Neonatal-Perinatal Fellowship
Curriculum

Clinical Training

During their 3 years of training, fellows spend a total of 56 weeks on clinical service: 46 weeks on rotations in the two teaching hospital NICUs (Seattle Children’s Hospital & University of Washington Medical Center); 8 weeks on clinical services including perinatology, cardiac ICU, and pediatric surgery; and 2 weeks in one of the division's community hospital NICUs. Fellows also attend NICU follow-up clinic 8 half days each year. Clinical rotations are generally 2 to 4 weeks duration and nearly half of these rotations (24 weeks) are scheduled in the first year. Night call is in-house at both hospitals and averages approximately 50 nights per year. During the first year, fellows focus on expanding their clinical knowledge base and skills. They participate as learners and then teachers in procedural skills labs, and they are required to take an ECMO training course. In the second year, in addition to continuing their life-long learning, fellows begin the transition from trainee to attending neonatologist, developing higher-level patient management and team leadership skills. In the third year, they complete this transition, including learning the administrative roles of the attending physician through "pre-tending" experiences. All fellows are expected to complete a quality improvement project and a project which requires them to use our clinical database. They also participate in the development of clinical care guidelines and are expected to "own" one set of guidelines during their training.

Fellowship training in Neonatology at the University of Washington includes the following rotations:

  1. University of Washington Neonatal Intensive Care Unit (UWMC NICU). Fellows spend approximately half of their NICU time in the UWMC NICU, which specializes in the care of the preterm infant, most of whom are inborn. Fellows gain delivery room experience (including the initial management of congenital anomalies such as abdominal wall defects, congenital heart disease, and diaphragmatic hernias) and mastery of care of preterm infants. They also participate in prenatal consults.
  2. Seattle Children’s Hospital Neonatal Intensive Care Unit (SCH NICU). Fellows spend approximately half of their NICU time in the SCH NICU, a quaternary referral center for a 4-state area (Washington, Alaska, Montana and Idaho). Fellows participate in the care of newborns with respiratory distress, neurologic diseases, inborn errors of metabolism, congenital heart disease, and complex congenital anomalies including surgical problems.
  3. Perinatology. First year fellows spend two weeks on Maternal-Fetal Medicine at University of Washington Medical Center. This rotation provides exposure to the many high risk OB clinics and insight into high risk obstetrical care.
  4. Pediatric Surgery. During their first or second year, fellows rotate for two weeks with the Pediatric Surgery team at SCH. This rotation provides insight into pre and post-operative care of neonatal surgical disease.
  5. Cardiac Intensive Care Unit. During their first and second years, fellows spend a total of 4 weeks on a cardiac intensive care rotation at SCH. The experience includes both pre and post-operative cardiac ICU care.
  6. Providence Regional Medical Center Everett Neonatal Intensive Care Unit (PRMCE NICU). Senior fellows have the opportunity to participate for 2 weeks in neonatal intensive care at one of the division's community sites for both exposure and a "subattending" experience.
  7. Follow-Up Clinic. Follow-up clinic designed specifically for NICU graduates is scheduled one day per week. Fellows participate in 8 half-day clinics per year. Time is spent participating in the medical, OT/PT, and psychological assessment of these infants at the corrected ages of 4 months, 8 months, 1 year, 2 years, 4.5 year, and 7 years old, with the goal of following longitudinally patients cared for in the NICU.

SAMPLE CLINICAL SCHEDULE

Year NICU Selectives Call Vacation
First 24 weeks
(12 at UW, 12 at SCH)
2 weeks perinatology
2 weeks CICU
54 nights
(25 at UW, 29 at SCH)
3 weeks
Second 10 weeks
(6 at UW, 4 at SCH)
2 weeks CICU

2 weeks peds surgery
50 nights
(23 at UW, 27 at SCH)
3 weeks
Third 12 weeks
(6 at UW, 6 at SCH)
2 weeks PRMCE 46 nights
(21 at UW, 25 at SCH)
3 weeks
Total 46 weeks
(24 at UW, 22 at SCH)
10 weeks 150 nights
(69 at UW, 81 at SCH)
9 weeks

Seminars, conferences, and courses

Fellows attend weekly Core Curriculum conferences including weekly Fellow Conference, Journal Club and M & M, as well as to co-lead joint clinical conferences with pediatric surgery and perinatology. Fellows also attend courses in the Seattle Children’s Fellows’ College, which offers a core educational curriculum and career development services for postgraduate fellows in all pediatric medical and surgical programs at Seattle Children’s.

Neonatal neuroscience research projects span the disciplines of basic, translational and clinical research. Our research includes the development and use of clinically-relevant animal models to investigate new approaches to protect the brain of high-risk neonates. Research also focuses on developing and testing the efficacy of neuroprotective strategies and determining mechanisms by which they function. Additional research goals are to determine mechanisms by which neurodevelopment is impaired by stress and/or drugs used to treat stress in the neonatal period and to determine biologic correlates to MRI.

Board Pass Rate

In the past 5 years, graduates from our program have had a 100% first-take pass rate on their boards, placing our fellowship among the top programs in the country.

Added Benefits

  • Fellows receive a 3 years subscription to NeoReviewsPlus
  • Every fellow receives a Professional Development Fund of $350 per year
  • Fellows are reimbursed for state medical license fees, and required certifications
  • Every fellow receives a home call stipend and a transportation allowance
  • Fellows have the opportunity to moonlight in the NICU during their 2nd and 3rd years of training