Neonatal-Perinatal Medicine Curriculum

Year 1

Year 2 | Year 3

Activities

  • NICU Service Fellow: Five months
  • High-Risk Obstetrical Service Required Rotation: Two weeks
  • Research/area of special focus: Five and a half months
  • Follow-up clinic weekly: two fellows scheduled each week when not on NICU service
  • Average on-call frequency: 1/6 nights for the entire year (varies by service month versus non-service month)
  • Vacation: 4 weeks

Educational Objectives

1. Clinical Knowledge: Be able to describe clinical symptoms and management alternatives for the more common problems seen in neonates:

  • Respiratory Distress Syndrome and its ramifications
  • Prematurity and its ramifications (e.g., IVH, PVL, PDA, ROP)
  • Early and late onset infection
  • Persistent pulmonary hypertension of the newborn
  • Transitional Disorders (e.g. TTN, hypoglycemia, hyperbilirubinemia)
  • Congenital Heart Disease
  • Common surgical disorders (e.g. gastroschisis, congenital diaphragmatic hernia, NEC with perforation)
  • Nutritional and feeding problems
  • Asphyxia and its ramifications
  • Common genetic and developmental anomalies
  • Problems of infants of mothers with diabetes
  • Renal Failure and problems with fluid homeostasis
  • Complete 2-week rotation on High-risk Obstetrical Service
  • Achieve NRP Instructor status
  • Complete American Anesthesia Association sponsored online "conscious sedation" course.
  • Basic principles of biostatistics
  • Billing & Coding
  • Hospital and Personal finance
  • Begin review of selected topics in Fetal and Neonatal Physiology (Pollin and Fox textbook)

2. Procedures: Become proficient with the following procedures in neonates (through simulation and clinical practice):

  • Neonatal resuscitation (be qualified as at least an NRP instructor)
  • Endotracheal intubation
  • UAC/UVC placement
  • Read X-rays and EKGs  
  • Lumbar puncture
  • Percutaneous deep venous line placement (PICC)
  • Peripheral arterial line placement
  • Ventilator management
  • Developmental examination of former NICU patient
  • Chest tube placement

3. Teaching Skills & Presentation

  • Develop and give several lectures suitable for resident presentations on common topics in Neonatology
  • Adequate performance in OB/PEDS Conference
  • Adequate performance in Code Pink (NRP) Teaching Sessions 

4. Research Project

  • Complete all education and training to establish IRB account within first 3 months
  • Choose a mentor
  • Establish Scholarship Oversight Committee (SOC) with mentors help
  • Complete an IRB protocol for a clinical project or a similar background/planning paper for a basic science project

5. Patient safety and Quality

  • Complete basic training and educational modules
  • Participate in a Quality Improvement Project

6. Administration

  • Attend and participate in Division meetings
  • Member of one hospital or divisional committee
 
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