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Department of Obstetrics and Gynecology
Division of Maternal Fetal Medicine – High Risk Obstetrics

Education

Introduction

The Sloane Hospital for Women was founded in 1886 by Mr. and Mrs. William Sloane, the daughter and son-in-law of Cornelius Vanderbilt. In 1928, the Sloane Hospital for Women moved to its present site and became the obstetrical and gynecological service for the Presbyterian Hospital of the Columbia-Presbyterian Medical Center. During the current year, it is expected physicians at the Sloane Hospital for Women will see approximately 100,000 obstetric patients at various practice sites. During this same interval, over 1,000 high-risk deliveries will be performed as part of more than 6,000 deliveries.

General Overview:

The Maternal Fetal Medicine (MFM) Fellowship in the Department of Obstetrics and Gynecology at Columbia University Medical is a three year program which follows guidelines of the American Board of Obstetrics and Gynecology (ABOG). In order to meet these guidelines, the division uses specialists in MFM, neonatology, ultrasonography, fetal echocardiography, obstetrical critical care, diabetes, infectious diseases, genetics, obstetrical anesthesia, and the basic sciences. The Department also utilizes faculty from the Columbia University School of Public Health to ensure that the Fellows have an education in epidemiology and biostatistics. The program is designed to graduate specialists who provide consultation and care for patients with obstetric, medical, and surgical complications during pregnancy. They are trained to assess and treat the fetal effects of these disorders. They also learn to diagnose and manage pregnancies with fetal disorders. Fellows are taught high-risk pregnancy management through a combination of didactic lectures and conferences given by the Maternal Fetal Medicine, Human Genetics, Neonatology, Pathology and Anesthesiology faculty. They also obtain significant hands-on experience and the opportunity to make independent decisions in the outpatient and inpatient setting under the guidance of MFM faculty members.

Clinical Activity:

Most of the Fellow's first year is devoted to clinical activities. These activities include the management of patients in six high-risk clinics:

  • Perinatal clinic for multiple pregnancies and fetal anomalies
  • Diabetes clinic
  • Perinatal clinic for preterm labor, preterm delivery, prior poor fetal outcome, and preconception counseling
  • Medical clinic for women with medical conditions during pregnancy
  • Infectious disease clinic
  • Fellows may also attend the HIV obstetrical clinic in the Women and Children Care Center

Fellows also rotate through the ultrasound unit, learning to do comprehensive fetal scanning. In the labor and delivery unit, Fellows act as junior attendings and have MFM attending back-up while learning to make decisions and provide consultation to the general obstetricians, in addition to planning the acute management of critically ill patients. The Fellows have 18 consecutive months of protected research time. Research facilities are available for MFM Fellows in clinical medicine, ultrasonography, and the basic sciences. They may work in the OB/GYN-MFM Division, the laboratory facilities in Columbia University, the School of Public Health, and other clinical departments. Fellows design and structure their research projects with consistent guidance from the MFM faculty and their mentors. They intermittently present their projects to the MFM faculty, residents and their mentors as the work progresses. This program is structured to provide extensive clinical and research experience. Individuals completing the program are able to work independently managing complicated pregnancies using the most current diagnostic and treatment modalities available. The program graduates Fellows who can appropriately interpret the literature for clinical applicability and research design. The management of a busy perinatal service, the provision of consultation to the clinical obstetrical service, the proximity of the strong basic science and clinical research environment at Columbia, and the construct of an independent research project all prepare Fellows in the program to be future leaders in Maternal Fetal Medicine.

Living in New York City:

The New York Presbyterian Hospital is located on the upper West Side of Manhattan in Washington Heights. The hospital is one mile from the George Washington Bridge. New Jersey suburban communities, as well as Westchester, and the Riverdale section of the Bronx in New York are within fifteen to thirty minutes of the hospital. New York City is the gateway to unlimited educational, cultural and recreational resources. The City is home to the country's largest concentration of theaters, museums, dance and musical offering to suit every taste, as well as multiethnic restaurants for every palate. A wonderful collection of public parks fill out the urban-vista both in and around the city. Two of the city's major subway lines conveniently connect the hospital to the many varied neighborhoods of Manhattan such as Little Italy, Greenwich Village, Soho, Chinatown, and the artistic center with was developed around Lincoln Center.

Application Procedure:

We are using the using the attached application, but are part of the match. A New York State Medical License and Board eligibility for the American Board of Obstetrics and Gynecology are required for our Fellowship candidates. Dr. Ronald Wapner, Director of Maternal Fetal Medicine, leads a division of 18 faculty members. The Fellowship is an integral part of the Sloane Hospital for Women. Interviews are conducted during July and August.

Click here to download the Fellowship Application.

Completed applications should be sent to:
Dr. Lynn Simpson
Director of Fellowship Program
Division of Maternal Fetal Medicine
Department of OB/GYN
622 W. 168th St. – PH-16
New York, NY 10032
Phone: (212) 305-6293


Attending Members of the Division of Maternal Fetal Medicine:

Richard Berkowitz, Kirsten Lawrence Cleary, Mary D'Alton, Patricia Devine, Sreedhar Gaddipati, Cynthia Gyamfi, Anita LaSala, Jodi Lerner, Jack Maidman, David McLean, Hamid Mootabar, Annette Perez-Delboy, Todd Rosen, Lynn Simpson, Dorothy Smok, Alex Spadola, Ronald Wapner, Ming Neng Yeh.


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