Feto-Maternal Medicine

Feto-Maternal Medicine is a rapidly progressing sub-specialty in Obstetrics and Gynaecology worldwide. It focuses on the surveillance and management of high risk pregnancies especially those complicated by the structural or chromosomal fetal ab​normalities or with medical disorders in pregnancy. Fellowship in Feto-Maternal Medicine, the first ever formal training programme in Pakistan was launched in 2009 at the Aga Khan University Hospital Karachi. This unique two-year programme offers extensive experience in the clinical management of high-risk obstetric patients as well as formal training and excellent mentorship in clinical and research activities.

Salary and Benefits​​​

​This programme will enable the trainee to practice Maternal Fetal Medicine independently.​

Programme Director:  
Dr. Ayesha Malik
Assistant Professor
Department of Obstetrics Gynaecology

Programme Coordinator:
Dr. Ghulam Zainab
Assistant Professor
Department of Obstetrics Gynaecology

Programme Officer:
Mr. Sagheer Ahmed
Senior Assistant
Department of Obstetrics Gynaecology

​The programme offers a two-year fellowship. Training format as stated above.

“rotations are in accordance with college of physicians and surgeons”

​The Trainee will report at 08:00 a.m. daily. Will work on 1 in 5 on the Instructor Rota with a frequency of 1 in 5. During the calls the incumbent will superv​ise on-call residents and cover both Obstetrics and Gynecology.

​During the training period the trainee will be expected to keep a log of the work done. Update the records as necessary. Continuous assessment will be carried out by all faculty members involved in high risk obstetrics. There will be two monthly appraisals with the supervisor to review log book and assessment of progress of the trainee.

Formal Assessment
  • Written evaluation by supervising faculty every two months
  • Six monthly written and oral assessment and feedback is done by the Programme Committee
  • Assessment tests at the end of courses attended
  • Development of study proposal by end of first year
  • Acceptance of at least one research paper for publication by end of second year


​During the two year period the fellow would undertake one research project in either Maternal or Fetal Medicine.​

  • MBBS from an institution recognised by the PMC, with 55 per cent or above marks in the final examination
  • Completed the CPSP recognised residency programme in Obstetrics and Gynaecology
  • Obtained FCPS or MRCOG or Equivalent in Obstetrics and Gynaecology
The selection process is based on merit.

​This Fellowship programme aims to:
  • Enable a Fellow to become proficient in prenatal diagnosis (level III obstetric scans), antenatal care and management of complicated pregnancies
  • Support supervised research undertaken over two years​
  • Enhance the educational experience through didactic sessions, seminars, courses and lectures
Supervising Faculty will include Fetal and Maternal Medicine Faculty and other obstetricians involved in the care of complicated obstetric cases.
 
Objectives at the End of Each Year

Year 1:
  • To work in a clinical role acquiring competency in cognitive and technical skills related to the diagnosis and management of complicated obstetric cases and fetal medicine screening procedures. 
  • To attend rounds on admitted high risk obstetric cases and conduct supervised Maternal Medicine and Fetal Medicine clinics. 
  • To attend rotations in various medical specialty clinics and critical care areas such as Neonatal Intensive Care Unit (NICU), ICU, cardiology etc. according to a structured schedule. 
  • To perform fetal medicine scans under direct supervision of the faculty and then subsequently perform procedures such as nuchal translucency thickness test, fetal biometry, multi-vessel Doppler studies and anomaly scans. 
  • To undertake educational and research activities in two dedicated half day slots per week. This time is used to explore both basic science and clinical research opportunities. 
  • To pursue formal training courses in research methodology offered by Aga Khan University.


Year2:

  • ​To achieve advance level competence in clinical and research activities at tertiary as well as secondary health care level 
  • To achieve advanced competence in diagnosis and management of high risk obstetric cases and be able to function independently as Fetal Maternal Medicine specialists 
  • To conduct independent Fetal-maternal medicine clinics in secondary care centers of AKU with timely referrals to AKU when required 
  • To achieve advanced competence in research methods, including grant writing, designing and conducting independent research project; must have at least one paper accepted for publication 
  • To attend short courses online in their areas of interest related to Maternal Fetal medicine. ​

Position is available for 2025 induction cycle​​​.​​


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