Core Clinical Rotations and Experiences
The fellow's role is oriented towards training for an academic career in Maternal-Fetal Medicine and obtaining board subspecialty certification. The fellow's clinical responsibilities are similar to those of the full-time faculty and include outpatient care, ultrasound consultation, and inpatient management.
There are two MFM specialty clinics, UR Maternal-Fetal Medicine and the Special Care Clinic, which provide comprehensive prenatal care for pregnancies affected by maternal, fetal, or obstetric concerns.
Special Care Clinic
The Special Care Clinic is housed within the Women’s Health Practice, and provides longitudinal resident experience with high-risk patient populations, and includes support staff from nutrition, psychiatry, and social work.
UR Maternal-Fetal Medicine
UR Maternal-Fetal Medicine is the MFM faculty practice and is staffed by faculty, fellows, nurse practitioners, and a dietician. It offers consultation, co-management, and comprehensive prenatal care to patients from Rochester and the surrounding regions.
For women with complex heart disease, there is a monthly meeting with the MFM, anesthesia, adult and adult congenital cardiology, and ICU teams to review all patients with cardiac disease in pregnancy, or who are planning pregnancy to allow for effective team planning for care. There is also a monthly co-management clinic with MFM and adult congenital cardiology at the UR Maternal-Fetal Medicine location. This close collaboration between these services allows our team to effectively care for women with complex heart disease who are considering pregnancy or who are currently pregnant.
Level II Ob/GYN ultrasound, including Perinatal sonography and fetal echocardiography, is available onsite at both locations and provides an excellent source of patients for clinical experience and research endeavors. We currently perform over 25,000 scans per year in our AIUM accredited unit with dedicated MFM sonographers, most of whom are also fetal echocardiography certified. This provides both depth and breadth in this important area of perinatology. Fellows become proficient in both obstetric and gynecologic ultrasound, as well as advanced fetal imaging techniques and fetal echocardiography. Fetal procedures are performed at these locations including fetal transfusion (PUBS), shunts, amniocentesis, and CVS. Both ultrasound locations also have reproductive genetic counseling on-site.
The MFM fellowship at URMC offers a wide variety of clinical experiences to allow fellows to tailor their fellowship to their eventual career goals. Further options and rotations can be structured as individual fellows needs arise within the elective time, however, some of the common electives include:
- NICU genetics and dysmorphology (with our MFM geneticist)
- Adult women’s genetics (with genetics faculty)
- Adult congenital heart disease (with adult congenital team)
- Fetal echocardiography (with pediatric cardiology)
- Breastfeeding medicine (with fellowship trained specialist)
- Family planning/complex contraception (with family planning specialists)
- Additional ultrasound experiences (beyond the core rotations)
- Additional research months (beyond the core 12-month rotation)