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.

The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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