{"id":2733,"date":"2020-09-04T11:28:09","date_gmt":"2020-09-04T15:28:09","guid":{"rendered":"https:\/\/med.virginia.edu\/obgyn\/?p=2733"},"modified":"2026-07-10T12:36:37","modified_gmt":"2026-07-10T16:36:37","slug":"mfmfelloowshipcurriculum","status":"publish","type":"post","link":"https:\/\/med.virginia.edu\/obgyn\/2020\/09\/04\/mfmfelloowshipcurriculum\/","title":{"rendered":"MFM Fellowship Curriculum"},"content":{"rendered":"<h2>Rotation Totals:<\/h2>\n<h2 id=\"tablepress-2-name\" class=\"tablepress-table-name tablepress-table-name-id-2\">MFM Rotations<\/h2>\n\n<table id=\"tablepress-2\" class=\"tablepress tablepress-id-2\" aria-labelledby=\"tablepress-2-name\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Rotation<\/strong><\/th><th class=\"column-2\"><strong>Duration <\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">MFM Clinic<\/td><td class=\"column-2\">3 months <\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"> Fetal Care Center<\/td><td class=\"column-2\">3 months <\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">OB Anesthesia<\/td><td class=\"column-2\">2 weeks<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Antepartum Service<\/td><td class=\"column-2\">4 months<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">L&amp;D<\/td><td class=\"column-2\">2 months <\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Genetics<\/td><td class=\"column-2\">2 months<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">MICU<\/td><td class=\"column-2\">1 month <\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\">NICU<\/td><td class=\"column-2\">2 weeks <\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\">Research<\/td><td class=\"column-2\">12 months <\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td class=\"column-1\">Peds Cards<\/td><td class=\"column-2\">1 month <\/td>\n<\/tr>\n<tr class=\"row-12\">\n\t<td class=\"column-1\">Elective<\/td><td class=\"column-2\">6 months <\/td>\n<\/tr>\n<tr class=\"row-13\">\n\t<td class=\"column-1\">Fetal Echo <\/td><td class=\"column-2\">1 month <\/td>\n<\/tr>\n<\/tbody>\n<tfoot>\n<tr class=\"row-14\">\n\t<th class=\"column-1\">Total <\/th><th class=\"column-2\">36 months (3 years)<\/th>\n<\/tr>\n<\/tfoot>\n<\/table>\n\n<h3><span style=\"font-weight: 400;\">General Schedule:<\/span><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\">Year 1: Clinical Rotations<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Year 2: Research<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Year 3:\u00a0 Clinical Rotations\/Electives<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Call: MFM back up 1-2 nights\/week, One Saturday\/Sunday 12-hour Call per month<\/span><\/li>\n<\/ul>\n<h2><\/h2>\n<h2><span style=\"font-weight: 400;\">Rotation Descriptions:<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Labor and Delivery: Supervisor<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">First and third-year fellow rotations are in monthly blocks where they train in the outpatient and inpatient settings, typically alternating monthly or biweekly. The Labor &amp; Delivery and Antepartum blocks are for fellows to learn the management of complex maternal-fetal medicine patients in the inpatient settings, including diagnosis, evaluation, pre-operative assessment, operative cases, post-operative management, management of complications, management of complex medical problems during pregnancy, and administration of supportive care. While on the L&amp;D rotation, the fellow will act as the primary attending on the unit, under the supervision of an MFM attending.\u00a0\u00a0\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Outpatient MFM Clinics<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">First and third-year fellows spend time in the maternal-fetal medicine clinic with the goal of becoming <\/span><span style=\"font-weight: 400;\">proficient in the outpatient management of high-risk pregnant women, including women with diabetes, hypertension, and cardiac disease, as well as other high risk medical, obstetric, and fetal conditions and diseases.<\/span> T<span style=\"font-weight: 400;\">he 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.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Fetal Care Center (4 Sonographers): Ultrasound and fetal diagnostic and therapeutic procedures<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The goal of the time in the FCC is for MFM fellows to become proficient in obstetric ultrasound, including invasive procedures for prenatal diagnosis.\u00a0 Fellows will become competent in the full spectrum of MFM ultrasound, including growth scans, anatomic surveys, biophysical profiles, and Doppler velocimetry.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Genetics: 2 Genetic Counselors (2 months)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The goal of the perinatal genetics rotations is to provide fellows with the skills they will need to provide appropriate diagnostic testing and management for a wide variety of genetic disorders including karyotype abnormalities, inborn errors of metabolism, and congenital anomalies. he 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.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">MICU (1 month)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Caring for patients in the medical intensive care unit (MICU) will be a key part of maternal-fetal medicine physicians working life. During the MICU 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 unit setting.\u00a0 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.\u00a0 <\/span><\/p>\n<h3><span style=\"font-weight: 400;\">OB Anesthesia (2 weeks)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">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 management, anticipation of and rational responses to complications, and post-anesthetic care appropriate to a parturient in tertiary care or community hospital.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">NICU (2 weeks)<\/span><\/h3>\n<p>The goal of the neonatology rotation is for the fellow to become familiar with the basic medical management of any neonate. The fellow will participate in daily patient care and participate in the case of management for routine and complex high-risk neonatal care. The fellow will learn normal and abnormal newborn physiology, neonatal adaptation from in utero to ex-utero, Immediate care of the newborn in the delivery room, and clinical evaluation of the neonate.<\/p>\n<h3><span style=\"font-weight: 400;\">Peds Cardiology (1 month)<\/span><\/h3>\n<p>&nbsp;<\/p>\n<h3><span style=\"font-weight: 400;\">Antepartum<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The goal of the antepartum rotation is for fellows to learn the management of complex maternal-fetal medicine patients in the inpatient setting and encompasses diagnosis, workup, pre-operative assessment, operative cases, post-operative management, management of complications, management of complex medical problems during pregnancy, and administration of supportive care.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Research<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">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. With guidance from the lead investigators, fellows are expected to design and execute a research protocol. The second year of the fellowship is dedicated to completing this objective. In addition to the thesis requirements, fellows are also encouraged to participate in other research endeavors and to disseminate their research findings at national meetings. The senior fellow will present his or her thesis publically to the entire department prior to graduation. \u00a0 <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Research Requirements and Opportunities<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Thesis Presentation in 3rd year<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Multiple Publications and Presentations at Regional and National Meetings: SMFM<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/med.virginia.edu\/obgyn\/?page_id=2742&amp;preview=true\"><span style=\"font-weight: 400;\">Abundant Opportunities for Basic, Clinical, Translational, Population Health (\u201cBig Data\u201d) Research<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Division Clinical Research Coordinator<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Call Description\u00a0<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Call:\u00a0<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">MFM back up 1-2 nights\/week,\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">One-weekend in-house call per month (8a to 8p on Saturday and Sunday)<\/span><\/li>\n<\/ul>\n<h2><\/h2>\n<h2><span style=\"font-weight: 400;\">Didactic Training information<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">*Wednesday mornings<\/span>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Grand Rounds<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">M&amp;M<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Institutional GME Lectures<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">*Weekly MFM Journal Club<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">*Weekly MFM Fellow Didactic Sessions<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">*Monthly Multidisciplinary Fetal Diagnosis Conference<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">*Weekly Genetics Conference<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Monthly Department Journal Club\u00a0<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"font-weight: 400;\"><\/li>\n<\/ul>\n<p><b>\u00a0\u00a0<\/b><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rotation Totals: General Schedule: Year 1: Clinical Rotations Year 2: Research Year 3:\u00a0 Clinical Rotations\/Electives Call: MFM back up 1-2 nights\/week, One Saturday\/Sunday 12-hour Call per month Rotation Descriptions: Labor and Delivery: Supervisor First and third-year fellow rotations are in monthly blocks where they train in the outpatient and inpatient settings, typically alternating monthly or [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":"","_members_access_role":[],"_members_access_error":"","_links_to":"","_links_to_target":""},"categories":[3],"tags":[20],"class_list":["post-2733","post","type-post","status-publish","format-standard","hentry","category-education","tag-intranet"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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