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

2. Program Requirement Outline I.Institution II.Program Personnel and Resources III.Fellow Appointments IV.Educational Program V.Evaluation VI.Duty Hours Introduction

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 I.Institution A.ACGME anesthesiology and OB-Gyne core residencies, MFM fellowship

5. 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

6. 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)

7. 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

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

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

12. Program Requirements IV. Educational Program B.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

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

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

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

16. 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

17. Program Requirement Outline I.Institution II.Program Personnel and Resources III.Fellow Appointments IV.Educational Program V.Evaluation VI.Duty Hours Introduction

18. Chicago 2008