Explore the maternal fetal medicine fellowship curriculum at Tufts Medical Center
The Maternal-Fetal Medicine Fellowship at Tufts Medical Center offers a structured, immersive curriculum designed to develop confident, independent perinatologists. Fellows progress through a carefully planned sequence of clinical, research and educational experiences over three years, gaining hands-on expertise in high-risk obstetrics, prenatal diagnostics and fetal interventions.
First year
- Inpatient MFM service (4 months): Manage antepartum, intrapartum and postpartum patients, including operative obstetrics procedures such as transvaginal and abdominal cerclage, breech extraction and cesarean hysterectomy. Participate in teaching rounds, fetal heart rate reviews and divisional conferences.
- Prenatal Diagnostic Center (3 months): Develop proficiency in ultrasound, including image acquisition, interpretation, patient counseling and amniocentesis.
- Continuity clinic (weekly half-day): Provide autonomous care for a panel of high-risk patients under attending supervision, including multifetal gestations, diabetes, cervical insufficiency and fetal anomalies.
- OB-Cardiology clinic (monthly): Collaborate with cardiologists on complex pregnancies, including cardiomyopathy, arrhythmias and congenital heart disease.
- Surgical ICU (1 month): Manage critically ill pregnant patients with complex medical or surgical complications, gaining experience in intensive care skills, multidisciplinary collaboration and high-acuity decision-making.
- Genetics (1 month): Work with prenatal genetic counselors and clinical geneticists to assess risk, create pedigrees, counsel patients on testing and participate in neonatal genetics evaluations.
- Research (3 months): Identify a mentor, develop projects, review literature and complete a statistics course to prepare for scholarly work.
Second year
- Inpatient MFM service (1 month): Continue hands-on care of high-risk patients, building on first-year experience.
- Prenatal Diagnostic Center (3 months): Refine ultrasound skills, perform complex amniocentesis, optional intracardiac feticidal injections and begin chorionic villus sampling.
- Continuity clinic (weekly half-day): Continue independent patient care under attending guidance.
- OB-Cardiology clinic (monthly): Ongoing collaboration on high-risk pregnancies with cardiac complications.
- Fetal echocardiography (1 month): Develop proficiency in imaging and counseling for congenital heart disease and arrhythmias.
- Genetics (1 month): Advanced exposure to genetic counseling and neonatal evaluation.
- Research (5 months): Conduct independent projects with faculty mentorship and statistical support.
Third year
- Prenatal Diagnostic Center (1 month): Achieve independent interpretation, diagnosis and counseling on fetal anomalies; gain proficiency in CVS and fetal blood sampling.
- Continuity clinic (weekly half-day): Continue longitudinal care of high-risk patients.
- OB-Cardiology clinic (monthly): Ongoing collaboration on complex maternal-cardiac cases.
- Fetal echocardiography (1 month): Continue advanced training in imaging and counseling.
- Research (4 months): Focused scholarly work under faculty mentorship.
- Electives (6 months): Customize rotations based on career goals, including family planning, fetal intervention/surgery, community MFM, fetal echocardiography, critical care, substance use, infectious disease, genetics, additional ultrasound or research.
