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Following an orientation period, the first year of fellowship focuses on clinical experience and mentor selection. During this year the fellows rotate through the various NICUs, conduct rounds, and manage the care of newborns. Call is every fourth night while on service. Faculty and senior fellow advisors meet frequently with fellows and provide feedback and guidance.
While at the Brigham and Women's and Children's Hospital Boston, fellows also supervise and teach residents and interns.
Rotations at Children's provide experience in transport and in the co-management of surgical patients, whereas Beth Israel Deaconess and Brigham and Women's hospitals provide additional experience in perinatal management and delivery room care.
The second and third years emphasize a program in research training with an established mentor, and preparation of an individual fellowship training grant. In addition, electives are offered in cardiology, perinatology, and ECMO during the second and third years.
Numerous teaching conferences, journal clubs, and guest lectures are available. Fellows conduct many of the teaching conferences with faculty supervision. Fellows are encouraged to present their research and attend sponsored national conferences. A city-wide annual Newborn Medicine Research Symposium sponsored by the program provides the fellow in training with opportunities to meet colleagues at similar stages of training in other institutions, and to share their research.
Following successful completion of the three-year fellowship, trainees are encouraged to continue their research training with their established mentors for a period of two years as an attending neonatologist with a Harvard Medical School appointment. This phase of research maturation facilitates a successful transition to the status of independent investigator. This training curriculum reflects the philosophy that future success as an academic neonatologist requires an excellent clinical foundation and a progressive, individualized research training experience.
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