What is MFM Fellowship?

Resources for MFM Fellows
What is a signal?
A signal is a way for you to show interest in a specific Maternal-Fetal Medicine (MFM) fellowship program at the time of application in the Electronic Residency Application Service (ERAS) system.
How many signals do I get?
MFM applicants will get 10 signals in the 2025 ERAS application season. A signal allows you to be more specific than a geographic region preference. For example, you may want to be at a specific program in New York City, but not at any program in New York State. Program signals provide the opportunity to express sincere interest to individual programs.
Have signals been used in other specialties?
Signals have been used in other specialties – including OBGYN. The implementation of signaling has decreased the number of applications required to match and decreased costs to applicants. Though signals increase an applicant’s chance of getting an interview, it does not guarantee it.
Will a signal impact place on the rank list?
No. Signals are only used in the application phase of the process to signify interest. They should not be used to help programs compose their rank list.
Will I get an interview at a program if I don’t signal them?
Experience from other specialties show that the likelihood of obtaining an interview without an application signal is significantly less than when a signal is provided to a program. Different program directors may use signals in different ways and most programs are likely to give preference to applicants who signal them.
Is there any strategy to how I use my signals?
There are no evidence-based strategies to how you should use your signals. Applicants should use all their allotted signals (10) and consider programs where you have a strong interest and a reasonable chance of matching. Some experts recommend using all of your signals at your top choices while others recommend a rule of thirds. Applicants are encouraged to work with their local mentors to determine where to send their signals.
Should applicants signal their home program?
In general, yes! If an applicant is interested in their home program, they should signal them. Discuss with your program director at your home program, if applicable, to determine their preference.
How do signals increase equity?
Signals help ensure that applicants, regardless of their background or connections, have an equal opportunity to demonstrate interest in a program. A signal takes it out of the hands of ‘who knows who’ and makes communication directly between the applicant and the director.

The MFM SLOE was designed by the MFM Fellowship affairs committee and approved by the SMFM Board, with the goal of evaluating the key traits important for a successful MFM fellow and MFM provider.

The SMFM First Year Fellows Workshop & Retreat is explicitly designed to position first-year MFM fellows for success; SMFM and the Foundation for SMFM co-host a yearly retreat.
The MFM Lecture Series (free to SMFM Members) supports obstetric clinicians and complements MFM fellowship programs with a twice-monthly web lecture series by MFM, ultrasound, research, neonatology, and genetics leaders.
Through our diverse programs, the Foundation for SMFM strives to advance equitable and optimal pregnancy care by fostering career development through research and education.

Resources for Fellowship Directors

Program Signaling FAQ for MFM Program Directors
Program signals are intended to be used by programs as one of the many data points in deciding whom to invite to interview. Download the program signaling FAQ to learn more.

Additional Program Directors Resources
Find resources shared at the Program Directors Business Meeting and a link for how you can update your program listing with SMFM in the Fellowship Directory.