Dr Monica Servin

OBSTETRIC ANAESTHESIA FELLOWSHIP REGISTRY


Hospital: University of Michigan Health System, Obstetric Anesthesiology Women’s Hospital L3622
Road:
1500 E Medical Center Drive
City: Ann Arbor
State: Michigan
Zipcode: 48109
Country: USA

NB: Only applicants with Green Card status may be considered for this fellowship. Applicants without Green Card status may apply to join the clinical instructor rotator program and participate in cases in the main hospital and on occasion cover obstetrics.

Supervisor: Monica Servin, MD
Telephone: 734-763-2436
Website: http://anes.med.umich.edu/ob/programs/index.html

Enquiries: to Skii Thomas (secretary)
Telephone: 734-763-2436
Application form: http://anes.med.umich.edu/main/display.html?id=1003670

Duration: One year, ideally to start 1st July 

Grade: Post FRCA or equivalent, although visa restrictions may apply


General:

The Obstetric Anesthesia Fellowship consists of one year of advanced clinical training in all aspects of Obstetrical Anesthesia at the University of Michigan Health System-Women's Hospital under the direction of Monica Servin, MD, Obstetric Anesthesia Fellowship Program Director.

The program is dedicated to providing state-of the-art clinical training and expertise in labor analgesia, anesthesia for deliveries and management of high-risk patients, as well as extensive research opportunities. Our obstetric unit comprises a significant high-risk population of parturients with obstetric disorders as well as cardiovascular, pulmonary, neurological, and endocrine disorders. It is a busy service with 3,500 deliveries a year, of which 3,300 require anesthetic services.

All fellows are expected to participate in the month long Department of Anesthesiology research rotation, to participate in ongoing research projects in the Division of Obstetric Anesthesia, and to present at the Society of Obstetric Anesthesia and Perinatology Annual Conference. This will be supervised by the fellowship director, Monica Servin, M.D. There is also assistance available from our research team, led by Jill Mhyre, M.D. In addition, the faculty are available to mentor and support the development, execution and publication of new research protocols.

Our research team is devoted to the foundation that every woman should expect a safe and comfortable delivery. The goal of the Obstetric Anesthesiology Research Team is to promote an environment of inquiry and scholarship where knowledge is developed to benefit pregnant women and their infants. Currently, the division is working to find ways to increase the accuracy of epidural placement, to decrease patient and partner anxiety, and to improve peripartum patient safety.

For recent research from the Anesthesiology Department at the University of Michigan see: http://anes.med.umich.edu/research/publications.html

Clinical and Academic Responsibilities:

The fellow will work closely with an Obstetric Anesthesia faculty to teach daily resident conferences and give journal club lectures. Fellows will be assigned flexible rotations in labor & delivery where they will run the floor supervising and directing anesthesia residents. In addition, they will staff rooms at the University's Main hospital once a week and take call in the obstetric/pediatric call pool to help maintain general anesthesia skills. Fellows will also participate in the section's research efforts, and attend the Society of Obstetric Anesthesiology and Perinatology conference.

Fellows will be expected to master the anesthetic management of not only routine labor and delivery but also a case mix of:

  • Cesarean section – routine and high risk
  • Assisted second stage delivery and ICU management for high risk patients
  • Dilation and curettage
  • Post partum tubal ligation
  • EXIT procedures
  • Fetal intervention

Fellows are also encouraged to participate in simulated obstetrical emergencies with other obstetric care providers in the hospitals simulation center.

Fellows will complete a two week rotation in the NICU and be expected to know neonatal resuscitation.

A two month obstetric anesthesia rotation at the Brigham and Women's Hospital in Boston, MA is available as part of the fellowship training which offers a unique dimension to our obstetric anesthesia fellowship.

Academic commitments include: daily hands on teaching and supervision of residents in the operating room and labor floor.

The Fellow will facilitate daily resident lectures ranging in topics from:

  • Thromboembolic disease
  • Thyroid disease
  • Diabetes
  • Local anesthetics
  • Stages of labor
  • Obesity
  • Polysubstance abuse
  • Valvular heart disease
  • Spinals/Epidurals
  • Intrathecal narcotics

and present lectures ranging in topics from:

  • Neurologic complications
  • Physiologic changes in pregnancy
  • Fetal monitoring
  • Neonatal resuscitation
  • Difficult airway techniques
  • Combined spinal/epidural techniques

as well as present monthly Journal club presentations and attend weekly Morbidity and Mortality conferences.

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