Curriculum

MFM Fellowship Curriculum

The department has 17 maternal-fetal medicine faculty members who boast various clinical, epidemiologic and basic research interests. There are approximately ten additional intradisciplinary and interdisciplinary support faculty members. These include participants from the Department of Radiology, Pediatrics (Neonatalogy), Women’s Anesthesia and Medicine.

Year Breakdown

Year one of the fellowship focuses on clinical experience with rotations in ambulatory and in-patient high-risk obstetrics, prenatal diagnosis and genetics. Specific opportunities to develop research questions and meet with faculty mentors are included in the first year. The second year is devoted to course work and research as outlined in the Maternal-Fetal Medicine Guide to Learning. The third year is focused on both clinical and research with experiences individualized to the specific fellow needs to prepare for future endeavors.

Research

Fellows have the opportunity to obtain a Master's in Clinical Research during the fellowship as an option. The Division of Maternal-Fetal Medicine (MFM) has a robust clinical research operation. Basic and clinical research opportunities are available in collaboration with other medical center programs. Additionally, a large clinical research group with onsite research space and staff for enrolling prospective studies and clinical trials, make Duke’s program exceptional.

Research in Duke Ob/Gyn's Division of Reproductive Sciences Research Program, led by Susan K. Murphy, PhD, is comprised of studies in a variety of areas, including epigenetics, epigenomics, ovarian cancer research, placental function/dysfunction, uterine fibroids, placental immunology, pregnancy and the urinary microbiome, among others.

Periconceptional Wellness and Early Human Development, led members of the Division of Reproductive Sciences and their collaborators, has developed a nationally-recognized program investigating basic reproductive biology and the effects of exposures during the periconceptional, in utero and infant time periods on both short- and long-term health outcomes. This research is highly multidisciplinary and includes collaboration with researchers from Family Medicine and Community Health, Psychiatry and Behavioral Sciences, Pharmacology and Cancer Biology and from the Duke Nicholas School of the Environment. Research encompasses pre-conceptional counseling, studies of the effects of exposures on sperm epigenetic reprogramming, impacts of exposures on placental function and how the pre-conceptional and in utero environments impact the integrity of the child’s epigenome, effects on growth and development, neurodevelopment and overall health and well-being.

Patient Care and Facilities

Duke is a tertiary care referred center that accommodates a variety of pregnancy and medical complications. This provides the fellow an opportunity to participate in the care of women with significant medical complication that will prepare the fellow to serve as a consultant in high risk pregnancy care from those requesting input.

Our Fetal Diagnostic Centers in Durham, Raleigh and Cary perform over 20,000 fetal ultrasound evaluations and include training in fetal diagnostic procedures including amniocentesis, chorionic villus sampling, percutaneous umbilical blood sampling, fetal transfusion and other fetal procedures and treatments.

Formal divisional and departmental conferences, multiple medical center lectures and national meetings provide the opportunity for the fellows to participate and develop an academic career.

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