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Training and Curriculum

Clinical Training

Inpatient and outpatient teaching of maternal fetal medicine occurs at both the UCSF Mission Bay campus and Zuckerberg San Francisco General Hospital (ZSFG). The UCSF Mission Bay site provides “quaternary” obstetric and neonatal care, with a range and depth of subspecialty care available, including the Fetal Therapy program. The outpatient program Mission Bay includes Prenatal Diagnosis, Fetal Cardiology, Fetal Therapy, and the Pregnancy and Cardiac Team (PACT). At ZSFG, the inpatient high-risk obstetrics unit provides care to indigent and underserved women of San Francisco County. As the only Level 1 trauma center in San Francisco and northern San Mateo counties, ZSFG also cares for all all pregnant trauma patients. Outpatient obstetric care at ZSFG includes a high-risk pregnancy clinic that cares for underserved patients, many of whom have multiple medical and social co-morbidities complicating their pregnancies.

Rotations include the following:

  • Labor and Delivery supervisor: 2 months (3 years)
  • Outpatient (Mission Bay and ZSFG): 3 months per year
  • Prenatal Diagnosis Center (PDC): minimum 1 month per year
  • Fetal Cardiology (echo): minimum 2 weeks (in 3 years)
  • Antepartum: 2-3 months per year
  • ICU Parnassus: 1 month (in 3 years)
  • Research: 1–5 months per year (at least 12 months in 3 years)
  • Fetal Treatment Center: minimum 1 month (in 3 years)
  • Electives
    • Any of the above required rotations can be done as elective, including additional research
    • Women’s options counseling
    • Neonatology
    • Obstetrical anesthesia
    • Reproductive environmental health

Fellow night call is in-house obstetrics-only at UCSF Mission Bay with approximately three calls per month, which counts towards with the 80-hour work week. Fellows are supervised by faculty who are in-house and immediately available.

 

Research Training

Fellows have twelve months of protected research time distributed throughout the three years of fellowship. All fellows are required to take the six-week summer course Training In Clinical Research (TICR), which provides coursework in designing clinical research, introductory biostatistics, and database management.

The Fellowship Director works with each fellow to identify research mentors both inside and outside of the division. Although our fellows work with many research faculty throughout the division, department, and institution, the following are the main MFM faculty that provide research mentorship.

Mary Norton, MD is the Chief of the Division, the Thornburn Endowed Chair in Perinatal Medicine and Genetics, and the Co-Director of the Center for Maternal-Fetal Precision Medicine. She has contributed significantly to the field of perinatal genetics research with over 150 peer-reviewed publications in high-impact journals, with a particular interest in non-invasive prenatal testing. She serves as a clinical and research mentor to the fellows.

Miriam Kuppermann, PhD, MPH serves as a research mentor for many fellows. She is the Vice Chair for Clinical Research, Director of the Program in Clinical Perinatal and Comparative Effectiveness Research, and the Director for the CTSI Resident Research Program. She has a long track record of NIH, AHRQ, and March of Dimes funding.

Susan Fisher, PhD, leads the Translational Research Program in Perinatal Biology and Medicine in the MFM division and is the Director of the UCSF Human Embryonic Stem Cell Program and Faculty Director of the Sandler-Moore Mass Spectrometry Facility. Her work as been supported by the NIH for over 30 years, and she has trained numerous graduate students and clinical and postdoctoral fellows.

Tracey Woodruff, PhD, MPH is the Director of the Program on Reproductive Health and the Environment and the Pregnancy Exposure to Environmental Contaminants Research and Prevention Center. Her funding comes from NIEHS, the Wellness Foundation, and USEPA.

Melissa Rosenstein, MD, MPH, is a UCSF Women’s Reproductive Health Research (WRHR) career development scholar and a graduate of the MFM fellowship. She maintains the long-standing UCSF Perinatal Research database.

Stephanie Gaw, MD, PHD, is a physician scientist who conducts basic, translational, and clinical research. She leads the L&D inpatient research recruitment and specimen collection programs at UCSF Mission Bay Hospital and at Zuckerberg San Francisco General Hospital. She serves as the primary research mentor for many fellows and residents.

Teresa Sparks, MD, MAS, is a dual boarded in MFM and Genetics and is a current UCSF Women’s Reproductive Health Research (WRHR) scholar. She studies genetic abnormalities underlying non-immune hydrops fetalis and uses a precision-medicine approach to evaluation and management of this heterogeneous disorder. She plays a major role in research career mentorship for the fellows.

 

Didactic Lectures and Conferences

The main didactics for MFM fellows occur every Wednesdays morning. These lectures cover the requirements from the ABOG Guide to Learning in Maternal-Fetal Medicine. Other lectures and conferences include:

  • OB-Neonatology morbidity and mortality (M&M) conference
  • Fetal Treatment Center (FTC) interdisciplinary meeting
  • Maternal medicine interdisciplinary meeting
  • OB/GYN Departmental Grand Rounds
  • Obstetrical ultrasound conference (joint with Radiology)
  • MFM fellow research work-in-progress meeting
  • Pregnancy and Cardiac Team (PACT) meeting
  • Diabetes in Pregnancy Program (DAPP) meeting
  • Journal Club (joint with OB/GYN residents)
  • MFM fellow research meeting
  • MFM fellow Creasy chapter review