The Department of Obstetrics Gynecology and Reproductive Sciences reserves Friday morning for protected didactic time. Grand rounds are held at 8:00 a.m., and the fellows are expected to both attend and present at these conferences. A 9:00 a.m. didactic session is held, which consists of resident presentations of complex cases seen over the previous week. Once a month, this time period is devoted to a departmental journal club. The fellows participate in the discussion of each case and may include teaching points as well as critical evaluation of the case or topic of the resident's presentation.
In addition to the Friday morning activities noted above, there are four didactic sessions which are conducted each week within the Division of Maternal Fetal Medicine. The foremost of these sessions occurs in the context of the weekly MFM division meeting, held Fridays from 10:45 a.m. to 12:00 p.m. During this time, in-depth discussions related to complex patients, management protocols, and maternal and fetal pathophysiology are undertaken by fellows and MFM attending faculty.
An Interdisciplinary Genetics Conference is held each Monday at 12:30 p.m. by Drs. Greene and Kaplan. Both antepartum and pediatric genetic cases that have been seen by members of the clinical genetics service are discussed. The fellows, while learning clinical genetics and dysmorphology, also bring a valuable MFM viewpoint to a primarily genetic and pediatric audience. On the second Monday of each month, we have recently re-initiated a second weekly fellow specific lecture based on contents of the ABOG Guide to Learning in Maternal-Fetal Medicine. We recognize that it is often difficult to cover the breadth of material on any single topic in the guide in a single 45-minute talk. Rather, we plan to design lectures using topics from the guide as an initial "point of disembarkation" for each lecture, while at the same time ensuring that the fellows are aware of the rest of the "Guide" contents.
The next didactic session is a joint Neonatal Maternal-Fetal Medicine conference held each Monday at 4:00 p.m., during which time cases of mutual interest are presented and discussed with our neonatology colleagues. This session is attended by the MFM and neonatology faculty, fellows, and on-service residents, allowing the MFM fellow to be exposed to many more cases than they can feasibly see. Maternal Fetal Medicine fellows and Neonatology fellows also present formal lectures alternately on topics of mutual interest on a monthly basis. As noted in section VII.I, once a month this conference is dedicated to clinical pathological conference format with strong input from pathology, imaging and pediatric surgery services. The fellows are participants in these conferences, presenting clinical review and correlation for each case presented.
Thursday mornings at 7:30 a.m. are devoted, for the first three weeks of the month, to research seminars during which fellows and MFM faculty members engage in an in-depth discussion of ongoing scientific research. The progress of each fellow's research is reviewed. These sessions are also utilized to instruct and develop the fellows in scientific writing, thesis preparation and presentation.
The final Thursday of each month is devoted to a fellow specific seminar on maternal fetal physiology. The topics for these conferences are drawn from Part I of Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice, 6th Ed., the Scientific Basis of Perinatal Biology. The faculty member leading the seminar, both from within and outside of the division, is encouraged to extend the discussion beyond a simple chapter review.
A second research meeting is held on Fridays at 12:00 p.m. This meeting is divisional in scope and more administrative in nature.
In order to comply with the requirement for weekly fellow specific lectures, as of October 2009, we have incorporated the SMFM Fellow Lecture Series and Fellow Genetic Lecture Series into our didactic calendar. The fellows and, if clinical responsibilities allow, program director and other available faculty members meet as a group for this activity. Those fellows who are unable to see the lecture live, do so later by visiting the web site, from where they are also encouraged to review the available lectures from earlier in the program. These online lectures have been invaluable in allowing us to meet the requirement for weekly fellow specific learning sessions.