Fellowship in Maternal Fetal Medicine

General Information

Our Maternal-Fetal Medicine Fellowship is a three-year program designed to qualify the candidate for advanced certification in Maternal-Fetal Medicine by the American Board of Obstetrics and Gynecology, Inc. The fellowship is fully ABOG fully-accredited and is in currently undergoing transition to Accreditation Council for Graduate Medical Education (ACGME). Our program currently accepts one fellow a year two of every three years. The Director of the MFM Fellowship at the University of Texas Health Sciences Center at San Antonio is Dr. Patrick S. Ramsey.


Our MFM Fellowship program has three major components: clinical, research, and didactic. The goal of the program is to train well-rounded clinician-scientists that are clinically and surgically competent, familiar with relevant laboratory procedures, and fully understanding of theoretical and technical aspects of research to enable independent study. Emphasis is placed on continuation of an academic career. Clinical, research, and teaching activities are given equal importance and fellows are provided opportunities to achieve their full potential in each area.


The core fellowship block rotations consist of 12 months of outpatient clinical MFM experience (3 months are focused on ultrasound training), 12 months of research, 1 month of surgical intensive care unit, 2 months of labor and delivery, and 9 months of elective time (1 month of elective is required in the neonatal intensive care unit). Various elective blocks are available in fetal echocardiography, diabetes service, perinatal pathology, medical/surgical intensive care unit, neonatal intensive care until, antepartum service, congenital heart program, infectious disease service, HIV/AIDS service, or research. With fellowship director approval, other elective experiences can be coordinated based on the fellow’s interest and career aspirations.


Fellows completing our program will have a comprehensive skill set to allow them to serve as a consultant to other obstetric and non-obstetric providers. Fellows are provided with training in critical review of the literature and regularly engage in manuscript for review for one or more journals in obstetrics and gynecology. From the onset of the fellowship, the fellow is trained to serve as a consultant to other obstetric and non-obstetric providers. These skills are gained through clinical experiences, engagement in departmental/institutional quality improvement projects, participation in root-cause analyses, and peer-review. In addition, fellows are provided with an opportunity to participate in regional and state-level advocacy and quality improvement efforts (fetal infant mortality review, regional and state perinatal advisory council, Mar of Dimes, etc). These additional aspects of training provide additional breadth and experiences to allow the fellow to experience the full spectrum of an academic MFM consultant.


University of Texas Health Sciences Center at San Antonio
Maternal-Fetal Medicine Fellowship Training Program – ACGME 2016

YEAR 1:


Block/Month

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

April

May

June

Site

1

1

1

1

1

1

1

1

1

1

1

1

Rotation Name

Research (1)

MFM Clinical (1)

MFM Clinical (2)

L&D
(1)/
Ultra-
sound
(1)

Research
(2)

Research
(3)

Research
(4)

Research
(5)

Research (6)

L&D

MICU

MFM Clin-
ical (3)

% Outpatient

10%

90%

90%

50%

10%

10%

10%

10%

0%

50%

0%

90%

% Research

90%

0%

0%

0%

90%

90%

90%

90%

0%

0%

0%

0%


YEAR 2:


Block/Month

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

April

May

June

Site

1

1

1

1

1

1

1

1

1

1

1

1

Rotation Name

Research (7)

MFM Clinical (4)

MFM Clinical (5)

L&D
(3)/
Ultra-
sound (3)

Research
(8)

Research
(9)

NICU
(E1)

MFM Clinical (6)

L&D
(4)/
Ultra-
sound (4)

Elective (E2)

Research
(10)

Research (11)

% Outpatient

10%

90%

90%

50%

10%

10%

0%

90%

50%

50%

10%

10%

% Research

90%

0%

0%

0%

90%

90%

0%

0%

0%

0%

90%

90%


YEAR 3:


Block/Month

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

April

May

June

Site

1

1

1

1

1

1

1

1

1

1

1

1

Rotation Name

MFM Clinical (7)

Elective (E3)

MFM
Clinical (8)

Ultra-
sound
(5/6)

Elective
(E4)

Elective
(E5)

Elective
(E6)

Elective
(E7)

Elective
(E8)

MFM Clinical (9)

Elective (E9)

Research
(12)

% Outpatient

90%

100%

90%

90%

50%

50%

50%

50%

50%

90%

50%

10%

% Research

0%

0%

0%

0%

0%

0%

0%

0%

0%

05

0%

90%


CORE FELLOWSHIP REQUIRED BLOCKS:

Outpatient Clinical MFM – 12 blocks (MFM Clinical – 9 blocks; Ultrasound [6 x ½ blocks=3 blocks]) SICU – 1 Block
Electives – 9 blocks (Electives – 8 blocks; Required NICU Elective – 1 block) Research – 12 blocks


POSSIBLE ELECTIVES:

Fetal Echocardiography Clinic Outpatient (Site 1) Surgical/Medical ICU (Site 1) Diabetic Clinic Outpatient (Site 1)
Perinatal Pathology (Site 1 ) Infectious Disease (Site 1) Congenital Heart Program (Site 1)
Antepartum Service (Site 1) NICU (Site 1) HIV Clinic Site (FFACTS Clinic (Site 1)