University of Tennessee Medical Center at Knoxville Program

The Department of Obstetrics and Gynecology offers a comprehensive Maternal-Fetal Medicine Fellowship at the University of Tennessee Medical Center in Knoxville. This three-year fellowship program is accredited by the Accreditation Council for Graduate Medical Education (ACGME) and aims to develop fellows into highly skilled healthcare professionals proficient in both inpatient and outpatient clinical skills, intricate interdisciplinary communication, and clinical research.

This program offers a unique opportunity given its location within an academic medical center that handles over 4,300 deliveries annually, providing fellows with extensive exposure to the management of complex medical and surgical complications of pregnancy. The training prepares fellows for patient care, genetic counseling, advanced ultrasound techniques, and research opportunities necessary for a career in academia or private practice.1

Training Environment

UT Medical Center is recognized as the only academic medical center in the region, with a robust infrastructure that includes over 200 residents and fellows across multiple ACGME-accredited programs. This program emphasizes a supportive and collaborative learning environment, allowing for significant faculty and peer interaction while enhancing resident education and oversight of obstetric patients.1

The fellowship takes place in the Center for Women and Infants, which is designated as a Regional Perinatal Center. This facility offers the highest level of maternal care (Level IV obstetric care) and has a well-equipped 67-bed private room NICU, facilitating a full spectrum of maternal and fetal care options.1

Curriculum Structure

The fellowship curriculum is structured to provide comprehensive education and training tailored to meet the needs of each fellow:

Year 1

The first year focuses on clinical experience, where fellows rotate in outpatient and inpatient settings, concentrating on high-risk obstetrics, prenatal diagnosis, and genetics. Research development opportunities are integrated into the year, helping fellows identify and pursue their research interests.5

Year 2

The second year mainly emphasizes research pursuits. During this phase, fellows are permitted to enroll in relevant coursework from the Graduate School of Medicine or the University of Tennessee’s main campus, enhancing the research training experience with academic rigor.5

Year 3

The final year combines clinical and research responsibilities, allowing for personalized training experiences intended to prepare fellows for their future careers.5

Research and Quality Improvement

The program is committed to advancing research with over 40 IRB-approved projects underway. Current research areas include infectious diseases, substance abuse in pregnancy, and exercise and nutrition impacts during pregnancy. Fellows also have hands-on experiences within the Physical Activity and Metabolism (PAM) Lab, which focuses on human metabolism research across diverse populations.6

Quality improvement initiatives further strengthen the department's commitment to better maternal health outcomes. Collaborations with dedicated quality improvement coordinators facilitate extensive data assessments and encourage faculty and fellows to participate actively in these projects.6

Unique Program Features

The fellowship incorporates a rich didactic component to enhance learning. Fellows participate in multiple scheduled conferences such as Grand Rounds, Journal Club, and specialized morbidity meetings, cultivating a culture of continuous education and collaborative learning.3

Moreover, fellows have opportunities to present at significant national meetings, which supports their professional development and enables them to contribute actively to the medical community.3

Application Process

Applications for the fellowship are accepted through the Electronic Residency Application Service (ERAS), with specific requirements including the submission of CREOG score reports. The program typically interviews selected candidates throughout July and August leading up to the fellowship year, underscoring the program's competitive nature steeped in rich clinical exposure and innovative educational practices.2

Support for International Medical Graduates

The program is also friendly towards international medical graduates (IMGs). Visa sponsorship is available as the fellowship can support J-1 and other relevant types of visas required for international fellows.1

Living in Knoxville

Knoxville is located in the picturesque foothills of the Great Smoky Mountains, offering an appealing cost of living along with diverse cultural and recreational opportunities. This thriving city balances its small-town charm with modern amenities, including a lively downtown area replete with outdoor activities, dining options, and local events.1