Curriculum

Ultrasound and Prenatal Diagnosis

Our prenatal ultrasound suite operates every day, and includes five ultrasound rooms with state-of-the-art GE Voluson E10 ultrasound machines.  The maternal-fetal medicine practice has nearly 15,000 outpatient visits each year, including more than 1,000 fetal echocardiograms annually.  We serve as the tertiary care center for the Upstate region of South Carolina, and receive referrals and transfers from a wide region.  Our fellows will be included in the care and management of all patients in our practice.

Annually, our practice performs:

  • 30,000 total ultrasound examinations
  • 5,800 anatomic surveys
  • 1,000 fetal echocardiograms
  • 300 evaluations of multiple gestations

In addition to a full-time genetic counselor in our office, we have a clinical partnership with the Greenwood Genetic Center, which provides our office with genetic counselors.  The Greenwood Genetic Center is a nonprofit institute with a national reputation which provides clinical genetic services, diagnostic laboratory testing, educational programs and resources, and research in the field of medical genetics. Greenwood Genetic Center is also home to a pediatric genetics fellowship program.

Simulation training

In order to complement clinical experiences, fellows will also participate in a robust schedule of simulation training.  The Greenville HealthCare Simulation Center has 22 dedicated rooms for simulation training, and state-of-the-art obstetric trainers including SimMom and Noelle.  Simulation training at the Southeast MFM Fellows bootcamp, hosted by Wake Forest University every summer. This day-long training includes amniocentesis, CVS, cordocentesis and fetal shunts.  Simulation training in Greenville will also cover management of uncommon obstetric emergencies including amniotic fluid embolism, acute fatty liver of pregnancy, diabetic ketoacidosis, sepsis and maternal cardiopulmonary arrest.

Additional certification training, which will provided to fellows through classroom-based didactic training through national certifying groups, includes:

Management of Medically and Surgically Complex Pregnancies

Inpatient

Greenville Memorial Hospital is the tertiary care hospital and Level I regional trauma center for the Upstate region of South Carolina. The full complement of pediatric and adult consultative services is available. GMH has medical, surgical, pediatric, cardiovascular and neurologic intensive care units with more than 100 ICU beds available.  There is also an 80-bed neonatal intensive care unit.  We accept approximately 450 antepartum transfers annually.   Additionally, we see many outpatient referrals from this same population.

GMH has 15 labor and delivery rooms, three of which have labor tubs.  There are 23 antepartum rooms, 36 postpartum rooms, 3 operating rooms dedicated for obstetric surgeries and 8 obstetric PACU beds.  In-house anesthesia services are available 24 hours per day, 7 days per week.  The obstetric operating rooms run scheduled cases 6 days per week, and emergency surgeries are done every day of the week.  There are approximately 3,500 births at GMH annually.

Outpatient

Fellows will work with MFM Faculty in two main outpatient clinical office locations on the Greenville Memorial Hospital main campus, the Memorial Medical Office Building and the GHS OB Center.

In the Memorial Medical Office Building, five ultrasound/procedure rooms are available.  There are five GE E10 ultrasound units.  The ultrasound suite preforms more than 15,000 studies annually.  There are two exam rooms, and two beds for non-stress testing.  Additionally, there are two consultation rooms that are used for genetic counseling.  In addition to a physician reading room, each physician also has their own administrative office space in this building.

In the GHS OB Center, 18 exam rooms are available for obstetric patients, 3 beds for non-stress testing and one ultrasound room used for limited scanning for viability and fetal position only.  There are approximately 25,000 outpatient office visits for pregnant women, and approximately 30% of that volume was considered to be high risk due to medical or other obstetrical complications of pregnancy.  Full-service laboratory testing facilities are also available on-site, as well as three full-time social workers to provide ongoing case management.  There is one physician workroom available for charting.

Within our division, we have several specialty programs specifically designed to provide comprehensive, evidence-based care for women with high risk pregnancies.