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Twelve months of the three-year fellowship are devoted to clinical service. The clinical experience at the Floating Hospital for Children offers the opportunity to master advanced techniques while acquiring a sound foundation in the fundamentals of neonatal physiology, evidence-based intensive care management, neonatal triage/transport, and convalescent care. Service months and call are distributed throughout the three years, but are weighted toward the first year.
During the first year clinical rotations, fellows concentrate on developing a broad fund of knowledge while honing their technical and supervisory skills. They work closely with the attending neonatologists in overseeing care for all infants in the neonatal ICU, including co-management or consultation on neonatal surgical patients and infants hospitalized outside the neonatal ICU. NICU rotations provide a supportive environment for fellows to develop academic leadership and teaching skills while collaborating with medical students, pediatric house staff, and neonatal nurse practitioners. With attending support, fellows acquire proficiency in effective, sensitive communication by assisting and guiding families in times of ethical dilemma and bereavement.
Rotations on the antenatal consultation service offer daily collaborative interaction with the Maternal-Fetal Medicine service and provide exposure to perinatal physiology, diagnosis and intervention. While on the antenatal consultation service fellows supervise delivery room resuscitation and stabilization for all high-risk infants, and participate in the Infant Follow-Up Program.
During the second and third years clinical responsibilities are reduced as research endeavors become established. Fellows continue to develop their knowledge of advanced topics in Neonatal-Perinatal Medicine, and enhance their academic leadership and teaching skills. Senior fellows have the option of pursuing clinical electives in ECMO, maternal-fetal medicine, pediatric cardiology, or level II care as part of their 12 months of clinical training.
The Division of Newborn Medicine maintains an atmosphere of inquiry and evidence-based practice through regular seminars, journal clubs, and presentations on a variety of clinical and investigational topics. Fellows may attend and contribute to a core lecture series on neonatal intensive care that is offered regularly throughout the year. In addition, focused lecture series on advanced topics in neonatal medicine are offered specifically to enhance fund of knowledge in preparation for subspecialty certification examination. The Division also holds a number of educational weekly conferences.
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