Our neonatology subspecialty training program provides experience and instruction to enable the neonatal-perinatal residents to develop special competence in the management of critically ill neonates. In addition to the general principles of critical care, this includes (but is not limited to) techniques of neonatal resuscitation, venous and arterial access, endotracheal intubation, preparation for transport, ventilatory support, continuous monitoring, temperature control, and nutritional support. The program also provides instruction in the psychosocial implications of disorders of the fetus, neonate, and young infant, as well as in the family dynamics surrounding the birth and care of a sick neonate. Residents are also involved in a regional program that includes outreach education, patient consultation, and transport of ill neonates.
The educational goals of this program include:
- To expose residents to the assessment, diagnosis, differential diagnosis, treatment and management of neonates with surgical and/or multi-organ disorders;
- To teach residents the management of transported patients, long-term nutritional support, and extracorporeal membrane oxygenation;
- To teach residents the management of pre-operative, surgical and post-operative care.
Each resident is taught to identify high-risk pregnancy and becomes familiar with the methods used to evaluate fetal well being and maturation. Residents also become familiar with factors that may compromise the fetus during the intrapartum period and recognize the signs of fetal distress. In addition, each resident participates in the longitudinal follow-up of high-risk neonates.