Advanced OB Fellowship Program Information
 

Welcome to the Advanced Obstetrics Fellowship! We appreciate your interest in our program. Our mission is to provide advanced training in high-risk and operative obstetrics to family physicians who will work in underserved communities.


Goals

  • Manage simple and complex labors.  

  • Attain competency in operative obstetrics, including cesarean section, instrumented deliveries, and tubal ligation.  Provide post-operative care for such patients.  

  • Provide competent prenatal care to pregnancies complicated by diabetes, hypertension, thyroid disease, substance use, and mental health disorders.  

  • Stabilize and treat pregnant patients hospitalized for pre-term labor, pre-eclampsia, diabetes, and placental disorders. 

  • Attain competency in performing biophysical profile and limited obstetric ultrasound.  

  • Counsel obstetric patients regarding genetic risk.  

  • Maintain family medicine clinical skills.  

  • Develop and maintain competency in teaching obstetrics to family medicine residents. 

 

Objectives

  • Evaluate obstetric patients and their fetal monitoring tracings in triage  

  • Provide labor management, vaginal delivery and instrumented deliveries to obstetric patients of teaching panel physicians.  

  • Perform cesarean sections as primary surgeon with obstetric providers. Surgical skill level at the beginning of the fellowship will determine when the fellow is ready to be the primary surgeon.  

  • Augment surgical skills by assisting gynecologic surgeries, including tubal ligations and D&Cs. 

  • Perform post-partum tubal ligation on teaching panel patients. 

  • Provide daily management of antepartum service patients.  

  • Provide initial consultation and ongoing prenatal care to patients in the perinatal offices of Obstetrix.  Focus will be on patients referred from family medicine clinics. Visits will be precepted by the obstetrician. Fellows are expected to provide thorough evaluation to an average of 8 patients/day.  

  • Perform limited obstetric ultrasound at Swedish Family Medicine.  

  • Work with genetic counselors to counsel patients regarding genetic screening. 

  • Supervise resident care of family medicine patients by precepting at the First Hill, Ballard and Downtown Family Medicine residency clinics.  

  • Teach R1s on the obstetric service: triage evaluation, cervical exams, labor management, pitocin augmentation, IUPC, FSE, vaginal delivery, and postpartum care.  

  • Teach resident didactics sessions on L&D and during Tuesday afternoon didactics.  

  • Present a topic in primary care obstetrics at our annual High-Risk Obstetrics for the Family Physician CME. 

*In academic year 2022-2023 there is a new Obstetrics residency starting at Swedish First Hill. The OB residency leadership and faculty have been teaching FMOB fellows for many years, and there is a strong collaboration between the OB residency leadership and the OB fellowship leadership to ensure that the needs of all trainees are met, including continued high procedural volumes for OB fellows. The OB fellowship director Dr. Thomson is happy to discuss potential implications of the new OB residency with interested applicants!

Applicants interested in an OB Fellowship position should review the application information and direct any questions about the application process to Jesse Zayas jesse.zayas@swedish.org