Obstetric Anesthesiology Fellowship

Overview

Our one-year, ACGME-accredited program trains fellows in all aspects of obstetric anesthesiology, with a focus on clinical excellence, scholarship, data-driven models of care, and leadership. In addition to taking care of a range of parturients with complex medical problems, fellows participate in activities that promote high-reliability culture, such as simulations around administering general anesthesia for emergent cesarean deliveries and managing post-partum hemorrhage. Fellows also lead sessions of multi-disciplinary teams to plan for complex deliveries and provide guidance and supervision for junior residents.

Clinical Experience

NewYork-Presbyterian/Weill Cornell Medical Center has over 5,000 deliveries per year, including a significant number of high-risk deliveries. Fellows complete 13 four-week block rotations, spending a majority of their time on the labor and delivery anesthesia team. During these rotations, two full days are dedicated to a variety of teaching and research projects. Additionally, fellows participate in four two-week rotations: Maternal-Fetal Medicine, Neonatal ICU, Transfusion Medicine, and Simulation Design. At the end of the program, graduates are expected to become expert consultants and peripartum physicians.

Curriculum

Fellows complete 13 four-week block rotations, spending 8 rotations on the labor and delivery anesthesia team and 3 rotations fully dedicated to a variety of teaching and research projects. During the labor and delivery rotations, one day a week will also be dedicated to teaching and research. An additional 8 weeks are spent on 4 two-week rotations: Maternal-Fetal Medicine, Neonatal ICU, Transfusion Medicine, and Simulation Design. There is also an opportunity to participate in a research-focused Global Health elective with 4 weeks of travel abroad.

The program will expose fellows to complex scenarios with maternal and fetal co-morbidities, including congenital and acquired cardiac lesions, abnormal placentation, coagulopathies, and difficult airways. Fellows participate in a large number of neuraxial blocks, as well as difficult IV and arterial line placements. In addition, they will use ROTEM to assess coagulopathy and point of care ultrasound (POCUS) to assess anatomy in appropriate clinical scenarios.

Fellows achieve certification in the Neonatal Resuscitation Program upon start of the program, and Fetal Heart Rate Monitoring Certification by the end of the first 3 months of the program. Through journal clubs and analysis of research, as well as mentored IRB-approved projects, they use rigorous methodology to study current clinical and public health problems in obstetric anesthesiology. The Department of Anesthesiology provides access to the MPOG database, and additional research time is made available as dictated by ongoing project needs.

Through access real-time operational data, the fellow learns to separate signal from noise and make data driven conclusions and decisions. Fellows participate with obstetric anesthesiology leadership in implementing performance improvement projects based on need determined by analysis of adverse events and near misses, and also coordinate the multidisciplinary planning for the care of complex patients.

More broadly, fellows play a leadership role not only in the daily activities of the obstetric anesthesia team, but of the entire multi-disciplinary labor and delivery team. A monthly conference with Anesthesia, OB, and Cardiology updates the plan of care for pregnant patients with complex cardiac disease. Knowledge and skill in this domain builds on use of data-driven decisions and leadership principles to build buy-in and lead change. Fellows learn effective communication and feedback to lead high-performance teams. Mobile Heartbeat, a technology platform for real-time communication, facilitates daily teamwork in the clinical setting.

 Current Fellow

Dr. Robert White is the Obstetric Anesthesiology Fellow for 2018-19. He graduated Summa Cum Laude from Cornell University with a B.S. and earned his M.D. with special distinction from Albert Einstein College of Medicine.  

During medical school, Dr. White spent an additional year obtaining an M.S. in Clinical Research Methods, subsequently producing several high-quality publications. He has demonstrated impressive success and productivity in application of databases from the Healthcare Cost and Utilization Project (HCUP), showing the effect of payer status on outcomes and readmission in a number of surgical domains. He has won the Dean's Diversity and Healthcare Disparity Research Award, and also received a Housestaff of the Month Award from NewYork-Presbyterian/Weill Cornell in January 2019. He is planning to stay on faculty at Weill Cornell after finishing his fellowship. 

 

Application

Please e-mail Marlene Augustine with any questions regarding the application. Applications are accepted beginning January 1st through May 31st to start the program the following July (one year later).

Click below to download the application.

OB_Anesthesiology_Fellowship_Application.pdf   

Program Director