Clinical Block Schedule

	Year 1	Year 2	Year 3
NICU Blocks	5	5	3
Research Blocks	6	7	8
Maternal Fetal Medicine	2 weeks	2 weeks	0
Cardiac Intensive Care Unit	2 weeks	2 weeks	0
Outpatient Clinic	Throughout	Throughout	Throughout
Palliative Care	2 weeks	0	0
Interdisciplinary Care	2 weeks	0	0
Elective	0	0	2
Vacation	1 (4 weeks)	1 (4 weeks)	1 (4 weeks)

NICU Clinical Rotations

There are 3 different clinical rotations in the NICU: the NICU Teaching Team, The Tiny Baby Team, and the Admission/Delivery/Consult/ECMO (ADC) Team
The Teaching Team
- Two blocks in first year, three blocks in second year, and a pre-attending block in third year
- Multidisciplinary team including residents, medical students, and a clinical dietitian
- 16 patient service with a range of acuity, rounds from 9 AM – 12 PM daily
- Fellows function as the supervisor and team lead
The Tiny Baby Team
- Specialized care for our tiniest patients born from 22 0/7 – 24 6/7 weeks gestational age
- Round on all Tiny Baby Team patients (average census 12-18)
- One block each in second and third year
The Admission/Delivery/Consult/ECMO (ADC) Team
- High risk delivery room coverage and admission responsibilities all day
- Prenatal Consults and back-up procedural support all day
- Daily Multidisciplinary ECMO Rounds when a NICU patient is on ECMO

Clinical Rotations and Electives

Maternal Fetal Medicine includes inpatient and outpatient care, learning about management and counseling in high-risk pregnancies
Cardiac Intensive Care Unit includes direct management of post-operative congenital heart disease patients and exposure to ECMO and CICU approaches to sedation, ventilation, and medication management
Outpatient Clinic is spread throughout the year during research rotations, with occasional half day clinics including our Comprehensive Care Clinic (Pulmonology and Gastroenterology/Dietary follow-up), NICU Developmental follow-up Clinic, Synagis Clinic, and with other specialties that manage NICU patients after discharge
Palliative Care will include inpatient and outpatient work with the palliative care team including involvement in family meetings where major care decisions are made
The Interdisciplinary Care rotation allows you to work with the many non-physician disciplines that provide critical services in the NICU
Spend time with nursing, respiratory therapy, PT, OT, speech-language therapy, care management, nutrition/dieticians, and pharmacy
Elective blocks are flexible and intended to allow you to gain experience in an area of particular interest
- Specific NICU-related clinical electives including Complex Care, ECMO, Neonatal Pharmacy/Nutrition
- Surgical electives include general surgery, ENT, neurosurgery (including fetal surgery), and Urology
- Or you can design your own elective!
Research Rotations
- Flexible time to arrange for your specific needs depending upon your research project

Call and Weekend Schedule

Around 40 in-house calls per year
During clinical service time, ONLY weekend calls
- One Friday 24 hour shift and one Saturday 24 hour shift per clinical service month
- This allows you to be consistently present Monday-Friday for the rotation to preserve continuity and maximize your educational experience
Two full weekends off per month on all rotations