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Clinical Opportunities

The fellowship program is designed to include a wide breadth of clinical experiences, allowing fellows to become technically skilled, superbly trained subspecialists and consultants. While schedules can be individualized, the general schedule for each fellowship year is as follows:

First year

  • 4 months covering MFM patients on Labor & Delivery, antepartum and postpartum wards. During this time, the fellow gains knowledge in the management of obstetrical complications, medical illnesses, and all aspects of maternal and fetal intensive care. In addition to patient care, the fellows are responsible for teaching rounds with the residents, for review of fetal heart rate tracings, and for participation in regularly scheduled conferences. This is not a consultative role, but a hands-on immersed experience in operative obstetrics (including experience with transvaginal cerclage, abdominal cerclage, breech extraction, and cesarean hysterectomy)
  • 4 months covering Prenatal Diagnostic Center (ultrasound unit). Fellows at Tufts MC have comprehensive ultrasound training. By the end of the first year, the fellow becomes confident in most areas of diagnostic ultrasound (interpreting images, capturing images, counseling patients, and communicating with referring providers). First year fellows also become proficient in amniocentesis, and have an introduction to fetal echocardiography.
  • Weekly half-day of continuity clinic. Fellows function with autonomy, seeing their own panel of consultations and prenatal care, while under the supervision of an MFM attending. Clinical topics include diabetes, Rh isoimmunization, multifetal gestations, medical conditions, cervical insufficiency/preterm birth, fetal anomalies, etc.
  • 2 months at Boston Medical Center for specific outpatient experience in managing opioid addiction in pregnancy, HIV in pregnancy, and complicated diabetes in pregnancy. In addition, during this rotation, fellows rotate on BMC Labor & Delivery as L&D Supervisor for OB/GYN generalists, Family Medicine physicians, and midwives.
  • 1 month in Surgical ICU
  • 1 month of research

Second year

  • 2 months covering MFM patients on Labor & Delivery, antepartum and postpartum wards. 
  • 3 months covering Prenatal Diagnostic Center. By the end of the second year, the fellow becomes confident in their skills in diagnostic ultrasound and fetal echocardiography. 
  • Weekly half-day of continuity clinic (as above)
  • 7 months of research

Third year

  • 2 months covering Prenatal Diagnostic Center. By the end of the third year, the fellow has gained proficiency in CVS and clinical experience in fetal blood sampling. 
  • Weekly half-day of continuity clinic (as above)
  • 10 months of research/electives. Electives can be individualized to each fellow’s academic interests (potential rotations include, but are not limited to, fetal echocardiography, infectious disease, and genetics)