The Obstetric Fellowship Program at Essentia Health


ANDREW SNIDER: My
name is Andrew Snider. I’m a family physician
in Ashland, Wisconsin. I practice full spectrum
family medicine care. I think the benefits of
working in a rural community are that you feel
part of the community. You go to the
grocery store, people see you and know who you are. In that level you’re
just their neighbor. Of course they know
that you’re the doctor, but you’re able to see
them and interact with them on a very basic level. That can be
challenging at times, but it’s also extremely
rewarding and it’s fun. It really makes you feel
this is what life is about and this is why I
came to the community. CHRISTINA MARSHALL: My
name is Christina Marshall and I’m the coordinator for
the obstetric Fellowship at Essentia Health. The goal of the Fellowship
was to provide family medicine physicians, trained
in obstetric care to be able to provide
c-sections in rural hospitals. Candidates for our OB Fellowship
are current family medicine residents and family
medicine physicians looking to be able to
provide obstetrics, including c-sections in rural hospitals. The fellow can expect to
spend 20 weeks in obstetrics. They will have 12 weeks
in a rural community, they have four weeks of
emergency medicine trauma, they have four weeks
of critical care, and then they have eight
weeks of elective time. ANDREW SNIDER: Coming
out of residency I knew I wanted to be a full
spectrum family physician. I saw the Fellowship
program as a chance to take my skills to a
higher level, specifically c-section training. I was able to do many more
c-sections than I ever would have been able
to do during residency. I was able to take electives
in critical care, management of patients on
ventilators, being able to do such critical care
skills as placing chest tubes, placing central lines,
releasing of arterial lines. In addition I did some
work with the urologist and I became more skilled
in performing vasectomies. All of these skills I am able
to take to the rural community to provide a higher
level of care. CHRISTINA MARSHALL: The
importance of the training and the Fellowship for the
family medicine physician is they get additional
skills before going out to rural community so they’re
able to provide full spectrum care, be able to
stabilize patients before they have
to be transferred, being able to keep patients
in a small community rather than having a transfer
them to a larger facility. ANDREW SNIDER: In rural
communities the aspect of being able to
provide obstetrical care is integral to family medicine. Without this our
patients would be traveling about an hour
and a half to deliver. And without being able
to provide c-sections there is no way that we could
provide obstetrical care in the community. As hard as you try to predict
what’s going to be complicated and not, there’s
no way to do that. And we have to have physicians
in the community that can do c-sections if any
doctors are going to provide obstetrical care there. CHRISTINA MARSHALL: An important
aspect of the OB Fellowship is training the physicians
on the management of the c-section decision. It’s important they get this
training in the Fellowship, as typically in a
residency you’re getting more of the
technical skills. You are called in
on the c-section to do the actual
procedure and don’t get to do the management
of the patient and when to make
the important call. ANDREW SNIDER: I think
the Fellowship helped me transition to
everyday practice because when you
come out of residency you’re obviously under a
high degree of supervision. During the Fellowship I
was certainly supervised, but it allowed me
to and I was forced to act more independently. The Fellowship
requires you to teach. I spent a lot of time
teaching residents, teaching medical students
during the Fellowship and assuming that
leadership role. Thus, when I went into
practice I didn’t feel as much of a novice. I felt as though I was a
more seasoned provider. CHRISTINA MARSHALL: After
graduation of the Fellowship program, you will be able to
obtain c-section privileges at a rural hospital
and you’ll be able to go into rural practice
ready to take on anything that comes your way. ANDREW SNIDER: If
you’re a family medicine resident thinking about
taking the Fellowship, I would strongly
encourage you to do so. The skills that I
was able to gather during the Fellowship, not
just surgical obstetric skills, but taking care of
general obstetric patients and becoming more comfortable
taking care of high risk obstetrical patients are
integral to my ability to coordinate that care
in my rural community. [MUSIC PLAYING]

You May Also Like

About the Author: Oren Garnes

Leave a Reply

Your email address will not be published. Required fields are marked *