Division of Newborn Medicine Inpatient Clinical Rotations

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Site #1: Boston Children's Hospital –

The Boston Children's Hospital Neonatal Intensive Care Unit is a 24-bed Level IIIc neonatal unit with 665 admissions of outborn infants per year. A high proportion of patients have complex conditions requiring subspecialty medical or surgical care. Fellows work on a multidisciplinary team that includes both neonatology and surgical faculty. Neonatology faculty provide 24 hour on-site support. Fellows gain skills in management of high acuity medical and surgical patients, transport team management, communication with referral physicians, and supervision of a multi-disciplinary team.

Site #2: Brigham and Women’s Hospital 

The Brigham and Women's Hospital Neonatal Intensive Care Unit is a Level III unit with 48 licensed beds and 1275 inborn admissions annually. The population includes a broad spectrum of premature infants and infants with high-acuity conditions requiring subspecialty consultative care, such as congenital anomalies. Fellows work on a multidisciplinary team supervised by neonatology faculty who provide 24 hour on-site support. Fellows gain skills in delivery room management for both routine and high-risk deliveries, interaction with maternalfetal medicine faculty and fellows, antepartum consultation for congenital anomalies and borderline viability, communication with consulting physicians, and supervision of a multi-disciplinary team that includes Children's Hospital residents and interns.

Site #3: Beth Israel Deaconess Medical Center

The Beth Israel Deaconess Medical Center Neonatal Intensive Care Unit is a Level III neonatal unit with 40 licensed beds and 696 inborn admissions annually. The population includes a broad spectrum of premature infants and infants with high-acuity conditions requiring subspecialty consultative care, such as congenital anomalies. Fellows work on a multidisciplinary team supervised by neonatology faculty who provide 24 hour on-site support. Fellows gain skills in delivery room management for both routine and high-risk deliveries, interaction with maternal-fetal medicine faculty and fellows, antepartum consultation for congenital anomalies and borderline viability, care of intermediate-level patients, communication with consulting physicians, and supervision of a multi-disciplinary team.

Site #4: Massachusetts’s General Hospital

The Massachusetts General Hospital Neonatal Intensive Care Unit is a Level III neonatal unit with 31 licensed beds and 665 admissions of both inborn and outborn infants per year. A high proportion of patients have complex conditions requiring subspecialty medical or surgical care. Fellows work on a multidisciplinary team that includes both neonatology and surgical faculty. Neonatology faculty provide 24 hour onsite support. Fellows gain skills in management of high-acuity medical and surgical patients, transport team participation and management, communication with referral physicians, extracorporeal membrane oxygenation (ECMO) and supervision of a multi-disciplinary team.

Site #5: BCH CICU

Fellows have their most intensive involvement with cardiac and cardiothoracic surgery patients during a one-month rotation in the Boston Children's Hospital Cardiac Intensive Care Unit (CICU), where they learn from a high volume of critically ill patients who have the broadest possible range of cardiac diagnoses. Neonatology fellows are fully integrated with a CICU team that also includes both fellows and attendings in cardiology and cardiothoracic surgery. Neonatology trainees have the same primary responsibility for diagnostic and management decision-making as the cardiology fellows, and take CICU fellow night call during the rotation, where they are again supervised by attending cardiology intensivists.

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