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Perioperative Medicine Fellowship Program

The Perioperative Medicine Fellowship is a new program, aiming to prepare the trainee for a patient-centered multidisciplinary medical care program during the perioperative period, which includes the time of contemplation of surgery through the operative period to full recovery (but excluding the operation or procedure itself).

The Fellow will build expertise and experience in the preoperative evaluation, preoperative optimization and postoperative follow-up of high-risk surgical patients (e.g., frail, multi-comorbidity).

Fellows spend one full day per week providing anesthetic care in the main operating room, two half-days per week performing preoperative consultations in the pre-admission facility, and two half-days per week performing postoperative follow-up (in the setting of the post-anesthesia care unit, surgical wards and critical care units) in select high-risk surgical patients.

Fellows will also have one day per week with protected non-clinical time, which will be used to undertake a research project during their training and also to prepare for education rounds (including presenting at departmental grand rounds once during the year).

The remaining day per week will alternate between a full day in the main operating room and a full day on specific elective activities pertaining to perioperative medicine. This elective activity, which will be selected following discussion between the fellow and supervisor, might include training in specific clinical techniques (e.g., focused cardiac ultrasound), quality improvement projects, or research. Fellows might also be involved in providing care in the pre-assessment clinic.

Perioperative Medicine Fellows will be included in the on-call roster and will be required to also 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

  • The program is 12 months in duration in a full time position (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 ACP Fellowship Program

Duminda Wijeysundera, MD, PhD, FRCPC, FAHA
Perioperative Medicine Fellowship Program Director| Department of Anesthesia, St. Michael's Hospital
Professor, Institute of Health Policy Management and Evaluation, University of Toronto

Scientist, Li Ka Shing Knowledge Institute of St. Michael’s Hospital
Adjunct Scientist, Institute for Clinical Evaluative Sciences
Endowed Chair in Translational Anesthesiology Research, St. Michael's Hospital and University of Toronto
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