OB Fellowship Program Requirement Overview
Cynthia A. Wong, M.D.
October 2011
Program Requirement Outline
I. Institution
II. Program Personnel and Resources
III. Fellow Appointments
IV.Educational Program
V. Evaluation
VI.Duty Hours
Introduction
Program Requirement
Introduction• Obstetric anesthesiology is the subspecialty of
anesthesiology devoted to the comprehensive anesthetic management of women during pregnancy and the puerperium.
• 12-month in length
Program Requirements
I. InstitutionA. ACGME anesthesiology and OB-Gyne core
residencies, MFM fellowship
Program Requirements
II. Program Personnel and Resources
A. Program director qualifications• ABA-certified
• OB fellowship or at least 3-years’ participation in an OB fellowship program as PD or faculty
• Current faculty appointment
• Based at primary teaching site
• 50% time OB anesthesia (clinical, education, research) including 20% administrative time
Program Requirements
II. Program Personnel and Resources
A. Faculty qualifications• Cooperation with core PD
• Cooperation among OB (MFM), pediatric (neonatology), and anesthesiology, adult CCM
• Training or post-residency experience in OB care, preferably fellowship
• On-going academic achievements (development of education programs, publications, conduct of research)
Program Requirements
II. Program Personnel and Resources
A. Other personnel: nurses, allied health
B. Resources: L&D unit, ORs, PACU, maternal and fetal monitoring, labs, high- and low-risk volume, active MFM and neonatologySx, space/equipment for education
C. Medical information access
Program Requirements
III. Fellow AppointmentsA. Must have completed ACGME-accredited
program in anesthesiology
B. Fellow education cannot interfere with core-residency program education
Program RequirementsIV. Educational Program
A. Core competencies
a. Patient carei. Technical expertise
ii. Cases: 120 cases• high-risk maternal VD: 30
• high-risk fetal VD: 30
• high-risk maternal CD: 30
• high-risk fetal CD: 20
• non-OB surgery: 10 (5 non-cerclage)
• experience “managing” GA for VD/CD
Program Requirements
IV. Educational ProgramA. Core competencies
b. Medical knowledge: clinical, societal/policy, research (including grantsmanship), quality assurance
c. Practice-based learning and improvement
ii. Project: enhances multidisciplinary care and/or improves patient safety
Program Requirements
IV. Educational ProgramA. Core competencies
b. Interpersonal and communication: perinatal team
c. Professionalism
d. Systems-based practice: barrier to care, policy, guidelines
Program Requirements
IV. Educational ProgramB. Curriculum and experiences
a. Minimum 7-months L&D and OR clinical experience
b. 2-week contiguous MFM experience (antepartum care and assessment, FHR interpretation (within first 3 months)
c. 2-week contiguous neonatal clinical care (complete NRP)
d. 3-months research or scholarly activity
Program Requirements
IV. Educational ProgramB. Curriculum and experiences
e. Didactics
• Lectures
• Conferences
• Facilitated self-learning
• Workshops
• Simulation
Program Requirements
IV. Educational ProgramB. Curriculum and experiences
f. Scholarly activities: one scholarly project
• Presentation and publication (may complete after fellowship)
• Block time, or divided throughout year
• Mentor
Program Requirements
V. EvaluationA. Fellow: formative at 3-, 6-, 12-months,
summative (standard)
B. Faculty
C. Program evaluation and improvement
Program Requirements
VI. Fellow duty hours (standard)A. Professionalism, personal responsibility,
patient safety
B. Transitions of care
C. Alertness management, fatigue mitigation
D. Supervision of fellows
E. Clinical responsibilities
F. Teamwork
G. Fellow duty hours
Program Requirement Outline
I. Institution
II. Program Personnel and Resources
III. Fellow Appointments
IV.Educational Program
V. Evaluation
VI.Duty Hours
Introduction