Dr. Eric You-Ten
The University of Toronto offers a comprehensive program in Anesthesia, which is fully accredited by the Royal College of Physicians and Surgeons of Canada. Over 350 staff anesthesiologists at multiple sites are involved in resident education. These sites include: The Hospital for Sick Children; Mount Sinai Hospital; St. Michael’s Hospital; Sunnybrook Health Sciences Centre, at both the Sunnybrook and Holland Centre campuses; Michael Garron Hospital; St. Joseph’s Health Science Centre; The University Health Network at both the Toronto General and Toronto Western Hospitals and Women’s College Hospital. Each of these hospitals has particular clinical focus and specific training opportunities which allows the program as a whole to offer residents an exceptional experience in all areas of Anesthetic practice.
The experience that residents obtain with respect to volume and variety of clinical opportunities, both patients and procedures, is unparalleled. All subspecialties of anesthesia are offered in Toronto and this means that our residents have opportunities for training in ALL areas of anesthesia practice during their residency — all within their own program. For example, residents experience Obstetrical Anesthesia longitudinally throughout their training and, in addition, have a full protected block rotation in high risk quaternary-care Ob-Anesthesia.
Other unique opportunities and strengths of our program include:
Simulation: There are two high fidelity Anesthesia Simulation Centers in the Department, a Surgical Skills Center, and additional high-fidelity simulators within most hospitals, all used for resident education. These are used for clinical training of anesthesia residents and multidisciplinary teams particularly in the areas of technical skills, critical event training and crisis resource management. Residents participate in simulator sessions throughout residency and, in addition, senior residents are involved in supervision and teaching of medical students in the simulator at our Sunnybrook site. We have also expanded the use of simulation in other areas including a comprehensive advanced airway management course, vascular access and regional anesthesia. In addition, each hospital has simulation opportunities for residents during rotations resulting in a robust longitudinal simulation curriculum. For example, Toronto General Hospital has weekly simulation sessions during morning teaching and virtual reality simulation is currently being pioneered at Sunnybrook Health Sciences, where residents wear a VR headset and run through simulation scenarios in the OR during morning teaching.
Regional anesthesia: This has become a major focus at a number of sites in the Department of Anesthesia at the University of Toronto. All residents have the opportunity to train in regional anesthesia longitudinally and also complete block rotations specific to regional anesthesia education and experience. This includes e-learning, simulation training and academic sessions all devoted to the acquisition of regional anesthesia skills. Many opportunities also exist for research in this field — particularly in the area of ultrasound guided blocks – and many commonly performed blocks have been pioneered by Anesthesiologists at UofT.
POCUS: All residents participate in a longitudinal Point of Care Ultrasound (POCUS) training curriculum which includes full day bootcamps and a block rotation specific to POCUS technical and clinical skills including cardiac, lung, FAST, airway, and gastric. There are also academic sessions throughout the year devoted to POCUS training. Residents have access to a spectrum of POCUS resources including trained faculty, US machines, TEE simulators and on-line materials as such.
Academic Curriculum: Our program boasts a very robustAcademic Curriculum including morning teaching at all sites and protected academic half-days. Protected academic time includes teaching sessions as well as protected time for wellness, mentorship and sessions dedicated to developing the non-medical expert CanMEDS competencies. In addition, we have a full day Resident Education Day in November each year organized by the Departmental Chief Residents focusing on specific theme. This year, the focus of our Education Day was on Dismantling Dominant Ideologies in Medicine: Equity, Diversity, and Inclusion for Patient Advocacy. An important aspect of our academic curriculum is that it is heavily resident driven and there is strong resident input in refining the curriculum each year.