Maternal-Fetal Anesthesia Fellowship

About the Program

The Maternal-Fetal Anesthesia Fellowship Program at Baylor College of Medicine is a one-year non-ACGME-accredited program, approved by the Texas Medical Board. The fellowship program, which will open applications for the starting in 2027-28 academic year, takes place at Texas Children’s Hospital at the Texas Children’s Fetal Center.

This PGY6 fellowship is designed to seamlessly follow either obstetric or pediatric anesthesia fellowship training. It will provide advanced, structured, and supervised training in the complex anesthetic management of both maternal and fetal patients undergoing fetal surgery. The training will incorporate the unique clinical and ethical considerations related to surgery- and patient-specific nuances in maternal-fetal anesthesia.

Fellows will be exposed to a wide variety of fetal interventions, including minimally invasive, hybrid, and open fetal surgery as well as EXIT procedures. Fellows will hone skills in the perioperative anesthetic management of both pregnant patients and fetuses, including:

Complex, dynamic maternal-fetal physiology
Management of maternal and fetal emergencies
Fetal monitoring during fetal surgery
In utero fetal resuscitation

Fellows will also have opportunities to develop skills in leadership, team dynamics, ethics, research, and simulation.

Admissions

United States Medical Graduate Applicants

Successful completion of an ACGME-accredited (or the Canadian/international equivalent) anesthesiology residency
Successful completion of an ACGME-accredited pediatric anesthesia fellowship OR an ACGME-accredited obstetric anesthesia fellowship
Eligible for Full or Temporary Texas Medical License

Interested applicants will submit the following to dlsmith@bcm.edu:

Cover letter
Curriculum vitae
Personal statement
3 letters of recommendation

Selected applicants will be invited to interview with members of the Maternal-Fetal Anesthesia Division, as well as representatives from the Division of Fetal Intervention.

Curriculum

The fellowship is structured as a hybrid academic program with the following approximate allocation:

Clinical Training: 60% – to include selective fetoscopic laser photocoagulation, thoraco- and vesicoamniotic shunt placement, intrauterine transfusions, fetoscopic myelomeningocele repairs, fetoscopic gastroschisis repairs, fetal cardiac interventions, fetal endoscopic tracheal occlusion balloon placement, EXIT procedures, coordinated cesarean deliveries, and other innovative procedures
Academic, Educational, and Research Activities: 40% – to include scientific abstract submission and presentation; clinical research; educational content creation for local, regional, and national presentation; involvement in relevant medical societies such as the SMFA

Clinical and academic activities are fully integrated and occur under institutional oversight.