Neonatology : Neonatology Fellowship

Neonatology Fellowship

MESSAGE FROM FELLOWSHIP PROGRAM DIRECTOR


I am proud to introduce and provide you with information on our Neonatal Fellowship Program at the University of Miami Jackson Memorial Medical Center, which has been in existence for almost 50 years. Because of the reputation of our division and educational opportunities, we are able to attract the most qualified and accomplished fellows from the US and around the world. Our program has trained over 120 fellows who now serve as program directors, division chiefs, academic and clinical neonatologists in the US and in countries around the world.

The general aim of the fellowship program is to provide well-balanced neonatal/perinatal training which will result in a combination of excellence in patient care skills, strong medical knowledge, proficiency in teaching, good interpersonal and communication skills and professionalism. Of great importance, on completion of training, fellows will be competent in performing basic or clinical research and advancing knowledge in the field. The ultimate goal of the training program is to prepare neonatologists who can succeed in an academic career or become role models and leaders in clinical neonatology.


CLINICAL EXPERIENCE DURING FELLOWSHIP


The inpatient clinical experience is obtained through neonatal services at the University of Miami/Jackson Memorial Health System.

* Jackson Memorial Hospital has a very active delivery service with a large proportion of high risk infants, cared for in a 126-bed, state-of-the-art internationally recognized level IV NICU facility
* Under the supervision of the neonatal faculty, the neonatal fellows develop expertise in the care of infants in the Neonatal ICU, including ECMO, pre-operative cardiac care, pre- and post-operative surgical management and the performance of the most complex procedures required by these patients
* While in the NICU rotation, the fellows make daily rounds with the neonatal attendings, pediatric housestaff, neonatal nurse practitioners and neonatal clinical pharmacists. Fellows develop proficiency in teaching by participating in house staff and medical student education.
* Additional inpatient experience at the University of Miami/Jackson Memorial Medical Center involves rotations through the Obstetrical-Perinatal Service and perinatal consultation on high risk pregnancies
* Jackson North Medical Center provides additional clinical experience with its active delivery service and level I and II neonatal services. During this rotation fellows are exposed to a community hospital environment, learning to function more independently in a level II NICU setting.
* Outpatient clinical experience is obtained through involvement in the High Risk Developmental Follow-up Clinic.
* Because of the geographical location and reputation, the program attracts local and international neonatal transports that enable fellows to gain experience with transport of critically ill neonates.


EDUCATIONAL ACTIVITIES


The neonatal fellowship program provides extensive didactic and participatory teaching experiences which take place on a daily basis. Examples of fellowship educational experiences are listed below. Fellows attend lectures and conferences as well as present at grand rounds, case management conferences, journal clubs and morbidity and mortality conferences and research conferences.

The weekly conference schedule includes:
* Cardiology/CT surgery conference
* Morbidity and mortality conference
* Radiology conference (when on clinical rotation)
* Journal clubs
* Research Updates
* Pediatric grand rounds (neonatology presenting every other month)
* Fellows’ core neonatal lecture series (alternating with board review)
* Case Management conference

Other educational experiences involve:
* Neonatal resuscitation simulation laboratory experience
* NALS provider training
* Fellow initiating and/or participating in on-going or new quality improvement (QI) activities
* Visiting professor lecture series
* Opportunity for fellows to attend the annual International Neonatology Conference featuring world renown speakers, >1000 attendees from >50 countries and sponsored by the University of Miami



RESEARCH

Involvement in perinatal/neonatal clinical and translational/basic research is one of the most important activities of the fellowship program. It is a core requirement for completing the training successfully, and for obtaining appointments in academic institutions. Fellows learn the fundamentals of neonatal research including formulating a hypothesis, setting up a research project, conducting clinical or basic science studies, analyzing and interpreting data, presenting at scientific meetings and publishing the results in peer-reviewed journals. Fellows’ research is performed under the close supervision and mentoring of one of the neonatal attendings or UM collaborators.

Research interests within the division include:

* Neonatal resuscitation and delivery room care
* Control of breathing, pulmonary mechanics, respiratory support and physiology
* Long term follow-up, growth and development
* Effects of maternal drug abuse on infants, perinatal infections
* Mechanistic pathways of normal and abnormal lung development, lung injury, BPD
* Perinatal epidemiology, nutrition,
* Pulmonary hypertension, mesenchymal stem cells


CRITERIA FOR SELECTION

Eligibility

* M.D. (or D.O.) degree from accredited medical school
* Complete Pediatric Residency-US accredited training program
* USMLE certification
* ECFMG certification for FMGs
* 3 letters of recommendation from program directors, supervisors

Selection criteria

* Complete application and documents
* Reputation of medical school/pediatric residency program
* Scores on qualifying examinations
* Previous neonatal experience and motivation for neonatology
* Research interests
* Letters of recommendation
* Motivation for applying to UM/JMH program

Application Process

* Applications are sent to ERAS
* Applications are reviewed and ranked by neonatal faculty
* Selected fellows are interviewed and ranked
* Fellow applicants and program submit rankings to the NRMP matching program



MIAMI LIVING

Miami today is a colorful, cosmopolitan city, reveling in its ethnic diversity. Its sunny climate and natural beauty continue to make it a prime tourist destination. It offers beautiful beaches and parks, a full range of outdoor activities, extensive culture including plays, concerts, symphony, opera and ballet. Athletic enthusiasts enjoy professional football (Miami Dolphins), baseball (Marlins), basketball (Heat) and hockey (Panthers). Miami is also home to professional tennis matches and will soon boast a professional soccer team. Miami is a “foodie’s” delight, known for its culinary experiences, with Cuban, Haitian, Caribbean, Latin and South American cuisine among others.


Detailed information on the Neonatology Fellowship Program is available on the Jackson Health System website. Please click "here":http://www.jacksonhealth.org/graduate/pediatric-neonatology.asp.



+Contact Information+

Ilene R.S. Sosenko, M.D.
Director, Fellowship Training Program
Department of Pediatrics (R-131)
University of Miami Miller School of Medicine
PO Box 016960
Miami, Florida 33101
Phone: 305-585-6408
Fax: 305-545-6581
E-mail: "isosenko@miami.edu":mailto:isosenko@miami.edu