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Regional Anesthesia & Pain Management Fellowship Program

The Regional Anesthesia and Pain Management Fellowship at St. Michael’s Hospital is a clinically-focused fellowship that allows Fellows to develop a high level of proficiency across a wide range of peripheral and neuraxial nerve blockade techniques under the supervision of experienced staff anesthesiologists.

St. Michael's is home to a large dedicated regional room which is fully staffed five days per week and performs more than 3000 blocks per year. Fellows will gain exposure to single shot and catheter-based regional techniques using predominantly ultrasound guidance, and it is expected that Fellows will be fully competent using these techniques upon completion of the 12-month fellowship. Participation in the teaching and training of anesthesia residents is encouraged, and while this is primarily a clinical fellowship, research activities may be undertaken with approval of the Program Director.

In addition to spending two to three days per week in the regional room, Fellows will also work with the Acute Pain Service on a semi-regular basis. Any remaining days are spent in the operating room, where Fellows will be expected to provide anesthetic and perioperative care across the scope of practice (excluding cardiac) delivered at our full-service adult tertiary trauma centre.

Regional Fellows will also be included in the on-call roster and will be required to work nights, weekends and holidays on a rotation basis. We are proud to offer pre- and post-call time off for our fellows and limit the number of on-call to a monthly average of eight night and/or weekend calls, although the actual number is usually well below the limit.  All our Fellows receive a competitive salary and extended health benefits.

Additional information

Positions offered

  • three positions starting each July


  • Programs are 12 months in duration, full-time (five days per week).

English proficiency

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)


To apply online for this program, please select it from the link on the U of T Anesthesia Fellowships Offered page.

Director of the Regional Anesthesia Fellowship Program

Dr. Ahmed Hamdy, MD, FRCPC
Regional Anesthesia Fellowship Program Director| Department of Anesthesia, St. Michael's Hospital
Staff Physician | Department of Anesthesia, St. Michael's Hospital
Lecturer | Department of Anesthesia, University of Toronto
416. 864.5071 |
30 Bond St, 6th Floor Donnely Wing, Toronto, ON M5B 1W8