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Faculty of Health Sciences

Department of Anesthesia

Neuro Anesthesiology Fellowship

The Neuro Anesthesiology Fellowship is a competency based program following core training in Anesthesiology.

 

 

Neuro Anesthesiology Brochure

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Training will be conducted at McMaster affiliated hospitals including Hamilton General Hospital, Juravinski Hospital and McMaster University. The fellow will participate in all aspects of neuro anesthesiology including pre and post surgical care by working in the neuro step down unit, pediatric anesthesiology and neuro interventions in the neuro diagnostic imaging suite.

The special competency will be achieved by the following:

  1. Participation in Neurosurgical cases 2-3 times a week.
  2. Participation in the anesthetic care of patients undergoing neuro interventional procedures in the diagnostic imaging suite 1 time every second week (every Thursday). This will include exposure to all but not limited to: AVM embolization, Aneurysm coiling, mechanical thrombectomy, carotid stenting.
  3. The fellow will complete one month of dedicated pediatric neuro anesthesia. During this month the fellow will participate in a wide variety of neurosurgical cases at McMaster children’s hospital.
  4. The fellow will develop expertise in the area of anesthesia for awake craniotomies and will participate in at least 2 awake craniotomies per month.
  5. Participate neuro trauma cases both during the day and through their on-call experience.
  6. The fellow will develop a competency in the provision of anesthetic care for Major spine surgery including but not limited to complex intradural and extradural spinal tumor resections, spinal decompressions and fusions).
  7. The fellow will complete one to two months in the Neuro step down unit. During this time the fellow will gain experience in the perioperative care of the neurosurgical patient. The fellow will have the opportunity to work with both neuro anesthesiologists and neuro intensivists during this time.
  8. Performance of at least one clinical research project over the course of the year in a neuro anesthesia topic. Research projects include quality improvement initiatives, systematic reviews, RCTS, cohort/ case control studies, chart reviews, writing of a book chapter/review article.
  9. The fellow will participate in formal resident teaching 2x over the academic year and will be involved with informal teaching in the operating room on a regular basis.
  10. The fellow will present a neuro anesthesia topic to their colleagues for quality improvement rounds 1x during the academic year.

Information Box Group

Hospital Site

Hamilton General Hospital, Juravinski Hospital and McMaster University.

Duration

12 months (includes experiential and structured educational components)

Qualifications

To be eligible, applicants should be certified in Anesthesiology by the Royal College of Physicians and Surgeons (or equivalent).

 

Additional Requirements

Required Documents:

  • minimum qualifications for entry to the program
  • hospital sites where training will occur
  • description of clinical, educational and research responsibilities

Goals

Weekly assignment schedule split (unevenly) into:

  1. Subspeciality days [2 – 3 days] in specialty anesthesia. Fellows are assigned one- to- one with specialty anesthesia staff.
  2. Service days [2 days] in the operating room performing adult anesthesia lists. Fellows are assigned to an OR list and operate independently while being covered by anesthesia staff operating in another adjacent OR
  3. Non-clinical days (NCDs) or academic days [1 day]: This granted according to the fellow’s academic engagement (research, teaching, journal clubs etc..).

II. On call duty:  

  • 2 weekdays and 1 weekend per month. 
  • Fellows are assigned on-call at the Juravinski hospital from 17:00 pm- 8:00 am. 
  • Fellows are assigned with anesthesia staff working in the OR. 
  • The next day is post-call