One of our explicit goals for our MFM fellows is to develop administrative leadership skills useful for managing an inpatient obstetric unit. For this reason, we will have fellows serve on the Women’s Operations Committee (WOC), which includes nursing, anesthesia, maternal-fetal medicine, general obstetrics, and the residency program. This group meets monthly, and is actively engaged in quality improvement activities. Fellows will complete a quality improvement project during their fellowship, which will be introduced at the beginning of their second year of fellowship. Fellows will use the framework of “Plan-Do- Study-Act” or PDSA cycles outlined by the Institute for Healthcare Improvement to guide their projects, and ideally these projects will result in presentations and publications.