Overview of Neonatal-Perinatal Medicine Fellowship
Medical Leadership Opportunities | Diverse Clinical Experiences | Postdoctoral Fellowships l Other Opportunities l
Cincinnati Children's Hospital Medical Center is a nationally recognized, free-standing 423-bed, pediatric quaternary referral center serving Southern Ohio, Northern Kentucky and Eastern Indiana. We are also recognized as a leader in pediatric health care and currently ranked among top ten children's hospitals by U.S. News and World Report.
Cincinnati Children's is located across the street from the University of Cincinnati College of Medicine. All faculty members from Cincinnati Children's have academic appointments through the university.
The Divisions of Neonatology and Pulmonary Biology at Cincinnati Children's Hospital Medical Center have joined forces in offering a three-year fellowship in Neonatal-Perinatal Medicine.
Trainees learn the general principles of neonatal critical care, as well as care skills that include:
- Neonatal resuscitation
- Venous and arterial access
- Endotracheal intubation
- Stabilization for transport
- Ventilatory support
- Monitoring
- Temperature control
- Nutritional support
- ECMO management
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Medical leadership opportunities
The Division of Neonatology at Cincinnati Children's provides clinical coverage for three Cincinnati area Level III Newborn Intensive Care Units and seven Level II Special Care Nurseries. The division provides medical leadership for all 10 nurseries and works collaboratively with local physicians and advanced practice nurses to significantly decrease neonatal mortality in the region.
When requested and / or for unassigned pediatrician births, division physicians also manage a growing volume of normal newborn care at nine Cincinnati area hospitals. The Division of Neonatology provides:
- Consultation and care as requested by obstetricians, perinatologists and pediatricians
- Emergency and continuing care for high-risk pregnancies
Physicians also attend high risk births and provide 24-hour care for premature and critically ill newborns and infants (including a critical care transport team and Extracorporeal Membrane Oxygenation, or ECMO).
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Diverse clinical experiences
Clinical rotations
The fellowship program provides diverse clinical experiences, as well as instruction in the psychosocial dynamics surrounding the birth and care of a sick neonate. Fellows participate in clinical rotations in three different intensive care nurseries in Cincinnati.
Fellows are given the opportunity to participate in sub-specialized care programs, including congenital diaphragmatic hernia and fetal care.
Neonatal transports
Throughout fellowship training, neonatal fellows are involved in the care of critically ill neonates transported to and from Cincinnati Children's. There are approximately 500 neonatal transports per year. Neonatal fellows go with the Transport Team for 20-25% of those transports to care for the sickest infants.
Clinics
Follow-up clinics at Cincinnati Children's and Good Samaritan Hospital, staffed by Division of Neonatology physicians, care for babies who have ongoing and often complex medical and developmental needs. These clinics also serve as a resource for primary care physicians in the community who assume the management of these infants. Each fellow participates in this longitudinal follow-up of high-risk neonates throughout the three years of training.
Teaching opportunities
Teaching opportunities are available to fellows in several venues. Both inpatient and outpatient experiences expose fellows to medical students and house staff who require neonatal education.
Fellows attend and present topics of interest at weekly Neonatal Grand Rounds and regularly scheduled Morbidity and Mortality conferences. They also prepare their original research findings for national presentations as well as seminars at Cincinnati Children's.
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Postdoctoral fellowships
Some graduating fellows have also completed postdoctoral fellowships in the Procter Scholar Program, where physician scientists can obtain substantial additional exposure and experience in a basic science laboratory.
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Other opportunities
Cincinnati Children's is one of the 16 sites for the NICHD Neonatal Research Network, internationally recognized for findings that have led to significant advances in the clinical care of patients. The division also participates in the Vermont Oxford Network, measuring comparative clinical outcomes internationally.
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