Our clinical training program provides a robust exposure and training in high-risk obstetric and fetal anesthesia. The majority (approximately 2/3rds) of deliveries are categorized as high risk for maternal or fetal indications. In addition, our fellows are highly involved in fetal therapy cases such as EXIT procedures and in utero myelomeningocele repairs. Our fellows work closely alongside resident trainees to grow their skills as clinician educators and team leaders.