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Joshua F. Nitsche, M.D., Ph.D.Wake Forest School of Medicine

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Joshua F. Nitsche, M.D., Ph.D.

Assistant Professor,

Clinical Interests


Contact Information

Returning Patient Appointments: 336-716-6893
Department: 336-716-4039


Insurance Accepted »

Education & Training

  • B.A., Washington & Lee University, 1996
  • Ph.D., Robert Wood Johnson Medical School, 2002
  • M.D., Robert Wood Johnson Medical School, 2004
  • Residency, Obstetrics & Gynecology, Mayo Clinic, 2008
  • Fellowship, Obstetrics & Gynecology, Mayo Clinic School of Medicine, 2011

Board Certifications

  • American Board of Obstetrics and Gynecology, Maternal and Fetal Medicine
  • American Board of Obstetrics and Gynecology, Obstetrics and Gynecology

NPI Number

  • 1053384149
Joshua F. Nitsche, M.D., Ph.D.

Doctor Rating

No Rating Available
Why No Ratings?

Joshua F. Nitsche, M.D., Ph.D.

Assistant Professor, Maternal-Fetal Medicine

Research Interests

Obstetrics; Clinical Competence; Pregnancy; Patient Simulation; Clinical Clerkship
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Contact Information

Academic: 336-716-6489 | Department: 336-716-4039


Recent Publications

Optimizing the amount of simulation training used to teach vaginal delivery skills to medical students. Nitsche JF, Butler TR, Shew AW, Jin S, Brost BC.. Int J Gynaecol Obstet. 2018;140(1):123-127.

Megacystis-microcolon-intestinal hypoperistalsis syndrome: an unusual in utero presentation [clinical letter]. Pena J, Quinn KH, Jorizzo JR, Nitsche JF, Denney JM.. J Ultrasound Med. 2018;37(5):1283-1286.

The effect of morbid obesity on estimation of fetal weight by ultrasound [abstract]. Nitsche JF, Alkis M, Thode J, Brost B.. Am J Obstet Gynecol. 2018;218(1 Suppl):S271.

A systematic review and meta-analysis of the impact of location of delivery on outcomes in infants with gastroschisis [abstract]. Nitsche JF, Li Y, Brost B.. Am J Obstet Gynecol. 2018;218(1 Suppl):S179-S180.

Simulation in maternal-fetal medicine: current use and future needs [abstract]. Kozakiewicz M, Nitsche JF, Brost BC.. Am J Obstet Gynecol. 2018;218(1 Suppl):S256.

Transplacental passage of acetaminophen in term pregnancy. Nitsche JF, Patil AS, Langman LJ, Penn HJ, Derleth D, Watson WJ, Brost BC.. Am J Perinatol. 2017;34(6):541-543.

Development and assessment of a novel task trainer and targeting tasks for ultrasound-guided invasive procedures. Nitsche JF, Shumard KM, Brost BC.. Acad Radiol. 2017;24(6):700-708.

Effectiveness of a labor cervical exam model in family medicine and OB-GYN residents. Nitsche JF, Fino NF, Palomo JM, Perdomo AP, Brost BC.. Fam Med. 2017;49(5):384-387.

Effect of federal regulation on compounding of 17-hydroxyprogesterone caproate in North Carolina [abstract]. Hoopes S, Nitsche JF.. Obstet Gynecol. 2017;129(Suppl 1):139S.

The effect of betamethasone on middle cerebral artery doppler flow in fetuses with elevated peak systolic velocities [abstract]. Luffy K, Hoopes S, Nitsche JF.. Obstet Gynecol. 2017;129(Suppl 1):179S-180S.

Early onset severe IUGR: waiting to deliver does not appear to improve outcome and may be harmful [abstract]. Fore MS, Quinn KH, Street LM, Nitsche JF, Denney JM.. Obstet Gynecol. 2017;129(Suppl 1):192S.

Validation of ultrasound guidance targeting tasks: relationship of performance and clinical experience. Nitsche JF, Shumard KM, Brost BC.. Obstet Gynecol. 2017;130(Suppl 1):29S-35S.

The effect of maternal heparins and/or aspirin on the amount of cell-free fetal DNA in the maternal circulation [abstract]. Nitsche JF, Barnard A, Conrad S, Onslow M, Stephens N, Stringfellow J, Patil A.. Am J Obstet Gynecol. 2017;216(1 Suppl):S20.

Vaginal delivery simulation in the Obstetrics and Gynaecology clerkship. Nitsche J, Morris D, Shumard K, Akoma U.. Clin Teach. 2016;13(5):343-347.

Cervical length measurement after ultrasound-indicated cerclage associated with time to delivery [abstract]. Shumard K, Farmer K, Nitsche JF, Quinn K.. Am J Obstet Gynecol. 2016;214(1 Suppl):S378.

Peripartum anti-hypertensive choice affects time to blood pressure control in treating hypertensive disorders of pregnancy [abstract]. Shumard K, Yoon J, Huang CC, Nitsche JF.. Am J Obstet Gynecol. 2016;214(1 Suppl):S378.

Amniotic fluid volume at diagnosis of second trimester PPROM impacts latency time [abstract]. Shumard KM, Elliot V, Nitsche JF, Quinn KH.. Reprod Sci. 2016;23(Suppl 1):190A.

EP24.02: development of a low-cost fetal pig simulator for ultrasound training in multiple gestations [abstract]. Codsi E, Nitsche JF, Decker ML, Brost BC.. Ultrasound Obstet Gynecol. 2016;48(Suppl 1):369.

Effectiveness of vaginal delivery simulation in novice trainees. Shumard KM, Denney JM, Quinn K, Grandis AS, Whitecar PW, Bailey J, Jijon-Knupp RJ, Huang C, Kesty K, Brost BC, Nitsche JF.. Fam Med. 2016;48(9):696-702.

Development of a novel task trainer for second trimester ultrasound-guided uterine evacuation. Shumard KM, Akoma UN, Street LM, Brost BC, Nitsche JF.. Simul Healthc. 2015;10(1):49-53.

Is a small abdominal circumference a predictor of perinatal complications in fetuses with a normal estimated fetal weight? [abstract]. Street L, Philips J, Kozakiewicz M, Jijon R, Kesty K, Nitsche J.. Am J Obstet Gynecol. 2015;212(1 Suppl):S329.

Effect of acetaminophen on fetal activity. Nitsche J, Langman LJ, Penn HJ, Derleth D, Watson W, Brost B.. Am J Perinatol. 2015;32(13):1277-1280.

Impact of an inexpensive anatomy-based fetal pig simulator on obstetric ultrasound training. Akoma UN, Shumard KM, Street L, Brost BC, Nitsche JF.. J Ultrasound Med. 2015;34(10):1793-1799.

Development of a model for training and evaluation of ultrasound needle guidance skills [abstract]. Nitsche J, Russell B, Trinidad MC, Brost B.. Am J Obstet Gynecol. 2015;212(1 Suppl):S392.

Effectiveness of labor cervical examination simulation in medical student education. Nitsche JF, Shumard KM, Fino NF, Denney JM, Quinn KH, Bailey JC, Jijon R, Huang C, Kesty K, Whitecar PW, Grandis AS, Brost BC.. Obstet Gynecol. 2015;126(Suppl 4):13S-20S.

Snoring frequency increases during pregnancy and is associated with hypertension and cesarean delivery for labor dystocia [abstract]. Street LM, Matheson D, Mill MP [sic] [Mills MP], Nitsche JF, Pinyan CW, Eisenach J.. In: Abstracts of the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA); 2014 May 14-18; Toronto, Ontario Canada. 2014;():374.

Development of a targeting task trainer for ultrasound-guided needle procedures. Nitsche JF, Russell BC, Trinidad MC, Brost BC.. Obstet Gynecol. 2014;123(Suppl 1):19S.

The effect of vaginal delivery simulation on medical student education. Nitsche JF, Morris DM, Shumard K, Akoma U.. Obstet Gynecol. 2014;123(Suppl 1):117S.

Isolated unilateral pulmonary agenesis and other fetal thoracic anomalies. Russell BC, Whitecar P, Nitsche JF.. Obstet Gynecol Surv. 2014;69(6):335-345.

Obstetric ultrasound simulation. Nitsche JF, Brost BC.. Semin Perinatol. 2013;37(3):199-204.

The use of simulation in maternal-fetal medicine procedure training. Nitsche JF, Brost BC.. Semin Perinatol. 2013;37(3):189-198.

A cervical cerclage task trainer for maternal-fetal medicine fellows and obstetrics/gynecology residents. Nitsche JF, Brost BC.. Simul Healthc. 2012;7(5):321-325.

All Publications

For a listing of recent publications, refer to PubMed, a service provided by the National Library of Medicine.

For a list of earlier publications, visit the Carpenter Library Publication Search.

Assistant Professor, Maternal-Fetal Medicine

Clinical Interests

Joshua F. Nitsche, M.D., Ph.D.

Joshua F. Nitsche, M.D., Ph.D.

Assistant Professor, Maternal-Fetal Medicine

CP concern for questions/worries
CP efforts to include in decisions
CP explanations of prob/condition
CP spoke using clear language
Friendliness/courtesy of CP
Likelihood of recommending CP
Patients' confidence in CP
Time CP spent with patient
Wait time at clinic

Patient Comments

Comments are taken from the Care Provider section of the Press Ganey Patient Satisfaction Survey. Comments are posted exactly as they are written. Comments are added weekly. To protect patient privacy and confidentiality, patient names are not included.


The doctor who saw me this visit had a very genuine nature. He showed care and compassion.


I saw *Dr. Nitsche the most in my previous pregnancy & with my current pregnancy. I love him! He's so smart & has solved issues other doctors couldn't.


hes an amazing doc

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