The Fetal Center at Children’s Memorial Hermann Hospital and affiliated with the physicians at the University of Texas McGovern Medical School is a well-established quaternary referral center for complex fetal anomalies. As a national referral center and international leader in fetal diagnosis, fetal intervention and comprehensive fetal care for infants with congenital anomalies or genetic abnormalities, The Fetal Center coordinates care for patients throughout the Greater Houston area, the state of Texas and around the country.
The Fetal Center performs over 150-200 fetal intervention procedures per year, including 60-70 fetoscopic laser surgeries, 30 selective reductions, 40 intrauterine transfusions, and 15-20 in-utero spina bifida repairs.The Fetal Center Patient Outcomes
The fellowship is two years in length. Fellows will be appointed through the Graduate Medical Education Office McGovern Medical School, and they will be given a faculty position in the Department of Obstetrics, Gynecology and Reproductive Science as a clinical instructor. Salary level will be commiserate with their previous number of years of resident and fellow training level of training.
The fellow will be directly supervised by four fetal medicine attendings with over 90 years of cumulative experience. Clinical activities will take place in the outpatient area at the UT Professional Building as well as on the inpatient service at Memorial Hermann Hospital and in the operating rooms of Children’s Memorial Hermann Hospital. Unique clinical skills with hands-on training will be obtained in the following areas:
- Evaluation of complex fetal congenital anomalies by ultrasound and MRI
- Laser ablation of placental anastomoses in the treatment of severe twin-twin transfusion syndrome
- Fetoscopic tracheal balloon occlusion for congenital diaphragmatic hernia
- Ultrasound-guided shunt placement in the fetal thorax or bladder
- Intrauterine transfusion
- Radiofrequency ablation and bipolar cord coagulation in the treatment of complicated monochorionic multiple gestations
- In-utero open fetal surgical repair of spina bifida
- Ex-utero intrapartum treatment procedure for air-way obstructions or lung masses
- Other fetoscopic procedures such as for ablation of chorioangiomas and release of amniotic bands.
Additionally, the fellow will rotate on various clinical services that directly interface with the fetal intervention program including pediatric surgery, pediatric cardiology, and pediatric radiology.
The fellow will be required to be active in ongoing research, which includes several locally and federally funded clinical and translational research projects. It is anticipated that a minimum of one major project directed by the fellow will be completed and a manuscript developed over the course of the program.
Candidates will have completed an ACOOG or ABOG-certified residency in Obstetrics and Gynecology and a three-year fellowship in Maternal-Fetal Medicine.
For Maternal-Fetal fellows in their second year of training, a 1-2 month elective in Fetal Intervention can be arranged. MFM fellows considering continued training through a formal fetal intervention fellowship are highly encouraged to seek this option. Interested candidates are encouraged to contact our program one year in advance to make accommodations in the schedule.
Applicants interested in the fellowship program should send their curriculum vitae, a personal statement as to why they would like to pursue the fellowship, and three letters of reference by June of their second year of MFM fellowship to:
Ramesha Papanna, M.D., M.P.H.
Assistant Professor of Obstetrics, Gynecology & Reproductive Sciences
Director, Fetal Intervention Fellowship Program
The Fetal Center at the Children’s Memorial Hermann Hospital
McGovern Medical School – UTHealth
6431 Fannin Street, Suite 3.274
Houston, Texas 77030