Salary and Benefits
Salary (effective 7/1/2014)
First Year: $62,626
Second Year: $65,172
Third Year: $68,232
Vacation and Sick Leave
Fellows receive three weeks of vacation (15 working days per year) at all levels of training. Vacation does not carry over to the next academic year.
Sick leave accumulates at the rate of one day per month and carries over into the next academic year.
Fellows are eligible for health, dental, and life insurance. These are provided to fellows at no cost. Dependent coverage is available at low rates.
Professional Liability (Malpractice Insurance)
The University of Washington Medical Center and all affiliated hospitals provide professional liability insurance coverage for activities which are an integral part of the training program conducted in properly accredited settings.
White coats are provided for all fellows.
Fellows receive an official faculty title: Acting Instructor in the Department of Obstetrics and Gynecology.
A brief summary of benefits for residents and fellows can be found here.
The inpatient obstetrical facility at the University of Washington Medical Center is adjacent to the departmental academic offices. A new state of the art perinatal unit was completed in January 2002, increasing space for Labor & Delivery, Antepartum, and Postpartum areas by over 10,000 square feet.
Labor and Delivery (8,481 sq ft)
-Two ultrasound machines
The outpatient clinic (Maternal and Infant Care Clinic) is at the University of Washington Medical Center (UWMC)
High-Risk Pregnancy Management
The medically complicated pregnancy is an emphasis during the first year of the fellowship. This first year fellow has one half day per week in clinic for high-risk continuity patients. An attending perinatologist manages the content of the clinic and serves as a mentor. Each continuity patient serves as a focus of fellow education. The fellow and the attending pull the important papers relevant to each patient. A notebook of cases and literature is maintained for each patient. The fellow's case load is reviewed monthly.
High-Risk Obstetrical Experience
The fellows' clinical case load serves as the focus for education in maternal-fetal physiology. Each case is the subject for review of appropriate physiology (normal and pathological), and review of management based on an understanding of the physiology. Case load content is reviewed to offer direction in the assignment of appropriate patients to meet the breadth of the fellows' educational needs.
Genetics and Teratology
Fellows receive training in the area of genetics and teratology through management of patients with Dr. Edith Cheng and/or the genetics counselors. The clinical experience includes genetic counseling of couples at risk for conception with autosomal conditions requiring complex DNA mutational analyses.
In the past year, we have completed prenatal diagnosis in pregnancies at risk for congenital adrenal hyperplasia, agammagloblinemia, X-linked myotubular myopathy, cystic fibrosis, hemophilia, and ?- and ?-thalassemias.
For fellows pursing the infectious disease focus, there is a three-week course in July of the first year, which is an intensive lecture and seminar series in infectious diseases. Clinical rotations on the pediatric and adult infectious disease consult services and a month in the clinical microbiology laboratories provide in depth exposure to infectious disease diagnosis and treatment.
For fellows entering the program without clinical rotations as residents through the Neonatal Intensive Care Unit, a one-month elective rotation as house staff in the NICU is encouraged to better understand the care and complications of preterm infants. All Ob/Gyn faculty and fellows who take day or night call in Labor and Delivery must have current certification in the American Heart Association Neonatal Resuscitation course.
During an average experience, the fellows should have the following experience in a setting of direct supervision. This total does not include experience on Labor and Delivery, the Antepartum service, and fetal testing using biophysical profiles.
Prenatal Diagnosis Ultrasound
During their clinical rotations, perinatal fellows spend one half day per week in the prenatal diagnosis clinic for one year. Each week they see three to four patients that are referred secondary to being at risk for or suspected to have an anomalous fetus based on an outside ultrasound. The fellow is responsible for performing the ultrasound examination, counseling the patient about the significance of any findings, developing a management plan for the remainder of the pregnancy, and performing any diagnostic tests (amniocentesis and fetal umbilical blood sampling) that are necessary. The fellows are supervised by one of the perinatal faculty (Drs. Michael Gravett and Jane Hitti) with the assistance of a certified genetic counselor and a registered diagnostic medical sonographer. Many of the patients seen in this clinic are referred for the remainder of their pregnancy care which is provided by the fellow.
For one half day per week until proficient, fellows are assigned to scan 3–4 patients having routine (16–20 week) ultrasound. This activity is supervised by one of the perinatal faculty plus a registered diagnostic medical sonographer and is designed primarily to enhance the fellows' ultrasound experience in a mostly normal population and to allow them to increase their experience with patients with multiple gestations.
Early Ultrasound and Transvaginal Ultrasound
During their rotation through the Prematurity Prevention Program, fellows get the opportunity to scan early pregnancies, (~20/rotation) and gain experience with cervical length ultrasound exams (~70/rotation). These exams are supervised by the perinatal faculty and a registered diagnostic medical sonographer.
The Obstetrical Anesthesia service at the University of Washington Medical Center consists of five faculty physicians with fellowship training in obstetrical anesthesia, headed by Heathcliff Chadwick, MD, and an obstetrical anesthesia fellow. Maternal-Fetal Medicine fellows work closely with the obstetrical anesthesia staff and fellow in developing delivery plans early in pregnancy for complicated patients and in caring for critically ill patients on Labor and Delivery.
Number of first year positions availble? Two
ABOG Approved Program? Yes
ABOG Certified/Eligible? Yes
Faculty Appointment for Fellow? Fellow/Acting Instructor
Courses Offered (Board Requirement)? Biostatistics/Epidemiology, Physiology, Embryology/Teratology
Number of fellows graduated, past five years? Eight
Current Number of Fellows? Six (2 in each year)
ABOG Approved Number of Fellows? Six