Neonatal ICU. Interns and residents 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 up to 16 neonates, and two intermediate care pods. At the BWH NICU, four interns are divided into two teams, with two interns assigned to 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 is comprised of a 15-bed NICU and a 6-bed intermediate care NICU. The BMC NICU team consists of the attending, one senior resident, one 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. At both sites neonatal attendings are present in house 24 hours per day and provide supervision and teaching. Residents participate in a comprehensive educational curriculum including daily lectures by attending neonatologists covering common neonatal problems, such as respiratory distress syndrome, necrotizing enterocolitis, hyperbilirubinemia of the newborn and neonatal nutrition. All residents are trained in the Neonatal Resuscitation Program during orientation and then complete their certification during their Pl-1 year.
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PL-1 year: Newborn Nursery. Interns rotate on either the well newborn hospitalist service at Brigham and Women's Hospital or the Birth Place Newborn Care Service at Boston Medical Center. Interns are responsible for the evaluation and management of healthy newborns with the help of nurses and lactation specialists, and under the guidance of an attending pediatrician. Interns also attend didactic lectures, discussion sessions and demonstrations that focus on care of the newborn.
