Maternal Child and Reproductive Health Fellowship

• Maternal and child health: Become familiar with routine and complicated labor management, as well as mother and childcare. You will serve chief resident.
• Maternal and fetal medicine: Function as a team member on the inpatient service and in the clinic, managing pregnancies complicated by preterm labor, abnormal placentation, twins, pre-gestational and gestational diabetes, epilepsy and other medical problems. Complete an outpatient rotation at the Center for Perinatal Development, a private perinatal practice.
• Newborn nursery: Care for term neonates (>36 weeks) until they are discharged. This includes supervising family medicine interns, pediatric interns and midlevel practitioners.
• Intermediate care nursery: Care for Level 2 newborns, including those affected by prematurity (34-35 weeks), growth restriction, hypoglycemia, jaundice and neonatal infections under the supervision of attending physicians in neonatology, general pediatrics and family medicine.
• Neonatology: Work night shifts in the neonatal intensive care unit. Gain experience in routine and advanced neonatal resuscitation, initial fluid management, ventilator settings and neonatal intubation.

• Labor and delivery management: Supervise obstetric, family medicine and other off-service residents and medical students in caring for patients on the general obstetrical service. You will work directly with MFM fellows and obstetrical attendings and gain operative delivery experience.
• Gynecologic procedures: Acquire knowledge and technical skills of first trimester ultrasound, medical and surgical abortion (may opt out) and management of spontaneous abortion. Also includes colposcopy and urogynecology experience. Training in uterine aspiration or D&C occurs in inpatient and outpatient settings including the Center for Reproductive Health, a collaboration between family medicine and OB/Gyn.
• Ultrasound: Develop a working knowledge, including basic biometry and anatomy, of ultrasound throughout pregnancy. Emphasis during this time is on second and third trimester exams.
• Dysmorphology/Pediatric development: Receive outpatient and inpatient experience in diagnosis and treatment of genetic abnormalities and developmental delays, as well as in developmental assessment of the normal child.
• Research: Participate in a research project, including application for approval through the Human Research Review Committee. The project may be implemented over the course of the fellowship, with the goal of publication.
• Milagro: Provide prenatal care for women with a history of substance abuse including medication assisted treatment with buprenorphine. Care for newborns exposed to opioids in utero and provide treatment for neonatal abstinence syndrome.

• Maternal and child health: Serve as the attending for all family medicine patients in OB Triage, L&D, our antepartum unit and the Mother-Baby Unit. Supervise family medicine residents.
• Newborn nursery: Serve as the attending for all non-MCH infants in the Mother Baby Unit, supervising pediatric and family medicine interns.
• Intermediate care nursery: Serve as the attending for Level 2 newborns, supervising family medicine and pediatric residents.

If two fellows are scheduled for outpatient weeks, the clinic coverage will be shared by the two fellows.

The fellow not in clinic will have time scheduled for public health classes, research, ultrasound or reproductive health training. Fellows take primary call at night for the MCH service two or three times per month. Fellows share back-up coverage for the service and offer consultative services to the primary MCH attending. Fellows are called during this back-up time to consult on complicated patients in L&D and obstetrical triage.

If a C-section, postpartum tubal ligation, D&C, vacuum assisted delivery or complicated perineal repair is needed, the fellow on back-up will perform these procedures with the supervision of the MCH fellowship faculty.

• Salary of $62,000/year
• Educational funding: of $3000/year
• Three weeks/year vacation time
• One week/year continuing medical education time
• Sick leave
• Liability insurance
• Health insurance