Patient Care Responsibilities
Since residents and interns rotate in the Children's Hospital NICU, the fellow has the opportunity to teach at the bedside both formally on rounds and informally throughout the day. Daily bedside rounds with discussions of every patient's problems are carried out with the faculty attending, fellows, residents, and sometimes include consultants and other subspecialty attendings. The fellow in the NICU assumes direct patient care responsibility. Fellows will also get an opportunity to teach neonatal resuscitation to pediatric interns and residents when attending high-risk deliveries at Froedtert Memorial Lutheran Hospital. Formal teaching also occurs on an ongoing basis in a series of conferences.
The clinical rotations will be spent in the NICU at Children's Hospital of Wisconsin. The NICU currently has a 43-bed capacity with an average daily census of 36-39 patients. During the clinical rotations, the fellows will attend all high-risk deliveries at Froedtert Memorial Lutheran Hospital. In addition, the fellows will be exposed to a comprehensive variety of neonatal problems and therapies including extremely low birth weight infants and infants requiring high frequency oscillatory ventilation and inhaled nitric oxide. The patient population consists of neonates with a wide range of clinical problems requiring the involvement of various consultants – surgery, cardiology, endocrine, genetics, neurology, neurosurgery, gastroenterology, urology, nephrology, infectious disease, hematology, etc. Fellows will be involved in the care of these neonates with the supervision and assistance of neonatologists and the respective sub specialists. In addition, newborn x-rays are reviewed daily with the pediatric radiologists. The trainee will get adequate experience in performing all procedures commonly employed in neonatology, e.g. endotracheal intubation, chest tube insertion, umbilical vessel catheterization, percutaneous arterial and venous puncture, as well as insertion of percutaneous intravenous catheters, lumbar punctures, etc.
Neonatal Developmental Follow-Up Clinic: All fellows will rotate through the Neonatal Developmental Follow-up Clinic. This will occur during all three years of the fellowship program. The fellows are required to attend the follow-up clinic two days per month when not on service in the NICU.
Clinical Electives: Depending on the individual fellow's needs and desires, elective rotations will be designed throughout the fellowship for additional exposure to areas of particular clinical interest to the fellow (e.g. rotation in PICU for ECMO experience, cardiology rotation with focus on neonatal echocardiography, radiology rotation with emphasis on neonatal ultrasounds and special procedures). Each elective is done for a period of one month and no more than one elective month may be requested for each subspecialty area.