Click to Return Home
Print This Page
Department: MEOBG-Obstetrics and Gynecology
Course: 530-Fetal Intervention
Track:

Course Coordinator: Dr. Jennifer Bercaw-Pratt
Course Faculty: Dr. Rodrigo Ruano,Dr. Alireza A. Shamshirsaz,Dr. Jimmy Espinoza,Dr. Micheal Belfort
Elective Location: TCH
Periods Elective offered: Qtr: 1,2,3,4
Min. Number of Students:Max: 1
Course Level: Clinical Elective: Counts toward 32-credit graduation requirement
Credit: 8
Pre-requisites: OB/Gyn core rotation
Visiting Student Elective: Yes
Open to International Students: No
Grading: Pass/Fail Only
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): Varies; M-F Inpatient Ward: 5
Night Call: 0 Inpatient consultations: 0
Number on-call nights: 40 Outpatient clinics: 40
Weekends: 0 Surgery: 30
    Laboratory 0
  Didactic: 25
  Other: 0
Statement of Goals:
During this rotation, the medical student will work under the direction of Michael Belfort, MD, Rodrigo Ruano, MD, Jimmy Espinoza, MD and Alireza Shamshirsaz, MD, our fetal interventionists at the Texas Children’s Fetal Center, in the contemporary treatment of such fetal conditions as twin-twin transfusion syndrome, diaphragmatic hernia, fetal lower urinary tract obstruction, neural tube defect, and fetal lung masses. The student will be involved in the initial evaluation and ultrasound evaluation of the mother and fetus, development of a management plan (including choice of operative management if appropriate), operative fetal intervention (present in the OR and scrubbed at the table), and in discussion and evaluation of postoperative care. Upon completion of this elective, the student should be able to explain the pathophysiology, clinical evaluation and contemporary treatment of the following fetal conditions: • Fetal anemia • Amniotic band syndrome • Monochorionic Diamniotic twins complications such as twin- twin transfusion syndrome • Diaphragmatic hernia • Lower urinary tract obstruction • Congenital lung anomalies • Neural tube defects In addition the student will understand the particular maternal issues associated with fetal surgery and the specific management strategies employed to avoid and to treat post-operative maternal complications.
Learning Activities
The student will be involved in the initial evaluation and ultrasound evaluation of the mother and fetus, development of a management plan (including choice of operative management if appropriate), operative fetal intervention (present in the OR and scrubbed at the table), and in discussion and evaluation of postoperative care. The student will attend the weekly multi-disciplinary meeting on Thursday mornings, ground rounds on Wednesday mornings and will be present at all patient care conferences. A reading list and weekly tutorials will be provided by the preceptor. The student will be asked to review the Diagnosis and Management modules for multiple gestation, genitourinary tract abnormalities, abdominal wall defect, gastrointestinal tract abnormalities, hydrops fetalis, and thoracic and neck mass from the Fetology textbook second edition. In addition, they will be required to review the online patient teaching video on twin-twin transfusion that can be found on the Texas Children’s Fetal Center website. Additional readings will be provided to the student in the form of a binder summary articles. Clinical commitments will include: The student(s) will be expected to attend MFM/FI clinic on Monday and Wednesday afternoons, operating room on Tuesday and Thursday afternoons, ultrasound clinic on 2 half-days per week, which will be determined on a monthly basis, and the Fetal Center’s multidisciplinary management conference on Thursday mornings at 7:30 AM.
Evaluation Methods
The student will meet with the rotation preceptor (Rodrigo Ruano) on a weekly basis on Monday mornings for one hour to review progress on readings and comprehension of the fetal diseases seen on the rotation. An oral assessment of the student’s knowledge of the common fetal diseases encountered will be undertaken at the conclusion of the rotation and a grade assigned.
When and Where to report on first day of service:
Office of Dr. Ruano-10th floor-Pavillion for Women. 9:00am
For additional information regarding this elective contact:
Contact Name: Diane Jensen
Contact Phone: 832-826-7373
Contact Fax: 832-825-9352
Contact Location: Pavillion for Women, 6651 Main St
Address: MS: BCM-610
Email: mjensen@bcm.edu
Next course Previous course    Back to Obstetrics and Gynecology

© Copyright Baylor College of Medicine. All Rights Reserved.