The core mission of the Department of Anesthesia, Critical Care and Pain Medicine (DACCPM) at Massachusetts General Hospital is to provide world-class care to our patients by integrating education, evidence-based medicine and research. The Obstetric Anesthesia Fellowship is offered to candidates who have successfully completed an Accreditation Council for Graduate Medical Education (ACGME)-accredited residency program in anesthesiology. The fellowship recruits, mentors and trains future leaders who:
- Direct and manage complex clinical issues related to care of pregnant patients
- Demonstrate intellectual curiosity and a capacity for teaching
- Further the advancement of obstetric anesthesia and obstetric medicine by investigating novel research questions and producing scholarly work
Fellows are trained in advanced and high-risk obstetric anesthesia and have the opportunity to collaborate with colleagues at the Mass General Center for Medical Simulation, Harvard Medical School, Harvard Business School, Harvard School of Public Health and the Massachusetts Institute of Technology Sloan School of Management. Graduates from the Obstetric Anesthesia Fellowship will gain clinical, leadership, teaching and fundamental research skills to apply to their future faculty positions.
The Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital follows all minimum selection criteria as delineated in the Institutional Policy on Selection (PDF). As a prerequisite for entry, all applicants for the fellowship must be a graduate of one of the following:
- Liaison Committee on Medical Education (LCME)-accredited medical school
- American Osteopathic Association (AOA)-accredited medical school
- Medical school listed in the World Health Organization Directory of Medical Schools
- USMLE completion requirement for clinical trainees
Applicants must have also completed an anesthesia residency program accredited by one of the following:
- Accreditation Council for Graduate Medical Education (ACGME)
- Royal College of Physicians and Surgeons of Canada (RCPSC)
All residents, clinical fellows, research fellows and staff who are not United States citizens and do not have a green card must have the appropriate visa in order to receive a Mass General appointment.
For questions regarding a J-1 visa, please call the Mass General Registrar/Credentialing Office at 617-726-5316. Questions on all other types of visas should be directed to the Partners HealthCare International Office at 617-726-9211.
The Obstetric Anesthesia Fellowship incorporates a multifaceted lecture program with simulation training to enhance the fellows’ ability to provide expert care to obstetric patients.
Fellows will participate in discussions centered on basic research concepts, including:
- Study design
- Critical evaluation of primary literature
Extensive research-related resources and offerings are available through the Mass General Center for Faculty Development and the Partners HealthCare Education for Researchers website. Fellows are encouraged to attend.
The didactic curriculum includes:
- Daily hands-on education and discussion with obstetric anesthesia faculty
- One to four obstetric anesthesia lectures per week
- Simulations held in-situ on the Labor and Delivery Unit
- Ultrasound curriculum
- Grand Rounds
- Case conferences
- Twice daily multidisciplinary clinical rounds
- One month of simulation training
- Journal Club
- Faculty lectures
The core of the Obstetric Anesthesia Fellowship at Massachusetts General Hospital is hands-on clinical experience on the Labor and Delivery Unit and in the operating room.
Simulation Experience (one month)
Fellows will participate in team courses focused on labor and delivery crisis resource management and receive didactics in the management of maternal crises. Fellows will create a simulation under expert mentorship, as well as learn and practice essentials of feedback. Fellows will become skilled in fetal heart rate monitoring and interpretation. Fellows will also receive a management course certification and a Collaborative IRB Training Initiative (CITI) certification for ethics in human subjects research.
Operating Room and Labor and Delivery Clinical Activity (seven months)
Fellows are taught anesthetic management of pregnancy-related conditions. Fellows will assume the role of perioperative physician for all pregnant patients—from healthy patients to high-risk, complex patients with pregnancy and non-pregnancy co-morbid conditions.
Surgical Intensive Care Unit (one month)
This rotation includes care of pregnant women in critical condition. Fellows participate in longitudinal care for any patient admitted to the Surgical Intensive Care Unit (SICU) or needing operative treatment.
Neonatology (two weeks)
Fellows will provide routine neonatal evaluation and care to patients. Fellows will complete a course in neonatal resuscitation and have the opportunity to observe and then participate in neonatal resuscitations, learning from the perinatal delivery teams.
Maternal-Fetal Medicine (two weeks)
Fellows will gain experience in antepartum fetal testing and high-risk antepartum care. Fellows will spend time engaged in antepartum and postpartum clinics on the Labor and Delivery Unit and will also be integral members of the maternal-fetal medicine team.
Research/Academics (three months)
Fellows will spend at least two months conducting research or other well-defined scholarly activity. Fellows will be expected to submit a project for presentation at a national meeting and will be encouraged to attend such meeting should the project be accepted, with the ultimate goal of turning the project into a publication. Fellows’ posters will be displayed at the Department of Anesthesia, Critical Care and Pain Medicine Research Day in May.
Selection to the fellowship is highly competitive. Only completed applications are reviewed.
Please submit the following documents electronically to firstname.lastname@example.org:
- Personal statement describing your interest in the Obstetric Anesthesia Fellowship and your plans after completion of the fellowship
- Completed application and supplementary questions
- A current curriculum vitae
- Three letters of recommendation. One letter must be from your residency program director or chief of service. Letters should be addressed to Rebecca D. Minehart, MD, MSHPEd, and should be sent from the letter writer’s email or his/her assistant’s email
- A copy of your medical school transcript
- A copy of your USMLE scores
All documents should be submitted electronically to email@example.com to the attention of:
Rebecca D. Minehart, MD, MSHPEd, fellowship director
c/o Kristen O'Connor, program manager
Department of Anesthesia, Critical Care and Pain Medicine
Massachusetts General Hospital
Applicants should use the following naming convention (first five letters of last name, first initial, document type):
Applications and interviews are currently being accepted on a rolling basis. Interview season typically runs from April to June. If you would like to interview in April, please have your application submitted by mid-March.
Obstetric Anesthesia Fellowship
Rebecca Minehart, MD, MSHPEd, fellowship director