Our educational curriculum in NPM is learner centered; the fellows have an active role in shaping the design and implementation each year. 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.
Didactic teaching and lectures include:
- Scientific Basis of Neonatology: a weekly neonatology review given by the faculty with a focus on evidence-based medicine and board review. This lecture series follows a neonatal text and also incorporates topics pertinent to NICU follow-up.
- Morbidity and Mortality Conference: a monthly quality review of morbidity and mortality cases from our practice to identify systems issues in need of improvment
- Ethics Rounds: a monthly conference where fellows present ethically challenging cases to our ethicist for discussion and review
- Evidence-based Journal Club: a monthly conference for the Division of NPM where the fellows present a recent journal article to challenge current clinical practice
- Cardiology Morbidity and Mortality Conference: a monthly conference to discuss management of neonates with congenital heart disease and cardiac issues.
- Neonatal-Perinatal Conference: a monthly conference where perinatal cases are reviewed and faculty and fellows from high-risk Obstetrics and Neonatology discuss clinical and management plans for upcoming deliveries
- Resuscitation Conference: a monthly conference designed to review difficult resuscitations in the delivery room, review the principles of neonatal resuscitation, and develop and promote interprofessional education and teamwork
- Oregon Neonatal Seminar Series: A monthly conference where expert researchers and clinicians are invited to present current controversies in neonatology in a statewide forum
- Fetal Therapy Conference: Held weekly and brings together an interprofessional 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, echos and MRIs, and determine optimal management strategies.”
In addition to the lecture and conference listed above, we have comprehensive training in the research education requisite to a successful career in academic neonatology. The Human Investigations Program (HIP) at OHSU, a curriculum resulting in a Certificate in Human Investigations or Master of Clinical Research degree, is designed to meet the growing need for clinical and translational investigators. A non-degree track allows enrollment in individual courses. With increased knowledge of the basic science of disease, clinical and translational scientists can translate these concepts from the bench to the bedside and to the community. HIP at OHSU is supported by the Oregon Clinical and Translational Research Institute (OCTRI) funded through the National Center of Research Resources and is sponsored by the School of Medicine, the Portland Veterans Affairs Medical Center and by divisions and departments at OHSU.
We have a comprehensive simulation-based training program in neonatal resuscitation where fellows develop expertise in the technical, cognitive, and behavioral skills necessary for effective neonatal resuscitation. The fellows also develop skills for teaching using simulation including scenario development and debriefing. We use both in situ simulation in the DNCC and we hold courses at the Simulation & Clinical Learning Center at the Oregon Health & Science University (OHSU). The SCLC was developed through the collaborative vision of the OHSU Schools of Medicine and Nursing. Our high-fidelity learning environments feature state-of the-art manikins, equipment, and the use of standardized patients to create innovative and meaningful experiential learning experiences. Our internationally renowned faculty and partners collaborate to implement simulation throughout our curriculum. We collaborate across the academic institutions, within the OHSU community and throughout the state of Oregon to provide high quality simulation training aimed towards improving patient care and enhancing safety in health care.
The Educational Curriculum for Follow-up Clinic:
The educational objectives of the Follow experiences are as follows:
Immediate: 1) To become competent in the following:
- Assessment and management of the post-hospital care of the NICU graduate.
- Assessment of growth of high-risk infants (micro-premies and ELBW infants, more mature prematurely born infants, SGA infants, infants with BPD, infants on prolonged TPN, post NEC, failure to thrive due to underlying medical illnesses etc.)
- Assessment of medical issues of infants born prematurely, term infants with congenital diseases or chronic diseases.
- Assessment of infants that leave NICU with unresolved issues such as a need for nutritional assistance (i.e., feeding by means of NG tube,) for respiratory support ranging from oxygenation through ventilation through a tracheostomy, and for maintenance of indwelling or external medical devices such as VP shunt, cardiorespiratory monitor, etc.
- Knowledge of outcome of various high-risk infant categories (gestational age, birthweight, intraventricular hemorrhage, NEC, ROP, asphyxia, prolonged mechanical ventilation etc.)
- Integration of the involvement of professionals from multiple medical specialties such as gastroenterologist, neurologist, rehabilitation specialists, nutritionists, orthopedic surgeon, physical, occupational and speech therapists, and psychological and social-services in the management of these infants with special health care needs.
- Assessment of immunization status for infants with chronic cardiorespiratory conditions including administration of palivizumab
- Assessment of family adjustment to caring for their high-risk infant at home
- After 3 years of training, the neonatology fellow will be prepared to discuss short term and long term risks, outcomes, and needs of infants upon discharge from the NICU.
- To develop neonatologists who effectively assess, predict, and counsel parents in the potential outcomes in high risk infants leaving the NICU in a manner that demonstrates compassion and awareness of impact on families and society.