MFM Fellowship Curriculum and Rotations

MFM Rotations By Year

First Year
Second YearThird Year
MFM Clinic
Research
MFM Clinic
Ultrasound Clinic 3 Weeks VacationUltrasound Clinic
Antepartum
Antepartum
Labor and DeliveryLabor and Delivery
Intensive Care Unit Pediatric Cardiology
GeneticsElective
Elective
3 Weeks Vacation 3 Weeks Vacation

 

General Schedule:

  • Year 1: Clinical Rotations
  • Year 2: Research
  • Year 3: Clinical Rotations, Electives, and Research 
  • Call: MFM phone back up 1-2 nights/week, One weekend Labor & Delivery call (two 12-hour shifts) 

Rotation Descriptions:

Rotation Descriptions: First and third-year fellow rotations are in monthly (or two week) blocks where they train in the outpatient and inpatient settings

Labor and Delivery

The Labor & Delivery rotation is for fellows to learn the management of complex maternal-fetal medicine patients in the inpatient setting, including diagnosis, evaluation, pre-operative assessment, operative management, post-operative care, and management of complications. While on the Labor & Delivery rotation the fellow will act as the primary attending on the unit under the supervision of a Maternal-Fetal Medicine attending.

Outpatient MFM Clinic

First and third-year fellows spend time in the maternal-fetal medicine clinic with the goal of becoming proficient in the outpatient management of high-risk pregnant women, including conditions such as diabetes, hypertension, and cardiac disease, as well as other complex medical, obstetric, and fetal conditions and diseases. The fellow will learn to make treatment decisions by establishing a sound base of medical knowledge of high-risk pregnancy conditions using an evidence-based approach.

Fetal Care Center

The Fetal Care Center rotation will enable MFM fellows to become proficient in obstetric ultrasound, including invasive procedures for prenatal diagnosis.  Fellows will work side-by-side with five experienced sonographers and become competent in the full breadth of prenatal ultrasound, including growth ultrasounds, fetal anatomic surveys, biophysical profiles, and Doppler velocimetry.

Genetics

The goal of the perinatal genetics rotations is to provide fellows with the skills they will need to provide appropriate counseling, offer diagnostic testing, and manage genetic disorders including karyotype abnormalities, inborn errors of metabolism, and congenital anomalies. Working with two prenatal genetic counselors, the fellow will also be prepared to describe prenatal screening tests, the indications for invasive diagnostic procedures used in perinatal genetics, and to assist women in the interpretation of results.

Intensive Care Unit

Caring for pregnant or postpartum women in an intensive care unit will be an integral part of maternal-fetal medicine physicians career. During the ICU rotation, the fellow will develop diagnostic, therapeutic, and procedural skills necessary for understanding the role of the MFM physician for pregnant women in the intensive care setting.  The fellow will develop skills needed to participate effectively in the health team, which includes representatives of nursing, pharmacy, respiratory therapy, physical therapy, and nutrition.

Obstetric Anesthesia

The goal of the Obstetric Anesthesia rotation is for the fellow to develop the knowledge and skills necessary to evaluate and manage the anesthetic needs for peripartum patients. Fellows will learn pre-anesthetic assessment and planning, intrapartum and intraoperative management, the anticipation of and rational responses to complications, and post-anesthetic care appropriate to a parturient in tertiary care or community hospital.

Neonatal Intensive Care Unit

The goal of the NICU rotation is for the fellow to become familiar with the basic medical management of any neonate. The fellow will participate in daily patient care for routine and complex neonatal care. The fellow will learn normal and abnormal newborn physiology, neonatal adaptation from fetus to neonate, immediate care of the newborn in the delivery room, and clinical evaluation of the neonate.

Pediatric Cardiology

The goals of fetal cardiology rotation are for the fellow to learn basic techniques of the sonographic evaluation of the fetal heart, develop an understanding of the pathogenesis and pathophysiology of congenital heart disease, including embryologic development of the normal and abnormal fetal heart, develop skills in the diagnosis of fetal congenital heart disease, and develop a knowledge base on contemporary prenatal and postnatal treatment and management of congenital heart disease.

Antepartum Service

The goal of the antepartum rotation is for fellows to learn the management of complex maternal-fetal medicine patients in the inpatient setting. Fellows will become competent in the management of common obstetric complications, such as preterm labor and preeclampsia, and guide the care team in developing management plans for complicated antepartum and postpartum patients. The fellow will act in the role of attending for the service with direct supervision by an MFM attending.

Research

Fellows must complete and defend a research thesis prior to graduation. Research time is provided in the first year to explore research interests and develop a research question. By the end of the first year and with guidance from a research mentor, fellows will develop and obtain approval for a research protocol. The second year of the fellowship is dedicated to completing the research project. In addition to the thesis project, fellows are also encouraged to participate in other research endeavors and to disseminate their research findings at national meetings. The senior fellow will defend his or her thesis to the entire division in the spring prior to graduation.

Research Support

Call Description

  • MFM back up 1-2 nights/week,
  • One-weekend in-house call per month (8a to 8p on Saturday and Sunday)

Academic Activities

  • Wednesday mornings (entire department)
    • Grand Rounds
    • M&M
    • Institutional GME Lectures
  • Weekly MFM Journal Club (organized by fellows)
  • Weekly MFM Fellow Didactic Lecture (given by MFM and guest faculty)
  • Weekly Perinatal Conference
  • Monthly Combined MFM/Neonatology Conference (given by fellows)
  • Monthly Department Journal Club
  • Monthly Ultrasound Case Review