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-accredited by the Accreditation Council for Graduate Medical Education (ACGME). Our program is approved to accept one fellow annually. The Director of the MFM Fellowship at the UT Health/University of Texas Health Science Center at San Antonio is Dr. Patrick S. Ramsey.


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. These skills are gained through clinical experiences, engagement in departmental/institutional quality improvement projects, participation in root-cause analyses, and peer-review. Extensive basic science and clinical resources are available through the department and institution for fellow research and thesis endeavors. 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. Additional unique attributes of our program include fellow participation in our South Texas Morbidly Adherent Placenta program, Comprehensive Zika center, Perinatal Palliative Care Program, and Multidisciplinary Maternal Cardiac Care Clinic. Fellows in the program are also required to participate in regional/state efforts to improve maternal and fetal/infant mortality. 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, March 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.


Fellowship Objectives:

  1. Provide fellows with a supportive robust educational environment leading to excellence in clinical MFM knowledge and skills related to prenatal diagnosis, genetic counseling, and care for complex medical-surgical complications of pregnancy while incorporating the ACGME clinical competencies, procedural experiences, and ABOG requirements.
  2. Develop fellows as exemplary clinical and/or basic science researchers through provision of training in contemporary research approaches, study design and implementation, grant preparation, and scientific writing.
  3. Foster development of fellows as advocates for patient safety and quality improvement through participating in and initiation of a quality improvement project.
  4. Encourage professional development through engagement of fellows to participate in an array of academic activities inclusive, but not limited to, journal peer-review, medical student/resident teaching, community outreach, institutional/regional committee participation, etc.
  5. Create well-balanced compassionate MFM physicians who strive to provide excellent patient care while maintaining personal balance and wellness.

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 of which are focused on ultrasound training), 12 months of research, 1 month of surgical intensive care, 1 month of neonatal intensive care, 4 months of labor and delivery, and 6 months of elective time (See Representative Fellowship Block Diagram Below. Various elective blocks are available in fetal echocardiography, diabetes service, perinatal pathology, medical/surgical intensive care unit, neonatal intensive care unit, 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.


UT Health/University of Texas Health Science Center at San Antonio
Maternal-Fetal Medicine Fellowship Training Program –
Representative Fellowship Block Diagram: ACGME 2019

YEAR 1:


Block/Month

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

April

May

June

Rotation Name

Elective (E1)

MFM Clinical (1)

MFM Clinical (2)

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

Research (1)

Research (2)

L&D (1/3)
(E2)

Research
(3)

Research (4)

L&D (4)
Ultrasound (2)

SICU

MFM Clin-
ical (3)

% Outpatient

50%

90%

90%

50%

10%

10%

0%

10%

0%

50%

0%

90%

% Research

50%

5%

5%

0%

90%

90%

0%

90%

0%

0%

0%

5%


YEAR 2:


Block/Month

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

April

May

June

Rotation Name

Research (5)

MFM Clinical (4)

MFM Clinical (5)

L&D
(5)/
Ultra-
sound (3)

Research
(6)

Research
(7)

NICU
(E3)

MFM Clinical (6)

L&D
(6)/
Ultra-
sound (4)

Elective (E4)

Research
(8)

Research (9)

% Outpatient

10%

90%

90%

50%

10%

10%

0%

90%

50%

50%

10%

10%

% Research

90%

5%

5%

0%

90%

90%

0%

5%

0%

0%

90%

90%


YEAR 3:


Block/Month

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

April

May

June

Rotation Name

MFM Clinical (7)

Elective (10)

MFM
Clinical (8)

Ultra-
sound
(5/6)

Elective
(E5)

L&D
(7/8)/
(E6)

Research
(11)

Elective
(E7)

Elective
(E8)

MFM Clinical (9)

Elective (E9)

Research
(12)

% Outpatient

90%

10%

90%

90%

50%

0%

10%

50%

50%

90%

50%

10%

% Research

5%

90%

5%

0%

0%

0%

90%

0%

0%

5%

0%

90%


CORE FELLOWSHIP REQUIRED BLOCKS:

MFM Clinical - 12 blocks (MFM Clinical – 9 blocks; Ultrasound [6 x ½ blocks=3 blocks]) SICU – 1 Block
Labor and Delivery – 4 blocks† (8 x ½ blocks) NICU – 1 Block*
Research – 12 blocks Electives – 9 blocks (6 Fellow Selected Electives, 1 Required Elective NICU block*, 2 Required Additional L&D blocks†)


POSSIBLE ELECTIVES:

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