NICU

EDUCATIONAL GOALS AND OBJECTIVES

The educational objectives for the Emergency Medicine resident while on the Neonatal ICU rotation are as follows:

Patient Care

  • Demonstrate skill in neonatal resuscitation.
  • Demonstrate knowledge of appropriate resuscitation medications and dosing.
  • Demonstrate correct airway management including neonatal endotracheal intubation.
  • Demonstrate ability to obtain and utilize intravenous access; especially, umbilical vein catherization.
  • Demonstrate knowledge of the significance of fever in the neonate.
  • Demonstrate knowledge of common infectious diseases in neonates, including appropriate work-up and treatment of sepsis and meningitis.
  • Demonstrate knowledge of the pathophysiology and manifestations of common and/or serious disease of the gastrointestinal tract and abdominal cavity.
  • Demonstrate knowledge of hydrocephalus, its differential, treatment and management.
  • Calculate fluid, electrolyte, and calorie requirements in the neonatal patient.
  • Demonstrate ability to interpret neonatal radiographic studies.
  • Demonstrate knowledge of the evaluation and management of the jaundiced child.
  • Demonstrate knowledge of differential diagnosis and evaluation the neonate with petechiae.
  • Demonstrate proper performance of a suprapubic bladder aspiration.

Medical Knowledge

  • Discuss the causes, significance, and treatment of fever and infection in the neonate.
  • Discuss the physiology and management of fluid and electrolyte abnormalities in neonates.
  • Discuss the pathophysiology, causes, and treatment of common serious endocrine disorders in neonates.
  • Discuss the pathophysiology, work-up, and treatment of respiratory disorders in neonates.
  • Discuss the pathophysiolgoy and medical management of meconium aspiration.
  • Discuss common neonatal dysrhythmias, their diagnosis and treatment.
  • Discuss the various types of congenital cyanotic and non-cyanotic heart disease, their complications and treatment.
  • Discuss other relevant congenital disorders and their initial presentation at delivery and the immediate newborn period.
  • Discuss maternal factors that adversely predispose the neonate and how they may be managed.

Practice Based Learning and Improvement

  • Demonstrate ability to obtain and appraise medical literature applicable to neonates and the newborn.

Interpersonal and Communication Skills

  • Create and sustain a therapeutic and ethically sound relationship with patient/caretakers.
  • Use effective listening skills and elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills.
  • Work effectively with others as a member or leader of a health care team.

Professionalism

  • Demonstrate respect, compassion, and integrity.
  • Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
  • Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.

Systems-Based Practice

  • Understand how pediatric care of significantly ill neonates affects other health care professionals, the health care organization, and the larger society and how these elements of the system affect their practice of Emergency Medicine

The Emergency Medicine resident will accomplish these objectives in the following manner:

  • Attend and participate in daily Pediatric Critical Care teaching rounds
  • Attend all conferences given be the Pediatric Critical Care Division while on rotation.
  • Evaluate and manage pediatric patients under the supervision of pediatric critical care faculty, senior residents and fellows in Pediatric Critical Care Medicine.  Progressive patient care responsibilities are at the discretion of the Pediatric Care Critical Care faculty based on the resident’s clinical experiences, didactic knowledge, psychomotor skills, procedural abilities and credentialing.
  • Discuss and interpret results of all ancillary testing with supervisory faculty.
  • Perform pediatric procedures under faculty supervision commensurate with their post-graduate level of training and skill.

 

ROTATION INFORMATION

Where: 5th floor

When: Monday – Friday: 9:00 AM – 5:00 PM (If there is no mock code or procedure scheduled for the day, you may leave after rounds)

Supervisor: Leblanc, Patrick, MD, Chief of NICU.

Attire: Scrubs and white coat

Expectations: Prepare yourself for the rotation by reviewing the pediatrics section of Tintinalli or Rosen. On your first shift, introduce yourself to Dr. Leblanc. Usually you don’t carry patients, unless there’s a case you are interested in and want to follow. But, be prepared to actively participate in round discussions.