Department of Obstetrics and Gynecology

Lisa D. Levine, MD, MSCE Lisa D. Levine, MD, MSCE
Program Director

University of Pennsylvania Health System — Department of OB/GYN
Division of Maternal-Fetal Medicine, c/o Michele Steuber
Hospital of the University of Pennsylvania
3400 Spruce Street, 2 Silverstein
Philadelphia, PA 19104
Phone: 215-662-6913

Samuel I. Parry, MD Samuel Parry, MD
Associate Program Director
Chief, Division of Maternal-Fetal Medicine

University of Pennsylvania Health System — Department of OB/GYN
Division of Maternal-Fetal Medicine, c/o Michele Steuber
Hospital of the University of Pennsylvania
3400 Spruce Street, 2 Silverstein
Philadelphia, PA 19104

Please direct fellowship application inquiries to Michele Steuber at msteuber@obgyn.upenn.edu.

This unique three-year program offers extensive experience in the clinical management of high-risk patients as well as formal training and excellent mentorship in clinical, translational or basic research.

The fellowship is designed to support 12 to 18 months of protected research that can be divided over three years as best accommodates any formal research training. The clinical experience will enable a fellow to become extremely proficient at ultrasound, antenatal diagnosis, and the management of complicated medical pregnancies.

There are also numerous didactic sessions which enhance the educational experience, including a weekly fellow lecture series.

Prerequisites

Applicants must be ABOG eligible and have a state medical license. Applicants must also have completed an approved residency program in Obstetrics and Gynecology. A graduate of a foreign medical school must have a standard ECFMG certificate and completed postgraduate training in the United States.

Number of First Year Positions: 2

Program Description

Clinical

The Hospital of the University of Pennsylvania (HUP) is a tertiary care center in West Philadelphia. Approximately 3,900 deliveries per year occur at HUP, a majority of which are complicated by a high-risk condition. Penn also serves as a transport center for the Philadelphia region.

There are three broad categories of clinical activity that fellows engage in over the course of our three-year fellowship: inpatient care, outpatient care, and specialty rotations.

Our goals for the outpatient rotations are as follows:

  • To become proficient at performing and interpreting ultrasound, amniocentesis, CVS and other antenatal procedures.
  • To become knowledgeable in the field of genetics as it relates to preconception counseling, abnormal fetal ultrasounds, abnormalities in the neonatal period, advanced maternal age, and other related genetic conditions.
  • To be able to provide, appropriately and accurately, consultations for complicated maternal and fetal conditions using evidence-based medicine.

Goals for the inpatient rotation are as follows:

  • To become an expert in the care of high-risk patients during the antepartum, delivery and postpartum periods.
  • To become knowledgeable in the field of obstetrical anesthesia.
  • To understand the implications and outcomes of obstetrical complications (preterm birth, fetal growth restriction, fetal anomalies) on neonatal care.

Specialty rotations include:

  • Maternal cardiac disease
  • Infectious diseases
  • Fetal surgery
  • Fetal echocardiogram

Research

Within the Department of Obstetrics and Gynecology, which is consistently ranked in the top five for NIH funding, is the Maternal and Child Health Research Center (MCHRC). The MCHRC is a unique research program in that it performs and supports all types of research from basic, to translational to clinical research studies. Several of the Maternal Fetal Medicine faculty have NIH funding. Along with individual grants, we are one of five March of Dimes Prematurity Research Centers and are one of the sites for the Maternal Fetal Medicine Unit Network. The MCHRC has an established research infrastructure that supports a diverse research portfolio aimed at improving outcomes for mothers and their children.

MFM fellows can perform research on 12 or 18 month tracks pending their long term career goals. There are diverse research opportunities for the fellow. Fellows meet with Dr. Elovitz at the start of the fellowship and frequently thereafter to plan an individualized research agenda. All MFM faculty members can serve as mentors for individual projects.

Current lines of active investigation in the MCHRC include:

  • The role of the microbiome (oral, gut and cervicovaginal) in preterm birth
  • Understanding the biomechanics of cervical remodeling
  • Investigating possible mechanism by which the cervicovaginal microbiota may lead to preterm birth
  • Determining how inflammation-induced preterm birth leads to fetal and postnatal brain injury
  • Investigating the role of the placenta and trophoblast function in adverse pregnancy outcomes
  • Understanding cardiac dysfunction in preeclampsia
  • Investigating the long term cardiovascular risk for women with a history of preeclampisa
  • Investigating optimal labor management strategies for maternal and neonatal outcomes
  • Investigating different medical management for chronic hypertension and diabetes during pregnancy

Specialized training in clinical research methodology is available in the two-year Master's Program in Clinical Epidemiology at Penn. This program includes graduate level courses in epidemiology, survey design, statistics, health economics and others. Tracks within this program relevant to MFM include Reproductive Epidemiology, Patient-Oriented Research, Health Services Research, and Genetic Epidemiology. Several MFM fellows have enrolled in this outstanding program over the past several years.

In addition, the University of Pennsylvania offers a two-year Masters in Translational Research (MTR). This program provides a fellow with a strong foundation in which to pursue translational research.

Education

There are numerous didactic sessions that the fellows are involved in over the course of the fellowship. Most importantly, there is a dedicated MFM fellow lecture series, which covers the topics as laid out by the American Board of Obstetrics and Gynecology (ABOG). This lecture series occurs weekly. In addition, we have a weekly journal club in which we review all pertinent articles from the top Ob/Gyn and medical journals that impact our specialty.

In addition to the fellow lecture series and journal club, the fellows attend numerous conferences.

  • Grand Rounds (weekly)
  • Fetal Heart Rate Tracing Review (weekly)
  • MFM Division Meeting (weekly)
  • MFM Journal Club (weekly)
  • Fellow Lecture Series (weekly)
  • Resident Journal Club (monthly)
  • Joint MFM/Adult Congenital Heart Disease Conference (monthly)
  • Ultrasound Anomaly Conference (monthly)
  • Genetics Rounds (twice/month)

Application Requirements

  • Application Deadline: May 31
  • Updated Curriculum Vitae
  • Personal Statement
  • Three Letters of Recommendation
  • Apply through ERAS

Current Fellows

  • Maeve Hopkins, MD
    3rd Year Fellow
    Research Thesis: "Maternal screening echocardiograms in morbidly obese patients"
  • Rebecca Hamm, MD
    3rd Year Fellow
    Research Thesis: "A validated calculator to predict risk of cesarean for women undergoing an induction of labor: Can it reduce maternal morbidity and improve patient satisfaction?"
  • Joana Perdigao, MD
    3rd Year Fellow
    Research Thesis: "Furosemide for accelerated recovery of blood pressure postpartum: a randomized controlled trial"
  • Whitney Bender, MD
    2nd Year Fellow
  • Kristin Gerson, MD, PhD
    2nd Year Fellow
  • Adina Kern-Goldberger, MD, MPH
    1st Year Fellow
  • Jennifer McCoy, MD
    1st Year Fellow

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