The objectives of the Neonatal-Perinatal Medicine Fellowship curriculum vary by year, commensurate with the experience fellows have gained. Fellows increase their knowledge-base in the first year and participate in management of the team by the third year. Neonatologists who train at Indiana University School of Medicine are prepared to manage any neonatal problem.
Clinical Training Facilities
Fellows rotate through various clinical settings, including a comprehensive Level IV NICU in a referral center, Level III NICUs that care for neonates with more common neonatal problems, a county hospital Level II NICU serving the vulnerable population, and private practice NICUs—all associated with IU School of Medicine. While working in the NICU, fellows supervise pediatric residents and medical students, manage patients on Extracorporeal Membrane Oxygenation and attend high-risk deliveries.
Integral to the fellowship training program is fellows’ on-call responsibilities. While on call, fellows supervise pediatric residents, medical students and neonatal nurse practitioners in the NICU, manage patients on Extracorporeal Membrane Oxygenation, and attend high-risk deliveries. Fellows are on call an average of every sixth night throughout the three years of training. An attending physician is on call with the fellow and is readily available for consultation as needed.
First-year fellows are encouraged to explore research opportunities and, by midyear, choose a research project, mentor and scholarship oversight committee.
Second-year fellows have decreased inpatient clinical service, opening time to devote to the scholarly project. Although the amount of time devoted to clinical activities decreases during the second year, the clinical experience broadens to include a rotation in the cardiovascular intensive care unit and a maternal-fetal medicine rotation. During the second year of fellowship, fellows choose a quality improvement project that they continue to develop during the third year.
The clinical experience during the third year of fellowship is individually designed based on the fellow’s personal and professional goals. Given the breadth of clinical, educational and basic science research opportunities at IU School of Medicine, neonatology fellows choose a career track at the end of their second year of fellowship. Fellows are asked to reflect on their personal and professional goals and choose from the following tracks: Physician Scientist, Clinician Educator, Clinical Scholar.
A personalized third-year curriculum is designed based on the fellow’s career track and individual goals. Clinician educators and Clinical scholars may choose to do electives during their third year in Developmental Pediatrics, Perinatology, Infant ICU, Cardiovascular ICU or other subspecialty areas. Fellows completing three years of training in the research pathway may elect to complete post-fellowship extra-mural funded research under the guidance of the research mentor.
|First Year||Second Year||Third Year|
|Weeks of Clinical Service||18||10||Physician Scientists: 9|
Clinician Educators: 18
Clinical Scholars: 24
|Clinical Emphasis||Increase knowledge-base and clinical skills||Improve teaching skills||Leadership and management|
|Research Project||Choose research project, mentor and scholarship oversight committee||Decreased clinical service with time to devote to research project; choose academic track at the end of the year||Complete scholarly activity with manuscript submission|
|Quality Improvement Project||Choose a project||Complete QI project|