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.
Delivery Room Management of the Baby with Congenital Heart Disease
Management of the Extremely Preterm Infant (Borderline Viability)
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
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
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