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CC BY-NC-ND 4.0 · AJP Rep 2018; 08(04): e251-e260
DOI: 10.1055/s-0038-1675344
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship

Kathleen M. Antony
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
,
Nauman Khurshid
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
2   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, ProMedica Toledo Hospital, University of Toledo, Toledo, Toledo, Ohio
,
Barbara Trampe
3   Meriter Center for Perinatal Care, Meriter-UnityPoint Health, Madison, Wisconsin
,
Vivek K. Gupta
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
,
J. Igor Iruretagoyena
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
,
Katharina S. Stewart
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
,
Dinesh Shah
1   Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
› Author Affiliations
Further Information

Publication History

14 November 2017

05 September 2018

Publication Date:
25 October 2018 (online)

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Abstract

Objective The American Institute of Ultrasound in Medicine has described what constitutes a detailed fetal anatomic examination but what comprises an appropriate physician training program has not been described. The purpose of this paper is to describe a highly-structured program developed by our center to train maternal-fetal medicine fellows in a systematic approach to fetal diagnostic imaging.

Study Design We describe this approach in three phases. Phase I: Development of Skills as a Perinatal Sonographer, Phase II: Mentored Evolution to a Perinatal Sonologist and Phase III: Supervised Independent Practice as Consultant-in-training.

Results This curriculum was implemented in 2006. Of the eight maternal-fetal medicine fellows who completed this program, 100% were capable of following this curriculum and 100% felt comfortable performing and interpreting detailed sonograms including sonograms with significant and uncommon anomalies. Qualitative feedback was also positive. Finally, this structured approach resulted in an increase in the average total number of sonograms interpreted.

Conclusion Our curriculum, by following the explicit guidelines and expectations set out by the American Institute of Ultrasound in Medicine and the American Board of Obstetrics and Gynecology for practicing maternal-fetal medicine fellowship graduates, provides an opportunity to explore national standardization for this component of training.

Keywords

ultrasound training - fetal diagnosis - maternal-fetal medicine fellowship - ultrasound curriculum - medical education - obstetric ultrasound

Previous Presentation

This curriculum was previously presented in poster format at the 34th annual meeting of the Society for Maternal-Fetal Medicine, New Orleans, LA, Feb 3–8, 2014.


Supplementary Material

 

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