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Neonatal Perinatal Fellowship

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Overview

The general objective of the Neonatal Program at Jackson Health System, in affiliation with the University of Miami Jackson Memorial Medical Center, is to provide well-balanced Neonatal/Perinatal training which will result in a combination of excellence in patient care skills, strong medical knowledge, good interpersonal and communication skills, professionalism, and strong skills in practice based learning and systems based practice.  The ultimate goal of the training program is to prepare competent neonatologists who can succeed in an academic career or become role models and leaders in clinical neonatology.

These objectives are primarily achieved through didactic teaching, supervised bedside clinical experience and active participation in clinical and/or basic research.

ACGME Accredited: Yes 
Residents or Fellows per year: Three 
Duration: Three years
Postgraduate Training Required: Yes  
U.S. Citizenship Required: No

Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

  • Robert Wood Johnson University Hospital, New Jersey
  • Mt. Sinai Hospital, New Jersey
  • Rochester University, New York
  • University of South Florida, Tampa
  • Alfred I. Dupont Hospital for Children, Wilmington, Delaware
  • UT Southwestern Medical Center, Dallas
  • University of Miami, Miller School of Medicine
  • University of ULM, Germany
  • Catholic University of Chile
  • University Hospital Austral, Argentina


Teaching Hospitals

 

  • Jackson Memorial Hospital
  • Jackson North Medical Center

Call

First year Fellowship: calls every fourth night
Second year Fellowship: calls every sixth night
Third year Fellowship: calls every seventh night

Requirements

  • M.D. (or D.O.) degree from accredited medical school
  • Complete Pediatric Residency-US accredited training program
  • License/ Valid ECFMG or USMLE certification for FMG’s
  • Fluent in English for FMG 
  • Three letters of recommendation from program directors, supervisors
  • Valid ECFMG 

Criteria for Interview

  • Complete application and documents 
  • Reputation of medical school
  • Reputation of pediatric residency program
  • Scores on qualifying examinations
  • Previous neonatal experience
  • Previous research experience
  • Letters of recommendation

Selection Criteria
Same as criteria for interview plus:

  • Motivation for neonatology
  • Motivation for academic medicine
  • Communication, openness, perception, personal interaction during interview
  • General pediatric and neonatal experience and knowledge
  • Research interest, area relevance
  • Motivation for applying to Jackson Memorial Hospital program
  • Plans after completing training program

Research
The primary goal is to give the fellow a body of scientific knowledge that can be applied to patient care and can allow critical evaluation of the scientific literature. The secondary goal is for the fellow to learn the basics of how to set up a research project, how to conduct clinical or translational experimentation, how to analyze and interpret the data and to acquire basic skills on how to present and publish the results.

Research Opportunities

  • Control of breathing pulmonary mechanics, pulmonary circulation, BPD and methods of respiratory support
  • Long term follow-up, growth and development, maternal substance abuse.
  • Effects of maternal drug abuse on the infants.
  • Molecular mechanisms of lung development, lung injury, oxygen toxicity.
  • Pulmonary hypertension, mesenchymal stem cells.
  • Perinatal epidemiology.

Clinical

Goal One
Perinatal Prevention. Understanding the morbidity in high risk pregnancies and complications of childbirth. The objective is to be familiar with a number of maternal complications which can impact the fetus and newborn.

Goal Two
Resuscitation and Stabilization. Understand how to resuscitate and stabilize a critically ill neonate. The objectives are to describe steps in resuscitation and stabilization, including equipment needed. The other object is to demonstrate efficient and effective resuscitation in mock codes and, if circumstances permit, under stress of actual codes

Goal Three
Common Signs and Symptoms. Understand how to evaluate and manage common signs and symptoms of disease in high risk newborns. This is done by performing appropriate assessments including inquiring about patient history, physical examination, initial diagnostic studies. The other objectives for this goal include formulating differential diagnosis with appropriate prioritization, as well as formulating and carrying out a plan for continuing assessment and management.
   
Goal Four
Common Conditions. Understand how to manage, under the supervision of a neonatologist, common diagnoses in infants in a Level II or III nursery. The objectives for the fellows are to describe the pathophysiologic basis of the disease process, describe initial assessment plans, and discuss key principles of the NICU management plan.

Goal Five
Diagnostic Testing. Understand how to use and interpret laboratory and imaging studies unique to the NICU setting. The objectives for the fellow are to order and interpret laboratory and imaging studies appropriate for NICU patients, including understanding of the differences in normal values with gestational age.
    
Goal Six
Monitoring and Therapeutic Modalities. Understand the application of physiologic monitoring and special technology applied to the care of the fetus and newborn. Fellows are expected to learn indications, limitations, and proper use.

Goal Seven
Management and Decision-Making. Develop a logical and effective approach to the assessment and daily management of seriously ill neonates and their families, under the guidance of a neonatologist, using decision-making and problem solving skills.

Goal Eight
Teamwork and Consultation. Understand how to function effectively as part of an interdisciplinary team member in the NICU.

Goal Nine
Patient Support and Advocacy. Understand how to provide comprehensive and supportive care to the NICU infant and his family.

Goal Ten
Medical Ethics and Legal Issues. Become familiar with ethical and medical-legal considerations in the care of critically ill newborns.

 

Board Exam Requirements
Board eligibility or board certification in Pediatrics for fellowship eligibility; three successfully completed years in Neonatal-Perinatal Medicine program with satisfactory completion of “scholarly product”.

Educational & Other Experience
We offer as part of the fellowship our Annual International Neonatology Conference.

Maria Valles
Program Coordinator
Phone: (305) 585-6408
Fax: (305) 545-6581

Ilene R. S. Sosenko, MD
Program Director
Phone: (305) 585-6408
Fax: (305) 545-6581

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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