|Labor & Delivery||7 months|
|Maternal-Fetal Medicine||2 weeks|
*1-2 dedicated research days/week during each rotation
Labor & Delivery Rotation
For seven months, an OB anesthesia fellow actively leads the OB anesthesia team, which includes residents and a nurse anesthetist. The fellow leads the twice daily handover rounds with MFM, in addition to consulting with obstetric colleagues throughout the workday. During the second half of the training year, the fellow takes a limited amount of overnight calls with a resident; the OB anesthesia attending is available in-house for consultation. OB anesthesiology fellows lead the pre-operative planning and multi-disciplinary collaboration for the care of high-risk parturients, and are involved in the majority of these cases with the support of a faculty member.
Didactics and Conferences:
- Obstetric Anesthesia Lecture series: Regular, planned lectures on a range of topics pertinent to an advanced consultant in obstetric anesthesia that are recommended by ACGME and taught by obstetric anesthesiology faculty members, as well as MFM and neonatology faculty
- Monthly SOAP-sponsored Virtual Obstetric Anesthesiology Grand Rounds will be watched with a faculty member in order to facilitate discussion
- Journal clubs: fellows will prepare and present articles for journal clubs during the fellowship year, including a joint-MFM journal club
- Morbidity and mortality conferences in anesthesiology & obstetrics
- Weekly multidisciplinary conferences — high-risk antepartum patients
- Monthly, multidisciplinary conferences — high-risk fetal patients
- Fetal Heart Rate monitoring interpretation course – MFM faculty
- Weekly Departmental Fellowship Seminar series: Aimed at issues of general interest to the anesthesiologist including professionalism, leadership, business management, education, career development, ethics, oral board preparation, and numerous other topics. These sessions are led by departmental faculty.
- Quality & Safety Course: Taught by anesthesiology faculty experts in quality improvement and patient safety. Course is taken in conjunction with other departmental fellows. Fellows develop their own QI project.
- Transthoracic Echocardiography Workshops: Taught by board-certified, echocardiography experts from the Division of Cardiothoracic Anesthesiology. This is an excellent opportunity to learn basic TTE examination skills and how they can be used to optimize the care of critically ill parturient.
- Advanced Crisis Resource Management training and leadership development in our state of the art Duke Human Simulation & Patient Safety Center. Opportunity to participate in multi-disciplinary obstetric emergency simulations with obstetricians, anesthesiologists and nurses.
- Point of Care Ultrasound Certification (Optional): Fellows that choose to pursue the POCUS elective will participate in a structured curriculum that adheres to training guidelines endorsed by all three U.S. critical care societies (SCCM, ACCP, ATS). POCUS training will cover the following organ systems: focused cardiac; focused pleural/pulmonary; focused renal/GU; focused DVT; and FAST exam.
Maternal-Fetal Medicine Rotation
The OB anesthesia fellow will join their MFM colleagues for a two-week, in-depth look into their practice and antenatal considerations of patient care. The OB anesthesia fellow will attend morning rounds with the antepartum inpatient team, as well as outpatient clinics including the Duke Fetal Diagnostic Clinic and high-risk obstetrics clinics. The MFM faculty actively engage our fellow in educational topics best explained by them, in addition to seeking the anesthesia perspective on care considerations for high-risk patients.
The OB anesthesia fellow will rotate for two weeks in the Duke Intensive Care Nursery (ICN). This ACGME-required rotation is organized and led by Dr. Susan Izatt. The OB anesthesia fellow will attend morning rounds with the ICN team, as well as all cesarean deliveries as an active member of the neonatal resuscitation team. This two-week experience provides additional insight into the neonatal impact of antenatal and perinatal decisions, and has proved to be exceptionally valuable for our fellows. After completing this rotation, fellows will receive Neonatal Resuscitation Program™ certification.
International Maternal & Child Health (Optional Rotation)
Several of our Duke OB Anesthesia faculty are actively involved with Kybele, an international, non-profit organization devoted to the reduction of maternal morbidity and mortality worldwide. Their participation with this organization allows them to contribute to the improvement of maternal health through clinical, educational and research activities in other countries. This relationship also provides an opportunity for our fellows and residents to extend research projects to other practice sites, such as Ridge Regional Obstetric Hospital in Accra, Ghana. Read more about past OB Anesthesia fellows’ experiences in Ghana.