542 Availability of dilation and evacuation training at maternal-fetal medicine fellowships Melissa Rosenstein, Jody Steinauer, Aaron Caughey, Jennifer Kerns University of California, San Francisco, Obstetrics, Gynecology, and Reproductive Sciences, San Francisco, CA, Oregon Health and Science University, Obstetrics & Gynecology, Portland, OR OBJECTIVE: To describe the availability of second-trimester dilation and evacuation (DE 38% of respondents are located in the Northeast, 30% in the South/Southwest, 18% in the Midwest, and 15% in the West. The availability of DE 7 programs (18%) offer routine training, 12 programs (30%) offer organized optional training, and16 programs (40%) do not have formalized training opportunities but allow fellows to participate in D&Es that are occasionally performed. Five programs (13%) have no D&E training available. Fellowship directors at programs without formalized routine or optional training opportunities are more likely to report that a majority of their fellows pursue D&E training (8/21 vs 4/19, p 0.07). CONCLUSION: SomeformofD&Etraining isavailableatmostof theMFM fellowship sites participating in this survey. Program directors report that many fellows are motivated to acquire skills in D&E, and expanding these training opportunities could be beneficial to MFM fellows.