Residents are able to tailor rotations to their needs and requirements within Royal College guidelines. Specialty rotations in cardiac anesthesia, neuro-anesthesia, regional anesthesia and acute and chronic pain therapy are taken at this time, in addition to further exposure to pediatric and obstetric anesthesia. Well-established Community Hospital anesthesia rotations are included. These provide the resident with opportunities for independence and a different view of practice. Elective experience in anesthesia and related areas are encouraged. Many of our residents have undertaken International and Canadian elective experience which they found rewarding. Critical care training includes four periods of adult critical care (one of which may have been taken in PGY-2) and one period each of pediatric and neonatal critical care. Further internal medicine rotations (totaling 6 rotations PGY-2 - 5) are available in cardiology, respirology, nephrology, endocrinology, infectious diseases and transfusion medicine. Of these, two periods of both cardiology and respirology are required and the remaining two are chosen by the resident.