• Accreditation: ACGME-accredited
• Class size: 1–2 fellows per year
• Volume: more than 2,500 deliveries a year at The Johns Hopkins Hospital, plus about 1,500 more at Johns Hopkins Bayview Medical Center
• Required rotations: see “Clinical Rotations” tab
• Clinic: a fellow-run Center for Perioperative Optimization (CPO) clinic twice a month
• Call: no required call
• Support: an educational fund for conferences, including SOAP, textbooks, and wellness
• Vacation: 4 weeks
• Moonlighting: available but not required
• Salary: $90,610 a year
• Start date: flexible, July–August

Clinical training

Our fellows manage a wide range of cases, pathology, and anesthetic techniques, and follow high-risk patients over time. As a level 4 regional referral center, we care for patients with placenta accreta spectrum, severe hypertensive disorders, cardiac disease, obstetric hemorrhage and fetal pathology.

• CPO clinic. Fellows see high-risk OB and MFM patients via telehealth about twice a month and carefully develop tailored delivery plans with other specialists as well as our fellowship-trained core faculty.
• Cardio-obstetrics. On their MFM rotation, the fellows work closely with the Hopkins cardio-obstetrics team. They learn all about cardiac disease in pregnancy and plan safe deliveries for these patients.
• Placenta accreta spectrum. Fellows perform hysterectomies for PAS on L&D and in the main ORs.
• Fetal therapy. Fellows work one-on-one with faculty on procedures such as myelomeningocele repair, EXIT procedures, and fetoscopic laser surgery.
• Technical skills. Fellows build expertise in neuraxial techniques and labor management, and they use ultrasound for neuraxial placement, vascular access, and regional techniques.
• College Day. Every other Thursday is College Day: while the residents are in lecture, fellows do their own cases and perform all procedures themselves with attending supervision. This is a great opportunity to build autonomy, get feedback, and try new techniques.

Teaching and supervision

Fellows take on increasing attending-level responsibility as the year progresses. Two anesthesia attendings are always on the floor, so the fellow acts as a “pre-tending”, a junior attending who trains and supervises the residents and medical students on the service.

• Weekly bedside teaching and formal lectures from our faculty
• Multidisciplinary meetings on high-risk pregnancies, divisional quality improvement meetings, and journal club
• Opportunities to lead OB anesthesia simulation sessions on L&D and in the Simulation Center

Research and scholarship

The year leaves time for scientific discovery alongside research mentors. Fellows can use research time to develop or find meaningful projects and meet with mentors regularly. We encourage every fellow to present interesting cases and ongoing projects at SOAP each year.

Crisis management and leadership

Fellows lead the team in emergencies. They learn to anticipate and prepare for obstetric crises, to communicate with obstetricians, nurses, and ancillary staff, and to build a plan with the whole team. Daily work on the floor builds their teamwork and leadership skills.

Nonclinical time

Fellows can use nonclinical time for fellowship or job interviews, oral board preparation, and other required activities. Many faculty are willing to provide mock oral exams and feedback during the year.

Feedback and mentorship

Fellows can expect formal and informal feedback all year. Faculty complete required online evaluations and give real-time feedback on the fellows’ work as a teacher, learner, and researcher to keep on track with ACGME milestones. We aim for every fellow to graduate with lifelong mentors who are invested in their growth as an educator.

*Fellows get 1–2 dedicated research days a week during each rotation.

L&D (7 months): The fellows actively lead the three residents on the OB anesthesia team, with two attendings to guide them. They supervise neuraxial procedures, provide direct patient care, orient residents on their first day, give lectures to residents and medical students, and attend multidisciplinary rounds. During the day, they work closely with fellowship-trained OB anesthesiology attendings to manage the service and deliver the best possible patient care.

Research (3 months): Research runs alongside the labor and delivery rotation, and one fellow is designated as the research fellow each day. This makes it easy to recruit patients over time and to coordinate meetings with research mentors. Options are vast with opportunities to collaborate with the Departments of Obstetrics, Neonatology, Neuropsychology, and the Bloomberg School of Public Health.

MFM (2 weeks): Fellows join rounds on L&D and the postpartum floor, scrub into the ORs to assist with complicated deliveries, and rotate through a variety of clinics, including the high-risk OB clinic and the cardio-OB clinic. They work with the MFM team to build delivery and care plans for high-risk patients, and they give and receive lectures and didactics to/from the MFM fellows throughout the year.

NICU (2 weeks): Fellows attend deliveries, perform resuscitations, assist with procedures, join rounds, and attend didactic teaching sessions.

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Applicant Qualifications: Applicants are eligible if they have completed an ACGME-accredited anesthesiology residency. International graduates certified by the Educational Commission for Foreign Medical Graduates (ECFMG) who trained in a non-ACGME anesthesiology program may apply through the Exceptionally Qualified Applicant Pathway.

Application Process and Timeline: We participate in the San Francisco (SF) Match (the dates below come from its timetable). Registration opens in January, about a year and a half before the fellowship start date.

Participating Hospitals: Fellows will train at The Johns Hopkins Hospital in East Baltimore. Time at Johns Hopkins Bayview Medical Center is optional.

Start Date: Flexible between July and August.

Visas Accepted: We accept J-1 visas. See the Office of International Affairs page for J-1 ECFMG information.

Interviews

All interviews are virtual and run through Thalamus GME. We grant slots on a first-come, first-served basis until they are full.

Important Dates (2027 Match for 2028 positions):

Questions? Contact Beverly Thomas at [email protected]