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Newborn Medicine

Newborn Medicine Fellowship Program

Overview

The Division of Newborn Medicine has longstanding partnerships in perinatal care, training, and collaborative research with Tufts Medical Center's Divisions of Maternal-Fetal Medicine and Medical Genetics as well as the broader Tufts University campus. The Obstetrical service at Tufts Medical Center has a strong emphasis on prenatal diagnosis and high-risk Obstetrics, and delivers approximately 1,400 infants at Tufts Medical Center (90% high risk) and an additional 10,000 in the other 8 level I and II  in our extensive referral network each year. The close professional ties between the fellows and faculty of the three Divisions allow for innovative research, diagnosis, and therapy of the fetus and newborn at Floating Hospital, resulting in a superb multidisciplinary training environment for our fellows. Our clinical network enables us to expose our trainees to a high-risk population with a broad range of high-acuity diagnoses. Exposure to chronic care aspects and connection to primary providers is also guaranteed through our network, which is covered by our faculty. 

A full spectrum of follow-up services for high-risk NICU graduates is provided at Floating Hospital's Center for Children with Special Needs under the direction of Monica Ultmann, MD. Our NICU's High-Risk Infant Follow-Up Program, provides comprehensive developmental evaluation services and follow-up assessments for randomized trials. Comprehensive training and research collaborations between these two subspecialty programs allow for trainees to choose a combined fellowship in Developmental Behavioral Pediatrics and Neonatal Perinatal Medicine, which has expanded the multidisciplinary training environment for both of the fellowships.

The fellowship program is well connected with:

How to Apply

The Division of Newborn Medicine participates in the ERAS (Electronic Residency Application Service) match program. To apply online for the Neonatal-Perinatal Fellowship Training Program, please visit the ERAS website for more information. International applicants, we support J1 Visas.

Please include the following with your application (through ERAS [Link: https://www.aamc.org/services/eras/]):

1. ERAS application (CAF)

2. 3-4 letters of recommendation (LoRs)

  • Must include: one letter from your residency Program Director and one letter from a Neonatology faculty member
  • Strongly suggested: one letter from another critical care specialist

3. Personal statement including a description of research interests and career goals

4. Current curriculum vitae

5. Medical student performance evaluation/Dean's letter

6. Wallet-size color photograph

7. USMLE transcripts or COMLEX transcripts (transmitted by the NBME)

8. ECFMG status report (for International Medical Graduates) 

Matching Program

Applicants must register with the National Residency Matching Program (NRMP). For information, visit the NRMP web site.

Interview

After applications are thoroughly reviewed, qualified candidates will be contacted for a personal interview. The interview involves several of our faculty and fellows. If the candidate has a specific research interest, every effort will be made to include faculty working in that area during the visit. 

Deadlines

Admission to Tufts Medical Center’s Program is competitive, so applicants should apply early. We generally match two to three trainees per year. The deadline to apply is October 31. Applications can be submitted beginning July 15. Read more about timing.

Curriculum

The curriculum is structured to foster educational and academic excellence as well as outstanding, high-quality patient care. Twelve months of the three-year fellowship are devoted to clinical service. Clinical time is concentrated in the first and second years, with the majority of the third year devoted to scholarly activities. The clinical experience at Floating Hospital for Children offers the opportunity to master advanced techniques while acquiring a sound foundation in the fundamentals of neonatal physiology, evidence-based care , neonatal transport, and convalescent care. The overall training focuses on the six core competencies and accompanying milestones for each competency, while involving multiple aspects of quality improvement (QI).

During the first year clinical rotations, fellows concentrate on developing a broad fund of knowledge while improving their clinical, technical, supervisory, teaching and team leadership skills. They work closely with the attending neonatologists in overseeing care for all infants in the NICU, including co-management of all surgical and cardiothoracic patients and infants admitted to clinical units outside the NICU. NICU rotations provide a supportive environment for fellows to progressively develop competence in academic leadership, and teaching skills while collaborating with medical students, pediatric residents 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. All first year fellows serve as members of the QI committee that oversees all QI activities in the Division.

Rotations on the antenatal consultation and labor and delivery service offer daily interactions with the Maternal-Fetal Medicine and Genetics services and provide exposure to perinatal genetics, physiology, diagnosis and intervention. While on the antenatal consultation service, fellows supervise delivery room resuscitation and stabilization for all high-risk infants. Fellows are trained in the transport of critically ill newborns and in post- operative cardiac care and ECMO by our PICU and cardiology faculty. They also participate in the Newborn Follow-Up Program.    

During the second year, the fellow becomes proficient, and in the third year the fellow develops real expertise in the 6 core competencies. Each fellow also becomes a leader of an ongoing QI project. The 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 a more intense clinical elective in ECMO, maternal-fetal medicine, or pediatric cardiology as part of their 12 months of clinical training. In the second and third years, fellows rotate through our level II nurseries; they spend their final clinical rotation demonstrating their competence as they function as junior attending physicians in our NICU while being supervised by a senior attending.

The Division of Newborn Medicine maintains an atmosphere of inquiry and evidence-based practice with a major focus on quality of care through regular seminars, journal clubs and presentations on a variety of clinical, investigational, and research topics. Fellows attend core lectures on neonatal intensive care and research related topics, which are offered regularly throughout the year. Procedural and simulation training is offered regularly while a core curriculum lecture series on advanced topics in neonatal medicine is offered specifically to enhance the fund of knowledge in preparation for subspecialty certification examination. The Division of Newborn Medicine, the Department of Pediatrics and Tufts Medical Center also hold a number of other educational weekly conferences. Our clinical curriculum is in tight alignment with the ACGME and ABP requirements for subspecialty training and all fellows path their APB boards with their first attempt. Dr. Dammann is the chair of the Organization of Neonatology Training Program Directors (ONTPD) and leads the networking approach between the NPM training programs in the US. All faculty are members of the AAP.

Our Commitment to Research

National Institutes of Health-funded research facilities in clinical and translational sciences associated with the Division of Newborn Medicine and the Mother Infant Research Institute, directed by Diana Bianchi, MD, are available for scholarly activities. 

In addition, fellows have the opportunity to work in any of the laboratories associated with the Sackler School of Graduate Biomedical Sciences and the broader Tufts University. Faculty and fellows in the Division of Newborn Medicine collaborate with faculty at Tufts CTSI and Tufts University in educational research. Faculty and fellows are also members of other major research facilities in surrounding institutions and Universities, including Harvard Medical School and Boston University School of Medicine.

Floating Hospital's Division of Newborn Medicine has a longstanding history of participation in multicenter clinical trials and NIH-funded clinical investigation. In addition, structured training in study design, epidemiology, clinical investigation and health policy research is available for fellows interested in systematic pursuit of a career in clinical research or clinical trials.

Research Opportunities

Fellows in the Division of Newborn Medicine can engage in a broad variety of research opportunities in developmental biology, perinatal epidemiology, molecular biology, genetics, outcomes research, clinical investigation, clinical trials, ethics, quality improvement, and medical education. The goal of the Fellowship Program’s research training is to provide a foundation for successful independent inquiry by focusing and developing research interests and skills in a supportive, collegial environment. Careful mentoring, structured didactic sessions, and regular research conferences can be supplemented with a wealth of resources from the Tufts Medical Center community, allowing each fellow's training to be tailored to individual goals.

First-Year Fellows

Research endeavors begin in the first year, but are introduced gradually to accommodate clinical responsibilities. An initial orientation to the Division's research opportunities is followed by selection of an academic mentor. Fellows may choose their mentor from among the faculty of the Division of Newborn Medicine, other faculty in the Department of Pediatrics or other departments in the Tufts University School of Medicine, Tufts University Health Sciences Campus, or other Boston academic institutions. Thereafter, fellows devote the remainder of their first year to acquiring greater familiarity with the literature and methods in their chosen area of research, and to initial investigations that focus on specific research interests and questions. Early experiments provide the opportunity for training and experience in data management, analysis, and interpretation and the results may be used for initial efforts at preparation of abstracts and research presentations for peers within the Division. Fellows are encouraged to attend a regional and/or national research conference during the first year.

Second- and Third-Year Fellows

In the second and third years of fellowship, clinical responsibilities are reduced and there is an increased emphasis on research. Fellows acquire experience and training in data evaluation and interpretation. As initial experiments are completed and familiarity with the research literature grows, fellows begin to build on existing results by designing new research projects. The second and third years also provide more focused training in preparation of abstracts and manuscripts, including integration of computer resources in academic work. During this phase of training, fellows are encouraged to undertake initial efforts at preparation of grants, and may begin pursuit of funds to extend structured research training into the future. During the second or third years, fellows are encouraged to present their research at regional and/or national conferences.

Fellows complete their training at Tufts Medical Center, a 415-bed hospital providing a range of services from routine medical care to treating the most complex diseases affecting adults and children. Tufts Medical Center is also home to Floating Hospital for Children, a full-service children's hospital dedicated exclusively to all levels of pediatric care. Tufts Medical Center provides heart, kidney and bone marrow transplants, is a level I trauma center, provides comprehensive neurological and neurosurgical care, and offers cutting-edge cancer treatments.

International Opportunities

Members of the Division of Newborn Medicine are involved in collaborative research and training efforts with colleagues in Bosnia-Herzegovina, Albania, and Kosovo. Members of the Floating Hospital's Division of Newborn Medicine, supported by the U.S. Agency for International Development, coordinate teaching programs that provide training in neonatal resuscitation and neonatal intensive care to several hospitals in these countries.

Faculty

Christiane Dammann, Program Director

Alexandra Smith, Associate Program Director

Jonathan Davis, Chief of Newborn Medicine

Geoff Binney, Associate Chief of Newborn Medicine
Mario Cordova, Director of Neonatology, Lowell General Hospital
Gina Geis, Associate Medical Director, NICU
Karen Harvey-Wilkes, Director of Neonatology, Melrose-Wakefield Hospital
Anajli Iyengar, Neonatologist
H. Ozlem Kasaroglu, Director of Neonatology, Brockton Hospital
Jill Maron, Neonatologist
Sunita Pereira, Neonatologist
Jaclyn Ruggiero, Neonatologist
Maryann Volpe, Neonatologist

Current Fellows

3rd Year Fellows

Jaclyn Boulais, MD is a newborn medicine fellow at Floating Hospital for Children in Boston.Jaclyn Boulais, MD
I grew up in the beautiful Western Massachusetts area of the Berkshires. After high school, I attended Skidmore College and fell in love with Saratoga Springs, NY. I majored in Chemistry with a Biochemistry concentration but in reality spent the vast majority of my time focusing on collegiate rowing and pursuing a national team selection camp spot. After college I left Saratoga and, sadly, rowing behind although I do return every year to row in an alumni race. I ventured a bit farther down the Mass Pike to the University of Massachusetts for both medical school and residency where my love for pediatrics and critical thinking were fostered by many fantastic teachers and clinicians. I decided to stay on as chief resident to get a glimpse into the administration side of medicine and have the opportunity to teach medical students and residents. I decided to face my fears of living in the big city of Boston for fellowship and am happy to be reunited with some of my co-residents from UMass here at Tufts MC. I am grateful to work with such a collaborative group of fellows, attendings, and nursing staff. I’m interested in the area of palliative care and bioethics and my research project is on parental concern for mortality in the NICU. Outside of the hospital I enjoy spending time with my close extended family (we still do traditional Sunday dinner every week), baking, hanging out with friends, and spoiling my Disney princess obsessed four year old niece, Brinah (spoiled with love not material objects of course).

Jessica McGovern, DO is a newborn medicine fellow at Floating Hospital for Children in Boston.Jessica McGovern, DO
I'm one of the third year fellows at Tufts MC. I grew up and attended college in upstate New York and went to medical school in Maine. I decided to try and escape the six-month long winters I'd become accustomed to and attended residency at AI DuPont Hospital for Children/Jefferson Medical College in "It's Always Sunny in" Philadelphia and Wilmington, DE. Though I loved having no use for a true winter coat, the draw of Boston brought me back up the coast to Tufts MC. My research project focuses on the development of educational modules on the resuscitation and post-resuscitation care of sick and premature infants. When I'm not working, I like running around The Fens, going to the theater, exploring the food scene and enjoying the city with my co-fellows.

Diana Yanni, MD is a newborn medicine fellow at Floating Hospital for Children in Boston.Diana Yanni, MD
I am one of the third year fellows. I am originally from Istanbul, Turkey. I completed my pediatric residency in the leading children’s hospital in Istanbul. I had already set my eyes on Neonatology, but decided to come to US for the opportunities in research. I did my residency in SUNY Downstate Medical Center in New York. I have been very happy to join the amazing NICU fellows here at Tufts MC. My research is on the contribution of antenatal and postnatal inflammation to the risk of cerebral white matter damage and neurodevelopmental outcome. I have been working with the ELGAN group. I had the opportunity to present my research in the regional and national conferences. I am involved in the fellowship education and have been working on creating a two year curriculum for the fellows with a touch of new styles and fun, too. Boston is a great city with its nature and busy calendar of fun activities. I enjoy going to musicals, concerts, spending time with friends and I like to travel—working on the list of places for this year!

2nd Year Fellows

Kikelomo Babata, MD is a newborn medicine fellow at Floating Hospital for Children in Boston.Kikelomo Babata, MD
My name is Kikelomo Babata. I was born in the warm and sunny city Lagos, Nigeria. Medicine has always been a part of me, with my Dad being a Surgeon and my mum a Nurse. My journey to Tufts is a bit of a long and “atypical” one. In some ways it feels like I have found my way back “home” to Boston. I moved to the United States to join my husband about 9 years ago in the City of Boston. I did my residency in Bronx New York. During this period I was blessed to have 2 beautiful boys Monsur and Marzuq who continuously keep me on my toes. I then moved to the beautiful calm and quiet town of Eau Claire Wisconsin where I would work as a primary care physician for 4 years. During this period, I continued to care for premature infants about 90 minutes away from the nearest level 3 NICU. I found this the quite enjoyable and decided to make the decision to do this for the rest of my life. That led me full cycle back to Boston, my starting point in the United States. My love for Neonatal outcomes brought me back to Tufts Medical Center. I am working with my research mentor Olaf Dammann on Neurodevelopmental Outcomes at 10 years of age of ex preterm infants with late onset sepsis. This has continued to be a great learning experience. During my free time I continue to enjoy all things kid related- The museums, oceans, parks and everything else beautiful that Boston has to offer. 

Ruby Bartolome, DO
Hi everyone! My name is Ruby. I was born in the Philippines and my family and I moved to Baltimore, MD when I was 11. I stayed near home during college, majoring and Biology with a minor in Chemistry. I took a year off to do research at UMD then ventured to Philadelphia for medical school where I met my husband, Eben (who's from Boston!). For residency, I went to UCONN and stayed for a chief year. And now, I am happy to be a neonatal fellow here at Tufts. For research, I'm working with Dr. Maron in the Mother Infant Research Institute. My area of interest is the genetics of oral feeding and speech and language development. When I'm not working, I enjoy oil painting, trying new restaurants, rooting for the Baltimore Ravens, and being hopeful for the Baltimore Orioles. I'm so excited to be in Boston and continue to explore the city with Eben and our dog Gus!

Hayley Friedman, MD is a newborn medicine fellow at Floating Hospital for Children in Boston.Hayley Friedman, MD
Born and raised in Los Angeles, California to South African parents, one would think I would never consider leaving the sunny California weather! Yet, I have been fortunate to have studied and lived in numerous cities, now with the final training stop in Boston. I was a Political Science major at Northwestern University in Chicago, then completed my pre-med studies at Drexel College of Medicine in Philadelphia, and received a Masters in Biological Sciences.  I had an amazing experience in medical school at GW Med in Washington, DC, and developed my interest in pediatric health advocacy from the federal and international perspective, with a unique opportunity to work on Capitol Hill.  Now after completing residency at Saint Louis University, my love for the Arch and toasted ravioli solidified, I have loved living in Boston as a Neonatology fellow. My research project is focused on Neonatal Abstinence Syndrome and the impact of maternal poly-pharmacy on neonatal outcomes. I am also very involved in the AAP and currently a representative of the young neonatology group known as TECAN. Otherwise I enjoy travel, swimming, active outdoor activities, spinning, spending time with friends and family, being a foodie, Game of Thrones and Scandal!

1st Year Fellows

Rina Mosley, MD is a newborn medicine fellow at Floating Hospital for Children in Boston.Rina Mosley
I grew up in South Carolina and completed medical school and residency in Georgia. I moved to Boston to be with my husband 3 years ago. I worked as a pediatric and then NICU hospitalist over the past 2 years prior to starting fellowship here at Tufts. I am excited to be training here and have a research interest in medical education. I just had our first baby in August 2016 and he dominates most of my free time these days! Otherwise I enjoy college football (Go Gamecocks!), traveling, and spending time with my family exploring New England.

Ramya Natarajan is a newborn medicine fellow at Floating Hospital for Children in Boston.Ramya Natarajan
I'm one of the new first year fellows at Tufts MC. I grew up on the Jersey shore, and stayed in NJ for the 7 year medical program at The College of New Jersey and UMDNJ-New Jersey Medical School. I finally decided to cross the GWB and move to NYC for residency at Albert Einstein-Jacobi Medical Center. I loved living in Manhattan during residency, and got really good at winning the lottery to Broadway shows! But after three years, I was ready to explore places outside of the tri-state area and headed up the coast for fellowship at Tufts. Although I have only been at Tufts for a couple months, the collegial and collaborative environment has made it a wonderful experience thus far. During fellowship, I'm interested in pursuing a scholarly project in simulation/education research. Outside of work, I enjoy eating my way through the many great restaurants in Boston, traveling, dancing, and going to the theater.

Alumni

Sharmeel Khaira, MD was a Newborn Medicine fellow from 2011-2014. 

Ceara McNiff, MD was a neonatal-perinatal fellow from 2005-2008. Dr. McNiff is currently employed by Boston Children's Hospital's Newborn Medicine Division, and works full-time at Beverly Hospital in the Special Care Nursery doing clinical care. Dr. McNiff also co-directs the Community Outreach Program for the Newborn Medicine Division. At Beverly Hospital, she is a member of the Perinatal Committee. Dr. McNiff lives in Gloucester with her husband, Vincent, and new son, Finn, born this summer.

Juliette C. Madan, MD, MS was a neonatal-perinatal fellow from 2003-2006. Dr. Madan’s fellowship project was PDA research; She did two projects (one and a half then finished as a first year attending the second one) looking at PDA and its treatment and the association between PDA therapy, gestational age, and likelihood of success of therapy and GI complications potentially related. Dr. Madan’s second project was the NRN study of PDA therapy and long-term neurodevelopmental impairment, NEC and BPD. The first was published in Neonatology in 08, the second in Pediatrics in ‘09. During fellowship Dr. Madan was a fellow in the Clinical Research Program at Tufts and received my masters degree in science in clinical research. Since fellowship, Dr. Madan was an attending for 2 years at Tufts doing clinical research with the NRN as above, and work on maternal obesity and neonatal outcomes (3-4 publications). In the past year, Dr. Madan transitioned to Dartmouth Hitchcock Medical Center where she is 70% research 30% clinical, and her research focus is the developing microbiome in infants (premature infants and infants with CF) and correlating respiratory and GI microbial colonization with health and disease. Dr. Madan currently has a 2 year career development grant as well as 3 foundation grants that support her research, and will be applying for K23 in 2010. 

Jill Maron, MD, MPH was a fellow in Newborn Medicine from 2003-2006. During her fellowship, she conducted research on fetal gene trafficking in the maternal circulation at term gestation under the guidance of her mentor Dr. Diana Bianchi. This work laid the foundation for her continued ongoing collaboration with Dr. Bianchi and sparked in her interest in the genomics and proteomics of the developing fetus and premature neonate. She is the recipient of multiple research grants including the Natalie V. Zucker Women in Science Award, the Tufts Pediatric Research Grant and the Charles H. Hood Foundation grant. She is also the recipient a NICHD K08 Career Mentor Scientific Development award which provides funding for genomic salivary analysis on premature infants to noninvasively monitor their development, assess feeding tolerance, and attempt to identify novel biomarkers associated with unique disease processes in this vulnerable patient population. She has presented her work at numerous national and international conferences and has authored several papers, a review article and a book chapter since the start of her fellowship at Tufts Medical Center. 

Philip Pan, MD was a neonatal-perinatal fellow from 2001 to 2004. He is now the associate director of neonatology at Bellevue Woman's Center a level 2+ NICU in Schenectady, NY and an assistant clinical professor in neonatology at Albany Medical Center the regional perinatal level 3 NICU in Albany, NY. Dr. Pan’s interests include primarily clinical neonatology and genetic disorders and administrative duties including billing, coding, and statistics. His practices are actively involved in resident training and nursing education. At Tufts, Dr. Pan worked with Dr. Diana Bianchi studying serum cff-DNA in IVF-conceived pregnancies. cff-DNA appeared to be independent of other traditional serum screening markers and may be used as an additional marker for risk assessment of fetal Down syndrome.

Patoula G. Panagos, MD was a Newborn Medicine fellow from 2011-2014. 

Together with colleagues from the ELGAN study, Kristi Washburn-Tolsma explored whether early or late and presumed or definite neonatal bacteremia are associated with an increased risk of severe retinopathy of prematurity (ROP). She analyzed data from 1059 infants born before week 28 of gestation and found that definite late neonatal bacteremia seems to be an independent risk factor for prethreshold/threshold ROP and plus disease, and presumed late bacteremia seems to be related to prethreshold/threshold ROP. The resulting paper was published in the prestigious journal ARCHIVES OF OPHTHALMOLOGY and selected as one of the highlighted papers in the month of December 2011.

Why Choose Tufts Medical Center?

Fellows complete their training at Tufts Medical Center, a world-class academic medical center located in Boston and the principal teaching hospital for Tufts University School of Medicine. It also sponsors nineteen specialty ACGME-accredited clinical training programs.

Tufts Medical Center is a 415-bed robust organization, providing everything from routine medical care to treating the most complex diseases affecting adults and children. Tufts Medical Center is also home to the Floating Hospital for Children, a full-service children's hospital dedicated exclusively to all levels of pediatric care.

Tufts Medical Center provides heart, kidney and bone marrow transplants, is a level I trauma center, provides comprehensive neurological and neurosurgical care, and offers cutting-edge cancer treatments. Tufts Medical Center is also home to The Boston Gamma Knife Center, the first and only Gamma Knife Center in Massachusetts and northern New England.

Contact Us

To learn more, contact:

Christiane E.L. Dammann, MD
Director, Neonatal-Perinatal Fellowship Program
email: cdammann@tuftsmedicalcenter.org
 
Saima Aftab, MD
Associate Director, Neonatal-Perinatal Fellowship Program
email: SAftab@tuftsmedicalcenter.org

Lori Meady 
Fellowship Coordinator, Pediatrics
email: lmeady@tuftsmedicalcenter.org
 
Division of Newborn Medicine
Floating Hospital for Children

800 Washington Street
Tufts Medical Center, Box #44
Boston, MA 02111 USA
Phone: 617-636-5322
Fax: 617-636-1456