Pediatric Newborn Medicine Core Curriculum

Pediatric interns and medical students rotating through the Brigham and Women’s Hospital (BWH) newborn intensive care unit (NICU) and Well Baby Nursery benefit from daily didactic lectures and bedside teaching on a variety of clinical topics, and a PL-2 core curriculum is under development.

NICU Intern Core Curriculum

Topic/Lecturer                                                       

Apnea                                                           
Michael Prendergast, MB BCh BAO, PhD

Brain Injury in Preterm Infants                          
Maide Ozen, MD 

Bronchopulmonary Dysplasia                             
Richard Parad, MD, MPH
Carmina Erdei, MD

Congenital Heart Disease                                  
Simon Manning, MD

Encephalopathy and Seizures                             
Terrie Inder, MBChB, MD                                             
Mohamed El-Dib, MD

Feeding Issues in Preterm Infants                       
Pamela Dodrill, PhD, CCC-SLP

Fluids and Electrolytes                                      
Sarbattama Sen, MD

Long-term Outcomes of Preterm Birth                
Lianne Woodward, PhD

Mechanical Ventilation                                      
Munish Gupta, MD

NRP Review/Mock Code                                    
Saima Aftab, MD

Nutrition (Enteral and Parenteral)                       
Deidre Ellard, MS, RDN, LD
Hunter Rametta, MS, RDN, LDN, CNSC

Parents and the NICU Experience                        
Gayle Schumacher
Linda J. Van Marter, MD, MPH

Patent Ductus Arteriosus                                  
Sara Rostas, PharmD

Respiratory Distress in Preterm Infants               
Nneka Nzegwu, DO

PPHN/Respirator Failure in the Term Infant 
Linda J. Van Marter, MD, MPH

Retinopathy of Prematurity and Sensory Deficits
Jane Stewart, MD, SM

Sepsis – Viral and Bacterial                                
Sailaja Ghanta, MD

Shock and Pressors                                         
Heather H. Burris, MD, MPH

NICU PL-2 Curriculum

  • Airway Workshop
  • Delivery Room Management of the Baby with Congenital Heart Disease
  • Management of the Extremely Preterm Infant (Borderline Viability)
  • Mock Code(s)
  • Antenatal Consultation

Well Nursery Intern Core Curriculum

Interns and medical students rotating through the BWH Well Nursery are supervised by attending pediatricians from the BWH Faculty Newborn Service. Given the close working relationship with attending physicians during this rotation, there is an emphasis on effective communication with families as an intrinsic part of the curriculum. Each intern is observed performing an initial evaluation of a newborn as well as providing pre-discharge anticipatory guidance.

The following subjects are generally covered during the two-week rotation. A variety of other subjects are discussed as related to patients whom the intern is following.

  • The complete newborn history and exam
  • Normal newborn screening and care
  • Breastfeeding:  normal expectations, common problems
  • Hyperbilirubinemia
  • Circumcision
  • Hypoglycemia
  • Late preterm newborns
  • Heart murmurs found in the newborn nursery
  • Screening for congenital heart disease
  • Assessing the asymptomatic newborn with sepsis risk factors
  • Ankyloglossia and incisions of the lingual frenulum

In addition, each intern has a session focusing on infant neuro-developmental behavior, with Dr. Constance Keefer from the Brazelton Institute. As available, the intern also shadows a lactation specialist during one afternoon session and is given the opportunity to observe both lingual frenulum incision and circumcisions. Interns are asked to give a 10-minute didactic talk to the team, on a topic of their own interest, that is relevant to care of the well newborn.

Medical Student-3 Newborn Nursery Rotation

Goal of Rotation: Exposure to the care of the term and near-term newborn

Objectives:

  • Demonstrate competency in performing a complete physical exam of a newborn infant
  • Demonstrate understanding of prenatal screening and routine newborn screening and procedures
  • Recognize common medical issues in newborn infants

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