Clinical Component

Navigating the Clinical Component

Regional One sees maternal acuity well beyond what its delivery count suggests. Hospitals across the region transfer their sickest obstetric patients here, and many patients arrive with serious medical disease along with social and economic barriers to care. Your day centers on these patients, from morning L&D planning through antepartum rounds and high-risk clinic.

Clinical Snapshot

Annual Deliveries	More than 3,000 at Regional One
MFM Involvement	About 50% of L&D patients
Antepartum Census	Typically 5 to 7 patients
Patient Care	4 days per week
Call	Home call; 1:5 weekends
Fellowship	Accredited MFM fellowship, one fellow per year

Patient Population

High-risk and critically ill obstetric patients, many transferred from other hospitals
Pregnancies complicated by chronic medical disease
Patients with infectious disease, HIV, diabetes, and substance use disorders, seen in dedicated specialty OB clinics
3 to 5 St. Jude patients each year who have rare conditions and deliver at Regional One
Fetal anomalies coordinated with Le Bonheur Children's Hospital

Inpatient Service

MFM faculty meet each morning to set the plan for high-risk patients on L&D, then round on L&D and the antepartum unit.

Antepartum Census	Patients
Typical	5 to 7
Common range	3 to 8
Occasional peak	About 12
Occasional low	1 to 2

The antepartum unit was renovated this year.

L&D has dedicated triage rooms for evaluating patients who may be in labor.

Surgical MFM cases take place at Regional One, Baptist East, Baptist Women's, and Methodist Germantown.

Outpatient Services

High-risk clinic at Regional One with residents and fellows
High-risk pregnancy clinic at Baptist Women's
NST and antenatal testing at Regional One
Specialty OB clinics for infectious disease, HIV, diabetes, and substance use
Fetal Center clinic at Le Bonheur Children's Hospital

Ultrasound

The MFM ultrasound unit has six rooms, a reading room, and five sonographers. As a maternal-focused MFM, you can keep reading ultrasound and doing genetics work if you want to.

Le Bonheur and Neonatal Care

Le Bonheur Children's Hospital sits across the street from Regional One. The same neonatology team covers both hospitals. Newborns who need surgery are stabilized at Regional One, then transferred to Le Bonheur. MFM faculty also see patients with fetal anomalies at the Le Bonheur Fetal Center.

Call

Call is home call. You serve as backup for the residents and fellows, and physicians typically do not come in overnight.

Call Type	Structure
Weeknight	MFM night call and GYN backup
Weekend	1:5, Friday 5:00 PM to Monday 8:00 AM
Weekend rounding	Morning rounds with resident and fellow support, then home call

Teaching

OB/GYN residents and medical students on L&D and antepartum rounds
Residents and fellows in high-risk clinic
Accredited MFM fellowship with one fellow per year across three years of training
Tuesday is the academic day

Fellows describe the program as high acuity with meaningful autonomy, and the volume of complex cases builds confidence quickly.

Research

Protected academic time is typically 0.1 to 0.2 FTE, based on your interests
Research is expected in the fellowship setting, and the division holds a department research day
Studies that need substantial funding require you to bring or develop that funding
The ultrasound program has a history of research output