The Maternal-Fetal Medicine Fellowship at the University of Missouri is a 36-month intensive program that provides advanced comprehensive training in the management of high-risk pregnancies, focusing on both clinical excellence and state-of-the-art scientific research. This fellowship develops the next generation of leaders in the field of Maternal-Fetal Medicine, preparing fellows to become highly skilled clinicians, investigators, and educators.
Through the fellowship, the individuals will be comprehensively trained through a sophisticated curriculum in advanced diagnostic and therapeutic modalities for the management of complex maternal-fetal conditions. Further to clinical skills, fellows will learn to conceptualize, study, and appraise research work, thereby contributing, in turn, to the growing scientific body of knowledge, which forms the backbone of MFM. The Fellows will learn how to apply and interpret findings from emerging research to optimize the care of their patients and guide clinical decision-making.
The program is designed to meet the highest standards of the ACGME Common Program Requirements for Post-Doctoral Education and provides a comprehensive, intellectually challenging environment that promotes academic inquiry, clinical proficiency, and independent investigative skills in a way to prepare fellows for leadership positions in academic, clinical, and research careers in Maternal-Fetal Medicine, right here in the heart of Mid-Missouri.
Mission Statement
Our Maternal-Fetal Medicine Fellowship trains future leaders to provide equitable, evidence-based, and compassionate care for a diverse, underserved community. Through comprehensive clinical training and innovative research, fellows gain expertise in high-risk pregnancy management, fetal interventions, quality improvement, and public health. Graduates of our program will emerge as leaders, advocates, and changemakers in maternal-fetal medicine, committed to advancing research, policy, and clinical excellence to reduce disparities and improve the health of all pregnant individuals.
Comprehensive Clinical Training in Maternal-Fetal Medicine
Fellows will experience a wide range of clinical experiences. Fellows will develop the knowledge required of specialists primarily through the use of clinical experiences as a jumping board for self-directed study. Rotation-focused educational readings will be required to ensure every fellow develops the breadth of knowledge required by the specialty. Fellows will participate in department-wide educational activities such as journal clubs, PSQI, grand rounds presentations, and various didactic and simulation experiences.
MFM Fellow Block Schedule 2025-26
Dept Wide Educational Activities
- Grand Rounds: Departmental grand rounds are held on the 4th Wednesday of the month at 6:45 am and is required attendance by the MFM fellows.
- Perinatal Morbidity and Mortality: OB M&M is held on the 3rd Wednesday of the month and is required attendance by the MFM fellow. They will be expected to lead the conversation and present at least 2 M&M cases per academic year.
- SMFM Cardio OB Morbidity and Mortality: There will be quarterly M&M (virtual) held by the top cardio-OB providers in the country convene to discuss cases presenting to each of their institutions. Fellows (both cardiology and MFM) will rotate (institution) in presenting.
- Cardio OB Monthly Multidisciplinary Team Debriefing: Each month, the fellows will be expected to maintain and present to a multidisciplinary group on the cardio-OB patients presenting to and delivering within the Mizzou system. They will learn to discuss (in a collaborative fashion) patient cases and will be expected to come up with plans of care.
- Fetal Anomaly Morbidity and Mortality: The MFM and NICU division hold weekly hour-long meetings to discuss upcoming difficult cases and develop care plans. The fellows will be expected to discuss cases and aid in management plan development.
- Journal Club: The fellows will participate in a monthly journal club, to be held on the 1 st Friday on the month at noon in MFM Offices.
- Research Rounds: The fellows will be expected to update the depart1nent quarterly with a formal presentation on the work they have performed for their thesis. This will involve MFM and research (PhD) faculty.
Self Directed Studies
October 1
Creasy Ch 58 respiratory issues in pregnancy (review and discussion); SMFM Lecture: Severe Respiratory Complications in Pregnancy
Maternal: Fellow led review with faculty on Creasy ch; SMFM lecture seriesOctober 8
SMFM Lecture: Fetal hydrothorax; Lecture on BPS and CPAM; review of Fetology chapters 34 and 35
Fetal: SMFM lecture series; faculty led lecture (TBD)October 15
Faculty led maternal asthma lecture; SMFM Lecture: Sleep health - A modifiable risk factor for adverse pregnancy outcomes
Maternal: faculty led lecture (TBD); SMFM lecture seriesOctober 22
Fetology chapter 16 fellow led review; VISUOG fetal abdomen learning platform (8 PowerPoints); SMFM series lecture on fetal GI abnormalities
Fetal: Faculty led discussion on VISOUG lectures; fellow led discussion on chaptersOctober 29
Ch 63 and 64 Creasy review on GI; SMFM lecture on gastrointestinal disorders in pregnancy
Maternal: fellow led review of chapter with faculty; SMFM lecture series
The University of Missouri proudly offers a state-of-the-art 600,000-square-foot, Level IV hospital designed to provide exceptional care for high-risk pregnancies and complex maternal conditions. Our labor and delivery unit is fully equipped with 14 labor rooms, 8 antepartum rooms, 5 triage bays, 3 operating rooms, and 3 OB ICU beds, all staffed by a dedicated team of critical care nurses and maternal-fetal medicine specialists.
Fellows will gain hands-on experience in our cutting-edge fetal intervention suite, working alongside pediatric and MFM experts to manage complex fetal cases. The MFM outpatient space includes 5 exam rooms, 8 ultrasound units, and 3 NST rooms, with an additional 3 ultrasound rooms and 3 NST rooms in the general OB division, ensuring a robust clinical training environment.
Our fellowship provides extensive procedural training, allowing fellows to develop expertise in fetal echocardiography, Level II ultrasounds, and diagnostic procedures such as chorionic villus sampling (CVS) and amniocentesis. Outpatient training includes longitudinal care in the high-risk clinic, conducting outpatient consults, and rotations through the Genetics and Fetal Care departments.
Additionally, fellows will refine their ability to manage multidisciplinary, complex maternal conditions through active participation in the Cardio-Obstetrics and Fetal Anomalies Clinics—two specialized, team-based clinics within the MFM division. This diverse clinical experience ensures that graduates are well-prepared to lead in both academic and clinical settings, advancing the future of maternal-fetal medicine.
Exceptional Research Opportunities in Maternal-Fetal Medicine
Our Maternal-Fetal Medicine fellowship offers unparalleled opportunities for fellows to engage in cutting-edge research across clinical, translational, and bench science. With 12 NIH R01 grants, 4 R21 grants, and 1 R56 award, our department is at the forefront of advancing maternal and fetal health. Fellows have the opportunity to contribute to groundbreaking studies in epigenetics, stem cell biology, placental growth factor regulation, cardiac disease in pregnancy, remote fetal telehealth, and postpartum depression.
Beyond bench and translational research, fellows can actively participate in both interdepartmental, state-wide, and national clinical studies, gaining hands-on experience in innovative investigations that shape the future of maternal-fetal medicine. Whether pursuing independent projects or collaborating with esteemed faculty, our program provides the ideal environment to cultivate a research career that makes a lasting impact on the field.
Application Process
If you are interested in applying for a Maternal Fetal Medicine Fellowship position, please use the Electronic Residency Application Service (ERAS).
- ERAS Common Application Form. Describe your activities with professional societies, publications, and any other relevant information about your education or experience. Any information you would put on your curriculum vitae should be included.
- Three letters of recommendation uploaded to ERAS.
Compliance with ACGME Standards
ACGME Requirements
Our program meets all ACGME accreditation requirements by adhering to the ACGME Program Requirements and participating in regular internal reviews. We ensure that duty hours, educational content, and clinical experience are aligned with ACGME standards.
Find more information regarding Salaries and Benefits, Insurance, and Leave policies on our Salaries and Benefits page.
