Curriculum: Year 1
Over the three year fellowship, each fellow will typically spend five months as the on-service fellow, five months as the night fellow, six months providing “back-up” to the NICU team, and one month as fellow in the pediatric cardiac intensive care unit. As a senior fellow, two months as “acting attending” in our associated Special Care Nursery at Rochester General Hospital, and one month as “acting attending” in the NICU, round out the clinical experience. Each fellow will also have at least 16 months of protected research time, with increased research time commensurate with an individual’s long-term career goals.
The primary objectives of the first year are to develop clinical skills and to identify research initiatives. Overall goals include:
Familiarity with the clinical management of the wide variety of acute and chronic neonatal illnesses
Exposure to advanced technical skills necessary for neonatal care
Development of supervisory, leadership and teaching techniques
Enhancement of interpersonal and leadership skills necessary for the day-to-day management of a Level IV NICU and supported obstetrical delivery service
Certification in the Neonatal Resuscitation Program as a provider and instructor
Exploration of research opportunities and identification of project(s)
Orientation (2-3 weeks total)
Our orientation introduces program expectations, basic ventilator management, neonatal transport management, neonatal resuscitation, simulation training of common procedures and technical skills, on-going clinical research studies, and other basic functional elements for the fellows.
NICU Clinical Care
Under the direction of the neonatology attending, the primarily responsibility is to learn the management of patient care teams in the NICU. Fellows learn to manage daily intake and work rounds, direct clinical care, and begin to teach. They assist and supervise pediatric and medicine-pediatric residents and nurse practitioners with patient care, taking a primary role with new admissions, very sick patients, and emergency situations in labor and delivery. Fellows learn how to perform prenatal consultations and how to approach families for consent for clinical research studies.
Clinical Support and Continuing Care Rotation
Fellows in this rotation provide technical support for the NICU on-service fellow, attend the Infant Toddler Development Program, manage complex neonatal transports of acutely ill infants, and prepare and present Fellows’ Conference. Fellows also attend Perinatal Management Rounds and Prenatal Diagnosis Committee, conferences with the Division of Maternal-Fetal Medicine (MFM). Toward the end of the first year, each fellow is encouraged to take responsibility for one quality assessment/improvement project related to the NICU that often begins as a Fellows' Conference topic presentation.
First year fellows begin discussing research and scholarly interests, potential mentors, and project areas with the fellowship director within the first three months of training. Research mentors and Scholarship Oversight Committees (SOC) are identified within six months, although the mentors and composition of the SOC will be refined as the scholarly project areas become better defined. By the end of the first year, each fellow will have presented their project to the neonatology group and will be well positioned to further develop their project. Research education is tailored to each fellow’s past experience, needs, and interests.
Vacation (4 weeks)