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

Chicago 2008