Conference Presentations

2019

 

SMFM – Las Vegas, NV

Tara Daming – Fetal Growth Patterns in Women with Hereditary and Peripartum Cardiomyopathy

29th Annual International Symposium on Congenital HeartDisease in the Adult – Stevenson, OR

Tara Daming – Maternal Congenital Aortic stenosis: Case series of Successful Management of Pregnancies

ACHD (Adult Congenital Heart Disease) Meeting – Skamania, WA

Sarah Hostetter – May 2019
• Poster Presentation: Maternal Congenital Aortic Stenosis: Case series of Successful Management of Pregnancies.

2018

 

SMFM 2018 – Dallas, TX:

 

Gustavo Vichez -SMFM 2018

Gustavo Vilchez, 3rd year fellow, presented his research titled “Research on the effect of congenital and acquired maternal heart disease in pregnancy with Dr. Karen Florio as the research mentor showed increased risk of morbidity and mortality on these babies, highlighting the importance of serial antenatal surveillance, even in stable cases.”

Tara Banaszek Daming – SMFM 2018

Tara Banaszek Daming, 2 nd year fellow, presented her research titled “Fetal Growth Patterns in Women with Congenital Heart Disease” with Dr. Karen Florio as the research mentor, which looked at women with congenital heart disease, risk stratification, and fetal growth patterns, which showed that women with right outflow tract lesions had significantly decreased birth weights and that women with WHO risk classifications >2 trended towards having increased risk of fetal growth restriction.

Current Fellows

Current Fellows

 

Sarah Hostetter, M.D.

2018-2021

Medical School: University of Missouri – Kansas City
Residency: St. Louis University
Bio: I was born here in Kansas City, Missouri and I am very excited to be back again. In high school I shadowed a local OB and this experience inspired me to pursue medicine.  I attended the Six Year Medical Program here at UMKC straight out of high school. During medical school I married my husband, Coty, who works for the railroad. We moved to Saint Louis for my OB/GYN residency at Saint Louis University, where I served as an Administrative Chief.  Our daughter, Olivia, was born during my second year of residency in 2016 and she has already discovered why we love KC so much! We were ecstatic to match here at UMKC for fellowship! Our program has a very unique set up between the 3 different hospitals, allowing for a well-rounded clinical experience and for ample research opportunities. When I am not at work I enjoy traveling, exploring the city with my daughter, going to one of the city’s amazing theatre venues-especially for Broadway productions, and spending time with my family and friends.

Emily Williams, M.D.

2019-2022
Medical School: 
Saint Louis University School of Medicine
Bio: Hi there, I’m Emily! I am originally from Arizona. I attended ASU and worked in the chemistry department for some time prior to moving to Missouri for medical school at SLU (where I first met Sarah!). I am a graduate of the OBGYN residency program here at UMKC. I loved the people, the patient population, the program, and the city so much that I decided to stay for fellowship! The residents and my co-fellows are some of the best people around and I love spending my free time sharing good conversations and laughs as we explore (and eat) our way through Kansas City.
What is one thing that people should know about Kansas City?
You will never be in search of something to do. If anything, you may have trouble deciding what to do on a given weekend.
What are your plans for after residency?
MFM fellowship.

Traci Johnson, M.D.

2020-2023

Tracie Johnson, MDMedical School: Drexel University
Residency: Washington University in Saint Louis
Bio: My family and are very happy to call Kansas City and the surrounding areas our home.  A native of Texas, my career brought my family to KC and it has been a pleasant change. My passion truly is to provide phenomenal and well-informed care to women of all backgrounds. I believe I developed the love of adolescent health while teaching high school students weekly in Philadelphia during medical school. That passion for education in medicine grew deeper while in residency in St. Louis. Over the years, I have been honored to help usher many babies out of their cocoons, pick dizzy partners up from the floor, remove pesky wombs that once housed beautiful life (uteri), and transition women through their golden years.  This new transition into fellowship has been a fulfilled dream and I can only hope to allow all of those past experiences to enrich my new path. When I am not working, you may see (or hear) me on the weekends cheering on my sons on the pitch or my daughter at the dance studio! My husband and my 3 children are my greatest asset and support.

 

 

 

 

Alumni

Tabitha Schrufer-Poland (2017-2020)
Private Practice – Colorado Springs, CO

Tara Banaszek Daming (2016-2019)
Private practice – St. Louis, MO

Gustavo Vilchez (2015-2018)
Assistant Professor, OB/GYN-Maternal-Fetal Medicine, Truman Medical Center – UMKC Health Sciences District

Blake Porter (2014-2017)
Assistant Professor, Maternal-fetal medicine– University of Oklahoma, College of Medicine

My training at UMKC prepared me for independent practice in Maternal-Fetal Medicine. The relationships that I established with my faculty will prove to be life-long partnerships in improving the care of both mother and baby. Through this mentorship, and valuable clinical exposure, I was able to gain experience in both the breadth and depth of MFM that allowed me to walk confidently into practice knowing that I would be providing exceptional, evidence-based care. Through my research training I was able to pursue my ideas from hypothesis generation to thesis defense. My career was supported and encouraged, through allowing dedicated time to prepare for and pass my General ABOG oral exam, and by ultimately helping me obtain an assistant professorship at a leading university-based health care system. I will always cherish my time at UMKC and the training I was fortunate enough to receive at this excellent institution.

Shilpa Babbar (2013-2016)
Assistant Professor, OB/GYN-Maternal-Fetal, Saint Louis University, School of Medicine

I am truly grateful for the opportunity to complete my MFM fellowship at UMKC. Working with passionate people who are engaged in their work and desire to see their fellows achieve higher success shaped my trajectory during fellowship. Dr. Dev Maulik’s guidance and support during fellowship was indispensable and his advice and mentorship will be carried with me for many years to come as I continue to grow in our field of work. Collaborating with the faculty in the Department of Biomedical and Health Informatics while I pursued my Masters in Bioinformatics led to me to mentors that continue to inspire me to delve deeper into the world of clinical research. I have made deep rooted connections with my mentors and colleagues at UMKC and they continue to be an important part of my life.

Teresa Orth (2012-2015)
Private Practice, Tucson, AZ

Paul Singh (2011-2014)
Deceased

Erica Heitmann (2010-2013)
Clinical Assistant Professor- University of Arizona

Devika Maulik (2009-2012)
Assistant Professor – Children’s Mercy Hospital/Truman Medical Center

 

 

 

 

Benefits

Fellow salary:

The salary and benefits for Fellows are consistent with University GME Policy for all fellows at the PGY-5, PGY-6, and PGY-7 levels. Please click here to view.

Fellows may take 1-2 in-house calls per month as the general OB/GYN attending in compliance with ACGME duty hours, compensated as moonlight salary.

Benefits:

Medical Education Fund ($1000/year for books, electronics, professional dues, misc.)
Malpractice Insurance
White coats and laundry
Hospital surgical scrubs for use in hospital
Life Insurance
Disability Insurance
Hospitals provide on-call facilities

For additional information, please see the GME Policies – Please click here to view.

Annual Vacation Leave

Fellows will have total of 21 calendar paid vacation days per year.

Sick Leave

Sick days accrue as 1 day per month of consecutive employment. In the event of prolonged absence due to illness or disability, Fellowship Program Director will determine whether or not make-up service and education are necessary. This program abides by the regulations put forth by ABOG and ACGME.

Conferences

Fellows will attend SMFM Annual Conferences.
Additional leave for Educational Meetings/Conferences are possible for accepted research presentations and abstracts.

Miscellaneous

The following items are available through the Graduate Medical Education Office:

Obudsman (https://med.umkc.edu/gme/ombudsman/ )

The position of Ombudsman for Graduate Medical Education (GME) was developed to promote a positive climate for residency and fellowship education. The Ombudsman serves as an independent, impartial, informal, and confidential resource for residents and fellows with training related concerns.

Stress Management Program through the Employee Assistance Program –

This is a confidential, professional service provided to all employees, their families, retirees and organizational work units. The EAP provides a variety of services to help employees influenced by a range of personal concerns or stressors. The EAP also assists work units and the larger organization to improve quality and productivity.
Risk Management/Quality Assurance Seminars
Formal Confidential Grievance Procedures

Curriculum

There are over 4,000 deliveries, and 8,500 ultrasounds done between Truman Medical Center and St. Luke’s Hospital. Over 300 maternal transports are accepted annually between the two sites.

First year fellows have one month block rotations in research, ultrasound, as Supervisor of labor and delivery, neonatology, genetics, obstetrical anesthesia and pathology, adult ICU and MFM clinical service.

  July August September October November December
PGY5

Research

TMC

Supervisor L&D

TMC/SLH

Ultrasound

TMC/SLH

Research

SLH

MFM Services

SLH

MFM Services

SLH

January February March April May June

Research

TMC

Research

SLH

MFM Services

TMC

MFM Services

TMC

Surgical/Medical Care

TMC

Genetics

SLH

Second year fellows have a consolidated schedule consisting of 6 months research which is divided into two 3-month blocks, and 6 months of MFM clinical services which is divided into 3 months at Truman Medical Center and 3 months at St. Luke’s Hospital.

  July August September October November December
PGY6
Research Research Research MFM
Clinical
Services
MFM
Clinical
Services
MFM
Clinical
Services
January February March April May June
MFM
Clinical
Services
MFM
Clinical
Services
MFM
Clinical
Services
Research Research Research

While on clinical service at Truman Medical Center, fellows have access to the Elizabeth J Ferrell Fetal Health Center at The Children’s Mercy Hospital which provides integrated care for selected high-risk pregnancies. The Fetal Health Center focuses on pregnancies complicated by a condition that will benefit from advanced fetal diagnostics, possible prenatal intervention, including fetal therapy and a team of pediatric specialists. Specialists involved in care include perinatologists, pediatric surgeons, neonatologists, cardiologists, cardiac surgeons, geneticists, and other specialists if needed.

Third year fellows have a total of 5 months of research time divided into 3 months and 2 month, 1 month as supervisor of labor and delivery and 6 months of MFM clinical services which is divided into 3 months at Truman Medical Center and 3 months at St. Luke’s Hospital.

  July August September October November December
PGY7
MFM
Clinical
Services
MFM
Clinical
Services
MFM
Clinical
Services
MFM
Clinical
Services
MFM
Clinical
Services
MFM
Clinical
Services
January February March April May June
Research Research Research Supervisor L&D Research Research

While on clinical service at St. Luke’s Hospital – … insert Karen info here.

Through their clinical experiences at both institutions, fellows gain experience in

 
  • Ultrasound for fetal anatomic surveys and growth assessment
  • Fetal echocardiography
  • Nuchal translucency
  • Doppler assessments
  • Chorionic villus sampling
  • Fetal blood sampling
  • Cerclage procedures
  • Cesarean hysterectomy
  • Amniocentesis (diagnostic and therapeutic)
  • PUBS
  • Fetal Bladder shunts

In addition, the program includes weekly didactic Creasy chapter reviews with faculty from all of the affiliated institutions, a monthly journal club, quarterly M&M’s and a variety of other in-house conference and didactics.

Fellows may take 1-2 in-house calls per month as the general OB/GYN attending in compliance with ACGME duty hours, compensated as moonlight salary.

Saint Luke’s Hospital

Saint Luke's Hospital of Kansas City

Saint Luke’s Hospital

Saint Luke’s Hospital is a member of Saint Luke’s Health System, which consists of 11 area hospitals and several primary and specialty care practices, and provides a range of inpatient, outpatient, and home care services. Founded as a faith-based, not-for-profit organization, our mission includes a commitment to the highest levels of excellence in health care and the advancement of medical research and education. The health system is an aligned organization in which the physicians and hospitals assume responsibility for enhancing the physical, mental, and spiritual health of people in the metropolitan Kansas City area and the surrounding region.

At SLH, the in and out patient teaching is organized in 2-week blocks. During the inpatient 2 weeks, the fellows receive education and training in inpatient consultations, management of antepartum admissions, and managing labor and delivery in complicated pregnancies. During the outpatient 2 weeks, the fellows spend approximately half the time providing ambulatory consultations, and the other half performing advanced ultrasound and other diagnostic procedures and genetic counseling. The procedures include genetic amniocentesis, chorionic villus sampling and fetal blood sampling. The MFM faculty is present in all the above activities.

The Women’s Center of Saint Luke’s Hospital, which opened in May 2010, is comprised of two adjacent facilities – the Ellen Hockaday Center for Women’s Care and the Muriel I. Kauffman Women’s Heart Center – whose mission is to serve the health care needs of women throughout various life stages.

Convenience and coordination are emphasized with the new Hockaday Center. Services include the Breast Center with digital imaging capabilities, Maternal-Fetal Medicine, Labor & Delivery, Neonatal Intensive Care, and Urogynecology, as well as non-traditional services such as emotional wellness counseling, a women’s health liaison to help patients navigate the services offered at Saint Luke’s, and the Women’s Shoppe, a new retail boutique providing unique items for women of all ages.

The first floor of the Hockaday center houses the maternal-fetal medicine practice, Obstetrix, which employs four MFM physicians and one women’s health nurse practitioner. Patients have access to comprehensive care including genetic counseling, antepartum testing, diabetes management, and ultrasonography, among other things. The second floor is home to 11 family-friendly and over-sized labor and delivery suites, 3 C-section delivery suites, 2 post-anesthesia care suites, 22 postpartum rooms, a wellborn nursery, and an 8-bed women’s post-surgical unit. The 40-bed subspecialty level IIIB Neonatal Intensive Care Unit is also housed on the 2nd floor and provides multidisciplinary and comprehensive care for infants born at all viable gestations. We offer sustained mechanical ventilation as well as advanced respiratory support, including high frequency oscillating ventilation and inhaled nitric oxide.

Additionally, we recently implemented two new programs unique to Saint Luke’s Health System – The Kansas City Regional Human Milk Bank and the Cord Blood Program.

Application Information

Applicants must be graduates (or planned graduates) of an accreditated OB/GYN residency, and submit applications electronically. All applications are through the ERAS (Electronic Residency Application Service), and the dates each year are updated on the ERAS website (link to website.)

Completed applications will be reviewed to determine your candacy for an in person interview. Qualified applicants will be ranked and submitted to the NRMP service.

The ERAS application should include:

  • Electronic Application
  • Picture
  • Transcript
  • MSPE
  • 3 Letters of Support (Department Chair, Residency Program Director, and Faculty of choice)
  • Personal Statement
  • COMLEX transcript, as applicable
  • USMLE and ECFMC as applicable

Important Dates:

  • ERAS opens: mid-November
  • ERAS closes (final date for applications):  Last business day in May
  • NRMP Match opens: early June
  • Fellowship Interviews: July, August, September
  • Rank list opens: early August
  • Rank list closes: late September

Match Day: mid-OctoberFor questions, please contact:

Fellowship Program Director:

Dev Maulik, M.D., Ph.D.
Chairman, Program Director & Professor
Senior Associate Dean, Women’s Health
Department of Obstetrics & Gynecology
Truman Medical Center Hospital Hill
2301 Holmes Street, #713
Kansas City, MO 64108

Email:dev.maulik@tmcmed.org
Phone: 816-404-5150
Fax:  816-404-5152

Fellowship Coordinator:

Rachel Joyner
Education & Fellowship Coordinator
Department of Obstetrics & Gynecology
Truman Medical Center Hospital Hill
2301 Holmes Street,
Kansas City, MO 64108
Phone: (816) 404-0880
rachel.joyner@tmcmed.org

Coursework

Fellows are required to take two graduate level courses – Bioinformatics I and Clinical Research Method through the Bioinformatics Department at the University of Missouri-Kansas City School of Medicine.

In addition, fellows are strongly encouraged to pursue a M.S. in Bioinformatics. The Master of Science in Bioinformatics supports the education of students interested in a career in bioinformatics or clinical research. Our graduates master core competencies that allow them to participate in biological research, clinical and population health research, or research to develop innovative information systems. We work passionately to equip the next generation of health researchers by emphasizing patient-oriented research in the context of state-of-the-art medical informatics.  The Master of Science in Bioinformatics is offered through a joint effort by the UMKC School of Medicine, School of Biological Sciences and School of Computing and Engineering.

The Master of Science in Bioinformatics program offers three emphasis areas so students receive a tailored degree. Four core courses are required for each area (12 credit hours), which lay a foundation for specialized courses and electives.

Clinical Research – emphasizes the creation and understanding of data generated by patient care and clinical studies and on the statistical methodology needed for clinical research and improved bedside care.

Computational – emphasizes the development and use of the next generation of bioinformatics tools and software.

Genomicsemphasizes the use of existing software for biological analysis and the analysis of a diverse set of biological data

For more information, visit the website:
https://www.med.umkc.edu/msb/

Truman Medical Centers

TMC Hospital Hill

Truman Medical Center

Truman Medical Centers are a two-hospital, not-for-profit health system located in Kansas City, Mo. Our downtown location, TMC Hospital Hill, is the largest provider of outpatient specialty care in Kansas City, operates the busiest adult emergency department in the city and has one of the top Level 1 trauma centers in the Kansas City metropolitan area. Our suburban hospital, TMC Lakewood, is located near Lee’s Summit and provides a range of specialty and outpatient services.

Truman Medical Centers have received top clinical quality ratings from University Health System Consortium (UHC) in the areas of patient safety, performance improvement, and adult ICU care. TMC has also been named a top performer in heart attack and heart failure care by the Missouri Medical Quality Initiative program; one of “America’s Best Hospitals” for asthma treatment by U.S. News and World Report; a “Top 100 Hospital” by Solucient for rating among the highest in improved patient outcomes and financial performance; a “Most Wired Hospital” by Hospitals and Health Networks; and along with the University of Missouri-Kansas City, received the designation of National Center of Excellence in Women’s Health by the United States Department of Health and Human Services (US DHHS).

The in- and out-patient teaching at TMC is distributed throughout the week under the direct supervision of the MFM Faculty. The inpatient teaching consists of daily rounds of the hospitalized antepartum patients with the MFM faculty with frequent participation of the Neonatology and Anesthesia Departments. The MFM faculty directly supervises and educates the fellows in providing inpatient consultations, management of maternal fetal high risk admissions, clinical evaluations, interpretation of maternal and fetal tests, advanced ultrasound imaging, formulation of management plans, and fetal invasive procedures including fetal blood sampling, intrauterine transfusion and bladder shunt placement. The fellows and the MFM faculty attend weekly MFM case discussion sessions, joint monthly sessions with Neonatology, and monthly multidisciplinary integrated case management conferences at the quaternary Fetal Health Center at CMH.

The outpatient teaching includes sessions in high risk clinics three mornings a week during which the fellows are taught how to provide ambulatory consultations on maternal fetal complications. In the prenatal diagnostic center, the fellows spend a minimum of 2 full days a week receiving education and training in fetal anatomical and targeted ultrasound examinations, fetal echocardiography, genetic counseling and genetic amniocentesis. The fellows also participate in the weekly multidisciplinary high risk planning conference that formulates management plans for all new high risk patients seen during the week. The MFM faculty is present in all the above activities.

Inpatient:

TMC operates a tertiary perinatal care center serving Kansas City and Jackson County, Missouri and the surrounding area. The BirthPlace at TMC has a 48-bed obstetrical unit with the following: 10 labor/delivery/recovery rooms (LDRs); 6 single-occupancy antepartum rooms (that can also be used as LDR rooms); 4 double-occupancy rooms (8 beds) for antepartum or postpartum patients depending on demand; and 12 double-occupancy postpartum rooms (24 total beds) for mothers with their babies. Antepartum and labor beds have fetal monitoring capability (including that related to monitoring multiples) with a central monitor located at the nurses’ station with on-line recording of traces.  The unit has a 6-bed triage area, 2 delivery/surgical suites, and a 4-bed recovery area.  An in-house anesthesia service operates 24/7.Inpatients have access to the 4 advanced ultrasound units located in the Prenatal Diagnostics Suite (located on the same floor as the BirthPlace).  Additionally, there is a dedicated portable ultrasound device for inpatients of women’s and infants’ services; two other units are typically used for outpatients but are available for inpatient use as may be necessary.

Since TMC operates a high-risk perinatal center, it has a tertiary level III neonatal intensive care unit (NICU) licensed for 19 beds and located on the same floor as its obstetrical beds.  A small nursery is also used for assessment of infants following birth and short-term observation.  A transitional room is available for use by parents and newborns just prior to the infant’s discharge from the neonatal intensive care unit.  The NICU of CMH has 60 beds that can be accessed via a bridge between TMC and CMH.  Newborns may also be transferred by ambulance.

Supervision of the fellows: The MFM faculty members who are on call 24/7 supervise the fellows on all aspects of in-patient high risk obstetrical care.  Along with the fellows, they conduct daily patient rounds, and supervise the fellows in providing consultations, determining appropriate management plans and performing invasive procedures.

Availability of consultative services: Being an academic medical center, comprehensive multidisciplinary consultation services are available 24/7 at TMC.

Availability of critical unit: Obstetrical patients requiring ventilatory assistance and critical care are generally admitted to the medical or surgical intensive care service. Moreover, each LDR and recovery area bed is equipped for pulse oximetry, non-invasive blood pressure and EKG monitoring.  EKG monitors are capable of monitoring and displaying two invasive pressures (arterial line and central venous pressure or pulmonary arterial pressure).

Outpatient

TMC provides outpatient women’s care services in the Women’s Health and Wellness Center which is located on the same floor of the hospital as inpatient women’s and infant services.  Notably, this Center has the continuing designation as the UMKC/TMC National Center of Excellence in Women’s Health by the US DHHS. This clinic operates daily, providing a total of 9 morning and afternoon sessions per week. A high-risk clinic and a diabetic clinic for insulin-dependent pregnant patients are provided during several sessions each week. Social workers, case managers, an obstetrical educator and interpreters are also accommodated in space that affords obstetrical patients easy access to a range of special services. The MFM division provides ultrasonography, non-stress testing, biophysical profile, Doppler ultrasound (umbilical and middle cerebral arteries, ductus venosus), prenatal diagnosis/genetic counseling services in the completely renovated Prenatal Diagnostic Suite Advanced fetal imaging including comprehensive echocardiography, amniocentesis, and other antepartum procedures are performed by the MFM faculty.

a. Supervision: The fellows are supervised on site by the MFM faculty member providing coverage for the high risk obstetrical clinics. Under the guidance of the faculty, the fellows provide consultation and supervision of the residents.  At the Prenatal Diagnostic Center, the MFM faculty provide on site supervision of the fellows performing advanced ultrasound imaging and MFM consultation

b. Facility: The Women’s Health and Wellness Center has a net square footage of nearly 20,000. A total of 17 examination rooms are used for these clinics. The obstetrical clinics utilize approximately 12,000 square feet. Portable Doppler fetal heart monitors and an ultrasound unit are available for use during these clinics. The completely renovated Prenatal Diagnostic Center has a reception/waiting area, 2 staff offices and 4 examination/procedure/consultation rooms and a conference room with a large screen LCD screen for audiovisual needs for case conferences and quality reviews.  Four state-of-the-art Philips iU22 ultrasound units are available for use by MFM faculty. The equipment is dedicated to the MFM service.

c. Sharing of the facility and equipment: The obstetrical clinic is dedicated to the general obstetrical and MFM practice. The equipment is not shared with any other department. The Prenatal Diagnostic Center facility and the ultrasound devices are exclusively used for the MFM service.