The Department of Critical Care Medicine at Sunnybrook Health Sciences Centre in Toronto, Ontario, Canada offers clinical and clinical/research fellowships in adult Critical Care Medicine. Candidates must be fluent in spoken and written English, and eligible for provincial licensure in Ontario and specialty certification in their country of origin. The fellowship involves provision of primary patient care for a total of 56 beds, and consulting care to a further 10 beds. There are no other areas in the hospital which admit intubated patients.
The department provides primary care for this 24-bed unit, which admits approximately 1200 patients annually from our trauma, medical and surgical populations. This group in cludes all ventilated patients from the largest trauma program in Canada.
The department provides primary care for this 14-bed unit, which admits approximately 1000 postoperative cardiac and major vascular surgery patients annually. The cardiac population includes 70% coronary revascularization, 25% valvular (including percutaneous and minimally invasive approaches), and 5% congenital. The vascular population includes open and endovascular thoracoabdominal aneurysm repairs. This unit also admits a substantial volume of cardiogenic shock patients after percutaneous coronary interventions.
The department provides primary care for this 10-bed unit, which admits approximately 750 neurosurgical, trauma and other surgical patients annually.
The department provides primary care for this 8-bed unit, which cares for approximately 50% acute medical or surgical admissions for deterioration, and 50% elective admissions after major surgery.
This 10-bed unit handles approximately 200 acute burn admissions annually, which is the largest adult volume in Canada. Critical Care physicians covering this unit provide daily consultant service on all critically ill patients.
Critical Care staff physicians (who all also hold appointments to the Departments of Anaesthesia, Medicine and/or Surgery) attend for a week at a time on these rotations. The fellow is an integral part of the team, and has the opportunity to assume a position of considerable responsibility. Fellows are involved in all levels of patient care, including primary assessment and management, procedural work, coordination of admissions and discharges, liaison with referring services, and external consultations. Through graded assignment of responsibility during the year, the fellow will optimally assume the role of a junior staff physician. Educational activities are a prominent feature of the fellowship. These include University of Toronto seminars, grand rounds, journal rounds, case discussions, problem-based learning sessions, and bedside teaching. Protected time for structured academic work or elective clinical rotations is often feasible. The in house on call schedule for clinical critical care is approximately 1 night in 4. Four weeks of leave are provided.
For further information or to apply, contact:
Dr. Cameron Guest
Department of Critical Care Medicine, D108
Sunnybrook Health Sciences Centre
2075 Bayview Avenue
Canada M4N 3M5
E-mail is preferred. Applications should include a CV, proposed duration of training and range of feasible start dates.