Fellowship Overview / MSCI

Washington University offers both one and two year Fellowships in Obstetric Anesthesiology. The goal of this unique program is to provide thorough clinical training in the care of healthy and high-risk parturients in addition to rigorous, formal preparation for a clinical research career in obstetric anesthesiology. Barnes Jewish Hospital delivers 3,800 infants annually and serves as the tertiary referral center for a large geographical area. Our high-risk patient population provides the full spectrum of both co-morbid medical conditions and obstetric complications. Fellows consult on the management of these patients in the antepartum period and are involved intra- and postoperatively. Fellows also participate in the Fetal Care Center and the intraoperative management of our fetal surgery patients. Fellows, anesthesia residents and faculty participate in multi-disciplinary simulation sessions held with the department of obstetrics and our obstetric nurses. In addition, fellows participate actively in formal and informal resident and medical student education and in monthly journal clubs. Two 4-week electives may be taken during a one-year fellowship and four 4-week electives during a two-year fellowship. The elective choices include research time, neonatal intensive care unit (NICU), maternal fetal medicine (MFM), obstetric ultrasound, echocardiography (TTE and TEE), and performing as a critical care fellow in the cardiothoracic or surgical ICU. Other elective options may be arranged by the fellowship applicant and approved by the program director. Clinical fellows on the OB service typically have one non-clinical day per week, work in labor and delivery 4 days a week and are on call for obstetrics twice per month. Fellows on elective rotations will continue to take call 2 days per month. Fellows receive 3 weeks of vacation time plus 1 week of meeting time. All fellows receive funding to attend and are expected to present at the annual meeting of the Society for Obstetric Anesthesiology and Perinatology (SOAP).

Research

Examples of current research projects of the obstetric anesthesiology division include:

  • obstructive sleep apnea in parturients
  • coagulation abnormalities and hemorrhage in the postpartum period
  • prevention of post-cesarean wound infections

Financial support and nonclinical time is provided for the Certificate in Clinical Investigation for one-year fellows and for the Masters of Science in Clinical Investigation (MSCI) degree for two-year fellows. One-year fellows are strongly encouraged to obtain a Certificate in Clinical Investigation through the Institute of Clinical and Translational Sciences at Washington University in addition to clinical training. The certificate program is a 16-credit subset of the Masters of Science in Clinical Investigation. Certificate students study research study design, introductory and intermediate statistics, epidemiology, research ethics, and either grantsmanship or scientific writing. Click here for more information on the Certificate Program Two-year fellows will complete the Masters of Science in Clinical Investigation degree through the Institute of Clinical and Translational Sciences at Washington University in addition to clinical training. Click here for more information on the MSCI Formal mentoring during the fellowship will facilitate application for research funding and the transition into an academic career.