Maternal Fetal Medicine Fellowship Program
The Division of Maternal Fetal Medicine in the Department of Obstetrics and Gynecology of WellSpan York Hospital offers a three-year program involving direct patient care and a combination of didactic education and clinical research leading to board eligibility in Maternal-Fetal Medicine. Three total fellowships positions (one per year).
The general breakdown of the fellowship is as follows:
Year 1 – The first year is structured as an integrative experience where the fellow will alternate on monthly blocks between the Antenatal Testing Center and the In-hospital Service.
Year 2 – Outside rotations in prenatal diagnosis and fetal therapy, Medical Genetics, and three months of research. The remaining months will alternate between the Antenatal Testing Center and In-Hospital Service.
Year 3 – The fellow will have up to two months of electives and three months of research. The remaining months will alternate between the Antenatal Testing Center and In-Hospital Service, as well as Chief Fellow administrative responsibilities.
Our program includes:
- Complete maternal and fetal risk assessment and management of pre-conceptual, prenatal, intrapartum and postpartum complications
- High risk operative obstetrics
- A full range of fetal diagnostic ultrasound and antenatal testing, with accreditation through the AIUM
- Fetal echocardiography lab, directed by MFM and is independently accredited through AIUM and ICAL.
- Invasive maternal and fetal diagnostic and therapeutic procedures including:
- CVS (transvaginal and transabdominal routes)
- Fetal vesicocentesis/thoracentesis
- Fetal transfusion medicine
- Surgical training in the placement of elective and emergent/rescue cerclage and prophylactic cervico-isthmicc permanent cerclage
- MFM provides the majority of management of gestational and pre-existing diabetes for the south central PA region
- Consultation and management of pre-existing maternal and obstetrical medical complications.
- Supervision of the Resident High Risk OB Clinic and Perinatal Substance Abuse Clinic.
- Research is an integral part of Women & Children Services and OB/MFM departments at WellSpan York Hospital. There is comprehensive research support through the Emig Research Center at York Hospital, which includes assistance in study planning, research coordination, IRB submissions, data collection, statistical analysis and interpretation and medical writing.
The maternal transport service is very active and utilizes ground and air ambulance transfer.
In-hospital care is done on labor and delivery and a dedicated antepartum unit with central fetal monitoring. The hospital service involves consultative medicine as well as patient management on the MFM service. Obstetrical intensive care is provided directly by MFM in the surgical transitional ICU and in collaboration with the intensive care service in the medical ICU.
MFM and WellSpan York Hospital are a regional center for the management of diabetes in pregnancy.
Affiliation: Lake Erie College of Osteopathic Medicine
The perinatal center staff includes:
- 5 MFM physicians
- Certified perinatal sonographers
- Genetic counselors
- Perinatal nurse practitioner
- Antenatal testing personnel
- Perinatal Diabetes Center personnel
Questions regarding the program can be directed to the MFM program director, James Hole, DO, 717-851-2722.