Massachusetts General Hospital Department of Anesthesia, Critical Care and Pain Medicine - Fellowships
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Obstetric Anesthesia Fellowship Hands on Clincal Experience



  • 1 month Simulation, during which the fellow will:
    • Participate in one or more Labor and Delivery Crisis Resource Management Team Courses at the Center for Medical Simulation
    • Receive didactics in management of maternal crises
    • Create a simulation with expert mentorship for teaching residents
    • Learn and practice essentials of feedback
    • Fetal heart rate monitoring, interpretation, and management course certification
    • CITI certification for ethics in human subjects research
    During the simulation month, the focus of the fellow's instruction will be on technical skill enhancement with observation and coaching from faculty. Building on this foundation, the fellow will then receive instruction and feedback on how to teach more junior trainees to perform neuraxial and general anesthetics on pregnant women. In addition, he or she will take the lead in multidisciplinary planning discussions for High Risk Patients and multidisciplinary rounds.
  • 7 months of Operating Room and Labor & Delivery clinical activity
    • Fellows will be taught not only anesthetic management of pregnancy-related conditions, but will gain experience as a supervisor through mentorship and feedback by faculty directly observing the fellow's supervisory skills
    • The fellow will assume the role of perioperative physician for all pregnant patients, ranging from healthy parturients to very high-risk, complex patients with pregnancy and non-pregnancy co-morbid conditions. By the end of fellowship the fellow will not only demonstrate proactivity when dealing with changing maternal and fetal status and conditions, but will contribute to the patients' perioperative management as an active member of the multidisciplinary obstetric care team.
  • 1 month in the Surgical Intensive Care Unit that includes care of pregnant women in critical condition
    • The fellow will participate in longitudinal care for any patient admitted to the SICU or needing operative treatment
    • Fellows will follow any pregnant patient (longitudinally, throughout the year) who requires ICU care or operative care. The fellow will also participate in any vaginal delivery planned in the SICU as a result of the patient's comorbid status and for the majority of those who deliver on Blake 14 with a SICU nurse in attendance.
  • 2 week rotation in neonatology, during which fellow will provide routine neonatal evaluation and care
    • Completion of a course in neonatal resuscitation through the American Academy of Pediatrics/American Heart Association (AAP/AHA) Neonatal Resuscitation Program, and receipt of course completion certificate prior to completion of the fellowship
    • The fellow will initially observe and then participate in neonatal resuscitations, learning from the perinatal delivery teams in an interprofessional and interdisciplinary fashion. The current delivery teams consist of neonatologists, respiratory therapists, and pediatric nurse practitioners who are skilled in perinatal care of the newborn.
  • 2 week rotation in Maternal-Fetal Medicine that includes experience in antepartum fetal testing and high-risk antepartum care
    • The fellow will spend time engaged in antepartum and postpartum clinics, on the labor and delivery unit but as part of the Maternal-Fetal Medicine team and will respond to any consults with the service, be they from the Emergency Department, on the inpatient wards, or in the main operating room/PACU or ICU.
  • 2 month research/academic rotation
    • The fellow will spend at least three months for research or other well defined scholarly activity, leading to new knowledge related to the required rotations. The fellow will be expected to submit his/her project for consideration of presentation at a national meeting, and will be encouraged to attend such meeting should the project be accepted, with the ultimate goal of turning the project into a publication. Fellow posters will be displayed at the Anesthesia Department's Research Day in May.


 
Office Information

Department of Anesthesia,
Critical Care and Pain Medicine
Gray-Bigelow 444
55 Fruit Street
Boston, MA 02114

Public Transportation Access: Yes
Disabled Access: Yes