Perioperative Medicine Fellowship at St Paul’s Hospital

Next available start date: July 2025

St. Paul’s Hospital offers a 12-month Perioperative Medicine fellowship. Applicants must be FRCPC eligible or certified at the time of application.  Equivalent certifications (FRCA, FANZCA, ABA etc) will be considered on a case by case basis.

St. Paul’s Hospital is a busy quaternary care urban hospital located centrally in downtown Vancouver, BC, Canada. Our surgical caseload includes all major surgical specialities with the exception of Neurosurgery, Trauma and Thoracic Surgery. Our particular areas of expertise are complex cardiac care (including obstetrical cardiac patients), complex acute and chronic pain including neuromodulation and transitional pain, perioperative medicine and regional anesthesia.

St. Paul’s Hospital and our Perioperative Anesthesiologists are committed to the advancement of perioperative medicine.  Since 2010, St. Paul’s Department of Anesthesia has held a dedicated Perioperative Anesthesiologist position and in 2017 our Anesthesia Perioperative Medicine fellowship program was created. The Perioperative Anesthesiologist is involved with the patient’s care pre-operatively, intra-operatively, and post-operatively and manages a 4 bed high-acuity unit (HAU) which is a critical-care area providing one-to-two nursing care to complex surgical patients.  The cardiac surgical intensive care unit (CSICU) is an anesthesia run unit that cares for the entire spectrum of complex cardiac surgical patients, including: cardiac transplant recipients, patients requiring ventricular assist devices, and those needing extra-corporeal membrane oxygenation (ECMO) support.

Many of our Anesthesiologists practice within the perioperative medicine group and bring a diverse fellowship background including: ultrasound guided regional anesthesia, cardiac anesthesia and critical care, NBE certified transesophageal echocardiography, acute and chronic pain management, perioperative vascular medicine, obstetric anesthesia, business (MBA), research, and simulation.

This is a 12-month fellowship and includes 4 weeks of holiday. The annual salary is $96,000 CAD. Funding to attend a national or international anesthesia conference is provided. Fellows pursuing advanced training in POCUS or other perioperative medicine related skills may seek financial support from the department on an individual basis. There is a weekly academic day provided for research purposes and other academic pursuits (required). An average of 1.5 days per week in the operating room over the course of the 12 month fellowship is mandatory and assures fellows maintain intra-operative anesthesia skills. There is limited on-call required during this fellowship.

In regards to learning opportunities and time commitments: the perioperative medicine fellow will have a total of 13 blocks to rotate through consisting of core blocks and electives with a longitudinal perioperative medicine rotation. There will be a strong focus on the attainment of ultrasound skills for POCUS and opportunities to expand ultrasound-guided regional anesthesia skills are also provided. In addition, the perioperative medicine fellow will be able to understand the various risk assessment scores for patients undergoing non-cardiac surgery and actively risk-stratify all non-cardiac elective surgical patients.

The perioperative medicine fellowship will include the following core rotations: perioperative medicine, regional anesthesia, TEE, addictions medicine, pre-admission clinic, complex cardiac care (cardiac surgery and CSICU), and internal medicine perioperative care team. Electives may include rotations in acute pain, hemodynamic assessment service (POCUS), ICU, research and off-site learning opportunities including perioperative vascular medicine.  High-fidelity simulation and interdisciplinary medical education are key aspects of the Fellowship. Further information on perioperative medicine and the fellowship can be found at

Interested applicants can submit their curriculum vitae and a cover letter to:

Dr. Su-Yin MacDonell
Perioperative Medicine Fellowship Director
c/o Charlene Perry, Office Administrator
Dept. of Anesthesia,
St. Paul’s Hospital Providence Health Care,

1081 Burrard Street Vancouver BC,
Canada, V6Z 1Y6

Ph: (604) 806-8337

Fax: (604) 806-8487