This course is designed to enhance participants’ ability to accurately assess chorionicity and amnionicity, recognize complications unique to multifetal pregnancies, and apply appropriate diagnostic and procedural approaches to genetic testing and fetal therapy. Attendees will also gain practical strategies for optimizing imaging protocols, workflow efficiency, and delivery planning in twin and higher-order gestations.
Upon completion of this activity, participants should be able to:
Differentiate chorionicity, amnionicity, and associated complications in multifetal gestations using sonographic and Doppler findings.
Evaluate diagnostic approaches and procedural considerations for genetic testing, selective reduction, and fetal therapy in twin and higher-order pregnancies.
Implement effective imaging protocols and workflow strategies to optimize scanning, documentation, and delivery planning in complex multiple gestations.
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PHYSICIAN |
$399 |
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SONOGRAPHER, NONPHYSICIAN, or STUDENT |
$399 |
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PHYSICIAN |
$499 |
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SONOGRAPHER, NONPHYSICIAN, or STUDENT |
$449 |
Department of Obstetrics & Gynecology
Division of Perinatology
Scripps Clinic La Jolla, CA
Mishella is a Clinical Ultrasound Educator specializing in high-risk obstetrics and fetal echocardiography at Scripps Health, Division of Maternal-Fetal Medicine in San Diego, California. She has more than 16 years of experience in academic and community health practices, serving as a clinical instructor and coordinator, faculty lecturer, and clinical ultrasound educator for Departments of Radiology, Obstetrics, and Gynecology, and Maternal-fetal Medicine teaching ultrasound students, sonographers, residents, fellows, and faculty.
Mishella is a member of various societies, serving to ensure she gets the highest quality of ultrasound education to teach others. She is an active member of the American Institute of Ultrasound in Medicine (AIUM), currently serving as Vice-Chair for the Obstetrics Community of Practice and Society of Maternal-Fetal Medicine.
Mishella serves on the Education, Conference, and Sonographer Committees for the Fetal Heart Society. She is also a member of the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and the Society of Diagnostic Medical Sonography (SDMS).
Professor, Obstetrics & Gynecology
Director, Los Angeles Fetal Surgery
Keck School of Medicine,
University of Southern California
Assistant Professor
Department of Obstetrics, Gynecology and Reproductive Science
Icahn School of Medicine at Mount Sinai
New York, NY
Associate Professor
Program Director, Perinatal Surgery and Fetal Intervention Fellowship
Division of Fetal surgery and Maternal Fetal Medicine
Department of Obstetrics and Gynecology, Baylor
College of Medicine
Texas Children's Fetal Center
Texas Children's Hospital
Associate Professor
Maternal Fetal Medicine
Yale School of Medicine
New Haven, CT
Professor
Department of Obstetrics & Gynecology
Maternal-Fetal Medicine
Baylor College of Medicine
Ultrasound Clinic Chief, Texas Children’s Hospital
AIUM Community of Practice Secretary
Houston, Texas
Assistant Professor
Director, Fetal Surgery
Director, Placenta Accreta Program
Chair, NAFT Net Clinical Guidelines Committee
Editor, The SMFM Pregnancy Journal
Division of Maternal-Fetal Medicine Department of Obstetrics and Gynecology
Indiana University School of Medicine
Riley Children’s Hospital
Professor and System Chair
Dept. OBGYN Ichan School of Medicine at Mount Sinai
New York, NY
Professor, Chief of Reproductive Genetics
University of Pennsylvania
Philadelphia, Pennsylvania
Saturday, September 27, 2025
All times are EST
Time | Presentation Topic | Presenter |
11:00 am–11:05 am | Introduction of Faculty, Course Overview, and Objectives | Mishella Perez, BS, RDMS, RD |
11:05 am–11:30 am | Assessment of Chorionicity | Joan Mastrobattista, MD |
11:30 am–11:50 am | Genetic Testing in Multiples – What’s Valid, What’s Vague | Lorraine Dugoff, MD |
11:50 am–12:15 pm | Selective Fetal Growth Restriction Type II | Ramen Chmait, MD |
12:15 pm–12:35 pm | TTTS and TAPS – Staging, Screening, and Referral Timing | Roopali Donepudi, MD, MEd, FACOG, FAIUM |
12:35 pm–12:50 pm | Live Q&A Topics 1–4 | All Faculty |
12:50 pm–1:00 pm | 10-min break | |
1:00 pm–1:25 pm | TRAP Sequence & Rare Monochorionic Complications | Hiba Mustafa, MD |
1:25 pm–1:50 pm | Selective Reduction – Imaging, Timing, & Ethics | Joanne Stone, MD |
1:50 pm–2:15 pm | Higher-Order Multiples – Imaging, Labeling, & Workflow Hacks | Chelsea DeBolt, MD |
2:15 pm–2:40 pm | Third Trimester Imaging & Delivery Planning in Multiples | Katherine Kohari, MD |
2:40 pm–2:55 pm | Live Q&A Topics 5–8 | |
2:55 pm–3:00 pm | Post Assessment | |
3:00 pm | Course Adjourn |
The American Institute of Ultrasound in Medicine designates this live internet activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The AIUM is a Recognized Continuing Education Evaluation Mechanism (RCEEM) for the American Registry of Radiologic Technologists (ARRT). The AIUM is the owner and sponsor of this activity. This activity is approved by the AIUM for 4.0 ARRT Category A credits. This CE activity may be available in multiple formats or from different CE sponsors. ARRT does not allow CE activities (e.g., Internet courses, home study programs, directed readings, live lectures) to be repeated for CE credit in the same CE biennium.
Additional Credit Information
American Registry for Diagnostic Medical Sonography (ARDMS). The ARDMS accepts AMA PRA Category 1 CME Credit(s)™.
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, the American Institute of Ultrasound in Medicine (AIUM) requires those in control of educational content to disclose their financial relationships with ineligible companies* within the prior 24 months. Individuals must disclose all financial relationships with ineligible companies*, regardless of the amount and regardless of their view of the relevance of the relationship to education.
* Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. For specific examples of ineligible companies, visit accme.org/standards.
As an accredited provider, the AIUM must collect information from all planners, faculty, and others in the planning and control of continuing medical education (CME) activities to disclose all of their financial relationships with ineligible companies within the prior 24 months. There is no minimum financial threshold; individuals must disclose all financial relationships, regardless of the amount, in ineligible companies. Individuals must disclose financial relationships with ineligible companies regardless of their view of the relevance of the relationship to the education.
The AIUM has implemented a system to resolve conflicts of interest for each CME activity to help ensure content is objective, fair balanced, independent, and free of commercial bias. Conflicts, if any, are resolved through one or more processes. All relevant conflicts pertaining to this activity have been mitigated.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the AIUM.
The following faculty/planners have disclosed the following financial relationships with ineligible companies:
All of the relevant financial relationships listed for these individuals have been mitigated.
The following faculty/planners of this educational activity have no relevant financial relationships(s) with ineligible companies to disclose.
The AIUM Staff have no relevant financial relationship(s) with ineligible companies to disclose.
All registered participants will receive access to the course recordings for 90 days, ensuring you can revisit valuable insights at your convenience.
Written cancellation must be received by the AIUM no later than August 27, 2025, to receive a refund of the course registration fee minus a $100 administration fee. Written cancellations received after this date will not be refunded. The AIUM must receive all cancellations via e-mail to learn@aium.org. In the unlikely event that the program is canceled by the AIUM, course registration fees will be fully refunded. For any changes to your registration, please contact the AIUM via phone or email.