Cardiovascular Anesthesia and Critical Care Fellowship Program
The Cardiovascular Anesthesia and Critical Care (CV) Fellowship Program at the St. Michael’s Hospital Department of Anesthesia and Pain Medicine is a program designed to offer its trainees the opportunity to become a cardiovascular anesthesia specialist in an environment that encourages teamwork and growth.
St. Michael's Hospital is a tertiary care cardiac centre with a case load of around 1200 cardiopulmonary bypass surgeries per year, including valve and aortic surgeries. There is also a strong component of minimally invasive valve surgeries, including mini-mitral and transcatheter valves. Besides offering outstanding anesthesia management training for our trainees, our CV Fellowship program has a strong training focus in transesophageal echocardiography with a goal towards successful NBE certification.
The CV Anesthesia Fellowship Program is divided in three main rotations: operating room (cardiac and non-cardiac), Cardiovascular Intensive Care Unit (CVICU), and Transesophageal Echocardiography.
The OR rotation is seven months in duration. CV fellows will gain experience from a minimum of 50 per cent of cases in cardiac ORs, while the remainder will provide a broad-based experience in general anesthesia. Interest in other aspects such as trauma, quality improvement, education, research, etc. can be supported if desired.
Cardiovascular Intensive Care Unit (CVICU) and on-call
The CVICU rotation is a two-month block in addition to being on call in the CVICU through the fellowship. This anesthesia-based ICU will allow a broad experience on providing intensive care for cardiac patients. CV fellows do not take calls in the main OR, but emergency cardiac surgeries such as aortic dissections are an essential element of training so they are encouraged to take part in these when they present.
Transesophageal Echocardiogram (TEE)
The TEE rotation is three months in duration and represents a dedicated and protected period where the CV fellow will only perform and report TEEs. This will represent up to six full exams (pre- and post-CPB) per day as proficiency is gained and will fulfill the requirements for NBE certification. Fellows will receive TEE guidance and teaching from our CV anesthesiologists in the OR and also through weekly didactic echo rounds. Our department will also offer an echo textbook for each fellow to encourage self-directed learning.
The CV rounds are designed to review and discuss TTE/TEE cases, and will also include special relevant topics throughout the year. These rounds will occur weekly, usually Mondays at 4:30 p.m., and will represent protected educational time. Monthly CV Surgery morbidity & mortality rounds will supplement this education with multidisciplinary discussion of challenging cases.
All our fellows receive a competitive salary and extended health benefits.
- Start dates in January and July, but flexible upon discussion
- Total of six or seven positions per year
- Full-time program, with 12 months in duration.
Past trainee testimonials
“The cardiovascular anesthesia fellowship at St. Michael’s Hospital was a great experience. I could learn more about the anesthesia and post-operation management of patients who underwent a cardiac surgery. I also could learn and practice Transesophageal echocardiogram (TEE).” -- Dr. Carolina Barbosa, MD (2018-2019)
” I had the experience of being a CV anesthesia fellow at St. Mikes for 3 years. It was an amazing time and it really shaped how my career developed afterwards. The CV anesthesia fellowship had a really robust program of training and helped me to feel comfortable doing cardiac cases and performing TEE after I finished it.
I strongly recommend this program at St. Michael's Hospital.” -- Fabio de V Papa, MD, FASE
Applications will only be analyzed if proof of English proficiency is provided. Each hospital site of the University of Toronto can request different minimum scores or grant waivers at their discretion. Therefore, you must inquire the minimum score for each site if applying for multiple sites/programs. Review general guidelines for applying to Fellowship programs.
English proficiency requirements for St. Michael's Hospital Department of Anesthesia Fellowships
- If your medical school was taken in English but English is not the official language of your country, you must still provide proof of English proficiency.
- Minimum scores for English proficiency tests:
- Anesthesia Education and Simulation Fellowship:
- TOEFL-IBT minimum score of 100 (minimum 25 in each section) OR
- IELTS ACADEMIC minimum overall score of 7.5 or higher (minimum of 7.5 in each section)
- All Other Fellowship Programs:
- TOEFL-IBT minimum score of 93 (including a minimum score of 24 on the speaking section and minimum of 23 on all other sections) OR
- IELTS ACADEMIC minimum overall score > 7.0 (minimum score of 7.0 in each section)
- Anesthesia Education and Simulation Fellowship:
To apply online for this program, please select it from the link on the U of T Anesthesia Fellowships Offered page.
Director of the CV Fellowship Program
Han Kim, MD, FRCPC
Cardiocascular & Critical Care Fellowship Program Director| Department of Anesthesia, St. Michael's Hospital
Staff Physician | Department of Anesthesia, St. Michael's Hospital
Assistant Professor | Department of Anesthesia, University of Toronto
416. 864.5071 | Han.Kim@unityhealth.to
30 Bond St, 6th Floor Donnely Wing, Toronto, ON M5B 1W8