Conference Presentations

2021

SMFM – Virtual

Sarah Hostetter & Emily Williams
The effect of early aspirin initiation and dose on spontaneous and iatrogenic preterm birth

Preeclampsia prevention with 81mg versus 162mg of aspirin prophylaxis based upon timing of initiation

2020

SMFM – Grapevine, TX

Emily Williams
Fetal Growth Patterns in Women with Maternal Arrythmias Treated with Beta Blockers. 

Cardio Obstetrics Symposium – Virtual

Sarah Hostetter & Emily Williams
Patient Perspectives on Care Patterns

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.

Current Fellows

Current Fellows

Emily Williams, M.D.

2019-2022
Medical School: 
Saint Louis University School of Medicine

Residency: University of Missouri-Kansas City
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.

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.

Julie Vircks, D.O.

2021-2024

Medical School: Kansas City University of Medicine and Biosciences College of Osteopathic Medicine
Residency: University of Kansas

Bio: I am originally from Wisconsin and after residency was employed by Gunderson Health System in LaCrosse, Wisconsin as a general obstetrician and gynecologist. Although we will miss the snow,  I look forward to to the return to city life with good food and an abundance of sporting events.  My family and I look forward to exploring the local recreation with our kids and being part of the UMKC GME family and completing my Maternal Fetal Medicine fellowship!

 

 

Alumni

Sarah Hostetter (2018-2021)
Private Practice – Springfield, MO

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, University Health 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/University Health 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 University Health Truman Medical Center and Saint 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, labor and delivery as supervisor, neonatology, genetics, cardiac ICU and MFM clinical service between both institutions.

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 service which is divided into 3 months at University Health Truman Medical Center and 3 months at Saint Luke’s Hospital.

Third year fellows have a total of 5 months of research towards the end of the academic year, 1 month of labor and delivery as supervisor and 6 months of MFM clinical service which is divided into 3 months at University Health Truman Medical Center and 3 months at Saint Luke’s Hospital.

Through the fellow’s clinical experiences at both institutions, they will 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 conferences and didactics.

After the first six months of fellowship and with approval from the Clinical Competency Committee, fellows may have the opportunity to take 1-2 in-house calls per month as the general OB/GYN attending in compliance with ACGME duty hours. In-house call is compensated as moonlight salary.

Saint Luke’s Hospital

Take a virtual tour of Saint Luke’s Hospital Maternity Center (Click here)

 

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, 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 have two programs, which are unique to Saint Luke’s Health System – The Kansas City Regional Human Milk Bank and the Cord Blood Program.

Application Information

How to Apply

Fellows beginning our program must have:
• Completed an accredited obstetrics and gynecology residency
• Successfully completed United States Medical Licensing Examination ® (USMLE) Step III (or equivalent COMLEX examinations)
• Acquired basic knowledge and skills in obstetrics and gynecology

Candidates must apply through the Electronic Residency Application Service® (ERAS) Fellowships online application service. The University of Missouri-Kansas City Maternal Fetal Medicine Fellowship participates in the December cycle of ERAS.

Documentation for the application should include:

  • Common Application Form & Personal Statement
  • Deans letter, include transcripts
  • 3 Letters of support (Department Chairman, Residency Program Director, Faculty of choice)
  • COMLEX and/or USMLE transcript
  • ECFMG certification (as applicable)
  • Recent photograph

Candidate selection will be made through the NRMP subspecialty match program. This fellowship is accredited by the American Council for Graduate Medical Education (ACGME).

Application Timeline

Application deadline: The program will adhere to the SMFM standardized process for interviews; to be considered for an interview, your completed application form, all applicable supporting documents and three letters of recommendation must be received by the ERAS post office by May 3, 2020 at 5PM ET

Interview offers extended: May 17, 2021 (deadline for applicants to respond is May 24, 2021)

Interview dates: July 30, 2021; August 6, 2021; August 13, 2021

UMKC School of Medicine is an equal opportunity employer with a standing policy of nondiscrimination. This means that all qualified persons are accorded an equal opportunity for employment or promotion without regard to race, religion, national origin, disability, pregnancy or pregnancy-related condition, gender or age, veteran status, or any other legally protected status.

Upon request, the UMKC Maternal Fetal Medicine Fellowship will provide reasonable accommodation to an employee’s religious beliefs and disabling medical conditions. The UMKC School of Medicine will comply with all fair employment laws and will take appropriate measures to eliminate or prevent legal discrimination.

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/

University Health

 

Left: The Birthplace at University Health Truman Medical Center has recently been updated to give our mom’s more comfort and support for their laboring experience! Check out our new accommodations. (Click here)

Right: Take a tour of University Health 2 and get a glimpse of our new Prenatal Ultrasound offices! (Click here)

University Health is a two-hospital, not-for-profit health system located in Kansas City, Mo. Our downtown location, University Health Truman Medical Center, 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,  University Health Lakewood Medical Center, is located near Lee’s Summit and provides a range of specialty and outpatient services.

University Health Centers have received recognition and awards such as:

The American College of Cardiology’s NCDR Chest Pain ̶ MI Registry Silver Performance Achievement Award for 2020. The award recognizes our commitment and success in implementing a higher standard of care for heart attack patients and signifies that we have reached an aggressive goal of treating these patients to standard levels of care.

Leader Status designation for the third year in a row from the Human Rights Campaign based on the Healthcare Equality Index (HEI). This designation recognizes healthcare organizations for policies and practices ensuring the equity and inclusion of lesbian, gay, bisexual, transgender and queer (LGBTQ) patients, visitors, and employees.

The KC Chamber Champion of Diversity Award recognizes a regional business that has made an impactful commitment to embracing diversity in their workplace, diversity supplier partnerships, and the community.

University Health makes Most Wired list for 10th straight year. Through the hard work of the KC one staff, UHTMC once again attained the highest standards in the technology industry.

University Health is proud to have earned three Joint Commission Gold Seals of Approval® for its orthopaedic programs.

The in- and out-patient teaching at UHTMC 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 Children’s Mercy Hospital.

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:

UHTMC operates a tertiary perinatal care center serving Kansas City and Jackson County, Missouri and the surrounding area. The Birth Place at UHTMC 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 UHTMC 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 UHTMC.

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

UHTMC provides outpatient women’s care services in the Women’s Care Center which is located in our new building, University Health 2. UH2 houses the Women’s Care clinics on the 3rd floor and Prenatal Ultrasound on the ground floor. Our clinics operate 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 onsite supervision of the fellows performing advanced ultrasound imaging and MFM consultation

b. Facility: The Women’s Care Center clinic has a total of total of 17 examination rooms in the new UH2 building on the 3rd floor and the Perinatal Ultrasound clinic is just an elevator ride down to the ground floor. The Perinatal Ultrasound offices are fully equipped with 7 ultrasound exam rooms with state of the art GE Voluson E10, and Samsung Hera W10 ultrasound machines. Serving high-risk and normal pregnancies, the Perinatal Ultrasound clinic works full time under the direction of Maternal Fetal Medicine specialists and is accredited through the American Institute of Ultrasound in Medicine (AIUM) for 1st, 2nd, and 3rd, trimester ultrasound, as well as Detailed Anatomical Screening. Other specialty services provided are fetal echocardiogram, nuchal translucency, amniocentesis, cordocentesis, and ultrasound guidance for fetal surgery. The outpatient clinic is furnished with a spacious waiting room, conference room, reading room, and consultation suite.

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.