The fundamental objective of the University of Southern California Maternal-Fetal Medicine Fellowship is to provide the trainee with the necessary knowledge and skills that will improve health care for the mother and fetus. We have designed the program to provide fellows with a broad clinical experience, opportunities for clinical and basic science investigation, and preparation for a career in perinatal medicine. Fellows in training provide clinical care and consultation for women with high-risk pregnancies in a site which serves as the referral center for a large portion of the city of Los Angeles. Opportunities are abundant for the fellow to become an expert clinician and independent researcher in areas pertinent to the care of pregnant women and their fetuses. Areas of special interest include antepartum surveillance, intensive fetal care and diagnosis, intrapartum assessment techniques, labor management, medical complications of pregnancy such as diabetes, thyroid disease, preterm labor, and molecular or clinical genetics. Individuals completing this three-year training program are capable of fulfilling the necessary requirements for sub-specialty certification by the Division of Maternal-Fetal Medicine of the American Board of Obstetrics and Gynecology, Inc.