Program Overview

The University of Virginia School of Medicine and the Department of Pediatrics have a long track record and commitment to training clinician investigators. Clinical training is based on 1:1 interaction with faculty and a “hands-on” approach to learning. During the research training portion of the program, fellows receive training in either basic science or clinical investigation (or both). Trainees interested in clinical investigation may complete a 4th year of fellowship to complete a Master’s degree in the field of interest. Trainees working in basic science research may take coursework that complements their educational objectives and work closely with a primary mentor.

All trainees have a Scholarship Oversight Committee consistent with the ACGME/American Board of Pediatrics guidelines.

During the first several weeks of the first year, fellows shadow the clinical team for orientation. In addition, during the first month of fellowship, fellows are oriented to:

  • Newborn Emergency Transport System (NETS)
  • ECMO
  • Skills fair for common and uncommon procedures done by the fellow.
  • Supervise clinical care of NICU patients with attending guidance
  • Assume an active role in the supervision and teaching of housestaff, medical students and nursing staff in the NICU
  • Lead daily Intake Rounds each morning discussing new admissions and overnight events
  • Perform or supervise clinical procedures and attend high-risk deliveries when special expertise is required
  • Perform antenatal consultations
  • Primary physician of ECMO cases performed in the NICU
  • Organize and participate in neonatal and perinatal conferences
  • Organize and dispatch the Newborn Emergency Transport Service team and participate in particularly complex transports
  • Rotations in Maternal-Fetal Medicine (required) and the Pediatric Cardiac Intensive Care Unit (elective) are available.
  • Pursue self-selected research project(s) with active guidance and mentoring from Neonatology faculty and clinical and basic science faculty outside the Division of Neonatology
  • Required 2-week courses in statistics, epidemiology, and electives related to clinical or bench research to receive a certificate in clinical research
  • Present at regional and national scientific meetings and generate at least one peer-revied publication of the scholarly project by the end of fellowship
  • Evaluate medical and developmental progress of infants discharged from the intensive care nursery
  • Seen in conjunction with Developmental Pediatricians and Pediatric Occupational & Physical Therapists
  • Fellows are scheduled for approximately 30 half-day clinics across the three years of fellowship
Weekly
  • Division Meeting – Discussions of clinical issues and management of the NICU
  • Perinatology Rounds – Discuss upcoming high-risk deliveries and management of current inpatients
  • Neuro-NICU Rounds – Multidisciplinary discussion with Neurology, Neurosurgery, Therapists and NICU service of patients with neurological injuries. Also includes monthly Neuroradiology Conference.
  • Interdisciplinary Rounds – Clinical service team discusses inpatients with therapists, case managers, and social work
  • Neonatology Morning Report – Join Department of Pediatrics faculty in resident-led case conference
  • Pediatric Grand Rounds (Sept – June)
  • Meet the Baby Rounds – Senior faculty led discussion at the bedside of clinical issues
  • Fellows Forum (biweekly) – Professional development series for all fellows in the Department of Pediatrics

Monthly

  • Journal Club – Fellow-led review of recent or sentinel publications in the field of Neonatology
  • Morbidity, Mortality & Improvement – Fellow-led review of recent issues of care in the NICU often supported by Pediatric Pathologists
  • Neonatal Physiology – Three-year curriculum of physiology and disease processes seen in the NICU led by Neonatology and/or Sub-specialty attendings
  • Board Review – Attending-led discussion of Board-type questions
  • Complex Care Conference – Multidisciplinary conference facilitated by Medical Center Ethics team to discuss complex and difficult cases
  • Clinical Trials Group – Discussion of current and potential clinical trials within the NICU
  • Maternal-Fetal Medicine Clinical Case Conference (quarterly) – Multidisciplinary case conference with MFM
  • Taken in-house and rotated among all the Neonatology fellows
  • Call schedule written by senior fellows
  • Supervise residents and nurse practitioners