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 Program
  First Year, PL-1
  Second Year, PL-2
  Third Year, PL-3
  Night Call
 Rotation Descriptions
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Flower Newborn Care: Neonatal Intensive Care Unit, Newborn Nursery and Delivery Room
Resident holding newborn The normal newborn nursery rotation is offered at two sites: Boston Medical Center and Brigham and Women's Hospital (BWH).

PL-1 year: Newborn Nursery. Interns rotate on the well newborn hospitalist service at the BWH. The clinical team consists of the intern, the attending, one third-year Harvard Medical student (HMS III), and a nurse practitioner. Interns may also rotate on the Birth Place Newborn Care Service at Boston Medical Center. The clinical team at BMC consists of intern, an attending, two nurse practitioners, and Boston University medical students.

The rotation has clinical and educational components. Interns are responsible for monitoring patients and interacting with other team members and the attending pediatrician to create a plan of care. Interns are required to attend didactic lectures, discussion sessions and demonstrations during their rotation.

Image PL-1 year: Neonatal ICU. Interns also rotate through the NICU at Brigham and Women's Hospital (BWH) and Boston Medical Center. The BWH NICU is a 48-bed unit divided into two acute care pods, each with a census of 14-16, and two intermediate care pods. The four interns are divided into two teams, with each team responsible for the patients in one of the acute care pods. The interns are supervised by an attending neonatologist and by one of the 18 fellows in the Harvard Program in Neonatology. The NICU rotation at Boston Medical Center utilizes the 15-bed NICU and a 6-bed intermediate care NICU that is staffed by one neonatologist. The BMC NICU team consists of the attending, 1 senior resident, 1 junior resident and two interns.

In addition to caring for critically ill neonates, residents obtain extensive experience in the resuscitation and stabilization of newborns at high-risk deliveries. Neonatal attendings are present in house 24 hours per day and provide supervision and teaching. The NICU experience at BMC is augmented by managing infants with a variety of surgical problems. During their NICU rotations residents receive a comprehensive educational curriculum covering common neonatal problems, such as respiratory management, high frequency ventilation, ductus arteriosus, neonatal hematology, nutrition, necrotizing enterocolitis, and hyperbilirubinemia. This is presented in daily teaching sessions by attending physicians expert in each area. All residents are trained in Neonatal Resuscitation Program during orientation and then complete their certification during their Pl-1 year.

PL-2 year: Delivery Room. The focus of the junior NICU rotation is the development and honing of delivery room resuscitation skills, including the management of extremely premature infants and children with complex, prenatally diagnosed medical conditions. The junior resident is the first call for all deliveries that require the presence of the NICU team. Other duties include triage of newborns in the delivery rooms and the well baby nurseries, care of "feeders and growers" in one of the NICU pods and night coverage of the well baby nurseries for consultations and acute clinical issues.

Residents in both years pick up and follow newborns from their newborn rotations in their continuity clinic.

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