The OHSU Neonatal-Perinatal Medicine Fellowship Program educational curriculum is robust and based on an in-depth knowledge of the science and literature underpinning neonatology. The experience is learner-centered; the fellows have an active role in shaping the design and implementation each year through continuous feedback. Through a competency-based, needs driven curriculum, we utilize didactic teaching, experiential learning, and simulation-based training to achieve the learning objectives set forth by the American Board of Pediatrics for NPM fellowship training.
Human Investigations Program (HIP)
The Human Investigations Program (HIP) is a unique and highly valuable resource for fellowship trainees at OHSU, and is supported by an NIH K30 grant. The HIP is a formal, expertly-taught two-year graduate program that fulfills all American Board of Pediatrics criteria for education in epidemiology and biostatisitics, as well as courses in research design, proposal development, and the integration of principles in molecular and cell biology, new pharmacology techniques, genomics and medical informatics into modern clinical, translational, and basic science research. The primary objective of HIP is to increase the competency of physician-scholars in the investigative process, and the coursework is directed toward young investigators and fellows.
The OHSU NPM Fellowship faculty take bedside and informal teaching to be an incredibly important component of a scholarly experience. One-on-one and small group teaching forms a core of the fellowship, and offers real-world learning opportunities that are irreplaceable.
Didactic and interactive learning opportunities
Fellows are expected to attend these learning sessions, and have the ability to attend remotely in addition to on-site.
Scientific basis of neonatology
A weekly neonatology review led by fellows and faculty with a focus on neonatal physiology, evidence-based medicine, seminal papers in neonatology, as well as discussion of board questions. This is a dialectic educational experience that incorporates readings from a neonatal text, seminal papers, and board review questions. Content is organized by organ system, is driven by objectives outlined by the American Board of Pediatrics, and is completed over the three years of training.
A weekly board review led by fellows with a format that consists of didactic sessions delivered by neonatology and non-neonatology faculty, or questions and learning from Brodsky and Martin.
A joint monthly conference between the Divisions of Neonatology and Maternal-Fetal Medicine involving didactic and dialect learning sessions, as well as discussions of perinatal cases, including clinical and management plans for upcoming deliveries.
Fetal therapy conference
Fetal therapy conference is a high-yield multidisciplinary conference held weekly. The conference brings together a multidisciplinary team of caregivers dedicated to developing comprehensive care plans for complex fetuses and their families. In this meeting, neonatologists, cardiologists, pediatrics surgeons, pediatric urologists, cardiothoracic surgeons, maternal-fetal medicine specialists, and radiologists review complex fetal cases, analyze ultrasounds, echocardiograms and MRIs to determine optimal management strategies.
Evidence-based journal club
Neonatologists must develop an ability to rapidly find, evaluate, and digest published reports to practice life-long evidence-based medicine. The monthly EB Journal Club is a venue for the presentation and in-depth analysis of classic, must-read papers interweaved with recent or current journal articles that challenge current clinical practice or scientific knowledge. Fellows and faculty learn the essentials of critical literature appraisal, identify strengths and weakness of the data, and interpret the meaning of the results as applied to their practice.
Critical care core physiology series
This physiology seminar, conducted in conjunction with the Divisions of Pediatric Critical Care, Cardiology, and Emergency Medicine, occurs monthly and reviews in detail essentials of physiology relevant to critical care.
Clinical consensus guidelines
Clinical Consensus Conference occurs biweekly, and forms the core of the quality improvement (QI) experience for fellows. Fellows, faculty, advanced practice providers, nursing, and other support professionals formulate practice changes and guidelines based on the latest evidence-based literature, with input from participants. Fellowship scholars are expected to lead some of these efforts, and to contribute to all aspects of the process.
Morbidity and mortality conference
A monthly quality review of morbidity and mortality cases from our practice to identify systems and/or practice issues in need of improvement or of particular educational value.
Research in progress
RIP is held monthly and is dedicated to reviewing current research progress, both within and outside of the Division of Neonatology. The series is designed to expose fellows to research at OHSU as well as to provide a venue for the presentation of their individual work as it progresses through their fellowship.
This meeting is focused on systems issues within the division, and while serving to conduct ongoing division business, serves to introduce fellows to the systems that underlie the practice of medicine.
Cardiology morbidity and mortality conference
A monthly conference to discuss management of neonates and pediatric patients with congenital heart disease and cardiac issues; this is a formal and productive review of difficult cardiac cases.
Conducted with fellow, faculty, transport team, and nursing leadership, simulation opportunities are arranged on an approximately bimonthly basis to review the principles of neonatal resuscitation, and to develop and promote interprofessional education and teamwork.
Oregon perinatal-neonatal network seminar series
A biweekly conference where expert clinicians and researchers from the majority of Level III/IV NICUs in the state of Oregon present current controversies in neonatology in a statewide forum.
For more information, please contact the program coordinator at 503-494-2613.