Kapiolani Medical Center for Women and Children
Kapiolani Medical Center for Women and Children (KMCWC) is the primary clinical learning environment for the MFM fellowship and is the tertiary care referral center for the State of Hawaii, US Pacific Territories and Associated Nations with over 6,200 deliveries performed annually. The MFM Labor &Delivery rotations are at KMCWC as are the Ultrasound rotations and MFM electives. All MFM office based clinics are at this site. The Maternal Fetal Medicine core faculty are the only faculty providing supervision for the inpatient MFM L&D service with weekly rotation of the responsibility. As the MFM L&D service is separate from the general OB/GYN L&D service, the patient care based learning experience is enriched for all the medical and obstetrical complications of pregnancy. The patients are admitted to the MFM L&D service either as a maternal transport from another island or hospital on Oahu, transfer of care from one of the general OB/GYNs, or from the MFM office. The average daily census is 6-7 patients with over 300 MFM admission and 150 consults/comanage per year. On this service the MFM fellow is given the responsibility of acting as the junior attending managing the admission, daily management, delivery, and postpartum care of the patients.
Specifics of the hospital include
- 25 LDR Rooms and 7 L&D triage beds
- 51 Postpartum beds with over 90% single occupancy
- 3 Operating rooms on L&D
- 4 bed MICU
- 12 bed Medical-Surgical unit
- 24 hours availability of internal medicine hospitalists
- Level III NICU licensed for 74 beds
- Home to the University of Hawaii Departments of OB/GYN and Women’s Health and Pediatrics
Fetal Diagnostic Center
The main location for MFM outpatient clinical work is the Kapi’olani Medical Center for Women and Children Fetal Diagnostic Center. In this unit, MFM office visits are conducted as well as fetal ultrasounds, GYN ultrasounds and antepartum testing. The unit is AIUM accredited for OB, GYN, and Fetal ECHO ultrasounds with over 17,000 ultrasound procedures and over 6500 antepartum testing evaluations annually.
- 7 Ultrasound exam Rooms (GE Voluson E8 and E10)
- 7 ARDMS certified Sonographers
- 4 NST Beds
- 6700 Antepartum evaluations per year
- 2 Exam rooms for MFM office visits
- 7 RN’s
- 2 Genetic Counselors
- Sweeter Choice Diabetes in Pregnancy Monitoring Program
- 10 patients enrolled per week for over 500 patients monitored per year
- Sampling of ultrasound volume per year
- 80-100 diagnostic procedures (CVS, Amniocentesis, PUBS)
- >350 Fetal ECHOs
- >2500 Nuchal Translucency ultrasounds
- 3000 Level II Ultrasounds
Queens Medical Center
Queens is the largest full service medical center on Oahu and the only Level I trauma center in the state of Hawaii. There are approximately 1,000 deliveries performed at Queens annually as a low risk L&D with a Level I nursery. Queens is the clinical learning environment for the MFM Fellows if they choose to have a Surgical IUC rotation here and for obstetrical cases requiring delivery at Queens for maternal medical needs such as cardiac care or neurosurgical care which usually is between 5-10 cases per year.
- 505 Acute Care Beds
- 28 Sub-Acute Beds
- Cardiac Care Unit
- Neurosurgical Unit
- Surgical Critical Care Unit
- Medical Critical Care Unit
- University of Hawaii Departments of Internal Medicine, Surgery and Psychiatry residency programs and the Cardiology fellowship are primarily located at the Queens Medical Center
John A. Burns School of Medicine
The John A. Burns School of Medicine (JABSOM) is located in Kaka’ako. The Kaka’ako campus is comprised of two main buildings, the Medical Education Building and the Biosciences Building. Courses for the Masters of Science in Clinical Research Program are held at JABSOM. The Dean of JABSOM is Jerris Hedges, M.D., M.M.M.
More JABSOM videos HERE.