The Maternal-Fetal-Medicine (MFM) Fellowship Training Program at the University of Miami Miller School of Medicine/Jackson Memorial Hospital School of Medicine is a comprehensive program which exposes trainees to all aspects of this sub-specialty, including maternal complications of pregnancy, obstetric complications, fetal diagnosis and therapy, genetics, and clinical, basic science, and translational research.

Our academic environment, clinical and research faculty, diverse patient population and the breadth of complicated pregnancies will provide graduating fellows with a comprehensive foundation of clinical and research experience necessary to launch a successful career in Maternal-Fetal Medicine. Our training program is organized so graduate will meet ACGME, ABOG and SMFM educational objectives and competencies for subspecialty board certification and successful practice in maternal-Fetal Medicine.

The program is based at Jackson Memorial Hospital, the primary teaching affiliate of the University of Miami Miller School of Medicine, in addition to the University of Miami Hospital and Clinics. Jackson Memorial Hospital is a tertiary care referral center for high risk pregnancies in South Florida and the surrounding domestic and international regions.

Our program trains specialists to provide care and consultation for patients with obstetric, medical, and surgical complications during pregnancy. Fellows are trained to assess and treat the maternal and fetal effects of these disorders and to manage pregnancies complicated by primary fetal conditions, including structural and functional abnormalities, or primary maternal conditions, including complex maternal cardiac disease and placenta accreta.

Fellows learn high-risk pregnancy management through a combination of didactic lectures and conferences given by MFM, human genetics, neonatology, pathology, and anesthesiology faculty. Fellows also obtain significant hands-on experience and the opportunity to make independent decisions, in outpatient and inpatient settings, under the guidance of MFM faculty members.

Fellows have a breadth of opportunities that can be focused to individual interests, including genetics, infectious disease, critical care, biostatistics and epidemiology, and fetal echocardiogram. Our fetal therapy program continues to expand, and fellows have exposure to advanced procedures such as radiofrequency ablation or laser coagulation for complication monochorionic, diamniotic twin gestations. Fellows are all trained in amniocentesis and chorionic villus sampling.

Clinical and research training is at the core of our mission. Our medical and research educators have outstanding experience in management of high-risk pregnancy, ultrasound and prenatal diagnostic invasive procedures (amniocentesis, CVS, cordocentesis, shunt placement, in-utero laser therapy). State of the art methodologies including high throughput molecular technologies such as genomics and proteomics are frequently used to test and provide answers to novel research hypotheses.

The fellowship follows all required guidelines and is certified by the Accreditation Council for Graduate Medical Education (ACGME). In order to meet these guidelines, the division enlists specialists in MFM, neonatology, ultrasonography, fetal echocardiography, obstetrical critical care, diabetes, infectious diseases, genetics, obstetrical anesthesia, and the basic sciences. Upon completion of the fellowship, our graduates have superb clinical and research skills and are prepared for a variety of career options.

Our MFM Fellowship Program attracts outstanding and accomplished applicants. We are looking forward to receiving your application and in training prominent academic leaders in our subspecialty.

Maternal-Fetal Medicine (MFM) Fellowship Applications are accepted and transmitted to us through the Electronic Residency Application Service (ERAS) from December 1 through May 31 each year.

All documents that ERAS allows and apply to an individual, must be uploaded in order for an application to be considered complete.

Only those with complete applications are considered for interview. Interviews for the 2 new positions each year are held in July/August/September for a July 1 start date the following year. Information regarding registering for ERAS, applying to individual programs, and application fees can be found on the ERAS website.

The University of Miami/Jackson Memorial Hospital Maternal-Fetal Medicine Fellowship Program is academically oriented, with formal conferences, chapter reviews and lectures, as well as informal rounds. Half of the fellowship is devoted to clinical/basic science research. During the 3-year tenure, the fellow will complete all of the requirements of the ABOG Division of MFM. The fellow’s clinical commitments include:

1. Serving as an inpatient attending together with attending faculty members
2. Working in outpatient high-risk obstetrics and ultrasound

Jackson Memorial Hospital serves more than 4,000 pregnant patients per year, with a combined service of private and clinic patients. There are two outpatient ultrasound areas, staffed with sonographers and genetic counselors. Fellows gain extensive experience in diagnosing and counseling families with fetal anomalies.

Clinical Conferences

  • High-risk Antepartum Rounds
  • High-risk Outpatient Clinic Rounds
  • Grand Rounds
  • Pediatric Morbidity and Mortality Conferences
  • Severe Maternal Mortality Review

Didactic Conferences

  • MFM Didactics
  • Clinical Genetics
  • Journal Club
  • Chapter Review
  • Neonatology
  • Research in Progress
  • Fetal Board

The overall mission of the MFM Fellowship Training Program is to train leaders in maternal-fetal medicine. Specifically, we aim to recruit the most promising Ob/Gyn residency graduates from around the United States, to educate and train them over a period of 3 years with a view to ensuring that each fellow graduates as a highly competent MFM practitioner, and to prepare them for future careers in academic medicine, research, and/or community-based practice. We strive to achieve these objectives within the context of a secure and nurturing learning environment that promotes excellence in prenatal diagnosis, perinatal ultrasonography, obstetric surgical training, critical care obstetrics, and inpatient and outpatient obstetric management. To meet these objectives, we expect our MFM fellows to:

  • Provide comprehensive and compassionate treatment to all women and families presenting for care.
  • Acquire superior surgical skills and develop the knowledge base to understand the indications for and complications of individual surgical procedures.
  • Acquire competency in managing normal and complicated obstetric patients before, during, and after delivery.
  • Develop the judgment required to serve as a consultant to generalist Ob/Gyn practitioners.
  • Acquire the requisite skills in prenatal diagnosis and perinatal ultrasound to diagnose and counsel couples at risk.
  • Demonstrate knowledge of fundamental areas of MFM as laid out in the Guide to Learning in Maternal-Fetal Medicine. The program utilizes a combination of didactic lectures, chapter reviews, journal clubs, case conferences, and research conferences to achieve this objective.

Michael J. Paidas, MD
Fellowship Director
Mxp1440@med.miami.edu

 

Anastasia Godur, MPH, MPA
Fellowship Coordinator
agodur@med.miami.edu