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Overview of Obstetric Anesthesiology Fellowship Program Requirements

This document outlines the requirements for the Obstetric Anesthesiology Fellowship Program, a 12-month ACGME-accredited specialized training in anesthesiology focused on the care of women during pregnancy and childbirth. It details the qualifications necessary for faculty and program directors, the clinical and educational experiences required for fellows, and the expected core competencies. Additionally, the document emphasizes the importance of interdisciplinary cooperation, research involvement, and the evaluation process for fellows throughout their training.

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Overview of Obstetric Anesthesiology Fellowship Program Requirements

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  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

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