University of Vermont Maternal Fetal Medicine Fellowship

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Educational Objectives

The Maternal Fetal Medicine (MFM) Fellowship Program at the University of Vermont is designed to provide an in-depth experience in both clinical medicine and research.

As the referral center for Vermont and upstate New York, we act as consultants to a wide variety of clinical problems. In addition, we provide comprehensive care throughout pregnancy for patients with chronic medical problems. The small size and interactive environment allows maximal exposure to established researchers in both clinical and basic science research. This also fosters a close working relationship, which focuses on the individual's goals and interests.

The guide to Learning in Maternal Fetal Medicine is used as the basis of the didactic sessions provided to the fellow as well as their independent learning. The fellowship is designed to allow flexibility in order to develop individual fellow’s interests.

Library


The Dana Medical library, situated in the Academic Medical Center, provides free access to a host of electronic databases for literature search and retrieval, such as Medline, HealthSTAR, and CINAHL. A number of journals are available online, and links to other libraries and University facilities are available. Access to these databases is available from individual offices through networked computers.

The library offers periodic training courses and workshops for students and faculty on the use of scientific informatic resources, and is equipped with a number of accessible computer stations. The library staff provides reference retrieval services, such as inter-library loan, for obscure or out-of-date publications and books.

The Department maintains an obstetric database containing information back to 1994 called OBNET. The database collects information on over 100 patient variables and is available to our fellows for searches and projects (after IRB approval). Multiple publications have been based on this system. Fellows have access to medical records when requested.

Clinical Facilities - Inpatient

The Birthing Center is located on the Medical Center Campus, Level 7 of the McClure Building of Fletcher Allen. The NICU is immediately adjacent to the Birthing Center. The suite has 8 labor/delivery/recovery rooms, 3 antepartum assessment rooms and 2 operating rooms.

All rooms are fully equipped with computerized fetal monitor stations and computer work stations for access to the PRISM electronic health record. The suite has 24-hour Anesthesia coverage and the ability for invasive monitoring.

Invasive Swan Ganz monitoring is performed in the Surgical Intensive Care Unit, which is adjacent to the main operating rooms. These patients have both an ICU and Obstetric nurse in attendance and are co-managed by the full-time anesthesia staff in the unit and the Maternal Fetal Medicine staff.

The Antepartum and postpartum units are located on Level 5 of the Shepardson Building, with planning for a new unit on the same floor as the Birthing Center underway (expected completion 2014). There are 24 double-room beds and 12 single- room beds. The unit is equipped with fetal monitors so that fetal assessments can be performed at the bedside. Inpatient fetal ultrasounds, Doppler monitoring and percutaneous umbilical blood sampling are performed in the Birthing Center.

Outpatient Clinic

The Outpatient Obstetrics clinic is located on the Medical Center Campus in the Ambulatory Care Center, East Pavilion, Level 4. All patients of the Maternal Fetal Medicine Service are seen in this area, which serves as one integrated clinic with consultation, ongoing obstetric care, fetal testing, and fetal diagnosis. 

The Maternal Fetal Medicine Service has dedicated nursing with experience in the special needs and coordination required of complicated pregnancy.  There is a dietician and diabetic nurse educator integrated into the clinical care of diabetic pregnancies. Each exam room has the full capability of the electronic medical record.

The Fetal Diagnostic Center is a 4-bed dedicated MFM ultrasound unit under the direction of Dr. David Jones.  It is equipped with GE Voluson E9 units (3) and a GE Logic 9 (1). There are an additional 2 rooms for gynecologic/early pregnancy imaging.  Viewpoint is the software package used for ultrasound image assessment and reporting. The unit is staffed with full time sonographers with extensive experience in obstetric scanning and anomaly detection. The PACS system is used for image storage and allows access to the films at the hospital site. 

The Fetal Diagnostic Center offers amniocentesis, fetal echocardiography, Doppler evaluation, CVS and other complex ultrasound exams and fetal procedures. Dr. Stephen Brown, M.D. is an OB/GYN geneticist available to the Fetal Diagnostic Center for patient consults when issues are identified on ultrasounds that require counseling.

The Antepartum testing unit provides NSTs and BPPs and is open 5 days per week.

 

Dr. Marjorie Meyer

Marjorie Meyer, M.D.
Program Director