Curricular Resources :
Neonatal-Perinatal Medicine: Diagnosis of the fetus and infant 9th edition (Martin, Fanaroff and Walsh)
Neonatal Resuscitation Program AAP 6th edition
Manual of Neonatal Care 7th edition (Cloherty, et al)
Knowledge/Skills:
1) Recognize illness in newborns.
2) Become competent in history taking and performing physical examinations in well and sick newborns.
3) Manage and understand the pathophysiology of common illnesses of newborns.
4) Become proficient in common neonatal diagnostic and therapeutic procedures.
5) Describe historical information, physical exam findings and laboratory data helpful in developing the differential diagnosis for a newborn with the following situations: seizures, jaundice, lethargy, respiratory distress, cyanosis, bilious vomiting, hypoglycemia, sepsis, respiratory distress syndrome, meconium aspiration
6) Demonstrate knowledge of Perinatal Syphilis, HIV infection, identify diseases detected in blood screening.
7) Describe special methods and maneuvers involved in performing a newborn examination, (assessment of hip dysplasia)
8) Identify evaluation of gestational age at birth and the APGAR score
9) Identify what medications are routinely given to all newborns (i.e., Vit k, Hepatitis B vaccine, erythromycin ointment)
10) Describe current neonatal literature to include review of RDS, hypoglycemia, neonatal jaundice, infant of diabetic mothers, sepsis, etc.
11) Present to the neonatal team 20 minute topic using relevant neonatal literature.
12) Relate issues of Cost-efficiency, effective medical decision-making, and relevant managed care issues.
13) Assess risk-benefit issues derived from review of an informed consent tape at NICU.
14) Describe preventive measure on the proper use of a car seat, immunization schedule, accident prevention program.
15) Apply medical ethical principles using as an example a recent case (perinatal) brought up to the Medical Ethical Committee.
Main Course Topics :
Sepsis
Neonatal Resuscitation
Substance abuse,withdrawal syndrome
Hyperbilirubinemia,Kernicterus
Respiratory distress syndrome
Meconium aspiration
Respiratory distress ,cyanosis
Perinatal infections
Bilious vomiting,intestinal obstruction
Hypoglycemia
Procedures:
1) Understand the indications for procedures such as a lumbar puncture, parenteral fluids; umbilical arterial and venous catheters, partial exchange - and double volume - exchange - transfusions, and everyday procedures such as intubation. The technical aspects will be introduced and the student will have an opportunity to perform these procedures under proper supervision and guidance.