Neonatal-Perinatal Fellowship

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 time on Maternal-Fetal Medicine at University of Washington Medical Center and the Seattle Children's Prenatal Diagnosis and Treatment Program. This rotation provides exposure to the many high risk OB clinics and insight into high risk obstetrical care as well as opportunities to learn how to provide prenatal counseling to families expecting infants with congenital malformations.
  4. Cardiac Intensive Care Unit.During their first and second years, fellows spend time on a cardiac intensive care rotation at SCH. The experience includes both pre and post-operative cardiac ICU care. Infants with cardiac disease complicated by prematurity or significant non-cardiac anomalies are co-managed by the CICU and NICU.  
  5. Community Neonatology: Providence Regional Medical Center Everett Neonatal Intensive Care Unit (PRMCE NICU) and Valley Medical Center Neonatal Intensive Care Unit (VMC NICU). Senior fellows have the opportunity to participate for 2 weeks in neonatal intensive care at one of the division's community sites.
  6. NICU Neurodevelopmental Follow-Up: [unbold] First year fellows will do 2 visits to the Infant Development Follow-up Clinic (IDFC) to understand the role and importance of Audiology, PT/OT, Psychology, Nutrition/dietary, and Social work in NICU follow up. They will have the opportunity to learn about how how each service performs their assessments. In the second year, fellows participate in a 1 week developmental rotation (interdisciplinary rotation with inpatient support services, Neuro, Developmental-Behavioral Peds, Early Intervention) as well as 2 clinical days at IDFC.  The focus of the 3rd year is to learn interdisciplinary developmental assessments and treatments while practicing your skills & preparing for independence. To meet this goal, 3rd year fellows will complete 6 days in IDFC. Interested fellows are welcome to complete additional training and clinical rotations in IDFU or participate in developmental research projects with the IDFC faculty. 

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