Fellows in training are expected to remain in direct, active and close contact with patient care in order to become an authority in the subject. It is expected that the fellow will handle many problem cases. The fellow will have the opportunity to practice neonatology at a high standard, manage problem cases that cannot be handled outside an academic framework and have the opportunity to apply new techniques at the advancing edge of neonatal-perinatal medicine. HMC has an active transport service that is operated by nurse clinicians with neonatal fellows participating in the transport of critically ill neonates who require a more advanced level of expertise.
Day-to-day patient care of NICU patients assigned to the Pediatric Residents is, in part, supervised by the fellow in neonatal-perinatal medicine. The fellow on-service is called to attend and supervise the resuscitation deliveries, participate in the teaching of medical students and house staff and may help with difficult transports. During the course of the 3 year training program, the fellow will participate in at least 12 months of full time clinical work as the fellow on-service. Each fellow will rotate on the night and weekend call schedule, together with the senior pediatric residents and neonatal nurse practitioners.
The fellowship training program consists of 3 years. Trainees spend 4 months of each year on clinical service in the NICU. One month is allocated to vacation and the remainder of the year is applied to research. The evening on-call and weekend on-call schedule is spread evenly throughout the year. The fellow is on after-hours call between 5 and 6 nights a month. Call is on site in-house. The call is spread evenly throughout the year. Weekend days are regarded as after hour calls and are included in the 5 to 6 days a month. When fellows are on NICU service they do not take call for both weekend days. This insures the fellows have a monthly average of 1 day in 7 away from program duties. Trainees not on clinical service will attend follow-up clinic, Journal Club, ‘Executive Rounds’ (rounds with the neonatologists), Perinatal Conferences and Staff Meetings. Each of the 3 years is similarly structured in terms of the time allocated to research and clinical duties. The program allows for flexibility in scheduling to meet individual demands.