Neonatal-Perinatal Medicine Fellowship Program

Curriculum

The objectives of the curriculum vary by year, commensurate with the experience fellows have gained.  From increasing their knowledge-base in the first year to complete management of the team by the third year, neonatologists who trained at Indiana University feel confident managing any neonatal problem. Our fellows rotate through various clinical settings including a comprehensive level IV NICU in a referral center, level III NICUs which care for neonates with more common neonatal problems, a county hospital NICU serving the vulnerable population and private practice NICUs, all associated with Indiana University.  Integral to the fellowship training program is fellows’ on-call responsibilities. While on call, fellows supervise pediatric residents, medical students and neonatal nurse practitioners in the NICU, manage patients on Extracorporeal Membrane Oxygenation and attend high risk deliveries.  Fellows are on call an average of every sixth night throughout the three years of training. An attending physician is on call with the fellow and is readily available for consultation as needed.

First year fellows are encouraged to explore numerous research opportunities and by midyear choose a research project, mentor and scholarship oversight committee.  Second year fellows have decreased inpatient clinical service giving fellows time to devote to their scholarly project.  Although the amount of time devoted to clinical activities decreases during the second year, the clinical experience broadens to include a rotation in the cardiovascular intensive care unit and a maternal-fetal medicine rotation. During the second year of fellowship, fellows choose a quality improvement project that they continue to develop during the third year. The clinical experience during the third year of fellowship is individually designed based on the fellow’s personal and professional goals.  The breadth of the clinical, educational and basic science research opportunities at Indiana University led us to pioneer a unique program in which our neonatology fellows choose a career track at the end of their second year of fellowship.  Fellows are asked to reflect on their personal and professional goals and choose from the following tracks:

  • Physician Scientist
  • Clinician Educator
  • Clinical Scholar

A personalized third year curriculum is designed based on the fellow’s career track and individual goals. Clinician educators and Clinical scholars may choose to do electives during their third year in Developmental Pediatrics, Perinatology, Infant ICU, Cardiovascular ICU or other subspecialty areas.  Fellows completing three years of training in the research pathway may elect to complete post-fellowship extra-mural funded research under the guidance of the research mentor.

 

First Year

Second Year

Third Year

Weeks of clinical service

18

10

Physician scientists-9

Clinician educators-18

Clinical Scholars-24

Clinical emphasis

Increase knowledge-base & clinical   skills

Improve teaching skills

Leadership and management

Research project

Choose research project, mentor   and scholarship oversight committee

Decreased clinical service with   time to devote to research project

At the end of the year, choose   academic track.

Complete scholarly activity   with manuscript submission.

 

Quality Improvement project

 

Choose a project

Complete QI project