University of Manitoba – Obstetric Anesthesia

If you have multiple hospital campuses, please specify at which site your fellowship is located.
The fellowship is divided between the Health Sciences Centre and St Boniface General Hospital.

Contact Person & Contact Information (name, address, email & phone number):
Cindy Marykuca
2nd Floor Harry Medovy House,
671 William Avenue
Winnipeg, Manitoba
cmarykuca@hsc.mb.ca
204-787-2262

Are there exams or external credentials associated with this fellowship?
No

What is the length of the program?
1 year

How many days are spent doing fellowship cases vs. days spent in a regular OR?
Each fellowship is different

Is a research project required or possible?
Yes. Time and mentorship is provided for pursuit of a research project.

How much research time is scheduled?
Once a fellow has a project declared, the fellow is given 30 academic through the year.

How many applicants are accepted each year?
There is capacity for two, although typically we have one.

Do fellows spend time training with the other fellows?
When there are 2 fellows, they are specifically schedule at alternating sites to preserve volume. They have ample opportunity to meet and collaborate in non-clinical activites.

Are fellows involved in teaching and what is their role?
Fellows are expected to act a junior attendings. They may supervise students and residents in the OR during their independent OR days and on the labour floor.

What kind of support can I expect from my staff (e.g. teaching, mentorship, research)?
The fellow is always directly supervised during the time on the labour floor, by the attending assigned for that day. More globally, the fellowship director and Associate Head for Education are always available for more global support. The culture and structure of the department of Anesthesia is such that, whether on fellowship, independent, or personal time, there is always immediate access to support from a number of faculty or other trainees.

What are the call requirements?
The fellow will do one supervised weekday and one weekend call per 4-week block on the labour floor. The fellow also does one call during each of the 10 independent OR weeks.

How many hours per week should I expect to work?
Overall time commitment to clinical activities will vary from week to week, but averages 40h and would never exceed 50h

Is there orientation and transition to fellowship?
There is an orientation to the University and to both clinical sites. If the fellow does some clinical time at one of the community sites, there would be a separate orientation there. Fellows are not given independent time until they have been assessed as ready, typically 3-4 weeks.

Is there transition to practice training?
There is no specific curriculum built around transition to practice.

How much time is allotted for vacation?
4 weeks

What is the expected income?
$105,000

When is the application due date?
September 30th

When do interviews occur?
Usually Mid October and November

Is there a flexible start and end time?
The intent is for fellowships to start on July 1 of each year, but there is flexibility to allow for variable residency finish dates.

Is there an opportunity to meet with current fellows?
Formally, the department hosts multiple academic activities, which are well attended by people from all sites. More importantly, the culture of the department is very social. There is ample opportunity to meet during both clinical days and on non-clinical time with staff, other fellows and residents.

What are some of the electives or rotations available during the fellowship?
The fellow spends one block on the perioperative step-down managing the perioperative care of high-risk patients, and one week working with the blood conservation team. Some fellows also choose to spend some time in fetal assessment.

Is there a core curriculum including simulation or didactic teaching, or is the experience mostly clinical?
There is a core curriculum that is detailed in the fellowship outline. The fellow is provided the opportunity to work with the simulation team to develop OB content.

Do fellows train and practise at one hospital, or at more than one site?
The fellows spends ½ the fellowship at HSC and ½ at St. Boniface. The fellow may also do some of the independent clinical time at a community site.

Where do most fellows go to practise following their fellowship year? (e.g. other academic hospitals, community hospitals, other hospitals in the same city)
All of our fellows have gone on to teaching hospital practice. Whether in Winnipeg or not is variable and dependent on the fellow.

Is there support and funding to present at conferences?
Yes

Are there things in particular your program is looking for in an applicant (e.g. previous experiences, research, or other)?
There are no specific credentials. There is a wealth of clinical experience available to our fellows and good mentorship. To succeed in fellowship anywhere the main criterion is to have a passion to contribute to the future of the chosen subspecialty in some way, whether through teaching, research, administration or all three.
More complete details are available on our website. at: http://umanitoba.ca/faculties/health_sciences/medicine/units/anesthesia/education/8288.html

Is there an opening for employment for anesthesiologists trained in this fellowship subspecialty at your institution?
Yes

Is there anything else a resident applying to your program should know?
In obstetrics specifically, Winnipeg has a large catchment area. The population that Winnipeg serves has a disproportionate volume of comorbidities. With high-risk OB restricted to only two sites, and the ability to move between them as needed, the fellow has access to an enormous clinical volume.

More importantly, the Winnipeg anesthesia community is very cohesive, with excellent relations with our surgeons and administration. As a result, it has been relatively easy for us to innovate. The perioperative step-down and our Anesthesia Clinical Assistant program are perfect examples. Similarly, the geography combines well with this culture to create a supportive and enjoyable environment for trainees and staff.