Northwell Health participates in ~ 30,000 deliveries / year, providing a large denominator of clinical exposure including underserved and diverse populations. At our Center for High-Risk Pregnancy and Fetal Health, fellows play an active role in the multidisciplinary management of complicated pregnancies along with a team of genetic counselors, diabetic educators, pediatric specialists, and nurse navigators. Trainees get hands-on clinical training, including procedures, from 19 MFM attendings.