Applicants to the Clinician Scientist Program (CIP) are applying to the anesthesia residency program with the addition of the CIP training. The same clinical training process applies, but it is a 6 year program with 2 of the 6 years of training being devoted to the Clinician Scientist Program.
For more details, please visit our department website.
Applicants who wish to be considered for the Anesthesia Residency Program should they not be successful to the CIP match MUST ALSO apply to the CMG stream.
CIP trainees are enrolled as Anesthesia residents in the Postgraduate Medical Education Program at the University of Toronto. In addition, they must apply and be enrolled full-time in a Graduate Unit for a minimum of two years. Graduate Units that have participated in the program include: Institute of Medical Science, Institute of Health Policy, Management and Evaluation, Public Health, Education, Laboratory Medicine and Pathobiology, Medical Biophysics, Institute of Biomaterials and Biomedical Engineering and Physiology. Other Graduate Units not listed here are also considered, these are examples only. If pursuing a non-thesis degree (i.e. M.Ed) during their CIP training, the candidates must submit a letter from their potential School of Graduate Studies-qualified supervisor attesting that they will be taking full responsibility for the trainee to receive a well-structured research experience. Applicants must contact the CIP office before applying.
CIP trainees who do not hold a graduate degree will enrol in a graduate program leading to a M.Sc. or Ph.D. degree at the University of Toronto and must fulfill admission requirements of the participating graduate unit. Applicants are reviewed by both the Graduate Admissions Committee of the respective graduate unit and the CIP Committee.
Trainees who have already completed a Ph.D. degree are encouraged to apply and, if accepted, will enter the CIP as a postdoctoral fellow. For such individuals, the CIP will provide an opportunity to integrate research and clinical care to add to their previous research experience in an appropriate mentoring environment. These individuals must still fulfil the requirements of the CIP program.
Please note the following information:
The Royal College of Physicians and Surgeons of Canada: Applying competency-based practices to residency education
To contribute to the success of Canadian physicians and the delivery of high-quality patient care, the Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competency-based medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative, called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process.
CBD will use time as a framework rather than the main basis for progression. It is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages, and each stage will have a series of milestones based on required competencies. These milestones will create more targeted learning outcomes and involve more frequent, formative assessments within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need.
Anesthesiology programs in Canada have adopted CBD in July 2017. Thus, residents entering Anesthesiology will experience CBD-based learning and assessment.
All programs implementing CBD will continue to undergo the same rigorous accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees in both CBD and traditional programs will include the completion of a Royal College examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones (documented within an electronic portfolio) and the Royal College examination must be successfully completed to achieve certification.
For more information, please contact email@example.com.
"CBD at UofT"
The University of Toronto, Department of Anesthesia Residency Program, implemented a complete CBD curriculum July 2017. The program is in full alignment with the Royal College of Physicians and Surgeons of Canada. The program has highly functioning CBD development and Competence Committees. Resident representation is present at all planning and implementation committees.
The program has implemented a full set of competence-based assessment tools and criteria for current trainees. This includes stage appropriate Entrustable Professional Activities and other workplace-based assessments. All residents receive detailed orientation and ongoing information sessions regarding CBD process and expectations. Each resident is reviewed at least twice per year by our very committed Anesthesia Resident Competence Committee. These reviews are completed and forwarded to each resident for feedback regarding their individual performance and progress. Individual detailed reports and academic support is provided to each resident regularly. Each resident is also paired with an Academic Coach and residents can meet with them as often as they wish to discuss their learning trajectory and receive advice and support regarding academic progress. Additionally, the program has developed assessment maps and training requirement documents to guide each resident in managing the CBD requirements.
In order to ensure that CBD implementation improves trainee learning and feedback, the program has initiated robust faculty development with an emphasis on data analytics and the creation of a Competence Committee rooted in best practices. The program has also taken the lead in developing Assessment Dashboards detailing the data collected from daily assessments. These dashboards are highly customizable and allow the residents to view their progress throughout training, including many contextual variables and assessment metrics.
We are very committed to working with the Royal College of Physicians and Surgeons as the national initiative of CBD implementation continues across all disciplines. We will continue to improve our own program and make any necessary changes to align with or exceed national standards and expectation.
Program application language: English
Thank you for your interest in our program!
The University of Toronto, Department of Anesthesia is a clinical and academic center of excellence which provides an exceptional opportunity for residency training. As a department which promotes and values respect and diversity, we are committed to training for excellence in a robust and supportive environment. Our program seeks to foster an academic and clinical environment which supports excellence across the educational spectrum including clinical excellence, social accountability, and intellectual inquiry. Accordingly, we are looking for highly motivated and committed candidates who are eager to take advantage of all opportunities the program has to offer. Strong CanMEDS competences, leadership skills, and high professional standards are key attributes we seek in our applicants.
We look forward to you getting to know us.
CaRMS Meets & Greets 2021-2022
The Program Director, Associate Program Director and Co-Chief Residents will lead the information sessions followed by breakout room sessions with current residents. CMG applicants are encouraged to attend both the November 30th and January 25th session, and IMG applicants are encouraged to attend all 3 sessions
Please register using the following link to receive further details on these virtual sessions: CaRMS Info Sessions – Registration
Looking forward in meeting you at one of our Meet & Greets!
Visit our website @UofT - Anesthesiology and Pain Medicine
Follow us on Twitter @UofTAnesthesia #relentlessinnovation #torontoanesthesia
Follow us on Instagram @TorontoAnesthesia
Join our CaRMS Facebook group @Anesthesia CaRMS Facebook Group
Proof of valid current citizenship or permanent resident status must be provided by submitting one of the following verifications to CaRMS by the File Review Opening deadline. Failure to provide valid proof will result in your application being removed. No other forms of verification are acceptable:
CaRMS is partnering with third-party organizations to automate the verification of citizenship/legal status required by postgraduate offices for entry into residency. Third-party verification simplifies the process for applicants and programs. All applicants who do not receive third-party citizenship verification will be required to upload and assign an acceptable proof of citizenship document. Please see additional information here.
All candidates require referees to submit 3 Letters of Reference directly to CaRMS. If possible one or more reference letters from an Anesthesiologist is helpful but not required.
Order from your RegistrarMedical Student Performance Record
Order from your RegistrarPersonal Letter
Total Maximum Word Count for Letter 1: 1500 (no minimum requirement)
Custom Résumé / CV
A Custom Resume or Curriculum Vitae is required. This will be used as part of the file review process to assess academic potential. As such, please highlight personal, professional or academic achievements, leadership positions, volunteerism, examples of global citizenship and teaching experience should be highlighted. A very brief description of the activity, your commitment and personal involvement, and the impact (impact to you personally/professionally and/or the impact you made) would be very helpful to the reviewers. We would also be interested in seeing your extracurricular interests and achievements.
NOTE: If you have had academic difficulty, repeat years or gaps in training/education or work history, please indicate so on your CV and/or add an addendum to your CV to explain
Description of research interests
Total Maximum Word Count for Letter: 1000 (no minimum requirement)
Applications submitted after file review has opened on January 31, 2022
Supporting documents (excluding letters of reference) that arrive after file review has opened on January 31, 2022
Letters of reference that arrive after the unmasking date on January 31, 2022
Our review process is highly standardized and follows the University of Toronto's PGME published Best Practices In Application and Selection (BPAS). Our program strives for a fair and unbiased process with specific attention to equity and diversity. All files are reviewed by a minimum of 4 independent reviewers in accordance with pre-set standardized criteria and scoring rubrics and all available information is considered. All acceptable CIP candidates are interviewed.
The interview process and scoring are likewise standardized. The interviews for the CIP program are two stages. The first is identical to and follows the same process as the CMG stream to determine suitability to the anesthesia residency training program itself. The second is an additional CIP interview. The selection process involves current residents in all aspects of the process including file review, interviews, and Selection Committee.
The Anesthesia Program follows the University of Toronto Best Practices in Application and Selection (BPAS). Our program seeks to foster an academic and clinical environment that supports excellence across the educational spectrum including clinical excellence, social accountability, and intellectual inquiry. Accordingly, we are looking for academically driven candidates who are eager to take advantage of all opportunities the program has to offer. Strong CanMEDS competencies and high professional standards are also key attributes we seek in our applicants.
Applicants providing evidence of strong clinical and academic potential in the CaRMs application file will be prioritized for further consideration. This would include academic or personal achievement (e.g. awards, innovative scholarship, advanced personal or professional training, research, publications), evidence of leadership capacity and experience (e.g. leadership roles, active and impactful committee memberships), volunteerism and social commitment, and/or teaching excellence.
Personal letters answering the specific program questions (see "additional information" section) and reference letters will also be assessed and will contribute directly to the file application assessment. Successful candidates will be able to demonstrate strong CanMEDs competencies and suitability to anesthesia with cognitive and technical skills relevant to the specialty. Demonstration of strong motivation, integrity, and professionalism is important. Excellent communication skills are required.
Candidates will be ranked based on the scores of their application (50%) and interview (50%). The Selection Committee reserves the right to adjust final rankings by consensus to address issues of program priority and diversity.
The program strives to assess each component of the application (application file documents and interview performance) separately and independently, on its own merits. One set of interviewers will have access to candidate application material for the purpose of asking specific questions related to the individual candidate. They will not, however, have access to the file assessment or ranking scores. All application materials will be reviewed and scored in the separate process to the interview.
In summary, candidates will be selected based on separate and independent assessments of:
1. A complete file review:
2. Impression at interview
Note, the program does NOT include extraneous information in its selection process such as unsubstantiated anonymous information. Any other relevant information pertaining to an applicant outside the application and interview process would be considered by the Program Director and Department Chair before being presented to the full Selection Committee.
Our program strives to train our residents to achieve clinical excellence and the ability to deliver preeminent perioperative patient care through continued vigilance, innovation, and scholarship.
The following values guide our training program and reflect the values of our university faculty and training institutions:
The skills and attributes we look for in an applicant include:
Our program seeks to foster an academic and clinical environment which supports excellence across the educational spectrum including clinical excellence, social accountability, and intellectual inquiry. Accordingly, we are looking for academically driven candidates who are eager to take advantage of all opportunities the program has to offer. Strong CanMEDS competences and high professional standards are key attributes we seek in our applicants.
Review team composition : The file reviews are conducted by a team of faculty and staff. Each file will have at least 4 reviewers, at least one of which is a resident. Each component of the file review is assessed separately and by multiple reviewers.
Average number of applications received by our program in the last five years : 51 - 200
Average percentage of applicants offered interviews : 51 - 75 %
|CV||The CV should briefly describe the entries, including the applicant's role and impact.|
|Electives||Electives are not evaluated. We recognize that the COVID-19 pandemic has impacted candidates’ opportunities to arrange and complete electives and would like to reassure you that a lack of elective activity this year will not negatively impact your application to our program.|
|Examinations||We do not evaluate this file component.|
|Extra-curricular||Activities demonstrating depth of character, commitment or personal accomplishment are duly noted.|
|Leadership skills||Highly valued.|
|MSPRs||Will be reviewed as evidence for academic achievement.|
|Personal letters||Required and reviewed. These should answer the outlined questions (see additional documents).|
|Reference documents||Required and reviewed.|
|Research/Publications||Required and reviewed.|
|Transcripts||Required and reviewed.|
Due to COVID-19, we do not expect that all applicants will have been able to complete an elective rotation in Toronto. There will be no bias against these applicants. We also appreciate that many truly interested applicants will not have encountered anesthesia until late in their medical education.
Interview format :
We may accommodate requests to re-schedule interviews for applicants due to weather, technology failure, or unforeseen circumstances.
|Interest in the discipline||Evaluated.|
|Interest in the program||Evaluated.|
The Clinician Investigator Program in Anesthesia at the University of Toronto
The Department of Anesthesia at the University of Toronto is the largest Anesthesia program in Canada and likely the most prolific for research and education. The opportunities for discovery and innovation within our Department abound. The Clinician Investigator Program (CIP) provides a unique opportunity to applicants who are interested in pursuing a career as a clinician scientist, combining medical practice and research.
For additional information, please see the website of the Clinician Investigator Program at the University of Toronto at CIPToronto and from the Special Program Training Requirements for the Clinician Investigator Program published by the Royal College of Physicians and Surgeons of Canada here.
The University of Toronto Clinician Investigator Program (CIP) is an accredited Postgraduate Training Program of the Royal College of Physicians and Surgeons of Canada. It was the first fully accredited program in Canada and it is now the largest, with approximately 100 trainees enrolled. The Department of Anesthesia CIP graduates have contributed immensely to the advancement of our specialty and they now have faculty appointment at the University of Toronto or other large research-oriented universities in Canada.
The goals of the Anesthesia Clinician Investigator Program are:
1) to support research training for anesthesia residents enrolled in a graduate degree program;
2) to provide a postdoctoral research experience for anesthesia residents who already hold a doctoral degree
Duration of the CIP Training
To achieve these goals and receive the Attestation of Completion of the Clinician Investigator Program, a minimum of 2 years of continuous, intensive research training must be undertaken. During the 2 years of research, the majority of time (at least 80%) must be devoted to research, but some time may be spent in clinical activities (i.e the equivalent of 1 day per week).
Up to one of the research years may also be credited to fulfil the Royal College accredited clinical program requirements with joint approval of the faculty CIP director and the program director. Therefore, the CIP will extend anesthesia residency training by only one year, to a total of minimum 6 years. Additional research training in all CIP pathways can be extended to allow completion of a PhD or other research experiences and will further extend training.
CIP Training Streams
The Anesthesia Clinician Investigator Program is offered in two training streams:
Funding for CIP Training
Successful candidates will have the salary and tuition covered for 2 years of research. There are various sources of funding and once enrolled in the program, residents will be mentored and guided to find the best funding strategy for training.
The CIP trainees are encouraged to apply for external salary awards and grants to support their research training and enrich their portfolio.
CIP Entry Pathways
There are 2 entry pathways into the CIP:
All residents who are accepted in the CIP stream have a position secured in the regular training program.
Clinical training in the CIP is the same as the CMG program, except there are 4 years for clinical training.
The University of Toronto offers a comprehensive program in Anesthesia, which is fully accredited by the Royal College of Physicians and Surgeons of Canada. Over 350 staff anesthesiologists at multiple sites are involved in resident education. These sites include: The Hospital for Sick Children; Mount Sinai Hospital; St. Michael's Hospital; Sunnybrook Health Sciences Centre, at both the Sunnybrook and Holland Centre campuses; Michael Garron Hospital; St. Joseph's Health Science Centre; The University Health Network at both the Toronto General and Toronto Western Hospitals; North York General Hospital and Women’s College Hospital. Each of these hospitals has a particular clinical focus and specific training opportunities which allows the program to offer residents training in all areas of Anesthetic practice.
The variety of clinical opportunities and experiences that our residents encounter while in our training program is unparalleled. All subspecialties of anesthesia are offered in Toronto; our residents have the opportunity to obtain training in ALL areas of anesthesia practice during their residency. For example, residents experience Obstetrical Anesthesia longitudinally throughout their training and also have a full protected block in high-risk quaternary-care Obstetrical Anesthesia.
Other unique opportunities and strengths of our program include:
Simulation: There are multiple high fidelity Anesthesia Simulation Centers in the Department, and a Surgical Skills Center . These centres are used for the clinical training and education of anesthesia residents and multidisciplinary teams particularly in the areas of technical skills, critical event training and crisis resource management. Residents participate in simulator sessions throughout residency. In addition, senior residents are involved in the supervision and teaching of medical students in the simulator at our Sunnybrook site. We have also expanded the use of simulation in other areas including advanced airway management, vascular access and regional anesthesia. In addition, each hospital has simulation opportunities for residents during rotations resulting in a robust longitudinal simulation curriculum. For example, Toronto General Hospital has weekly simulation sessions during morning teaching. Virtual reality simulation is currently being pioneered at Sunnybrook Health Sciences, where residents wear a VR headset and run through simulation scenarios in the OR during morning teaching.
Regional anesthesia: This has become a major focus at a number of sites in the Department of Anesthesia at the University of Toronto. All residents have the opportunity to train in regional anesthesia longitudinally and also complete block rotations specific to regional anesthesia education and experience. This includes e-learning, simulation training and academic sessions all devoted to the acquisition of regional anesthesia skills. Many opportunities also exist for research in this field - particularly in the area of ultrasound-guided blocks – many commonly performed blocks have been pioneered by Anesthesiologists at UofT.
POCUS: All residents participate in a longitudinal Point of Care Ultrasound (POCUS) training curriculum. This includes full-day bootcamps, and a dedicated POCUS block rotation focused on the acquisition of competencied in cardiac, lung, FAST, airway, and gastric imaging. There are also academic sessions throughout the year devoted to POCUS. Residents have access to a spectrum of POCUS resources including trained faculty, US machines, TEE simulators and on-line materials e.g. http://pie.med.utoronto.ca/
Academic Curriculum: Our program boasts a very robust Academic Curriculum including morning teaching at all sites and protected academic half-days. Protected academic time includes teaching sessions as well as protected time for wellness, mentorship, and individual or group study dedicated to developing CanMEDS competencies. In addition, we have a Resident Education Day in November organized by the Departmental Chief Residents focusing on a specific theme. This year, the focus of our Education Day was Dismantling Dominant Ideologies in Medicine: Equity, Diversity, and Inclusion for Patient Advocacy. An important aspect of our academic curriculum is that it is heavily resident driven and there is strong resident input in refining the curriculum each year.
The final year academic curriculum is devoted to the "Senior Revision Tutorial". The focus of these tutorials is a detailed academic review and the development of consultancy level judgement and critical thinking skills. Through this rigorous program, our residents are very well prepared for the Royal College Examinations and independent practice. Overall, our residents receive one half-day to one full day per week of protected academic time, including independent study time starting 6-months prior to the Royal College Written Examination.
Research and Scholarship: The Department of Anesthesia at the University of Toronto is the largest and most productive academic anesthesia department in Canada. There is a very large, productive research community involved in both laboratory and clinical research. A number of internationally recognized researchers work with our department. All residents are have the opportunity to participate in research during their residency. Residents are actively involved in our annual Shield's Day which showcases trainee research.
As well, we support a Clinician Investigator Program which provides a unique opportunity to applicants who are interested in pursuing a career as a clinician scientist. This is a two-year program which incorporates a centralized curriculum geared toward preparing candidates to become independent clinician scientists and the opportunity to become involved in research as part of a Masters or PhD program. Salary and tuition support is available for successful candidates. See "Anesthesia Clinician Investigator Program" CaRMS site for more information.
In addition to research opportunities, our residents have a plethora of opportunities for scholarship. This includes QI/QA projects, development of patient safety initiatives, involvement in medical education (including simulation, creation of educational curriculum and e-modules), and teaching development. Some residents have even completed graduate degrees and certificates during residency.
Please visit our website for further information.
In addition to the robust and exciting clinical and academic opportunities, our residents are supported in many additional ways:
Resident Leadership: As a resident-driven program, residents are encouraged to be involved in the development and governance of the program. Residents from each year are active members of the program committees (Residency Program Committee, Applicant Selection Committee, etc.). Selected residents are also involved in Postgraduate Medical Education and Professional Association of Residents of Ontario. There are Chief Residents at each training site as well as Departmental Chief Resident(s) who serve as resident program leaders. They facilitate two-way flow of information and ideas, especially in the context of program reorganization and change. Our residents are represented as true stakeholders in the program. The opinions and feedback of our residents is essential and ensures trainee involvement in the design and implementation of any changes.
Mentorship: Our residency program endeavours to provide mentorship in residency training by structuring a mentorship program that is aimed to enhance personal and professional development, and to provide guidance to all residents . Our program has always had an open door policy for the residents to informally seek advice and support from faculty including Site Coordinators and the Program Director. In addition, residents entering into the program are assigned to a formal Mentorship Group and are paired with a Near-Peer mentor for additional support.
Academic Support: In addition to the academic support of the individual Site-Coordinators and the Program Director, every resident entering our program will be paired with an Academic Coach. This faculty member helps residents in defining their learning objectives, following their learning plans to completion, all while providing encouragement, motivation, and one-to-one dialogue.
Resident Wellness: Our program has a Wellness Committee with a Faculty Lead and Resident Leads. The Resident Wellness Committee is responsible for providing vision and leadership in relation to resident wellness initiatives. The program also works closely with the University's PGME Resident Wellness Office to support our residents’ individual needs.
Social Committee: Part of resident life includes socialization and social events. Our resident Social Committee helps to organize events to maintain collegiality and help foster socialization amongst residents and faculty. An excellent example is our annual Sports Day and BBQ where residents and staff team up for a fun-filled day of games - all competing for the coveted "Laryngoscope Award" along with bragging rights and fund-raising for charity.
This residency program is for 6 years.
Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.
Goals and Objectives of the CIP
The fundamental aim of the Royal College Clinician Investigator Program is to provide trainees with the knowledge, skills and attitudes necessary to embark on a successful career in health research. In most cases, further research training specific to the candidate’s field of interest will be required so that they can succeed as an independent investigator. CIP educational objectives comply with the Royal College of Physician and Surgeons of Canada CanMEDS competency guidelines.
Medical Research Expert
To achieve these goals and receive the Attestation of Completion of the Clinician Investigator Program, a minimum of 2 years of continuous, intensive research training must be undertaken. During the 2 years of research, the majority of time (at least 80%) must be devoted to research, but some time may be spent in clinical activities (i.e the equivalent of 1 day per week).
Up to one of the research years may also be credited to fulfill the Royal College accredited clinical program requirements with joint approval of the faculty CIP director and the program director. Therefore, the CIP will extend anesthesia residency training by only one year, to a total of 6 years. Additional research training in all CIP pathways can be extended to allow completion of a PhD or other research experiences and will further extend training.
Research and Scholarship
This is strongly mentored and supported in the 2 years of study and research within the CIP program.
Throughout residency clinical training, residents can be expected to gain increasing skill and independence in the anesthetic management of patients for all types of surgical procedures and in the management of pain. Large numbers of patients are seen for transplantation, cardiovascular, thoracic, neurosurgery and multi-trauma injuries. All residents participate in the High Fidelity Anesthesia Simulators situated at St. Michael's Hospital and Sunnybrook Health Sciences Centre. Residents attend the simulator centres annually as part of the core teaching program and residents supervise and teach medical students throughout their residency.
A wide variety of electives are available and residents may propose their own. There are options for community and rural electives. All residents complete a community hospital experience which is usually a one block elective. Out-of-province and international electives are also permitted.
The usual clinical experience includes:
Broad and diverse clinical experiences to obtain competencies in clinical anesthesia, including obstetrical anesthesia, trauma (including experience at both of Toronto's Trauma Centers), transplantation, thoracic, cardiovascular and neuroanesthesia. Special rotations in high-risk obstetrical anesthesia, regional anesthesia and chronic pain management will be completed. Pediatric anesthesia training includes clinical rotations at the Hospital for Sick Children.
Internal medicine and critical care medicine rotations occur at several quaternary care facilities across the city. Internal medicine training includes rotations in Respirology and CCU as well as opportunities to experience a wide variety of medical subspecialty training. The critical care rotations occur at several potential sites with exceptional learning opportunities. This including potential experience in medical/surgical, neurosurgical, neurotrauma, trauma, and cardiovascular ICUs across the city. During the program, there is also opportunities for experience in pediatric and neonatal intensive care.
Toronto offers a wealth of clinical experiences and abundant patient resources. Our residents routinely train in quaternary care hospitals as well as academic community hospitals. The clinical case exposure is unparalleled. Our residents enjoy a wealth of resources which span the clinical, academic, research and teaching faculty arenas.
In July 2017, our Program implemented Competency Based Education and follows the Royal College Competency By Design framework.
Transition to Discipline Stage:
This is a robust 3 block training period which includes core skills and competencies needed for early residency success. These include real and simulated training experiences designed to support technical skills, patient assessment and perioperative patient management. There are several weeks of highly structured academic curriculum incorporating didactic, case-based, e-module, simulation, and interactive learning. This is paired with clinical experience including buddy-call exposure.
This training period spans roughly 20 months of residency. Residents experience clinical rotations designed to support educational opportunities which allow achievement of broad-based competencies that every trainee must acquire before moving on to more advanced competencies in their anesthesia training. This stage corresponds with Junior Resident status and supports graduated independence and clinical responsibility, including independent call. Residents rotate through several hospitals and experience a level appropriate, broad exposure of anesthesia sub-specialty training including pediatric anesthesia. Residents also complete training in medicine and critical care.
Core Training Stage:
This training period is expected to span roughly 24 months of training. This stage covers the core competencies that make up the majority of perioperative medical training and subspecialty anesthesia training. This stage corresponds to the Senior Resident status. The clinical rotations support advanced patient management experiences and clinical responsibility. Residents experience high case complexity exposure to all anesthesia sub-specialty training. Residents also complete medicine and critical care training. Residents undertake selective rotations in High-risk Obstetrical Anesthesia, Thoracics, Regional Anesthesia and Chronic Pain.
Transition to Practice stage:
During this time, the senior trainee will obtain clinical experiences designed to support readiness for independent practice.
There is a rich academic curriculum that spans all 5 years of residency training. This includes morning rounds, protected academic time, resident educational retreats, simulation training (part-task, high-fidelity, and crisis resource management), Journal Club, POCUS educational curriculum (bootcamps, block rotations and longitudinal educational sessions), transfusion medicine educational series, portfolio sessions, research training curriculum and "Senior Revision Tutorial".
There is a robust morning academic teaching curriculum across the city at every training site. The morning teaching is mapped to align with the clinical and educational focus of the hospital and the National Curriculum. There are sessions 4-5 mornings each week, lead by faculty. The city-wide curriculum includes didactic teaching, trouble round discussions, case-based questions, simulation sessions, hands-on tutorials, and Grand Rounds.
Additional resident academic and education sessions are held weekly during the protected Academic Time (half and full days) and include an introduction to a wide range of anesthesia topics and related subjects including resident wellness and stress management. The curriculum is based on extensive knowledge objectives and the National Curriculum. Topics include communication skills, biostatistics, critical appraisal, airway management, monitoring and equipment, obstetrical anesthesia, regional anesthesia, pain management, critical care, perioperative medicine and the individual areas of operative subspecialty anesthesia. There is also a focus on education of the CanMEDs competencies. This curriculum includes sessions with expanded education in ethics, critical appraisal, teaching and communication skills, leadership, and the skills of practice management. Simulation sessions and sessions on advanced airway management, vascular access, and regional/neuraxial skills in an anesthesia skills lab and with full and part-task simulation are also part of the curriculum as is Crisis Resource Management Simulation.
In the final year of training, weekly small group sessions called "Senior Revision Tutorial" allow residents to consolidate their knowledge, build judgement and critical thinking for independent clinical practice and assist in preparation for The Royal College Examinations.
Our residents participate in a group learning process, facilitated by Faculty Leads. The process involves sharing narratives and reflections with one another which underpin the CanMEDs competencies in clinical practice. One of the goals is to develop new knowledge, perspectives, skills and attitudes in the intrinsic roles and to promote introspection and to challenge ourselves, our ideas and our behaviors.
All residents are assigned a Mentorship Group of peers and faculty to provide guidance and support throughout the residency journey.
A successful mentoring relationship has a number of benefits:
The University of Toronto has the largest anesthesia residency program in Canada in number of teaching staff, research productivity, hospital facilities and patient volume. These resources offer an unequaled opportunity for anesthesia residency.
All our residents rotate through our many specialized hospitals, each with a unique focus of patient care, clinical expertise, and training opportunities:
In addition, our residents have the opportunity to complete elective rotations in the large number of community hospitals in and around the Greater Toronto area - some travel may be required to attend these sites. Over 350 staff anesthesiologists participate in our teaching program. The University of Toronto is the tertiary and quaternary care referral centre for a metropolitan population of more than 2,700,000 and a surrounding population of about 6,000,000.
Why should I enroll in the CIP?
There are many advantages to being part of the CIP during your anesthesia residency training. Here is a list of just a few advantages of this program:
How long am I expected to engage in full-time research to complete the research component of the CIP?
All CIP trainees are required by the RCPSC standards to complete two years (24 months) of full-time (min. 80%) research. However, we acknowledge that various degree have different requirements and we are committed to work with the trainee and the CIP Committee to allow maximum flexibility in organizing the research training component.
Does the CIP find a supervisor for me?
No, the CIP does not find a supervisor for its trainees. However, the Anesthesia Department and the CIP Committee will provide mentorship and guidance to find a supervisor. The graduate units usually have a list of faculty members in their department who could be potential supervisors.
I started my graduate studies already, may I still apply to CIP?
Yes, the CIP committee will permit up to six months of retroactive registration in the CIP. However, you must remain in the program for a total of two years in full-time research and fulfill all program requirements in order to receive your CIP certificate.
Will I be allowed to take a leave of absence during the CIP training?
Yes, you are allowed to take a leave of absence or paternity leave, the program is very flexible. However, this will extend your training by the number of weeks/months you take off and must be reviewed and approved by the Program Director, your research supervisor and the CIP Committee.
When do I receive my CIP certificate from the RCPSC?
You will only receive your certification as a clinician investigator from the Royal College after you have finished both the clinical and research components of your training. You must pass the Royal College Anesthesia Exam, received your degree from the School of Graduate Studies, and approval of your CIP requirements by the CIP Committee.
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