Curriculum: Year 2
During the second year, clinical and teaching skills are enhanced, and additional emphasis is placed on research.
Research education is further highlighted in the second year. Fellows will have identified and developed research projects by the end of their first year to the point of presentation of concepts and protocols to faculty and fellows. Active data collection or work on their eventual academic product will have begun. Frequent (weekly or bi-weekly) meetings with research mentors are encouraged. Many fellows are presenting their work at national meetings by the end of second year.
NICU Clinical Care
Fellows serve as the “on-service fellow” in the NICU at the Golisano Children’s Hospital, assuming primary patient care responsibilities as in the first year, though generally requiring less direct oversight from the attending neonatologist.
Acting SCN Attending
Fellows serve as the “acting-attending” in the Rochester General Hospital Special Care Nursery (RGH SCN – level II facility). Under the supervision of a neonatology faculty member, the fellow is responsible for rounding with house-staff on a daily basis, providing bedside teaching, and giving formal didactic rounds 2-3 times a week. The acting-attending has graduated responsibility for patient care and communication with families and other physicians, and begins to take on some of the administrative functions of an attending neonatologist; this includes billing, admission and daily patient notes, and patient database management.
Neonatal Cardiac Care
4 weeks, total*
In order to obtain additional experience with significant congenital heart disease, fellows join the pediatric cardiothoracic surgery team. They attend patient care conferences with the CT surgeon and cardiologists, may be present in the operating room during surgery, and follow the patient’s course postoperatively in the Pediatric Cardiac Intensive Care Unit.
*May be completed in 2nd and/or 3rd Fellowship year
Clinical Support and Continuing Care Rotation
Fellows in this rotation provide technical support for the NICU on-service fellow, attend the NICU Continuing Care Clinic, manage complex neonatal transports of acutely ill infants, prepare and present Fellows' Conference, a weekly clinical conference presented by the fellows, for the continuing medical education of the fellows and clinical faculty. The format varies in order to give the presenting fellows opportunities to develop different types of presentations and critical reviews. Topics include case presentations with review of care, problem-oriented topic conferences, literature reviews, quality assessment/quality improvement reviews, and presentations of proposed research protocols by fellow or faculty. Each fellow will also present a conference summarizing follow-up data obtained through the Neonatal Continuing Care Program, highlighting a particular area of interest.
4 weeks, total