The objectives of the program are to allow the trainee to
- Professional competence in the clinical care of the
critically ill newborn.
- Skill in the design and conduct of clinical and basic science
- Excellence in teaching
The program emphasizes the fundamentals of clinical diagnosis and
management of problems seen in the continuum of development from
the prenatal through the intrapartum and neonatal periods,
including assessment of outcomes. There are ample opportunities
for clinical and basic science research. A special effort is made
to help fellows acquire and practice formal teaching skills.
Graduates of the program will be well prepared for an academic as
well as clinical career.
The first year of training involves approximately 5 months of
clinical time in the NICU working closely with the attending
neonatologist. Fellows gain experience in the assessment of
high-risk pregnancies, antenatal consults, delivery room care and
resuscitation, transportation of the critically ill neonate by
ambulance or helicopter, all aspects of care of extremely low
birth weight infants, and high technology therapy such as High
Frequency Ventilation (Jet and Oscillator), ECMO (extracorporeal
membrane oxygenation), Nitric Oxide therapy and Whole Body
Cooling for neonatal hypoxic ischemic encephalopathy. They
supervise and perform a variety of procedures including umbilical
venous and arterial catheterization, insertion of peripheral
arterial catheters, percutaneous central venous catheters, and
thoracostomy tubes. They supervise residents and work with nurse
practitioners during their clinical rotations.
During a 2 week
rotation in Maternal Fetal Medicine (MFM) Service, NPM fellows
learn assessment of high risk pregnancies by, antenatal testing,
genetic amniocentesis and fetal ultrasonography. Fellows provide
consultations for high-risk obstetrical patients, discuss
management of high-risk deliveries and fetal monitoring, and
participate in Perinatal-Neonatal conferences throughout the 3
years of fellowship. They attend 16 High-Risk Follow up and 4
Developmental Outpatient clinic sessions, in order to learn the
outpatient management of NICU graduates. The balance of their
time in the first year is spent on Research and Scholarly
activity, learning the essentials of study design and statistics.
They are encouraged to develop their own projects under the
guidance of the research mentor. They participate in all
departmental and divisional teaching activities.
The second year of training includes approximately 4 months of
clinical service in the NICU where the Fellow further refines
his/her clinical and supervisory skills. Fellows continue to
participate in outpatient High-Risk and Developmental follow-up
clinic. Pediatric Cardiology/Cardiovascular surgery training is
provided by a 4 week rotation in the second or third year. There
is increased emphasis on research during the second year with
time spent in laboratory or clinical research. Close involvement
with research mentors during this time is essential in ensuring
appropriate progress toward the goal of a completed research
project leading to a peer reviewed publication by the end of the
period of training.
The third year is primarily devoted to research with 3 months of
NICU inpatient service, and 1 month of High Risk
outpatient/developmental follow-up. The research time in the
second and third year are tailored to the individual needs and
goals of the Fellow depending on the type of research preference.
There are opportunities for clinical and basic science research
at the Georgetown University Medical Center and at the National
Institutes of Health.