Clinical Program

Our Maternal-Fetal Medicine Fellowship is a three-year program designed to qualify the candidate for advanced certification in Maternal-Fetal Medicine by the American Board of Obstetrics and Gynecology, Inc. The fellowship is fully-accredited by the Accreditation Council for Graduate Medical Education (ACGME). Our program is approved to accept one fellow annually.  The Director of the MFM Fellowship at the UT Health/University of Texas Health Science Center at San Antonio is Dr. Patrick S. Ramsey. Dr. Kayla Ireland is the Associate MFM fellowship Director.

Fellows completing our program will have a comprehensive skill set to allow them to serve as a consultant to other obstetric and non-obstetric providers. These skills are gained through clinical experiences, engagement in departmental/institutional quality improvement projects, participation in root-cause analyses, and peer-review. Extensive basic science and clinical resources are available through the department and institution for fellow research and thesis endeavors.

Fellows are provided with training in critical review of the literature and regularly engage in manuscript for review for one or more journals in obstetrics and gynecology.  Additional unique attributes of our program include fellow participation in our South Texas Center for Placenta Accreta Spectrum, Comprehensive Zika center, Perinatal Palliative Care Program, and Multidisciplinary Maternal Cardiac Care Clinic. Fellows in the program are also required to participate in regional/state efforts to improve maternal and fetal/infant mortality.

In addition, fellows are provided with an opportunity to participate in regional and state-level advocacy and quality improvement efforts (fetal infant mortality review, regional and state perinatal advisory council, March of Dimes, etc). These additional aspects of training provide additional breadth and experiences to allow the fellow to experience the full spectrum of an academic MFM consultant.

Patrick S. Ramsey, MD, MSPH

Professor
Fellowship Program Director

Kayla E. Ireland, MD, MSCI

Assistant Professor
Associate Fellowship Program Director

Patricia D. Gutierrez

Program Coordinator

Fellowship Objectives:

  1. Provide fellows with a supportive robust educational environment leading to excellence in clinical MFM knowledge and skills related to prenatal diagnosis, genetic counseling, and care for complex medical-surgical complications of pregnancy while incorporating the ACGME clinical competencies, procedural experiences, and ABOG requirements.
  2. Develop fellows as exemplary clinical and/or basic science researchers through provision of training in contemporary research approaches, study design and implementation, grant preparation, and scientific writing.
  3. Foster development of fellows as advocates for patient safety and quality improvement through participating in and initiation of a quality improvement project.
  4. Encourage professional development through engagement of fellows to participate in an array of academic activities inclusive, but not limited to, journal peer-review, medical student/resident teaching, community outreach, institutional/regional committee participation, etc.
  5. Create well-balanced compassionate MFM physicians who strive to provide excellent patient care while maintaining personal balance and wellness.

Our MFM Fellowship program has three major components: clinical, research, and didactic. The goal of the program is to train well-rounded clinician-scientists that are clinically and surgically competent, familiar with relevant laboratory procedures, and fully understanding of theoretical and technical aspects of research to enable independent study. Emphasis is placed on continuation of an academic career. Clinical, research, and teaching activities are given equal importance and fellows are provided opportunities to achieve their full potential in each area.

The core fellowship block rotations consist of 18 months of Core Clinical MFM Experiences (includes MFM Clinical – 10 months; Ultrasound –  3 months; Genetics/Genomics x 2 months; Surgical ICU x 1 month; L&D x 2 months), 12 months of research, and 6 months of electives (1 month required NICU) – See Representative Fellowship Block Diagram Below.

Various elective blocks are available in fetal echocardiography, diabetes service, perinatal pathology, medical/surgical/cardiac intensive care unit, neonatal intensive care unit, antepartum service, congenital heart program, infectious disease service, HIV/AIDS service, or research. With fellowship director approval, other elective experiences can be coordinated based on the fellow’s interest and career aspirations.

UT Health/University of Texas Health Science Center at San Antonio
Maternal-Fetal Medicine Fellowship Training Program
Representative Fellowship Block Diagram: ACGME 2020

 

Block/MonthJulyAugSeptOctNovDecJanFebMarAprilMay June
Rotation NameResearchMFM Clinical (1): MFM Core Clinical Experience (1)MFM Clinical (2): MFM Core Clinical Experience (2)L&D (1)/
Ultrasound
(1): MFM Core Clinical Experience (3)
Research
(2)
Research
(3)
Research
(4)
Research
(5)
Research (6)L&D (2)/ Ultrasound (2): MFM Core Clinical Experience (4)SICU: MFM Core Clinical Experience (5)MFM Clinical (3): MFM Core Clinical Experience (6)

 

Block/MonthJulyAugSeptOctNovDecJanFebMarAprilMayJune
Rotation NameResearch (7)MFM Clinical (4): MFM Core Clinical Experience (7)MFM Clinical (5): MFM Core Clinical Experience (8)L&D (3)/
Ultrasound (3): MFM Core Clinical Experience (9)
Research
(8)
Research
(9)
Elective (1): NICU – RequiredMFM Clinical (6): MFM Core Clinical Experience (10)L&D (4)/
Ultrasound (4): MFM Core Clinical Experience (11)
Elective (E2)Research
(10)
Research (11)

 

Block/MonthJulyAugSeptOctNovDecJanFebMarAprilMayJune
Rotation NameMFM Clinical (7): MFM Core Clinical Experience (12)Elective (E3)MFM
Clinical (8): MFM Core Clinical Experience (13)
Ultrasound
(5/6): MFM Core Clinical Experience (14)
Elective (E4)Elective (E5)Elective (E6)Genetics/
Genomics (1): MFM Core Clinical Experience (15)
Genetics/
Genomics (2): MFM Core Clinical Experience (16)
MFM Clinical (9): MFM Core Clinical Experience (17)MFM Clinical: (10) MFM Core Clinical Experience (18)Research (12)