UTHSC-Nashville OB/GYN Hospitalist Fellowship

Ascension Saint Thomas Hospital Midtown (ASTHM) and the University of Tennessee Health Science Center - Nashville offer a two-year fellowship in OB/GYN hospitalist medicine. ASTHM is the largest obstetric hospital in the state of Tennessee and the largest obstetric hospital in the Ascension system, performing over 7,000 deliveries per year. The patient population is diverse, including both routine deliveries and referrals for complex medical and obstetric care, supported by an active maternal fetal medicine service. ASTHM has maintained a full time obstetric hospitalist program for thirteen years with care delivered in teams, often with the hospitalist as lead. The volume of deliveries, along with a residency program and a nurse midwifery program, provides the opportunity for fellows to obtain a robust experience in intrapartum care at the level of the supervising physician.

ASTHM has recently opened a new OBGYN ED and we are incorporating it into the Fellowship program. Also, with the success of our two-year fellowship, we have added another fellowship position and will be accepting a new candidate each year for our two-year program. We have also added personalized elective options in the second year of fellowship.

Current Fellows

Contact Information

Fellowship Director:
Phil Bressman, MD - phillip.bressman@ascension.org

Fellowship Coordinator:
Pamela Underwood - pamela.underwood@ascension.org

Program Goals

The two-year fellowship leads to the establishment of competency in all aspects of inpatient obstetric care, emergency gynecologic care, and the administration of hospital policy as outlined by the SOGH competency committee.  It is expected that the graduating fellow will be qualified to serve as a senior hospitalist or director of inpatient obstetrics in a private or teaching hospital or hospital system.

Curriculum and Schedule​

The curriculum includes one month on the MFM inpatient service and 23 months on the OB/GYN hospitalist service.

The weekly schedule for the fellow on the OB/GYN hospitalist service consists of 48 clinical hours and 4 administrative hours. Weekly clinical hours will consist of 36 as obstetric hospitalist and 12 as academic attending.

The obstetric hospitalist hours will be worked in either 3 twelve hour shifts or one 12 hour shift and one 24 hour shift.  These shifts will be part of the established hospitalist work schedule.  For the first 6 months of the fellowship the fellow will work alongside an inhouse attending hospitalist.  For the remainder of the fellowship, based on attained skill level, it is anticipated that the fellow will work the shifts with backup available

Academic shifts will involve teaching and supervision of the residents and medical students on the labor and delivery teaching service.  These 12 hour shifts occur during weekday hours and are part of the established academic attending schedule separate from, but in tandem with, the hospitalist schedule.

The 4 administrative hours are spread throughout the week and consist of required committee participation, simulation activity (both participation and teaching), and scholarly activity which should include, but not be limited to, clinical research and Quality Improvement.

Application and Timeline

Applications for the August 2023-July 2025 OBGYN Hospitalist Fellowship will open in November/December 2022.

When applications open, applicants should submit:

• Current CV
• Current photograph
• Statement of goals in pursuing a career as an OB/GYN hospitalist
• Letter of recommendation from current program director
• CREOG scores
• USMLE/COMLEX scores

Please submit complete application packets via email to phillip.bressman@ascension.org.

Eligibility Requirements:

Candidates should have graduated from a US Obstetrics and Gynecology residency program prior to starting the program. This is not a reentry program; however, a board eligible candidate practicing for one or two years after residency will be considered.

Compensation and Benefits

• $2,000 Annual CME Stipend
• 30 Days per Year Paid Time Off
• 5 CME Days per Year
• Health Insurance, Life Insurance, Disability Insurance, and Retirement Plans

2022-2023 Base Salary Rates:

Year 1:  $65,700
Year 2: $67,980

Moonlighting

Moonlighting within the Ascension Saint Thomas system is allowed as an additional income opportunity during both years.