Newborn Medicine

Credits: 4.00 CREDITS (Clinical Elective)
Sites: BWH
Directors: Aftab, Saima; Hossain, Tanzeema; Parad, Richard Barry
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month, except July, August and September.
Open to Exclerks: Yes (may be restricted for international students)
This is an elective experience for students with clincial experience in Pediatrics that extends knowledge in Newborn and Perinatal Medicine. The student will join a team of physicians and participate in the care of patients in the Newborn Intensive Care Unit. Studnets are expected to function in the role of sub-intern under the supervision of residents,fellow, and Neonatologist, presenting and discussing patients on rounds, establishing care plans, meeting with families. Daily teaching conferences are held, a syllabus is provided. Experience in high risk deliveries and antenatal consultation is also provided
Night call (through 12 AM) is optional every fourth night
Learning Goals:
Understand the unique disorders of newborns including prematurity, respiratory disorders, jaundice, infections and others. Develop an understanding of pathophysiology and treatment
Gain experience in working with families in crisis and understanding the psychosocial impact from having an ill infant on parents and families.
Develop an undertanding of developmental disorders, including those related to physical and gestational maturation and the role they play in acute and chronic issues. Understand the long term outcomes, both neurologic and psychologic, from neonatal illness and how care practices affect these
Understand the contiuum of care from prental or fetal life to neonatal, and the unique challenges of caring for mothers and fetuses, and newborns, including the ethical challenges that present
Incorporation of Basic Science Content and Evidence-Based Medicine:
Daily teaching conferences with local experts provide understandign of basic science and pathophysiology, and the evidence behindd clicnial decisions. Daily rounds with neonatologists will further provide understanding of evidence and how to integrate it into decisions for individual patients
Each student will be observed closely on daily rounds adn in the conduct of care by fellwos and neonatologists in the Neonatal ICU. Informal bedside tecehing will occur daily and, optionally, in the evenings if the student chooses to be present. Studentes will receive ongoing feedback on their presentations, care plans and knowledge in these settigns. Studnets will also be evaluated for participation and knowledge during teaching sessions
Verbal feedback will be provide dby the most knowledgable neonatologist aand by course director on bi-wekly basis and at conclusion of rotation, incorporating feedback from residents, fellows, neonatologists, nurses, and other professionals in the NICU, with grading on HMS forms
Grade Criteria:
High Honors:
Maturity, knowledge and patient care at or above the level of an intern. Evidence of self teaching and exploration, and synthesis of teaching materials into clincial practice. Exemplary and well organized teaching presentation.
Maturity, knowledge and patient care above the level generally expected for a student. Good understanding of most concepts and disease processes. Some self teaching and exploration, but with limited synthesis of teaching materials into clincial practice. Well organized teaching presentation.
Participation in rounds and responsibility for patients, with attendacne at teaching conferences and participation. Limited self teaching and exploration, but may still show some level of immaturirty in understnading and communication of ideas
Lack of participation. Inability to assume resposibility for patietn presentations and care plans. No evidence of self directed teachign or exploration. No, or poorly organized teaching presentation.
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