Neonatal-Perinatal Fellowship Training Program
Goals and Objectives
The goal of the training program in Neonatal-Perinatal Medicine at UCLA is to provide fellows with instruction and evaluation in competencies that include: Patient care, medical knowledge, professionalism, system-based practice, practice-based learning and improvement and interpersonal and communication skills. Fellows will learn the fundamentals of clinical diagnosis and management of problems related to the health and well being of the fetus and neonate. Fellows will develop competence in the management of critically ill neonates which include techniques of neonatal resuscitation, venous and arterial access, endotracheal intubation, preparation for transport, the actual transport of critically ill infants, ventilatory and cardiovascular support, continuous monitoring, temperature control, nutritional support, and general principles of critical care. The curriculum in Neonatal-Perinatal Medicine at our institution reflects our commitment to provide the community of pediatrics with academic neonatologists who can render high quality clinical care, perform significant laboratory and/or clinical research, and teach effectively. Our philosophy is to:
- Teach clinical medicine stressing physiologic principles for every diagnostic and therapeutic decision.
- Integrate basic science teaching into clinical instruction.
- Teach the basis for scientific investigation, study design, and the analysis and reporting of study results.
- Provide opportunities to participate effectively in curriculum development, delivery of information, provision of feedback to learners, and assessment of educational outcomes.
The fellows are expected to participate in assigned clinical rotations, attend and present at didactic sessions designed to provide a breadth of knowledge in clinical neonatology, and in the physiological principles and basis of diagnosis and management, prospectively collect data on patients (mortality and morbidity statistics), analyze and present them, receive instruction in how to undertake research and participate in significant research that will translate into reporting of findings at scientific meetings and in peer reviewed journals and the submission of a grant application.
The objectives of the program are:
- To provide the clinical experiences and educational opportunities necessary to build a solid foundation of medical knowledge, critical thinking abilities, literature review skills, diagnostic acumen, technical skills, and develop sound clinical judgment.
- To provide the research training and experience needed for trainees to develop careers as physician scientists.
- To train well-rounded, empathetic clinicians who will continue to develop skills in communication with and counseling of families.
- To motivate fellows and impart the skills needed for them to become lifelong learners and teachers, and for them to develop leadership skills and work effectively with team members.
- To impart to the fellows a sense of responsibility to act as advocates for the health of new born infants and families within our society.
- To expose the fellows to the concept of hypothesis-driven research and encourage them to become active members of the profession’s national societies.
- To prepare future Neonatologists for ongoing changes in the health care system including managed care, limitations on resource utilization, and the appropriate use of other subspecialists, non-physician ancillary referrals and referral centers.
- To prepare the fellows to practice culturally competent medical care for a diverse population in Los Angeles.
- To teach professionalism by mentorship, validating the critical roles of personal ethics, responsibility, respect, compassion, communication, and self-awareness.
- To provide training in an environment of respect and support, recognizing that fellowship training is a difficult and challenging time in one’s personal and professional life.
Components of the training include:
- Clinical care (direct and consultative, inpatient and outpatient).
- A core curriculum in Neonatal medicine, physiology, and related sciences.
- A core curriculum in teaching and scholarly activities.
- Laboratory or translational research experience, under the supervision of a mentor and scholarship oversight committee.
Clinical training goals:
- Fellows are expected to develop competence in the recognition, diagnostic evaluation, and management of a broad spectrum of neonatal disorders, as outlined by the American Board of Pediatrics requirements for subspecialty certification in Neonatal-Perinatal Medicine.
- Fellows are expected to develop competence in the use of appropriate ventilation strategies, inhaled NO and ECMO for management of critically ill neonates. In addition, they are expected to gain competence in delivering appropriate nutritional approaches, in thermoregulation, cardiovascular principles, and other diagnostic and management skills.
Fellows will receive training and become skilled in all procedures.
- Patient care: Provide family centered patient care that is developmentally and acuity-appropriate, compassionate, and effective for the treatment of health problems concerning the critically ill state and the promotion of health.
- Medical knowledge: Understand the scope of established and evolving biomedical, clinical, epidemiological and social behavioral knowledge needed by a neonatologist; demonstrate the ability to acquire, critically interpret and apply this knowledge in patient care.
- Practice-based Learning and Improvement: Demonstrate knowledge, skills and attitudes needed for continuous self-assessment, using scientific methods and evidence to investigate, evaluate, and improve one’s patient care practice.
- Interpersonal and Communication skills: Demonstrate interpersonal and communication skills that result in information exchange and partnering with parents of patients, their families and professional associates.
- Professionalism: Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity.
- System-Based Practice: Understand how to practice quality health care and advocate for patients within the context of the health care system.
- Teaching: Trainees will be expected to learn skills that enable them to participate effectively in curriculum development, delivery of information, provision of feedback to learners, and assessment of educational outcomes. Graduates should be effective in teaching both individuals and groups of learners in clinical settings, classrooms, lectures, and seminars, and also via electronic and print modalities. The fellows will gain this experience as teachers in the NICU and in a classroom setting by teaching residents and medical students. In addition, fellows are presenters at the neonatal conferences which form the basis of their core curriculum.
- Scholarly Activity: Fellows are expected to engage in specific areas of scholarly activity to allow acquisition of skills in the critical analysis of the work of others; to assimilate new knowledge, concepts, and techniques related to the field of one’s practice; to formulate clear and testable questions from a body of information/data. All fellows are expected to engage in projects in which they develop hypotheses or in projects of substantive scholarly exploration and analysis that require critical thinking. Areas in which scholarly activity may be pursued include, but are not limited to: basic, clinical, or translational biomedicine; health services; quality improvement; bioethics; education; and public policy.