About

The Department of Anesthesiology at Stanford University Medical Center offers 3, one-year, ACGME-accredited fellowships in Obstetrical Anesthesia. The Obstetric Anesthesiology Fellowship combines advanced clinical training with the opportunity to engage in research and education. The fellowship equips its graduates for a variety of careers, including academic or private practice, with the ability to act as a consultant in obstetric anesthesiology.

Fellowship Experience

Our OB Anesthesia fellows complete several required and elective rotations during the course of the year, including maternal fetal medicine (required) neonatal intensive care (required), transfusion medicine, transthoracic echocardiography, and global health. While on the OB Anesthesia service, they are either the primary clinical fellow with increasing attending-level responsibility towards the end of the year or they are assigned secondary or tertiary fellow and have time to recruit for and complete research projects.

The clinical experience includes management of low and high risk parturients, attendance at daily multidisciplinary rounds, weekly cardiology conference, development of patient care plans at a fellow-run prepartum anesthesiology clinic, attendance at patient specific multi-disciplinary team meetings, and hands-on management of patients undergoing fetal surgery, non-obstetric surgery during pregnancy, and high-risk deliveries in the main operating room. Fellows do not do in-house call and their call from home involves consultation, call backs for interesting cases, and clinical need.

Fellowship education consists of daily instruction and bedside teaching, with twice weekly lectures given by a dedicated attending not covering the service.  Fellows will have time to learn and interact with Obstetric Anesthesia specialist attendings many who are internationally and nationally recognized.

The research experience for obstetric anesthesiology fellows at Stanford is unparalleled. Fellows typically join an existing research project and have the opportunity to run their own project. Fellows will learn how to design, conduct, present and write their own original research. There are several attendings active in research that covers clinical, translational, outcomes-based, big data and quality assurance research. Research domains include labor and cesarean acute pain, chronic pain, peripartum drug pharmacokinetic/dynamics, immunology, technology and equipment (e.g. virtual reality) etc. All fellows are highly encouraged to participate in research, even if they plan to enter private practice, because it helps them become well rounded, critically thinking, evidence-based, physicians. Fellows will receive research mentorship from some of the most respected and prolific researchers in the field, and have access to the extensive resources available at Stanford University.

Fellows will receive mentorship and guidance by a team of 10 obstetric anesthesiologists who have fellowship training in obstetric anesthesiology.  Fellows meet with the fellowship director during a monthly lunch and an additional 4-5 times per year to provide for mentoring, career counseling, and research assistance. The research director meets the fellows monthly to discuss research and help with mentorship. The fellowship experience is tailored to the fellows’ career plans, with variable time for research depending on the interests of each fellow. Fellows will have mentors for life.

Fellows have extensive leadership and administrative responsibilities. These include teaching at approximately 8 new parent lectures per year, attendance at multi-disciplinary patient safety meetings, participation in weekly QI conferences and quarterly morbidity and mortality conferences. Fellows are expected to lead select resident teaching sessions, to help refine education and presenting skills.

All fellows are given time off to attend the Society of Anesthesiology and Perinatology (SOAP) conference in the spring, the American Society of Anesthesiologists (ASA) conference in the fall, and other conferences where they are presenting or where they have particular interest. In the past fellows have attended maternal health symposiums, research courses, and maternal mental health forums. Several wellness outings are arranged during the year with attending coverage.

Fellowship Opportunities

At Stanford Fellows Have the Opportunity To:

  • Learn and be on the leading edge of creating knowledge in obstetric anesthesiology, perioperative medicine, and maternal health.
  • Learn and refine advanced patient care skills in the management of complex parturientsl anesthetic procedures. Fellows have the opportunity to manage high-risk parturiens and follow them throughout their perinatal course.
  • Grow as a professional through interaction with others in the Department of Anesthesia and other perinatal health specialties.  Our curriculum affords the opportunity to participate and receive credit for overseas medical volunteer services, such as Kybele. Our faculty have strong commitments to contributing to anesthesia services and education in developing countries.
  • Receive mentoring and guidance from some of anesthesia’s most recognized experts in obstetric anesthesia, intensive care, pain management, cardiac anesthesia and human patient simulation education.
  • Advance anesthetic practice and science. Stanford offers an active research community with opportunities for research in acute and chronic pain, cardiac anesthesia, and education along with many other projects, including clinical trials, simulation, and basic science research.
  • Obtain certification in transthoracic echocardiography. All Stanford obstetric anesthesiology fellows receive a one-week “echo boot camp” followed by ongoing mentorship and support to obtain the TTE Board Certification.

Clinical Rotations

10 Months

Labor and Delivery

One fellow is the primary clinical fellow each day, with variable responsibilities including direct patient care for low and high-risk deliveries and other procedures, orientation of residents on their first day, primary management of high-risk patients, and attendance at multidisciplinary rounds. He or she works closely with the fellowship-trained OB Anesthesiology attending during the day to manage the service and deliver the best possible patient care.


10 Months

Research

Research is ongoing and combined with the labor and delivery rotations, with one fellow designated as research fellow each day. This allows for longitudinal recruitment of patients as well as ongoing research mentorship.


2 Weeks

Maternal Fetal Medicine

Fellows join the Maternal Fetal Medicine service as a team member. They participate in rounds and work with the team to formulate delivery and care plans for individual high risk patients. Lectures and didactics are given by MFM faculty to fellows during their rotation and throughout the year. MFM fellows also rotate on the OB Anesthesia service, which enhances the team approach to patient care and education.

All fellows attend OBSim multidisciplinary in-situ team simulation training during the year.


10 Months

Research

Research is ongoing and combined with the labor and delivery rotations, with one fellow designated as research fellow each day. This allows for longitudinal recruitment of patients as well as ongoing research mentorship.


2 Weeks

Neonatal Intensive Care

Fellows work with the neonatal team. They attend deliveries, perform resuscitations, participate in rounds, and attend didactic teaching sessions.

All fellows attend NeoSim neonatal resuscitation certification course and multidisciplinary simulation training.


2 Weeks

Transfusion Medicine

Fellows join the Transfusion Medicine Service as team members. They participate in rounds and assist Pathology housestaff with transfusion reaction workups and inventory management for complex surgical cases requiring transfusion support. Through daily didactic sessions and hands-on bench work, they learn about immunologic and genetic principles in transfusion medicine, the processes of blood typing and crossmatching, and develop an understanding of blood collection, preparation, storage, and selection of appropriate blood products for transfusion.


1 Week*

Transthoracic Echo and Point of Care Ultrasound

After a structured e-learning program on focused cardiac and pulmonary ultrasound, fellows undergo a 1-week practical training course performing transthoracic echocardiography (TTE) under direct supervision of certified faculty. Fellows are then expected to perform TTEs independently on educationally interesting and clinically challenging cases. These are regularly reviewed and interpreted under appropriate supervision. Goal of the POCUS-curriculum is to allow fellows to succesfully undergo the exam on Critical Care Echocardiography awarded by the National Board of Echocardiography (NBE). Exam fees are funded by the fellowship program.

*Plus Ongoing Instruction


Varies

Elective - Global Health

Other electives tailored to meet fellows’ needs and interests (e.g. maternal mental health, research, biotechnology, business, and practice management).

Current Fellows

Cedar Fowler, MD, PhD, MPH

Residency: Stanford University

Dan Hoang, DO

Residency: University of Washington

Emily Stockert, MD

Residency: Stanford University

Stories of Success

Life after Stanford Obstetric Anesthesia fellowship

2020 Graduates

Sapna Satyanarayan-VIctor, MD, MPH

Assistant Professor, UCLA

Residency: University of Michigan Ann Arbor

Maria Sheikh, MD MPH

Attending Physcian, Columbia University Medical Center

Residency: Loyola University Medical Center

2019 Graduates

Neil Kalariya, MD

Associate Anesthesiologist

US Anesthesia Partners Washington

Residency:  Allegheny Health Network

Amy Willett, MD

Staff Physician

Anesthesiology Associates of New London

Residency:  Yale-New Haven Hospital

Waseem Athar, MD

Assistant Professor

University of Arkansas for Medical Sciences

Residency:  Hamad Medical Corporation, Qatar

2018 Graduates

Jessica Ansari, MD

 Assistant Professor

Stanford University

Residency:  Stanford Health Care Medicine

After Fellowship:  Clinical Instructor, Department of Anesthesiology, Stanford University School of Medicine

Jalal Nanji, MD

Staff Anesthesiologist

Alberta Health Services

Residency:  University of Alberta, Alberta Health Services

After Fellowship:  Staff Anesthesiologist, Alberta Health Services

Paul Macias, MD

Staff Anesthesiologist

Kaiser Permanente, San Diego

Residency:  Emory University School of Medicine

After Fellowship:  Staff Anesthesiologist, Kaiser Permanente, San Diego

2017 Graduates

Kelly Fedoruk, MD

General & Obstetric Anesthesia

Sunnybrook Health Sciences Centre

Residency: University of Saskatchewan in Saskatoon, Canada

After fellowship, Kelly is going to Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada where she will be working as a attending anesthesiologist in the general operating room and the obstetric unit. 

"My year with the Stanford Obstetric Anesthesia division has been quite an adventure! I can’t say enough about the amazing mentorship that I received. This department contains true leaders and trailblazers in Obstetric Anesthesia. The fellowship experience will provide me valuable experience as I advance my career in obstetric anesthesia."

John Kowalcyzk, MD

Obstetric Anesthesia

Beth Isreal Deaconess Medical Center

Residency: University Hospitals Case Medical Center, Cleveland, OH 

After fellowship, John is heading to Beth Israel Deaconess Medical Center, Boston, where he will joining the obstetric anesthesiology division. 

"A year goes so fast! I have learned and grown more than anyone could imagined in one year. The fellowship has been an incredible experience and I am very grateful for this opportunity. The mentorship has been first-class! You all made this year feel very special!"                                                                                                                                                                                                                                                                                                                                                                                                                                                              

Mary Yurashevich, MD

Assistant Professor

Duke University

Residency: Loma Linda University Hospital, CA 

After fellowship, Mary is heading to Duke University where she will be joining the obstetric anesthesiology division as a faculty member.

"The best part of fellowship thus far is hands-down the people: the obstetric anesthesia group, my co-fellows Kelly and John, the OB's, techs, RN's, Araseli and Bernadett. I am grateful that I’m staying on for 6 months to learn more from leaders in this field!"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

2016 Graduates

Alison McDonald, MD

General & Obstetric Anesthesia

Kaiser Permanente, Santa Clara

Residency: Washington University

After fellowship, Ali took a position in the area. She works at Kaiser Santa Clara and is part of their general and OB anesthesia group.

"This year has been a fabulous year in so many ways! I have loved it all, from the amazing variety and number of complex cases, to understanding the basic OB anesthesia principles of why we practice the way we do from the people who literally wrote the papers, to getting to explore and design safety aspects of labor and delivery rooms in the region. Thank you to everyone! I feel super lucky to be a part of this subspecialty, this division, and this family!"

 

Katie Seligman, MD

Co-Director, OB Anesthesia Division

University of New Mexico

Residency: Oregon Health Sciences University

After fellowship, Katie now lives in Albuquerque where she is the Co-Director of the Obstetric Anesthesia Division at the University of New Mexico.

"I am so thankful to have spent the year with the amazing OB Anesthesia Department at Stanford. The highlight of my time here was working with the dedicated physicians in this division on research and high risk patient care. It was so personally and professionally fulfilling to work around such echelons in the field of obstetric anesthesia. I am excited to transition to another academic setting and use the skills and knowledge I have learned as I move to UNM."

Caitlin Sutton, MD

Assistant Professor

Texas Children's Hospital

Residency: Emory University

After fellowship, Caitlin completed an additional fellowship in Pediatric Anesthesiology. She is now an Assistant Professor at Texas Children's Hospital specializing in anesthesia for fetal surgery.

"So what’s my favorite thing about this year? Easy. The people. The OB anesthesia group, the nurses, the techs, the OBs, the support staff, Araseli, Bernadett, Aramina, Seden, and everyone else who works in L&D. You welcomed the three of us in with smiles and have kept us laughing all year long. Thank you to every single one of you – it’s been a blast!"                                                                                                                                                                                           

A new hospital for 21st century training and care

Lucile Packard Children’s Hospital at Stanford University is a tertiary obstetric center and has a busy Labor and Delivery Suite with 4,500-5,000 deliveries per year, many of which are high-risk. The hospital complex recently gained the addition of a new 521,000 square foot facility and surrounding 3.5 acres of healing green space and gardens, which opened in 2018.

Applicants gain experience in the anesthetic management of high-risk obstetric patients, and receive hands-on teaching in state-of-the-art technologies, including: advanced labor and cesarean analgesic techniques, ultrasound-guided neuraxial anesthetic techniques, transthoracic echocardiography, and point-of-care devices such as thromboelastography.

Stanford is a world-leader in obstetric emergency simulation and fellows will have the opportunity to gain experience in participating and teaching using low- and high-fidelity simulation techniques. All fellows will participate in at least one primary research project, which will incorporate research interests of the applicant with mentorship and guidance from the experienced obstetric anesthesia researchers within our group. Most fellows have the opportunity to present a research project at a major anesthesia or subspecialty meeting (including the Society for Obstetric Anesthesia and Perinatology and the American Society of Anesthesiologists). Fellows will also gain instruction in study design, data analysis, scientific writing and important aspects of peer review. Recent research interests in the group have included:

  • Optimization of neuraxial techniques for labor and cesarean analgesia
  • Predicting individual labor and cesarean pain and analgesic needs
  • Local anesthetic potency and anesthetic requirements during labor and cesarean delivery
  • Epidural and spinal opioid applications in obstetrics
  • Peripartum hemostatic and coagulation changes
  • Preventive and therapeutic strategies for hemorrhage management
  • Management of maternal cardiac arrest and other obstetrical emergencies
  • Patient attitudes and ethnic preferences towards obstetric analgesia

Other projects have been performed in conjunction with the Department of Fetal-Maternal Medicine and the Section of Perioperative Management and Pharmacokinetics within the Department of Anesthesia (such as, cost-analyses, pharmacokinetics and pharmacodynamics of drugs administered to pregnant women and interdisciplinary outcomes based research). We also offer opportunities to engage in global health projects. Opportunities for a 2-year fellowship may exist for candidates anticipating a career in academic medicine, with the second year spent in continuing clinical research and laboratory studies with other anesthesia department faculty. We also offer obstetric anesthesia research opportunities for more experienced researchers (e.g. sabbaticals) wishing to refine and expand their research repertoire and skillsets.

Clinical activities for fellows include primary responsibility for the management of high-risk parturients as well as involvement in routine obstetric anesthesia care. The fellows participate in intradepartmental educational activities and attend a Medical School lecture series for postgraduate fellows covering a variety of important topics over a three-semester period. Fellows organize the obstetric anesthesia journal club and participate in medical student and resident teaching under the supervision of the obstetric anesthesia faculty. Fellows interested in a career in academic medicine are also able to attend numerous workshops, seminars, and conferences at Stanford University, and receive mentoring from internationally recognized senior educators and researchers within and outside the Department of Anesthesia at Stanford University.

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Apply

Download the application and check out the application checklist below.

For Additional information, please contact the Fellowship Coordinator, Alyssa Martinez, and the Fellowship Program Director, Andrea Traynor or the Director of Obstetric Anesthesia, Brendan Carvalho.

​Fellowships start July 1, August 1, and January each year. For the enrollment in the 2021 academic year, all OB Anesthesiology fellowships in the US will be using the SF Match. If you are interested in applying for our fellowship, you will also need to register for the SF Match. Please contact us for application materials and guidance through the process. Selected candidates will be invited to Stanford for interview. Please note that WE ARE ONLY ABLE TO ACCEPT APPLICATIONS FROM CANDIDATES WHO HAVE OR WILL COMPLETE AN ACGME OR ACGME-I ACCREDITED RESIDENCY PROGRAM.

Principal Faculty: Brendan Carvalho MBBCh, FRCA; Andrea Traynor, MD; Edward Riley, MD; Alex Butwick, MBBS, FRCA, MS; Gillian Abir, MBChB, FRCA; Naola Austin, MD; Pamela Flood, MD; Clemens M. Ortner, M.D., M.Sc., DESA; Lindsey Ralls, MD; Jessica Ansari, MD; Pervez Sultan MBChB, FRCA, MD(Res).

Application Checklist

  • Application
  • Personal statement
  • Curriculum Vitae
  • Three original letters of recommendation

Fellowship Director

Andrea Traynor, MD

I take great personal pride in our graduates–both as leaders in the field of obstetric anesthesiology and as Stanford Anesthesia family members whom we cherish and support.