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Maternal Fetal Medicine fellows receive clinical instruction in high-risk pregnancy management through a series of activities designed to allow them progressively greater and greater responsibility, while at the same time carefully ensuring close faculty supervision.
The 12-month core MFM clinical experience is achieved by serving a four month block in each year of the Fellowship.
This is an at home "on the beeper" type of call during which the fellow acts as first point of telephone contact for both maternal transports and in-house consultation.
This "high-risk" call is shared among the entire MFM faculty.
On occasion, the fellow is called in to lend a hand in a busy Labor & Delivery as an experienced fully trained general OB-GYN physician.
When the fellow is called upon to evaluate or manage complicated patients beyond the level of expertise or comfort of the in-house attending, the MFM attending joins the in-house team.
The fellowship training and resident training complement and enrich one another and do not compete with each other, complying with Sec I, para A, subparagraph 2 of the ABOG 2010.Interaction with both residents and MFM faculty takes place freely, allowing the fellow an opportunity to grow as a teacher and mentor to the resident house staff, while carefully assuring close MFM faculty supervision and availability.The fellows play a central role in determining management decisions for all patients in whose care they are involved.In addition, the program director provides the fellows a reading list including the series, and the ABOG MOC articles relevant to maternal fetal physiology as well as other selected publications of current and historical interest.
This reading list is revised annually, and is supplemented by division members at the Friday morning session, for matters of immediate clinical application.Except for those nights (about 10/month) on which an MFM attending is scheduled for the in-house call, first call for this coverage falls to the fellows in rotation.The fellow is required to communicate with the on-call MFM attending for all consult and transport decisions.If the fellow's presence in-house is required overnight, the following day's schedule is adjusted to comply with the ACGME and ABOG duty hour requirements as outlined in Section 1, paragraph G,4 of the , ABOG 2010.