The neonatal-perinatal fellowship at Goryeb Children Hospital supports a a call schedule that is designed to meet our fellows' individual academic needs. Typically, we will expect fellows to work approximately one of every six weekend days and about one of every nine weekdays over the course of their fellowship. The average work week over the course of the fellowship will be about 48 – 50 hours.
A fellow's schedule will consist of 39 x four-week blocks over the course of fellowship, which include:
- Clinical blocks (approximately 15)
Monday - Friday (8:00am – 4:00pm), except post-call. This block will include four calls over the four weeks - two weekends and two mid-week calls. The average working week during clinical blocks will be approximately 58 hours per week. - Scholarly activity blocks (approximately 19)
Limited call schedule, to include four calls per four-week block. (three calls mid-week and one weekend). During mid-week call, the first eight hours will be spent on labor and delivery coverage, procedures, or clinical rounds, depending on the fellow's educational priorities. Once fellows are established in their clinical competence and as their scholarly output increases, it is expected that the day-time part of the mid-week calls will be given over to scholarly activity, such that call will start at 4:00pm rather than 8:00am. The average working week during these blocks (scholarly, clinical, and call) will be approximately 52 hours per week. - Others (approximately five)
To include orientation, CV ICU rotation, vacations, etc. There will be no call during these blocks.
Additional Required Experiences
Transport Experience
Fellows will participate in neonatal transport throughout training, which will allow fellows to expand on their skills and experience in managing patients that require a higher level of care on transport. Fellows will also be responsible for internal transports within Atlantic Health System (e.g. OR and radiology) and transports out of network in support of acuity needs.
Maternal-Fetal Medicine (MFM) Experience
Fellows will rotate with maternal-fetal medicine at Morristown and participate in the evaluation and management of high-risk pregnancies during outpatient antepartum maternal-fetal medicine clinic, in ambulatory and inpatient settings, and during labor and delivery. They will be given the opportunity to follow maternal-fetal medicine patients longitudinally. Fellows will build skills in performing diagnostic ultrasound (e.g. monitoring fetal growth and development, recognizing cardiac structures, and identifying fetal abnormalities) and ultrasound interpretation. They will learn to counsel women with high-risk pregnancies, observe and recommend fetal interventions, and integrate genetic counseling into maternal-fetal medicine patient care.
Cardiac Experience
Fellows will attend the perinatal cardiac diagnosis clinics division hosted by pediatric cardiology at Morristown Medical Center. These include screening of patients at high risk of cardiac diseases, and the longitudinal follow-up of fetuses with previously identified cardiac malformations. Fellows will also rotate at the Infant Cardiac ICU at Morgan Stanley Children’s Hospital of New York-Presbyterian (CHONY). The Infant Cardiac Intensive Care Unit (CICU) at CHONY is a state-of-the-art center dedicated solely for infant cardiac care (0 - 3 months). It is the first facility of its kind in the United States.
Neonatal-Perinatal Medicine Conferences
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Education
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Physiology Conference (Core Curriculum)
Weekly, faculty and fellow presentations of physiology lectures
Board Review
Monthly, fellow presentation of board questions
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Clinical
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Neonatal Case Conference
Monthly, case presentation by service fellow
Perinatal Conference
Monthly, case presentation by fellow and/or residents
Neonatal Radiology Conference
Quarterly, case presentation by fellow and Peds radiologist
Neonatal Surgical Conference
Quarterly, general surgery and surgical subspecialty case presentation by fellow and surgeons
Morbidity and Mortality Conference - Neonatology
Quarterly, fellows will present at this conference, which is attended by residents and faculty and focuses on one to two cases selected by the Director of Neonatal Quality and Safety, with emphasis on improvement of patient care.
Morbidity and Mortality Conference - Pediatrics
Monthly, case presentation by resident, fellow expected to mentor resident and participate in discussion
Consensus Conference
Biannually, presentation of new or revised clinical guideline/policy by fellow and assigned faculty member
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Biostatistics & Research
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Atlantic Center for Research - Introductory Course
Annually, fellows attend didactic lectures and participate in discussion
Introduction to Biostatistics
Monthly, fellows attend didactic lectures and participate in discussion
AHS Research Day
Annually, highlights research completed throughout AHS via posters and oral platform presentations and included a keynote address. Fellows will be encouraged to present their scholarly activity projects.
AHS Goryeb Children’s Hospital Research Day
Annually, a half-day conference each spring highlights the research projects completed by Goryeb Children's Hospital's residents/fellows and their faculty mentors
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Evidence Based Medicine
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Articles of Interest
Quarterly, fellows participate in discussion and Q&A sessions, presentations are given by a faculty member, who reviews neonatal articles of interest published in the previous three months.
Journal Club
Monthly, fellows will present an article they are interested in from the "Articles of Interest" conference. Articles should be presented in more detail and fellows will lead the discussion.
Evidence-based Neonatal Medicine Article Review
Monthly, An evidence-based article, published in the last 5 years, will be presented by the resident rotating through the NICU. Fellows will lead the discussion of the article.
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Quality Improvement
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Quality & Safety Conference - Pediatrics
Committee, fellows participate in discussions (optional attendance)
NICU – Quality & Safety
Quarterly, fellows and faculty present QI updates relevant to the NICU
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Simulation
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Neonatal Simulation/Mock Codes
Quarterly, fellows will participate in mock codes/simulation sessions led by NNPs
Death and Dying (Breaking Bad News)
Annually, fellow to participate in intensive curriculum offered by AHS/Goryeb Children’s Hospital
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Regional and National Conferences
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neoFORUM
Annually, this conference is sponsored by neonatology and is known for attracting both national and international speakers. It highlights cutting-edge therapies and research in neonatology. Fellows will be expected to present their scholarly activity.
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DEI, Wellness & Bioethics
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Social Determinants of Health, Diversity and Inclusion
Monthly, fellow to participate in this interactive health series hosted by the Department of Pediatrics that utilizes patient cases to identify and address social determinants of health that can affect patient outcomes and prepares trainees to treat patients from a holistic approach.
Pediatric Wellness Committee
Bimonthly, fellows participate in discussion
Bioethics
As available, fellows participate in discussions offered by AHS
