The Division of Obstetric Anesthesia at Columbia has been training Fellows since the days of Virginia Apgar. Our goal is to train the future leaders of the subspecialty of Obstetric Anesthesia and Anesthesiology. The ACGME started accrediting Obstetric Anesthesiology Fellowships in April 2012, and we are among the 12 Programs nationwide to receive accreditation in that first accreditation process; we now offer 2 positions within an accredited fellowship program. Within the guidelines and requirements of the ACGME, we tailor the Fellowship to suit the interests, abilities and goals of the Fellow. The accredited program is a one-year fellowship that combines clinical clinical experience and the development of expertise in obstetric anesthesia care delivery and clinical research, with at least 30% of the Fellow’s time reserved for research and other scholarly activities. Some previous Fellows have completed two-year Fellowships in order to better prepare for high-level academic careers or complete specific research projects in the Division, Department and Medical Center and a two year fellowship would be available for interested candidates. More extensive and/or intensive basic science/laboratory training can be combined with the clinical Fellowship on an individually-designed basis, especially with the two-year option. For Fellows with particular interests, there is the possibility of combining the clinical Fellowship with coursework in epidemiology, biostatistics and/or clinical research study design at the Columbia University Mailman School of Public Health.
Recent and current research in the Division and in the Department relevant to obstetric anesthesia include a variety of studies of drug combinations and techniques for labor analgesia and post-partum pain relief, a program of research into the role of genetic polymorphisms on pregnancy complications, preterm and term labor and delivery, and response to anesthesia and postoperative analgesia, and studies of gender differences in pain sensitivity and some recent work on the molecular basis of weight regulation in pregnancy. In addition, we have what we believe is still the only labor suite in the United States that utilizes an electronic anesthesia record for all cases, including labor analgesia cases, this includes automated acquisition of maternal and fetal data into the anesthesia record and a digital database, which is a valuable resource for “health service delivery” research and other “data mining.”
Over the past 10 years, abstracts from the Division have won the “Best Paper of the Meeting” award at the annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP) 4 times, and Best Paper at the International Society for Anesthetic Pharmacology once. Some recent publications by faculty in the Division can give prospective Fellows some idea of what the areas of interest and active investigation are.
At Columbia, we have two L&D suites. The one at the main campus, where a Fellow would spend 80-90% of his/her time, has about 4500 deliveries, very high risk, both because many of the low-risk patents are delivered at the other "community hospital" L&D suite, and because we are the major children's hospital for New York (a catchment area of 16 million) so we get all kinds of interesting “fetal cases” sent here. We have become a referral center for patients with abnormal placental implantation (accrete/percreta), and are caring for 1-2 of these patents a month in 2012-2013. The low-risk suite at the Allen Hospital of NewYork Presbyterian/Columbia, about 3 miles north of the main campus, delivers about 2500 annually.
We have a group of 9 OB Anesthesia faculty who cover our main L&D 24/7, and provide daytime and some night coverage at the Allen Hospital, so it is a relatively small group resulting in consistency in practice and education for residents and Fellows. The clinical Fellow's role is to help organize and supervise residents, facilitate clinical research projects (and thereby learn how to do them), and see most of the complicated consultation patients.
Fellows are usually assigned 3 night calls per month, exclusively in the Labor and Delivery Suite (no OR call). Fellows will participate in a 2-week rotation in Maternal Fetal Medicine to see what our colleagues are seeing in early pregnancy that we hear about later (and to get to know the physicians on the MFM service early in the Fellowship), They will rotate to perinatal clinic, ultrasound and MFM physician offices. Fellows also participate in a 2 week neonatology/NICU rotation where they will spend time in the NICU, assist with neonatal resuscitation at vaginal and caesarian births, consult with neonatologists, and obtain neonatal resuscitation certification.
A. Robin Brown, MD
Charles Cain, MD, MBA
George Gallos, MD
Stephanie Goodman, MD, Administrative Director, Fellowship Program Director
Allison Lee, MD
Suzanne Mankowitz, MD
Elena Reitman, MD
Laurence Ring, MD
Richard Smiley, MD, PhD, Division Chief
|Current Fellows 2013/14:
|Adam Sachs, MD
||Residency - NYU School of Medicine
|Jaime Aaronson, MD
||Residency Weill Cornell Medical Center
Fellowship Application Checklist
For further information, write or contact:
Richard Smiley, MD, PhD
Professor of Clinical Anesthesiology (in OB/GYN)
Columbia University Department of Anesthesiology
Chief of Obstetric Anesthesia and Program Director for the Fellowship Program
Columbia University Medical Center
630 West 168th Street PH-5
New York, NY 10032
|Dr. Stephanie Goodman
I completed my anesthesiology residency at Columbia in 1997, my obstetric anesthesiology fellowship at Columbia in 1998 and have been a faculty member of the Obstetric Anesthesia Division since then. I have been a member of the Education Committee of SOAP since 1999 and am active in the American Board of Anesthesiology as a Senior Editor of the In-Training Examination as well as an oral board examiner. One of my main priorities is the education of fellows and the development of the fellowship program. It is very exciting to now have an accredited fellowship program, and I am eager to help the fellows accomplish all they can during their year or two with us.