Rotation Sites

Neonatal Intensive Care Unit

The University of Maryland Medical Center serves as the primary site for clinical training. The 40 bed NICU is the largest level IIIc. NICU in the state of Maryland with approximately 500 ”“ 600 admissions, including more than 100 surgical cases and 150 neonatal transports per year. A full range of state-of-the art ventilatory modalities is available including HFOV and nitric oxide. The University of Maryland is also the major referral center for high-risk maternal transports in the State, with more than 100 maternal transports annually.

The University of Maryland Hospital for Children offers a wide range of pediatric medical and surgical subspecialties including but not limited to complex cardiothoracic surgery, ENT, gastrointestinal, and urologic surgery using modern laparoscopic techniques.

Full-term Nursery

The University of Maryland Hospital Full-Term Nursery and Mother-Baby Unit can accommodate 24 infants. The neonatal fellows provide consultative coverage for acute clinical problems. Approximately 50% of infants have one or more significant risk factors.

Maryland Regional Neonatal Transport Program

The University of Maryland shares with Johns Hopkins Hospital the responsibility of coordinating the Maryland Regional Neonatal Transport Program, which serves the entire state and areas of the four adjoining states. The primary transport personnel are neonatal nurse clinicians and EMT's. For critically ill infants, or those with complex or multiple system disorders, the neonatal fellow accompanies the primary team.

NICU Follow-up Program

The UMMS NICU Follow-Up Program is a multidisciplinary clinic that provides ongoing evaluation and guidance related to the development of high-risk children during the first three years of life. There are ~800 visits per year with referrals from NICUs throughout the state of Maryland. Each fellow attends 18-20 clinic sessions per year. They have the opportunity to follow longitudinally the developmental progress of babies they cared for in the NICU. They participate in the assessment of these children using the Best Beginnings Development Screen, a developmental screening tool developed at the University of Maryland specifically for preterm infants. The fellows are part of a multidisciplinary team that includes a developmental pediatrician, early intervention service coordinator, infant specialist, occupational therapists, physical therapists, psychologist, and speech and language pathologist.

Computerized Neonatal Database

The fellows have access to archived data from the NICU database. Each fellow is expected to utilize the database as a resource to complete a review of a pertinent clinical issue.

Work Duty Hours

Our program is compliant with the ACGME duty hours policy. Residents take call every fifth night in-house. Each fellow has 2 call-free months each year (includes vacation time).

Conferences

Conferences are held regularly. Highlights of the general conference structure include:

Weekly:

  • Combined Perinatology/Neonatology Conference
  • Board Review
  • Pediatric Grand Rounds
  • Hot Box a.k.a. "Stump the Chairman" (interactive conference where students, residents, fellows, and faculty participate together to solve a diagnostic dilemma)
  • Pathophysiology course: The pathophysiology lectures are organized on a 3 year cycle. Faculty and fellows participate by preparing 2-3 lectures each year for this course.

Monthly:

  • Evidence-Based Medicine Journal Club
  • Morbidity and Mortality Conference
  • Patient Care Conference (Ethics)
  • Work-in-progress scholarly activity presentations; each fellow is required to present 2 times per year

This page was last updated: April 2, 2013

         
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