About the Program

VCU has a long history of providing care to complex pregnancies in the state of Virginia. An MFM Fellowship existed in the late 1980’s and early 1990’s, but fellowship training has remained dormant for almost 30 years. The rebirth of our fellowship program is an acknowledgement of the quantity and complexity of care rendered by our division, and the need to train MFM Fellows to provide this type of quality care for our patients here in Virginia and throughout the country.  

Medical College of Virginia Hospitals (MCVH), the flagship hospital of Virginia Commonwealth University Health System (VCUHS), is an 815-bed hospital that provides primary through quaternary care to Central, Southern, and Eastern regions of Virginia which include a diverse patient population drawing from both rural and urban regions of the Commonwealth. 

Over 2,700 babies are delivered at MCVH per year. MCVH is a referral center for maternal and neonatal care due to its ability to provide immediate interdisciplinary medical and surgical care 24 hours per day for the most complex and critically ill pregnant women and fetuses. MCVH also provides Level IV NICU services for the most critically ill neonates. There is a long-standing Ob/Gyn Residency program, first accredited in 1955, with 6 residents per year that work with over 24 Faculty members in the Department. There are five Faculty in Maternal-Fetal Medicine (https://obgyn.vcu.edu/specialties/division-of-maternal-fetal-medicine/) to supervise and mentor MFM fellows. 

Our Mission

The VCU Maternal-Fetal Medicine Fellowship will train physicians capable of providing excellent clinical care for the most complex pregnancies; who will be leaders locally, regionally, and nationally; who will be educators of students, residents, clinicians, and the faculty in academic settings; and who will leave Fellowship capable of pursuing academic and research goals that enhance the care of pregnant women. 

Message from our Program Director

[VCUSOM MftD] - Message from our Program Director

Message from our Program Director

As experts in training the next generation of providers across the broad spectrum of obstetrics and gynecology, our department will provide you with a robust and comprehensive education. From didactics, simulation, and research mentorship to hands-on experience with our extensive clinical and surgical training, we pride ourselves in preparing you for a successful career as a skilled and compassionate Maternal Fetal Medicine physician. 

You’ll work alongside upper-level residents and our dedicated faculty, who will take every opportunity to help you build a solid foundation in the care of complex pregnancies.  

Interested in becoming a part of VCU’s Maternal Fetal Medicine fellowship program? Please don’t hesitate to reach out with any questions, and we look forward to meeting you! 

Ronald M. Ramus, M.D. 
Fellowship Program Director 
Professor, Obstetrics and Gynecology 
Director, Division of Maternal-Fetal Medicine 
Virginia Commonwealth University Health System 

Our approach to comprehensive, well-rounded fellowship training includes the following:

  • PGY-5: $70,722
  • PGY-6: $73,176
  • PGY-7: $75,865

Benefits for fellows include the following:

  • Three weeks paid vacation
  • Medical and dental insurance
  • Confidential stress and counseling resources

Learn more about housestaff benefits

As healers, scientists, faculty and learners in the VCU School of Medicine, we have a responsibility to condemn racism and all forms of discrimination. We will continue to own our history with transparency and humility, learning from the mistakes of the past and building on strengths of the present to create a more just and equitable future.
The OBGYN Department believes Diversity, Equity, and Inclusion are core elements of institutional excellence.  In 2022 we named a Diversity, Equity, and Inclusion Division Lead who aims to center our department's work around education and training, recruitment and retention, along with patient and community outreach.
  • Instituted quarterly Health Equity Grand Rounds
  • Initiated use of the Inequity Inbox Tool for reporting of microaggressions
  • Supported inception of student interest group for Black Maternal Health
  • Partnered with community organizations to bridge historically damaged relationships between the health system and the birthing community
  • Remain continuously open to patient, resident, staff feedback on improving the culture and practice of DEI in our everyday practice of care

Training Opportunities

  • The Office of Health Equity launched multi-part series examining health disparities and how racism and other social determinants of health directly impact the quality of and access to healthcare.  Faculty and trainees may enroll at no cost and earn credit towards DEI digital badge.

Read more about the School of Medicine’s commitment to diversity, equity and inclusion

Read about Diversity, Equity, and Inclusion Excellence at ACOG

The VCU Department of OB/GYN participates in the National Resident Matching Program (NRMP), and prospective residents can apply using the Electronic Residency Application Service (ERAS) offered by the Association of American Medical Colleges.

All applicants must have completed an ACGME-accredited residency training program.


  1. Completed ERAS application submitted to the VCU School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine
  2. Official medical school transcripts
  3. Letter from your residency program director confirming successful completion of training or that you are currently in training with no academic concerns or deficiencies
  4. Letter of recommendation from the chair of your institution’s OB/GYN department
  5. At least two letters of recommendation from faculty who have worked closely with you in residency

International applicants must also provide documentation of at least three months direct patient care activity in the U.S. or Canada within the last four years.


We conduct fellow interviews from according to ERAS guidelines. The Department of OB/GYN is currently conducting all interviews virtually, but this may change (and we will notify you if it does). Because the number of interviews will be limited, we encourage you to complete the application process as early as possible. 

Life in Richmond

We encourage our residents to maintain a healthy work-life balance, and Richmond, affectionately known as RVA, is a wonderful place to engage in that well-rounded lifestyle. As the capital of Virginia since 1779, Richmond attracts students, faculty and staff from around the globe.

Richmond provides stimulating activities while maintaining its intimate feel and unique vibe. Vibrant neighborhoods offer distinct, diverse experiences, with no shortage of art galleries, museums, music venues, restaurants, breweries and parks. For the outdoor enthusiast, you can’t beat the offerings in the city’s riverfront parks and urban wilderness areas such as white-water rafting, hiking, mountain biking and festivals.

Learn more about living in RVA

Amy McAfee
MFM Fellowship Program Coordinator
Department of Obstetrics and Gynecology
Box 980034
Richmond, Virginia 23298
(804) 828-8468