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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.
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 eight rotations on the labor and delivery anesthesia team and three 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 eight weeks are spent on four 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 four 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 three 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.
Angelica Delgado, MD
Angelica M. Delgado, MD stayed with the Department of Anesthesiology at NewYork-Presbyterian Hospital/Weill Cornell Medicine to complete an Obstetric Anesthesiology Fellowship.
Dr. Delgado was awarded her bachelor’s degree in biology at Barry University in Miami Shores, FL. After graduation she worked at a publicly traded telecommunications company initially in sales and then moved to the operations department where she spent most of her 4 years with the company as a project manager. Returning to her journey in science, Dr. Delgado attended the Herbert Wertheim College of Medicine at Florida International University (HWCOM) in Miami, FL where she obtained her Doctorate in Medicine (OR, where she earned her medical degree). At HWCOM, she focused on patient centered care through the NeighborhoodHELP program and was part of the medical school admissions committee in her last year. Dr. Delgado completed her internship and residency training in the anesthesiology department at NewYork-Presbyterian/Weill Cornell Medical Center. As a resident, she participated in the Weill Cornell Medical School Diversity Fairs and the Diversity Mentorship Cascade which she continues now as a fellow.
On her time off, she enjoys picnics in Central Park, and time with friends and family.
Laura Burey, MD
Robert White, MD, MS
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 Medical Center in January 2019. After his obstetrics fellowship at Weill Cornell Medicine he stayed at Weill Cornell to become a faculty member.
Interested applicants must submit the Common Application as well as answers to the supplementary questions, both found on the SOAP website: https://soap.org/residents-fellows/obstetric-anesthesiology-fellowship-application.
In addition to the application, please submit 3 letters of recommendation (LORs), on letterhead and signed. LORs should include one letter from Program Director, and at least one from a faculty member who has worked with you on several occasions in settings other than Labor and Delivery.
Supporting material: passport size photo; In-Training Exam Results, USMLE/COMLEX. Only J-1 visas accepted.
Application and supporting materials should be submitted to Program Coordinator, Marlene Augustine at maa2010@med.cornell.edu.
Obstetric Anesthesiology Applications accepted from December 1 to March 31 to start the program the following July (one year later).
Klaus Kjaer, MD
Associate Professor of Clinical Anesthesiology
Program Director, Obstetric Anesthesia Fellowship
Contact:
Marlene Augustine
Phone: (212) 746-2785
E-mail: maa2010@med.cornell.edu
