Contents:

• Educational Objectives
• Library
• Clinical Facilities - Inpatient
• Clinical Facilities - Outpatient

Educational Objectives

The Maternal Fetal Medicine Program at the University of Vermont is designed to provide an in depth experience in both clinical medicine and research. As the referral center for the state, we act as consultants to a wide variety of clinical problems. In addition we provide comprehensive care throughout pregnancy for patients with chronic medical problems. The small size and interactive environment allows maximal exposure to established researchers in both clinical and basic science research. This also fosters a close working relationship, which focuses on the individual's goals and interests. The guide to Learning in Maternal Fetal Medicine is used as the basis of the didactic sessions provided to the fellow as well as their independent learning. The fellowship is designed to allow flexibility in order to develop individual fellows interests.

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Library

The Dana Medical library, situated in the Given Building, provides free access to a host of electronic databases for literature search and retrieval, such as Medline, HealthSTAR, and CINAHL. A number of journals are available online, and links to other libraries and University facilities are available. Access to these databases is available from individual offices thru networked computers.

The library offers periodic training courses and workshops for students and faculty on the use of scientific informatic resources, and is equipped with a number of accessible computer stations. The library staff provides reference retrieval services, such as interlibrary loan, for obscure or out-of-date publications and books.

The Department maintains an obstetric database containing information back to 1994 called OBNET. The database collects information on over 100 patient variables and is available to our fellows for searches and projects (after IRB approval). Multiple publications have been based on this system. Fellows have access to medical records when requested.

The departmental library also has a teaching computer with numerous learning CDs, which include PLATUPUS and Fetal echocardiology, the Cochran database, and the ACOG sonography database.

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Clinical Facilities - Inpatient

The Labor and Delivery Suite is located on the 5th floor of the Smith wing of Fletcher Allen Health Care. This unit has 7 labor/delivery/recovery rooms, 5 Antepartum assessment rooms and 2 operating rooms. All rooms are equipped with fetal monitors. The unit has 24-hr. Anesthesia coverage and the ability for invasive monitoring. Portable ultrasound machines are available on the unit with Doppler capability.

A new birthing unit is under construction with a planned opening date of Jan 2004. It will be located on McClure 7 immediately across from the NICU.

Invasive Swan Ganz monitoring is performed in the Surgical Intensive Care Unit, which is adjacent to the main operating rooms. These patients have both an ICU and Obstetric nurse in attendance and are co-managed by the full time anesthesia staff in the unit and the Maternal Fetal Medicine staff.

The Antepartum and postpartum unit are located on the 5th floor of the Shepardson wing. There are 24 double room beds and 12 single room beds. The unit is equipped with fetal monitors so that NST's or UAT 's can be performed at the bedside.

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Clinical Facilities - Outpatient

The outpatient clinics are located at the 1 So. Prospect Street site on the third floor of the University Health Center Campus. We will be moving to the new Ambulatory Care Center in the Fall of 2004.

The fetal diagnostic unit is a 3-bed ultrasound unit equipped with a GE Logic 9, a GE/Kretz Volusion 730 3-D unit, and a GE Logic 500. This unit provides both gynecologic and obstetric ultrasound. There are two full time sonographers on staff. The Aegis system is used for image storage and allows access to the films at the hospital site. This unit also provides amniocentesis, fetal cardiac scanning, Doppler evaluation and other complex ultrasound exams. The director of the unit is David Jones, M.D.

The Antepartum testing unit provides NST's and BPP's and is open 4 days per week.

The Maternal Fetal Medicine Services staffs specialty clinics 4 days per week. There is a diabetic nurse educator and dietician available during the diabetic clinic. With the completion of a new ambulatory care center, these services will move back to the hospital campus.

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