Dr Jose Carvalho
OBSTETRIC ANAESTHESIA FELLOWSHIP REGISTRY
Mount Sinai HospitalRoad:
600 University AvenueCity:
Supervisor: Dr Jose Carvalho
Telephone: +1 416 586 4800 ext.2681
Fax: +1 416 586 8664
Enquiries to: Dr Jose Carvalho
Telephone: cantacts as above
Duration/Start: Twelve months from start date, usually July; a start date in January is also available
Grade: Completion of at least 5 years of training in anaesthesia and possession of the FRCPC (or equivalent – i.e. FRCA) are required (post fellowship registrar, or equivalent). Prior research experience is desirable but not essential.
During their year the Fellow will manage both routine and high risk deliveries, and elective and emergency caesarean deliveries. He/she will consult in the high risk obstetric anaesthesia clinic, which involves formulating care plans for very complex parturients.
Research is strongly encouraged at Mount Sinai Hospital. During their year, Fellows undertake at least one clinical research project and develop a protocol, obtain ethics approval, recruit subjects for their study, and are involved with ensuring accurate data collection and statistical analysis. Ultimately, the results will be presented at a meeting such as SOAP, and will be submitted for publication in a peer-reviewed journal. As a result, Fellows gain valuable experience in all aspects of the clinical research process. The Fellow will work in close liaison with the research assistants, nursing staff and medical colleagues, and good communication skills are essential.
The Fellow will also participate actively in teaching residents, medical students, and other health care personnel, and will present in grand rounds and seminars. There is also a weekly journal club, supervised by Dr Carvalho, at which Fellows present recent articles of interest.
Two days a week are spent in obstetric anaesthesia, either undertaking elective Caesarean sections, or assisting on the delivery suite with labour analgesia, emergency Caesarean sections, anaesthesia consultations, and other duties as required. One day a week is dedicated research time. Two days a week are spent in the general OR, providing anaesthesia services for general surgery, orthopaedics, gynaecology, ENT, plastics, and a range of other surgical specialities.
The fellow’s on-call commitment is approximately 1:4 weekends and 1:12 nights; in-house staff (consultant) supervision is always available. On-call time is spent mainly on the delivery suite.
Mount Sinai Hospital is an academic centre of excellence affiliated with the University of Toronto. The Obstetric Anaesthesia Fellowship offers advanced clinical training, teaching and research in a setting that delivers more than 6,500 women per year. This is a tertiary care hospital with an interesting and challenging case mix, and approximately half of our patients are classified as high risk. The Caesarean delivery rate is approximately 35%, while the epidural analgesia rate is about 85%. There is a well-developed obstetric anaesthesia clinic. There are always a number of peer-reviewed, funded research projects in progress.
Mount Sinai Hospital is situated in downtown Toronto, a culturally diverse and vibrant city. This fellowship year is designed to give extensive clinical and research experience, and will prove rewarding for those considering a career in the sub-speciality of obstetric anaesthesia.