Maternal-Fetal Medicine Fellowship Program - 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 antepartum/intrapartum/postpartum MFM patients on the Inpatient MFM Service. During this time, the fellow gains knowledge in the management of obstetrical complications, medical illnesses, critical care, 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).
  • 3 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.
  • 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.
  • Monthly OB-Cardiology clinic. Fellows manage prenatal care in collaboration with a cardiologist with a particular interest of Cardio-Obstetrics (issues include cardiomyopathy, maternal arrhythmias, maternal congenital heart disease, congestive heart failure, myocardial infarction, etc). This clinic is located in our MFM clinic.
  • 1 month in Surgical ICU
  • 3 months of research. During this time, fellows identify a mentor, work on identifying topics/projects of interest, and perform background literature reviews and preparatory reading. Fellows will also take a statistics course.
  • 1 month of genetics. Fellows work with prenatal genetic counselors to become confident in creating pedigrees and identify a patient's risk for a genetic disorder and mode of inheritance. They become proficient in counseling patients on options of screening/diagnostic/predictive genetic testing strategies, and gain confidence in counseling patients on the results of their genetic/biochemical tests. Throughout the month, fellows gain clinical experience with neonatal genetics evaluations by working one-on-one with a clinical geneticist on neonatal consultations, and determining management and surveillance of the identified disorder. In addition, fellows will take a supplementary course on Clinical Reproductive Genetics.
Second year
  • 1 month covering MFM patients on Inpatient MFM service (as above).
  • 3 months covering Prenatal Diagnostic Center. By the end of the second year, the fellow becomes confident in their skills in diagnostic ultrasound. Second year fellows become proficient with more complicated amniocentesis, as well as intracardiac feticidal injections (optional), and gain an introduction to chorionic villus sampling.
  • Weekly half-day of continuity clinic (as above)
  • Monthly OB-Cardiology clinic (as above)
  • 5 months of research
  • 1 month of genetics (as above).
  • 1 month of fetal echocardiography. Fellows will work with Pediatric Cardiologists to become proficient in fetal echocardiography and counseling patients on congenital heart disease and arrhythmias.
Third year
  • 1 month covering Prenatal Diagnostic Center. In the third year, they are capable to independently interpret, diagnose and counsel on common fetal anomalies. 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)
  • Monthly OB-Cardiology clinic (as above)
  • 4 months of research.
  • 1 month of fetal echocardiography (as above)
  • 6 months of elective. Electives can be individualized to each fellow’s academic interests (potential rotations include, but are not limited to: Family Planning, fetal intervention/surgery, community MFM, fetal echocardiography, critical care, substance use, infectious disease, genetics, additional ultrasound time, additional research time, additional statistics/clinical research study design)