Family Medicine – OB Fellowship

Who We Are

Our fellowship in obstetrics and family medicine offers a unique opportunity to learn management of high risk and operative obstetrics, while teaching and mentoring residents, medical students and obstetrical staff.

The fellowship is intended for Family Physicians who desire training in surgical obstetrics, care of high risk and complicated pregnancies, and management of the medical complications of pregnancy. Obstetric Fellows are well prepared to serve in a rural, isolated or underserved location, or to teach obstetrics in a Family Medicine residency program.

This program consists of 13 four-week rotations, and includes precepting Family Medicine residents and elective time.

Faculty

The fellows are supervised and instructed by obstetric hospitalists, perinatologists, community obstetricians, family physicians and advanced practice nurses who provide a breadth of experience in the care of routine and complicated obstetric patients in outpatient and inpatient settings.

Stephenie Matosich, D.O.

Stephenie Matosich, D.O.

OB Fellowship Director

A Montana native and graduate of Montana State University, Dr. Stephenie Matosich received her medical education from Touro University Nevada College of Osteopathic Medicine and completed her residency training at Oklahoma State University Center for Health Sciences. She completed a one-year fellowship in high-risk obstetrics at Spartanburg Regional Medical Center in South Carolina.

Prior to joining the residency in 2018, she worked locums in Soldotna, Alaska and then moved to Hattiesburg, MS where she provided full scope family practice with Forrest General Family Medicine Residency and provided women’s health services at Southeast Mississippi Rural Health Initiative, an FQHC. Her interests include women’s health, management of chronic disease, procedures, utilization of osteopathy, and teaching.

Along with spending time with family and friends, Stephenie enjoys hiking, board games, golfing, knitting, reading, baking, and traveling.

Fellows

Tyler Laubach, DO

Tyler Laubach, DO

Tyler grew up in a small town in eastern Pennsylvania before moving to Indiana for college and then central Virginia for medical school at Liberty University College of Osteopathic Medicine. He currently completing residency in Wichita, Kansas at Via Christi Family Medicine Residency. He is married and together my wife Bethany and Tyler have two boys – Silas (2 years) and Micah (2 months). When not practicing medicine, He love to run, play outdoors with his kids, and read a variety of books/literature. Obstetrics and maternity care are one of his favorite parts of family medicine, and he is excited to spend a year focusing on high-risk and surgical OB in Spokane. After fellowship, he hopes to stop moving so often and practice full-spectrum family medicine with an emphasis on OB and inpatient care in a small town in the Pacific Northwest.

Sophie MacArthur, MD

Sophie MacArthur, MD

Sophie was born in central Texas but moved to the UK as an infant. They grew up in a tiny British farming community where they spent their childhood building forts in the woods and gathering wild blackberries. They moved back to the US in their teens where they ultimately settled in the small town of Cobb, CA. They studied cultural geography in college and were active in political advocacy for international children’s rights. Together these experiences afforded a broad perspective on health but little opportunity to make a recognizable impact. They chose to pursue medical education out of a desire to more directly contribute to their community and have greatly enjoyed putting these skills to use in their rural Northern California county over the last few years since residency. They are excited to build deeper obstetrical and surgical experience through the Spokane OB fellowship and to bring these skills back home again!  Outside of medicine, Sophie enjoys getting their hands in the dirt and is excited to see the fruits of that labor unfold as their home recovers from the 2015 Valley Fire.

Stephanie Parnell, DO

Stephanie Parnell, DO

Stephanie grew up in West Richland, WA. She completed her undergraduate degree at Carroll College and master’s degree from Regis University. From there she continued to pursue her passion for medicine at Pacific Northwest University in Yakima, WA where she graduated with her medical degree. She was excited to continue her medical training in the PNW. Her passions within medicine include rural healthcare, women’s health, and pediatrics. She completed her residency in Spokane and is excited to continue her training in obstetrics in Spokane. Outside of medicine she enjoys playing soccer, hiking, camping, snowboarding, reading, and cooking. 

Skills and Experience

The following procedures and skills are examples of the experience recent one-year fellows have received:

  • Cesarean Sections: 200-250
  • Vaginal Deliveries: 75-150
  • Assisted Vaginal Deliveries: 10-20
  • D&C: 10-20

In addition to the above skills and procedures, other areas of experience include:

  • Management of high risk pregnancy, both outpatient and inpatient
  • Management of medical complications of pregnancy
  • Genetics screening and counseling
  • Diabetes management
  • Neonatal resuscitation and stabilization
  • Routine prenatal care through Sacred Heart Maternity Clinic

CME conferences include:

  • ALSO Instructor course and certification
  • NRP recertification
  • Formal ultrasound course including intensive hands on instruction
  • State and regional conferences for obstetrics and neo/perinatology

Scholarly and Teaching Activity:

  • Monthly Perinatology Journal Club-fellow led
  • Annual clinical research project
  • Teaching experience in precepting family medicine residents in the outpatient clinic, the inpatient medicine service, the inpatient OB service, and in teaching the ALSO course.

Electives

Each fellow will have two, four-week elective rotations during the fellowship year. Fellows are encouraged to use this time to gain additional skills that will be applicable to their future practice.  Popular choices have included time on the inpatient medicine service, outpatient gynecology specialties and surgery, and NICU experience.   

    Call Schedule

    Overnight call averages every fourth night. Assignments are made in conjunction with resident and faculty schedules. The fellow’s responsibilities are centered on high-risk patients and surgical experiences. While on call, the fellows will also serve as the attending physician for FMRS OB patients and supervise family medicine residents for continuity deliveries.

    Family Practice Skills

    In order to maintain and improve general family practice and teaching skills, fellows will be scheduled to precept family medicine residents in the general outpatient clinic throughout the year. Fellows are encouraged to utilize their elective time in ways that help to enhance skills that they will need in their future practice.

    Applications

    Applications for the academic year are accepted from July through September 30.

    Interviews are scheduled in August through mid-October. Application materials should include the following items:

    • Letter of interest
    • Current CV
    • Description of current OB training and experience, including months of OB rotations, number of deliveries and surgical experience
    • Three letters of reference, including a person who can attest to your OB skills.

    Please send materials to [email protected] or mail to:

    STHC OB Fellowship
    624 E. Front Ave.
    Spokane, WA 99202