Clinical & Academic Resources

 A plethora of clinical, academic, and mentoring resources is essential to supporting & enhancing the obstetric anesthesiology fellow's professional development at Vanderbilt. 

  • Ample Clinical Experience: The annual delivery rate at VUMC has risen steadily, with a high percentage (>85%) of anesthesia/analgesia involvement.This program's abundant, high quality case exposure is a centerpiece of fellow learning. There is a vast diversity of clinical cases, includingCase Volume
    • Uncomplicated, low-risk care;
    • High-risk tertiary referrals with full spectrum of obstetrical & medical complications;
    • Several perinatal care models (traditional-individual obstetrician, Maternal Fetal Medicine referral, CenteringPregnancy, provate midwifery practices, family-centered cesarean birth).

  • Consultations: Fellows conduct 70-90 formal consultations annually for complicated obstetric cases, which represents a great source of high-yield, faculty mentored learning. Many problems for which management has become famliar or routinized (e.g. super-morbid obesity, buprenorphine/methadone maintenance, etc.), or which may be handled via phone call, do not demand in-person advanced consultation. The fellow coordinates this decision process through communication with referring obstetrician, patients, and core faculty.

  • Inter-professional Collaborative Care: The Division of Obstetric Anesthesiology enjoys an excellent collaborative relationship with the Department of Obstetrics & Gynecology faculty & residents, Maternal-Fetal Medicine faculty, obstetrics nursing staff, midwives, neonatologists, and a host of consultants.
  • Focus on Quality: The disciplines participating in womens health are highly oriented to quality care and improvement. Fellows participate in and lead the multi-faceted program which includes:
    • daily collaborative team practice,
    • twice daily inter-professional briefing sessions,
    • monthly Perinatal Quality Improvement Committee meetings,
    • Dept. of Obstetrics & Gynecology MM&I conferences,
    • and the Obstetric Anesthesiology quality improvement program.

  • Cultural Diversity: There are ample opportunities for developing cultural & linguistic competence, owing to Nashvilles large and diverse immigrant population, with over 40 languages represented. The increasingly important skills needed to recognize & address unique culture, language, and health literacy of diverse patients and communities are emphasized & promoted by faculty and interpreter services staff with extensive expertise and interest in this area.
  • Emphasis on Education: The divisions education program is well-developed & comprehensive, including a protected daily 1-hour morning didactic conference, unique & innovative assessment tools, and a purposeful supervision & feedback structure. A host of high-yield supplementary formal didactic sessions deliver outstanding educational breadth & depth. are Fellows participate actively, including daily teaching, supervision, and assessment of the many learners rotating in the division (anesthesiology residents, student nurse anesthetists, medical students). By year's end, fellows have acquired vast experience and a large repertoire of education/assessment tools, which they may readily apply in their subsequent leadership roles. Of note, fellows spend most of their time learning & mastering through actively practicing & assuming the roles of subspecialty consultant, teacher, team leader, and supervisor, under the close guidance & mentorship of the core faculty. The wealth of clinical learning opportunities during weekday hours far exceeds that which is needed for an outstanding training, limiting weekend & night.

  • Simulation: The division participates actively in inter-professional team training, crisis management training, and individual & procedural simulated practice (Center for Experiential Learning & Assessment; Noelle, Laerdal Patient Simulator Mannequins).

  • Procedural Expertise: The full complement of analgesia & anesthesia procedures are performed: labor analgesia (neuraxial, inhalation nitrous oxide), cesarean anesthesia (neuraxial, general), post-partum anesthesia (e.g., hemorrhage, retained placenta), antenatal anesthesia (e.g., cerclage), ultrasound guided techniques (e.g., neuraxial block, transversus abdominus plane block), etc.
  • Research & Scholarly Opportunities are abundant in a variety of areas, including chapters/reviews (all faculty), placental perfusion lab (JD, CB, RP), inhalation nitrous oxide analgesia (SS), fetal surgery (RP), simulation (JB), inter-professional practice & education (MR, JB), qualitative research approaches to parturient perspectives, quality assessment & education (MR), database research (excellent clinical & research informatics resources & support), and numerous collaborations with faculty in the Department of Obstetrics & Gynecology. The Department of Anesthesiology and Vanderbilt University offer a wide variety of resources that support & promote effective, high quality research & scholarly productivity.

  • Professional Societies: The faculty are active participants & leaders in state, national, & international professional associations (SOAP; ASA; OAA; AMEE, Tennessee Society of Anesthesiologists), and eagerly support fellows membership & participation in these organizations, as well as their contributions & attendance to annual meetings.