FOR VACCINATION: Book an appointment for COVID-19 vaccination. >>

FOR TESTING: Book an appointment for COVID-19 testing at one of our Assessment Centres. >>


Trauma - Neuroanesthesia and Critical Care Fellowship Program

The Trauma – Neuroanesthesia (TN) and Critical Care Fellowship Program at St. Michael’s Hospital Department of Anesthesia is a program designed to offer its trainees the opportunity to become a specialist in neurological and trauma surgeries, as well as gathering knowledge in the management of critically ill patients in trauma andintensive care. There is also opportunity for the TN Fellow to get involved with ongoing research projects in the department.

St. Michael's Hospital is a Level 1 Trauma Centre serving downtown Toronto and central Ontario. Approximately 500 acute trauma victims are admitted annually, which allows the TN anesthesia Fellows a broad experience with managing this specific population.

The TN Anesthesia Fellowship Program is divided into two main rotations: OR and Trauma-Neuro Intensive Care Unit (TNICU).

OR rotation

This OR block is a 12 month period when the TN fellow will have the opportunity to provide anesthesia for all types of neurological surgeries that happen in our hospital. In order to maintain the trainee general skills, TN fellows will also be scheduled in different specialty rooms at a ratio of 50 per cent of  the OR days.

Trauma-Neuro Intensive Care Unit (TNICU)

This rotation is a six month period spent continuously in the TNICU.

The TNICU Fellow will receive handover from the night on-call team at 7:30 a.m. and then proceed with rounds and the usual routine of an Intensive Care Unit until 4 p.m., when the night team takes over. During the TNICU rotation, the TN Anesthesia Fellow participates in the TNICU on-call roster, and, therefore, does not take calls in the main OR.


While in their Main OR rotation, TN Anesthesia 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 shifts 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.

Neuroanesthesia Rounds

The Neuroanesthesia Rounds are design to review and discuss trauma and neurology related topics. They usually happen once a week on Thursdays from 4:30 - 5:30 p.m., in the Anesthesia department. Attendance for Neuroanesthesia and TNICU Fellows is mandatory. Fellows are not expected to attend if they are on-call or post-call, however they are welcome to do so.

Additional information

Positions offered

  • Start dates in January and July
  • Total of six positions per year


  • Programs 12 months in length 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 Trauma - Neuroanesthesia and Critical Care Fellowship Program

Andrea Rigamonti, MD,
Trauma - Neuroanesthesia and Critical Care Fellowship Program Director |
Department of Anesthesia, St. Michael's Hospital
Staff Anesthesiologist, St.Michael's Hospital
Assistant Professor | Department of Anesthesia, University of Toronto
416-864-5071 |
30 Bond St, 6th Floor Donnely Wing, Toronto, ON M5B 1W8