OB Fellowship Program Requirement Overview

1. OB Fellowship Program Requirement Overview Cynthia A. Wong, M.D. October 2011

2. Program Requirement Outline Introduction • Institution • Program Personnel and Resources • Fellow Appointments • Educational Program • Evaluation • Duty Hours

3. 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

4. Program Requirements • Institution • ACGME anesthesiology and OB-Gyne core residencies, MFM fellowship

5. Program Requirements • Program Personnel and Resources • 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

6. Program Requirements • Program Personnel and Resources • 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)

7. Program Requirements • Program Personnel and Resources • Other personnel: nurses, allied health • Resources: L&Dunit, ORs, PACU, maternal and fetal monitoring, labs, high- and low-risk volume, active MFM and neonatologySx, space/equipment for education • Medical information access

8. Program Requirements • Fellow Appointments • Must have completed ACGME-accredited program in anesthesiology • Fellow education cannot interfere with core-residency program education

9. Program Requirements • Educational Program • Core competencies a. Patient care i. 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

10. Program Requirements • Educational Program • 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

11. Program Requirements • Educational Program • Core competencies b. Interpersonal and communication: perinatal team c. Professionalism d. Systems-based practice: barrier to care, policy, guidelines

12. Program Requirements • Educational Program • Curriculum and experiences • Minimum 7-months L&D and OR clinical experience • 2-week contiguous MFM experience (antepartum care and assessment, FHR interpretation (within first 3 months) • 2-week contiguous neonatal clinical care (complete NRP) d. 3-months research or scholarly activity

13. Program Requirements • Educational Program • Curriculum and experiences • Didactics • Lectures • Conferences • Facilitated self-learning • Workshops • Simulation

14. Program Requirements • Educational Program • Curriculum and experiences • Scholarly activities: one scholarly project • Presentation and publication (may complete after fellowship) • Block time, or divided throughout year • Mentor

15. Program Requirements • Evaluation • Fellow: formative at 3-, 6-, 12-months, summative (standard) • Faculty • Program evaluation and improvement

16. Program Requirements • Fellow duty hours (standard) • Professionalism, personal responsibility, patient safety • Transitions of care • Alertness management, fatigue mitigation • Supervision of fellows • Clinical responsibilities • Teamwork • Fellow duty hours

17. Program Requirement Outline Introduction • Institution • Program Personnel and Resources • Fellow Appointments • Educational Program • Evaluation • Duty Hours

18. Chicago 2008