The Obstetric Anesthesiology Fellowship is a one-year program that has been ACGME-accredited since 2012. As integral members of our anesthesia team, fellows benefit from a full range of state-of-the-art obstetric and anesthetic services. The breadth of patient exposure includes 8,000 to 10,000 deliveries, approximately 24 fetal surgeries, and 1,500 in vitro fertilization procedures per year.
Brigham and Women’s Hospital is a tertiary referral center for pregnant patients with congenital heart disease and for those who require in utero fetal surgery, and fellows benefit from exposure to these and other high-risk pregnancies. In addition, fellows provide care and expertise for a large in vitro fertilization program and have ample clinical exposure to uncomplicated pregnancies. Approximately 80 percent of our patients receive regional analgesia for labor.
A major goal of the Obstetric Anesthesiology Fellowship is to provide a foundation for effective collaboration in a multidisciplinary peripartum environment. Fellows evaluate patients in the anesthesia department’s high-risk pregnancy clinic , coordinating peripartum care with obstetric, neonatal, and other medical teams. Clinical fellowship rotations in maternal fetal medicine and neonatology, each for two weeks, refine the expertise required for management of patients in a multidisciplinary environment.
Clinical or basic research is facilitated through advisor mentorship and three months of protected non-clinical time. Fellows benefit from state-of-the–art research tools including thromboelastography and lumbar spine ultrasonography.
Collaborative research with our obstetric, neonatology and other medical departments is encouraged, and fellows frequently present their research at national meetings such as Society for Obstetric Anesthesia and Perinatology (SOAP). Many of our faculty have active roles on editorial boards, administration, and leadership in the arena of obstetric anesthesiology, offering fellows a unique opportunity for mentorship and participation in all aspects of this specialty.
Academic teaching is conducted at twice daily conferences in addition to fellow-specific weekly sessions including journal club, research strategy conferences, and advanced didactic sessions. In addition, there are numerous interdisciplinary conferences with the departments of obstetrics and neonatology, cardiology, hematology, and neurology.