Site #1: Boston Children’s Hospital (BCH)

The Boston Children’s Hospital Neonatal Intensive Care Unit is a 24-bed Level IV neonatal unit with approximately 600 admissions of outborn infants per year.  A high proportion of patients have complex conditions that require subspecialty medical or surgical care.  Fellows work on a multidisciplinary team that includes both neonatology and surgical faculty.  Neonatology faculty provide 24 hour on-site support.  Fellows gain skills in management of high acuity medical and surgical patients, transport team management, communication with referral physicians, and supervision of a multidisciplinary team.

Site #2: Brigham and Women’s Hospital (BWH)

The Brigham and Women’s Hospital Neonatal Intensive Care Unit is a Level III unit with 48 licensed beds and 1275 inborn admissions annually.  The population includes a broad spectrum of premature infants and infants with high-acuity conditions such as congenital anomalies that require subspecialty consultative care provided by BCH consultants.  Fellows work on a multidisciplinary team supervised by neonatology faculty who provide 24 hour on-site support.  Fellows gain skills in delivery room management for both routine and high-risk deliveries, interaction with maternal-fetal medicine faculty and fellows, antepartum consultation, in collaboration with the BCH Advanced Fetal Care Center, for congenital anomalies and borderline viability, communication with consulting physicians, and supervision of a multidisciplinary team that includes Boston Children’s Hospital residents and interns.

Site #3: Beth Israel Deaconess Medical Center (BIDMC)

The Beth Israel Deaconess Medical Center Neonatal Intensive Care Unit is a Level III neonatal unit with 40 licensed beds and 696 inborn admissions annually.  The population includes a broad spectrum of premature infants and infants with high-acuity conditions such as congenital anomalies that require subspecialty consultative care provided by BCH consultants.  Fellows work on a multidisciplinary team supervised by neonatology faculty who provide 24 hour on-site support.  Fellows gain skills in delivery room management for both routine and high-risk deliveries, interaction with maternal-fetal medicine faculty and fellows, antepartum consultation for high-risk pregnancies and borderline viability, care of intermediate-level patients, communication with consulting physicians, and supervision of a multidisciplinary team.

Site #4: Massachusetts’s General Hospital (MGH)

The Massachusetts General Hospital Neonatal Intensive Care Unit is a Level III neonatal unit with 31 licensed beds and approximately 650 admissions of both inborn and outborn infants per year.  A high proportion of patients have complex conditions requiring subspecialty medical or surgical care.  Fellows work on a multidisciplinary team that includes both neonatology and surgical faculty.  Neonatology faculty provide 24 hour on-site support.  Fellows gain skills in management of high-acuity medical and surgical patients, transport team participation and management, communication with referral physicians, extracorporeal membrane oxygenation (ECMO), and supervision of a multidisciplinary team.

Site #5: Boston Children’s Hospital Cardiac Intensive Care Unit (BCH CICU)

Fellows have their most intensive involvement with cardiac and cardiothoracic surgery patients during a one-month rotation in the Boston Children’s Hospital Cardiac Intensive Care Unit (CICU), where they learn from a high volume of critically ill patients who have the broadest possible range of cardiac diagnoses.  Neonatology fellows are fully integrated with a CICU team that also includes both fellows and attendings in cardiology and cardiothoracic surgery.  Neonatology trainees have the same primary responsibility for diagnostic and management decision-making as the cardiology fellows, and take CICU fellow night call during the rotation, where they are again supervised by attending cardiology intensivists.