Location, Duration and Prerequisites
Location: St. Paul's Hospital, Downtown Vancouver, BC, Canada
Prerequisites: FRCPC eligible or certified at the time of application. Equivalent certifications (FRCA, FANZCA, ABA etc) will be considered on a case by case basis.
Training Site & the Role of the Perioperative Anesthesiology Fellow
St. Paul’s Hospital is a busy quaternary care urban hospital located centrally in downtown Vancouver, BC, Canada.
Our surgical caseload includes all major surgical specialties with the exception of Neurosurgery, Trauma and Thoracic Surgery.
Our particular areas of expertise are:
Complex cardiac care (including obstetrical cardiac and adult congenital heart disease patients)
High risk obstetrical patients
Complex acute and chronic pain
Swing room model
Ambulatory home catheter program
Patients facing homelessness, mental health issues and/or substance use disorders
St. Paul’s Hospital and our Perioperative Anesthesiology Team are committed to the advancement of perioperative medicine.
Since 2010, St. Paul’s Department of Anesthesia has held a dedicated Perioperative Anesthesiologist position. In 2017, our Perioperative Anesthesia fellowship was created.
The Perioperative Anesthesiologist is involved with the patients care pre-operatively, intra-operatively, and post-operatively.
The Perioperative Anesthesiologist manages a 4-6 bed high-acuity unit (HAU) which is a critical-care area providing one-to-two nursing care to complex surgical patients as well as the post anesthetic recovery room (PACU).
The cardiac surgical intensive care unit (CSICU) is an anesthesia run unit that cares for the entire spectrum of complex cardiac surgical patients, including:
cardiac transplant recipients
patients requiring ventricular assist devices
patients needing extra-corporeal membrane oxygenation (ECMO) support
Most of our Anesthesiologists practice within the perioperative medicine group and bring a diverse fellowship background including:
Ultrasound-guided regional anesthesia
Cardiac anesthesia and critical care
NBE-certified transesophageal echocardiography
Acute and chronic pain management
Perioperative Brain Health (stroke, delirium, cognition)
Renumeration, Call/OR Requirements & Research
This is a 12-month fellowship and includes 4 weeks of holiday.
Annual salary is $96,000 CAD.
Funding to attend a national or international anesthesia conference is provided.
Fellows pursuing advanced training in POCUS or other perioperative medicine related skills may seek financial support from the department on an individual basis.
There is a weekly academic day provided for research purposes and other academic pursuits (required).
An average of 1.5 days per week in the operating room over the course of the 12 month fellowship is mandatory and assures fellows maintain intra-operative anesthesia skills.
There is limited on-call required during this fellowship.
Learning Opportunities & Time Commitments
The Perioperative Medicine fellow will have a total of 13 blocks to rotate through consisting of core blocks and electives with a longitudinal perioperative medicine rotation.
When on perioperative medicine the fellow will be first call and in charge of the HAU, PACU and urgent anesthetic consults.
There will be a strong focus on attainment of ultrasound skills for POCUS and opportunities to expand ultrasound-guided regional anesthesia skills are also provided.
In addition, the Perioperative Medicine Fellow will be able to understand the various risk assessment scores for patients undergoing non-cardiac surgery and actively risk-stratify all non-cardiac elective surgical patients.
The perioperative medicine fellowship will include the following core rotations:
Complex cardiac care (cardiac surgery and CSICU)
Internal medicine perioperative care team
Electives may include rotations in:
Hemodynamic assessment service (POCUS)
Off-site learning opportunities including perioperative vascular medicine.
High-fidelity simulation and interdisciplinary medial education are key aspects of the Fellowship.
How to Apply?
Interested applicants can submit their curriculum vitae and a cover letter to:
Dr. Su-Yin MacDonell
Perioperative Medicine Fellowship Director
c/o Charlene Perry
Dept. of Anesthesia
St. Paul’s Hospital Providence Health Care
1081 Burrard Street
Vancouver BC, Canada, V6Z 1Y6
Ph: (604) 806-8337
(electronic submission are preferred)