Clinical Experience

OB Group 2013

UNC hospital is a tertiary care center receiving referrals from all over North and South Carolina, as well as southern Virginia.  We have a large volume of high risk parturients with various disease processes.  We commonly care for patients with severe pre-eclampsia, cardiac disease, neurological disorders, scoliosis and prior spine surgery, coagulopathies, abnormal placentation, and patients having a trial of labor after cesarean delivery.  Our fellows have the opportunity to care for a large volume of both normal and high risk pregnancies, supervise and educate residents and be a part of a multidisciplinary team including neonatal and maternal-fetal specialists.

Clinical Experience:

1)      Labor and Delivery: Primary clinical duties for the fellow take place on Labor and Delivery where we have 15 labor rooms, 3 operating rooms, 5 triage rooms and a recovery room.  Our unit has centralized fetal monitoring.  We have state of the art equipment including that needed for advanced airway management, rapid transfusion and invasive monitoring.  Anesthetic care is always provided under the direct supervision of a member of the division of Obstetric Anesthesiology. As the fellow gains experience, he/she will be given the opportunity to assist the faculty in teaching clinical skills to residents and medical students. They will also function in a supervisory role with residents.

2)      Neonatal ICU Rotation (2 weeks): Fellows spend 2 weeks in the NICU during their fellowship year.  During this time, they will learn the necessary skills for neonatal resuscitation in the delivery room, as well as become NRP certified.

3)      Maternal Fetal Medicine Rotation (2 weeks): During the year, fellows will participate in a contiguous 2 week MFM rotation. This experience may be comprised of ultrasound clinic, high risk OB clinic, MFM consult clinic, genetic counseling, etc.  Fellows will attend antepartum rounds every morning for a 2 week block.  They will collaborate with Obstetric residents, MFM fellows and Obstetric attendings on the care of complicated parturients during the antepartum period.

4)      Research/QI Project: All fellows will participate in a scholarly project during their fellowship year.  This project may be: original research, a quality improvement project or patient safety initiative.  Non-clinical time will be incorporated into the schedule to allow for completion of this project.  The project must result in presentation at a national meeting (preferably the Society of Obstetric Anesthesia and Perinatology (SOAP) annual meeting).  Support for research projects is available through the department's research division. Laboratory space is available, along with technical support for animal studies. The department has ample computer and technical support for database entry, management, and statistical analysis. Two research nurses are on staff to assist with research protocol development, subject recruitment, and data collection for clinical studies. A modest departmental research fund is available to support projects deemed to be of sufficient merit.

5)      Clinical Instructor: In addition to the clinical experiences listed above, the fellow will spend 50% of their time as a faculty member.  Generally, the fellow will alternate between fellow and attending assignments every 1-2 weeks.  The faculty weeks will consist mostly of supervising  CRNAs and residents, as well as some solo anesthesia.  Clinical assignments will be at UNC’s Main campus, ambulatory care center, or one of UNC’s out-of-hospital anesthetizing locations.  The call requirements for this position consist of overnight weekday call, as well as some weekend call assignments, which are additionally compensated.  Details including compensation, benefits and vacation will be discussed during the in-person interview, if one is granted.