Maternal Fetal Medicine Fellowship Program
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.
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services, such as inter-library loan, for obscure or out-of-date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 UVM Medical Center. 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 7 of the McClure and Baird buildings, respectively, along with our new Mother-Baby unit, recently completed in 2014. Most of the rooms in this new unit are single-bed rooms and 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 also performed in the Birthing Center.
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
The Antepartum testing unit provides NSTs and BPPs and is open 5
days per week.
Julie Phillips, MD