Neonatology/Perinatology

The three-year program is designed to prepare pediatricians for careers in clinical and academic neonatal medicine and research. The fellowship training program is intensive and extensive, consists of clinical experiences, opportunity for research and formalized instruction including weekly research conferences, perinatal physiology conferences, clinical case conferences, monthly M&M conferences and perinatology conferences with faculty from the Division Maternal-Fetal Medicine.

The Fellows are expected to participate actively, very early in their training, in research programs and are encouraged to develop individual research projects of their own design. For individuals interested in continuing their research beyond three years, there will be an opportunity to remain at the Morgan Stanley Children's Hospital of New York Presbyterian one or two additional years as junior faculty.

Currently the Organization of Neonatal Training Program Directors (ONTPD) is requiring all training programs to utilize an electronic application submitted to programs through ERAS. All fellowship training programs currently participate in the match administered by the National Residency Matching Program (NRMP). Information for prospective fellow applicants may be obtained utilizing the link to the ONTPD website referenced below. ONTPD homepage

Clinical Activities

The first year of training is comprised of seven months of clinical experiences, four months of research and one month of vacation. Clinical service is divided equally between four rotations including the following: management of the entire sixty-two bed neonatal intensive care unit, management of the delivery service, and transitional nursery, transport service, and neonatal consultation service. One of the three NICU rotations includes managing and coordinating pre and post-operative care for neonates with congenital heart disease. During the first year of training, fellows acquire the bulk of their clinical skills. By directing daily work rounds and the didactic lecture series for residents, the fellows acquire both leadership experiences and teaching skills.

During the second and third years of training the block of clinical time decreases, but here is increasing progressively increasing responsibility for independence in patient management decisions. Throughout the three years, the fellows are required to take in-house night call on an every sixth-every eighth night rotation. The fellows acquire an enormous amount of clinical experience because of the high volume of admissions (>1,000 per year) with heightened acuity, referrals to the maternal-fetal medicine program, and a very high volume of cardiothoracic patients. The trainees become fully competent to manage infants using the newest forms of mechanical ventilation, surfactant replacement therapy and continuous positive airway pressure. They are adept and competent at performing procedures such as the placement of umbilical catheters as well as percutaneous placement of central venous catheters. In addition, they develop proficiency in communication with families and other healthcare professionals and use information technology to gather information and to develop rational therapeutic plans. We are confident that the three years of clinical experience at our institution prepares our fellows for all possible clinical contingencies.

Research Activities

Currently, all Neonatology fellows are allotted the same amount of time for research during three years of fellowship (3 months during year 1, 8 months during year 2, and 10 months during year 3). During the first year, Drs. Diacovo and Lorenz introduce trainees to the principles of basic and clinical research, respectively, as well as assisting the fellows in finding prospective research mentors within the Department of Pediatrics, the Medical School, or the undergraduate campus.

Fellows frequently choose to do research with faculty members outside of our division. The most frequently chosen areas include obstetrics, pharmacology, development psychobiology, neurology, computer science, hematology and pulmonology. We encourage fellows to follow their interests and we have generally been able to find faculty advisors and other resources to assist the fellow in whatever area is appealing to them. Advice regarding experimental design and statistical analysis is available from many sources within the institution.

The American Board of Pediatrics has issued criteria for certification in neonatal/perinatal medicine. Of major concern to the Board is that potential diplomates demonstrate competence in clinical or basic science research. For a listing of ongoing research projects within the division please see the research section.

What is ONTPD?

The Organization of Neonatal-Perinatal Medicine Training Program Directors (ONTPD) was formed in 1991 to provide an annual forum for program directors to identify and address issues relevant to Neonatal-Perinatal Medicine (NPM) Fellowship Training. Its membership consists of the program directors from all accredited NPM training programs in the US and Puerto Rico.

The mission of the ONTPD is to inform and advocate for Neonatal-Perinatal Medicine Program Directors about issues relevant to the educational objectives, administration and funding of Neonatal-Perinatal Medicine subspecialty training.