System Division Director of Maternal-Fetal Medicine

The System Division Director of Maternal-Fetal Medicine (MFM) is the physician leader responsible for the clinical, operational, quality, academic, and strategic direction of Maternal-Fetal Medicine across Boston Medical Center Health System, including Boston Medical Center, BMC Brighton, and BMC South.

The System Division Director provides leadership for MFM physicians and other members of the multidisciplinary MFM team and is accountable for ensuring consistently high-quality, evidence-based, equitable maternal and fetal care across all sites. The Director establishes systemwide clinical standards and expectations for MFM care; oversees the quality, safety, effectiveness, and coordination of MFM services; and works with hospital, departmental, nursing, and administrative leaders to ensure that patients receive the appropriate level of care at the appropriate site.

The System Division Director also leads the academic mission of the MFM Division at Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine, including faculty development, education, scholarship, and research. The Director will advance a systemwide vision for MFM that combines the capabilities of a tertiary academic medical center with strong community-based obstetric services, allowing patients to receive care close to home whenever appropriate while ensuring timely access and transfer to tertiary-level care when needed.

A central expectation of this position is the development of an integrated MFM program across Boston Medical Center Health System, with shared clinical standards, coordinated staffing and coverage, common approaches to quality and safety, and clear pathways for consultation, escalation, and maternal transfer among the three hospitals.

Reporting and Key Relationships

The System Division Director of Maternal-Fetal Medicine reports to the System Chair of Obstetrics & Gynecology.

The Director works in close partnership with:

● Vice Chair of Clinical Operations and Strategy

● Chiefs of Obstetrics & Gynecology at BMC Brighton and BMC South

● Director of the Antenatal Testing Unit

● MFM clinicians across the health system

● Obstetricians, Certified Nurse Midwives, Family Medicine physicians, and advanced practice providers providing obstetric care

● Nursing and administrative leaders at each hospital

● Neonatology, Anesthesiology, Critical Care, Genetics, Cardiology, and other medical and pediatric subspecialties involved in high-risk pregnancy care

● Quality, patient safety, risk management, and credentialing leadership

● Boston University Chobanian & Avedisian School of Medicine educational and research leadership

The System Division Director has authority for systemwide MFM clinical standards, professional practice expectations, quality and safety priorities, and MFM service strategy. Local operational implementation is carried out collaboratively with the OB/GYN Chief and administrative and nursing leadership at each hospital.

Duties and Responsibilities

1. System Leadership and Strategic Direction

● Develop and implement a comprehensive vision and strategic plan for Maternal-Fetal Medicine across Boston Medical Center Health System, in alignment with the priorities of the Department of Obstetrics & Gynecology and the health system.

● Lead the development of an integrated systemwide MFM service that appropriately distributes clinical expertise and services among BMC Main Campus, BMC Brighton, and BMC South.

● Establish clear expectations regarding the scope of MFM services provided at each hospital and criteria for consultation, escalation of care, and transfer to the tertiary academic medical center.

● Identify opportunities to expand access to high-risk obstetric care throughout the system while maintaining appropriate levels of maternal and fetal safety.

● Partner with departmental, hospital, and system leadership in strategic planning for obstetric and perinatal services, including anticipated changes in clinical volume, patient acuity, staffing, facilities, and technology.

● Represent MFM in systemwide planning regarding maternal and fetal health.

2. Clinical Operations

● Provide physician leadership and oversight for inpatient and outpatient MFM services across all three hospitals.

● Oversee clinical operations of the high-risk obstetric practice in the ambulatory setting.

● Oversee and provide mentorship for the department genetic counselors.

● Ensure that each hospital has appropriate MFM coverage based on its patient population, clinical capabilities, acuity, and designated scope of care.

● Develop and oversee coordinated physician staffing and coverage models for MFM services across all three sites, including ambulatory consultation, prenatal care, ultrasound and antenatal testing, inpatient consultation, Labor & Delivery support, and after-hours MFM availability.

● Establish systemwide expectations for timely MFM consultation and response to urgent maternal and fetal conditions.

● Ensure appropriate MFM participation in multidisciplinary management of complex pregnancies.

● Develop efficient systems for sharing MFM expertise across hospitals, including in-person consultation, telemedicine, remote review, and other models when clinically appropriate.

● In collaboration with the ATU Director, oversee standards for interpretation and timely review of obstetric ultrasound and fetal diagnostic studies performed throughout the health system.

● Work with clinical and operational leaders to improve patient access, scheduling, continuity, and efficiency of MFM services.

● Optimization of billing in collaboration with departmental administration

● Maintain an active clinical practice in Maternal-Fetal Medicine appropriate to the individual's expertise and leadership responsibilities.

3. Systemwide Clinical Standards and Care Integration

● Lead the development and implementation of consistent evidence-based clinical policies, guidelines, pathways, and standards for high-risk obstetric care across the health system.

● Establish standardized approaches to common high-risk maternal and fetal conditions while allowing appropriate adaptation to the resources and capabilities of each hospital.

● Define clinical criteria for patients who can safely receive care at community hospitals and those who should receive consultation, co-management, or transfer to Boston Medical Center.

● Develop and periodically review maternal and fetal transfer criteria and processes, including mechanisms for urgent physician-to-physician consultation.

● Ensure effective coordination between outpatient MFM care, inpatient obstetric services, Labor & Delivery, antenatal testing, and ultrasound services.

● Strengthen communication and continuity across sites when patients move between community-based and tertiary care.

4. Quality, Safety, and Clinical Outcomes

● Provide physician leadership for quality and patient safety in high-risk obstetric care across the health system in collaboration with quality and safety leadership

● In conjunction with department quality and safety leadership, establish and monitor systemwide MFM quality metrics and clinical outcomes, with particular attention to severe maternal morbidity, maternal mortality, fetal and neonatal outcomes, obstetric complications, transfers, and other measures relevant to high-risk pregnancy.

● In conjunction with department quality and safety leadership, identify unwarranted variation in clinical practice or outcomes among sites and lead improvement efforts when opportunities are identified.

● Ensure appropriate MFM participation in maternal morbidity and mortality review, obstetric case review, safety-event review, root-cause analysis, and other quality processes throughout the system.

● Ensure MFM participation in the development and review of maternal-child health policies and guidelines.

● Lead quality improvement initiatives addressing racial and other inequities in maternal morbidity and mortality and the complex medical and social needs of the populations served by Boston Medical Center Health System.

● Promote a culture of safety, transparency, learning, and continuous improvement across the MFM Division.

● Ensure compliance with relevant institutional policies, regulatory requirements, accreditation standards, and professional guidelines.

5. Faculty Leadership and Professional Development

● Provide professional leadership for MFM physicians and high-risk advance practice providers across Boston Medical Center Health System.

● Foster a culture of collaboration in which MFM physicians function as members of a unified system division while maintaining strong relationships with their individual hospital teams.

● Participate in recruitment, hiring, onboarding, retention, and succession planning for MFM faculty.

● Participate in annual performance evaluations and professional development planning for MFM faculty in collaboration with the Department Chair and appropriate site leadership.

● Mentor faculty in clinical excellence, education, scholarship, research, leadership, and academic advancement.

● Identify opportunities for individual faculty members to develop areas of clinical or academic expertise and assume leadership responsibilities within the division or health system.

● Address concerns regarding professional performance, quality of care, professionalism, or clinical competency in collaboration with departmental, medical staff, credentialing, and hospital leadership.

● Lead the department high-risk/perinatal committee.

● Participate in focused professional practice evaluation or other physician performance review processes when indicated.

● Promote faculty engagement, professional fulfillment, and a respectful and inclusive work environment.

6. Multidisciplinary and Cross-Site Collaboration

● Build effective partnerships with obstetricians, midwives, Family Medicine physicians, neonatologists, anesthesiologists, genetic counselors, sonographers, nurses, advanced practice providers, and other clinicians involved in high-risk pregnancy care.

● Develop multidisciplinary approaches to the management of complex maternal and fetal conditions.

● Facilitate regular communication among MFM clinicians and obstetric leadership across the three hospitals.

● Establish mechanisms for review of complex cases and system-level clinical issues involving more than one hospital.

● Serve as the senior MFM physician resource for difficult clinical, operational, or systems-of-care questions across Boston Medical Center Health System.

● Participate in or designate appropriate MFM representation on hospital and system perinatal, quality, safety, and clinical operations committees.

7. Education

● Provide leadership for the educational mission of Maternal-Fetal Medicine within the Department of Obstetrics & Gynecology.

● Ensure excellence in MFM education for OB/GYN residents and Boston University medical students.

● Participate in the clinical supervision and teaching of residents, medical students, fellows, faculty, and other learners.

● Develop educational opportunities that use the breadth of clinical environments within Boston Medical Center Health System.

● Support continuing professional education for physicians and other clinicians providing high-risk obstetric care at BMC Brighton and BMC South.

● Promote dissemination of new evidence, clinical guidelines, and best practices throughout the system.

8. Research, Scholarship, and Innovation

● Provide strategic leadership for the research and scholarly mission of the

MFM Division at Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine.

● Foster an environment that supports clinical, translational, health-services, implementation-science, and other research relevant to maternal and fetal health.

● Mentor and support faculty in scholarly activity, research development, publication, presentation, and pursuit of extramural funding.

● Encourage collaborative research involving other divisions, departments, institutions, and health-system sites.

● Use the breadth of the health system as an opportunity to study and improve the delivery of high-risk pregnancy care across academic and community settings.

● Promote innovation in models of care, digital health, telemedicine, population health, and other approaches that improve access and maternal and fetal outcomes.

9. Health Equity

● Advance the Department's and health system's commitment to eliminating preventable disparities in maternal and fetal outcomes.

● Ensure that equity is incorporated into clinical standards, quality measurement, program development, access initiatives, and strategic decision-making.

● Use clinical and operational data to identify disparities in access, treatment, experience, and outcomes and develop interventions to address them.

● Work collaboratively with institutional health-equity initiatives and community partners to address structural barriers affecting patients with high-risk pregnancies.

● Promote respectful, culturally responsive, patient-centered care throughout the system.

10. Program Development and Stewardship of Resources

● Partner with departmental and administrative leadership to develop sustainable models for MFM services across the system.

● Evaluate clinical volume, demand, access, staffing, productivity, and resource utilization across sites and recommend changes as needed.

● Participate in development of annual goals and resource priorities for the Division.

● Support responsible stewardship of physician, staff, ultrasound, clinical-space, and other resources.

● Identify opportunities to improve clinical efficiency while preserving quality, safety, patient experience, and clinician well-being.

● Participate in business planning for new or expanded MFM services and programs.

● Monitor relevant clinical, operational, quality, access, and financial performance measures and develop improvement plans when goals are not met.

Qualifications and Experience Required

● MD or DO degree from an accredited medical school or equivalent.

● Completion of an accredited residency in Obstetrics & Gynecology and fellowship in Maternal-Fetal Medicine.

● Board certification in Obstetrics & Gynecology.

● Board certification in Maternal-Fetal Medicine.

● Eligibility for an unrestricted Massachusetts medical license.

● Academic accomplishments appropriate for appointment at Boston University Chobanian & Avedisian School of Medicine at the Associate Professor or Professor level, or demonstrated trajectory toward such appointment as appropriate.

● Demonstrated record of clinical excellence in Maternal-Fetal Medicine.

● Significant leadership experience within MFM, Obstetrics & Gynecology, or a related clinical program.

● Demonstrated ability to lead physicians and multidisciplinary teams and to work effectively across organizational and professional boundaries.

● Experience in clinical operations, quality improvement, patient safety, and program development.

● Strong written and oral communication skills and demonstrated organizational and management ability.

● Commitment to the mission of Boston Medical Center Health System and to providing exceptional, equitable care to all patients.

Preferred

● Experience leading clinical services across multiple hospitals, practice locations, or levels of care.

● Experience in an academic health system combining tertiary and community-based clinical services.

● Demonstrated success in faculty recruitment, mentorship, professional development, and performance management.

● Experience developing and implementing clinical pathways or standards across multiple sites.

● Record of academic scholarship, research, educational leadership, or extramural funding.

● Experience using quality, operational, and financial data to guide clinical program development.

● National or regional leadership within Maternal-Fetal Medicine or maternal health.

● Fluency in Spanish, French, Haitian Creole, or other languages commonly spoken by patients served by Boston Medical Center Health System is desirable but not required.

Measures of Success

The System Division Director will be evaluated on the ability to:

● Create a cohesive, collaborative systemwide MFM division.

● Provide reliable access to MFM expertise at all three hospitals.