services for Hamilton and the surrounding area of central-west Ontario. MUMC is home to Adult Day Clinics (Medical and Surgical), McMaster Children's Hospital, and the Women's Reproductive Health and Newborn Care Program.

The Women's Health Centre is located within the McMaster University Medical Centre (MUMC), working in affiliation with McMaster University in the beautiful and diverse city of Hamilton, Ontario. MUMC is an obstetrical and pediatric tertiary care hospital with a high percentage of pregnant patients classified as high-risk, with approximately 3,200 deliveries per year. With specialists in obstetrics, maternal fetal medicine, neonatology, and facilities to care for complex, high-risk cases, the centre also provides pregnancy, child-birth, and newborn care with midwives and obstetricians for uncomplicated, home-like births and newborn care.

 

Fellowship Description

The one-year fellowship in Obstetrical Anesthesia is committed to providing a healthy, safe, and innovative learning environment where our fellows can acquire outstanding clinical, academic, and leadership skills to not only provide world-class leadership skills to not only provide world class anesthesia care to low and high-risk obstetrical patients but to become leaders and champions of the obstetrical anesthesia subspecialty.

The fellowship program ensures fellows will receive a broad clinical and educational experience in the Labour and Delivery (L&D) Suite, Women's ICU, and Maternal and Fetal Medicine Clinics and Wards.

 

Clinical Objectives

By the end of the fellowship, the fellow should be able to demonstrate proficiency, beyond the level of a non-obstetrical anesthesiologist, in providing anesthesia care to pregnant women, particularly those with complicated medical and obstetrical conditions, for all types of obstetrical, surgical, therapeutic, and diagnostic interventions. Fellows will also be expected to perform resuscitation, pain management, and critical care specific to pregnant women, as well as act as a consultant to other anesthesiologists, obstetricians, midwives, pediatricians, nurses, and critical care physicians. Demonstration of clear and effective communication during obstetrical emergency and non-emergency situations is also expected. The fellow should be able to work cooperatively with medical, nursing, and support staff in the obstetrical unit, the hospital, and the community. Fellows should also be capable of demonstrating and teaching neuraxial anesthesia with the assistance of ultrasound of the lumbar spine. Lastly, through this fellowship, fellows will develop the administrative skills necessary to manage and prioritize day-to-day patient care in an obstetrical environment.

The Labour and Delivery Suite (L&D) floor has state-of-the-art rooms for high and low risk pregnancies, two operating rooms dedicated for elective and emergency surgical deliveries, and close proximity with the women's ICU and Post-Delivery wards. Complex management cases such as ex-utero intrapartum treatment (EXIT) procedures or management of placenta percreta deliveries take place in the main Operating Room of the hospital.

The fellow will work an average of two (supervised) days per week in the L&D floor and the OB clinics, two days per week in the operating room (unsupervised work), and one day dedicated to academic projects (research or quality improvement projects).

The fellow will also be part of our multidisciplinary team and help in the optimization of high-risk patients in Maternal-Fetal Medicine, OB Medicine, and OB Cardiac Clinics.

 

Call Duties

The fellow will have an average of two 24h weekend calls in L&D per month.

 

Educational Objectives

Monthly didactic lectures, group discussions, and article reading sessions will cover topics in obstetrical anesthesia. These lectures and discussions will be researched, prepared, and presented or moderated by an obstetric anesthesia faculty member, the fellow, or in combination.

Every year the fellow is expected to participate in our McMaster Ultrasound of the Lumbar Spine Workshop as an instructor or as a participant who assists with the workshop.

Fellows are also encouraged to attend and participate in all other hospital and interdisciplinary rounds. These include: Anesthesia, CityWide Rounds, Obstetric, Maternal-Fetal Medicine (MFM) and OB Medicine Rounds, Neonatal Rounds, and Complex Care Meetings.

By the end of the fellowship, the fellow will have developed effective teaching skills. This includes multidisciplinary bedside clinical teaching to residents and medical students, as well as formal simulation teaching sessions, as a learner and as a debriefer, in participating obstetrical anesthesia-related scenarios and debriefing sessions. The fellow will also promote and assist in the promotion of continuous cutting-edge education pertinent to the care of low and high-risk obstetrical anesthesia patients.

 

Research Objectives

The fellowship's goal is to help design and complete at least one clinical research or quality improvement project with appropriate supervision and mentorship. The fellow will be strongly encouraged to present to project's results or preliminary results at the SOAP (Society of Obstetrical Anesthesia and Perinatology) meeting conference in May and prepare a manuscript for peer-reviewed publication.

If research is the chosen activity, the fellow should attend the department's monthly research meetings (second Tuesday of every month at 4:00 p.m.). The fellow is also expected to design and complete at least one clinical research or quality improvement project with appropriate supervision and mentorship.

The fellow will complete a Research or Quality Improvement Project by the end of the academic year. The fellow is encouraged to attend monthly departmental research meetings to keep track of the project(s). The results or partial results of the project will be presented at the SOAP meeting. The process will have close supervision and access to all departmental resources (online courses, research coordinators, statisticians, grant writing, etc.) for its success. Our department runs a regular online Rapid Sequence Health Research Methodology course which consists of 15 modules that cover the basics of clinical research design, analysis, and study reporting, and the fellow is free to take this course to jump start their project.

 

Application

To access the application form, click here

For additional information on more fellowship programs at McMaster University, please click here

 

PLEASE NOTE: Applications for Fellowship are now closed for the 2018/2019 academic year.

Please submit completed application to McMaster Postgrad Admissions - applications are accepted until August 31, 2018.

If you have any inquiries about the application, please email anesadm@mcmaster.ca

 

Program Director

Dr. Bruno Borges, Director, Obstetric Anesthesia Fellowship Program

McMaster University Medical Centre, Department of Anesthesia

1280 Main Street West

Hamilton, Ontario

L8S 4K1

Email: borgesb@hhsc.ca