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.

Karen Wildman, M.D.
OB Fellowship Director
Dr. Wildman attended USC Keck School of Medicine and completed her residency at Glendale Adventist Family Medicine Residency. Dr. Wildman joined our full time faculty in 2010 with many years of experience in teaching and in full scope Family Medicine. She has worked in rural and urban practices, and was formerly the program director of the Family Medicine residency in Casper, Wyoming. She has been the director for the Spokane OB fellowship since 2013, and most of her clinical practice is now focused on obstetrics, women’s health and outpatient family medicine. Outside of work she enjoys hiking, gardening, sewing, and ringing handbells.
Fellows

Kelsie Smith, DO
Kelsie grew up in a small farm town called Geneseo, IL. She attended Bradley University where she studied Biology and Spanish. She obtained her D.O. from Liberty University College of Osteopathic Medicine. Hailing from a small town, she plans to return to a rural area to practice medicine after her training. She enjoys swimming, yoga, martial arts, and binge-watching Netflix. Kelsie also loves to travel and experience new cultures.

Katherine Sloop, MD
Katie Sloop, MD completed her undergraduate degree at Walla Walla University and went to Loma Linda University for medical school. She recently graduated from Family Medicine Residency Spokane. She is passionate about service, lifestyle medicine, full spectrum family medicine, and women’s healthcare. Her goal is to provide full spectrum care including surgical obstetrics rurally and possibly internationally after fellowship. She enjoys gardening, camping, hiking, water sports, running, baking, reading, and music.

Kevin McNamee, MD
Born and raised in Spokane, Washington, Kevin attended Carroll College where he first developed an interest in rural primary care. He went on to attend the University of Washington School of Medicine and was a TRUST scholar in Newport, WA, which solidified his desire to provide full-spectrum family medicine care in a rural community. After completing residency at the Family Medicine Residency of Idaho in Boise, he is excited to return to Spokane to expand his knowledge and skills in the realm of high risk and surgical obstetrics. Outside of medicine, Kevin enjoys spending time outdoors, travel, reading, and practicing his fly-fishing cast.
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