Pediatrics
TITLE:
Neonatal Intensive Care Unit (NICU) -ICE
The elective provides direct experience with all aspects of neonatal care including delivery room resuscitation, daily management, parent counseling. The student works as an intern with responsibility for own patients.
PREREQUISITES:
- Must be a senior student who has successfully completed the Pediatrics Core Clerkship including a rotation on Newborn Service.
- To
meet ICE requirements, must be taken in one 4 week consecutive block.
Cannot take for 8 weeks PT to fulfill ICE requirements.
expand all
GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
COURSE LENGTH:
2 or 4 weeks
DIRECTOR:
Faris Al Gharaibeh
faris.algharaibeh@cchmc.org
(513) 803-2414
T Building, Suite 410
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
513-636-0339
Kasota Building, 7th Floor at CCHMC, BN7.722
ROTATIONS:
Rotation |
Dates |
Max |
1 |
05/29/2023 - 06/09/2023 |
1 |
1 |
05/29/2023 - 06/23/2023 |
1 |
1 |
06/12/2023 - 06/23/2023 |
1 |
2 |
06/26/2023 - 07/07/2023 |
1 |
2 |
06/26/2023 - 07/21/2023 |
1 |
2 |
07/10/2023 - 07/21/2023 |
1 |
3 |
07/24/2023 - 08/04/2023 |
1 |
3 |
07/24/2023 - 08/18/2023 |
1 |
3 |
08/07/2023 - 08/18/2023 |
1 |
4 |
08/21/2023 - 09/01/2023 |
1 |
4 |
08/21/2023 - 09/15/2023 |
1 |
4 |
09/04/2023 - 09/15/2023 |
1 |
5 |
09/18/2023 - 09/29/2023 |
1 |
5 |
09/18/2023 - 10/13/2023 |
1 |
5 |
10/02/2023 - 10/13/2023 |
1 |
6 |
10/16/2023 - 10/27/2023 |
1 |
6 |
10/16/2023 - 11/10/2023 |
1 |
6 |
10/30/2023 - 11/10/2023 |
1 |
7 |
11/13/2023 - 11/24/2023 |
1 |
7 |
11/13/2023 - 12/08/2023 |
1 |
7 |
11/27/2023 - 12/08/2023 |
1 |
8 |
12/11/2023 - 12/22/2023 |
1 |
8 |
12/11/2023 - 01/05/2024 |
1 |
8 |
12/25/2023 - 01/05/2024 |
1 |
9 |
01/08/2024 - 01/19/2024 |
1 |
9 |
01/08/2024 - 02/02/2024 |
1 |
9 |
01/22/2024 - 02/02/2024 |
1 |
10 |
02/05/2024 - 02/16/2024 |
1 |
10 |
02/05/2024 - 03/01/2024 |
1 |
10 |
02/19/2024 - 03/01/2024 |
1 |
11 |
03/04/2024 - 03/15/2024 |
1 |
11 |
03/04/2024 - 03/29/2024 |
1 |
11 |
03/18/2024 - 03/29/2024 |
1 |
12 |
04/01/2024 - 04/12/2024 |
1 |
12 |
04/01/2024 - 04/26/2024 |
1 |
12 |
04/15/2024 - 04/26/2024 |
1 |
NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
UC NICU - 3rd Floor
INSTRUCTION
LEARNING ACTIVITIES:
- Case-Based Instruction/Learning
- Clinical Experience - Inpatient
- Conference
- Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
- Patient Presentation--Faculty
- Patient Presentation--Learner
- Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.
The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
60% |
Attending Physician |
25% |
Senior Resident |
5% |
Junior Resident |
10% |
Other Faculty |
FEEDBACK:
Attending neonatologist
ASSESSMENT:
ASSESSMENT METHODS:
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY:
Principle instructor
OBJECTIVES
Curricular Resources :
Neonatology: Pathophysiology & Management of the Newborn
Avery et. al.
Care of the High-Risk Neonate
Klause & Fanaroff
Nelson's Textbook of Pediatrics
Instructional Methods:
- Instructional
- Clinical
experience – inpt and ambulatory
- Conference
- Patient
presentation learner
- Ward rounds
-
Assessment
methods
- Clinical
documentation review
- Oral patient
presentation
- Participation
Knowledge/Skills:
1) Refine examination skills and understand the unique aspects of history, physical findings and laboratory exam in the
a) preterm newborn
b) infant of diabetic mother
c) full term infant with sepsis, heart disease or surgical pathology
d) recognition of common malformations
2) Understand the unique physiology and pathophysiologic characteristics of the fetal and neonatal period
3) Experience with acute resuscitation and delivery room management of infant with
a) meconium aspiration
b) preterm infant
4) Participate in daily management of sick newborn including obtaining
and evaluation laboratory data, assessing X-rays, managing fluids,
electrolytes and nutrition, and use of appropriate medications.
5) Discuss condition, management and future expectations with parents.
Main Course Topics :
- Respiratory distress in newborn
- Neonatal sepsis
- Fluid & electrolyte management of newborn
- Neonatal nutrition
- Impact of major obstetrical problems during infancy
- Basics of newborn ventillation
- Necrotizing Enterocolitis
- Hyperbilirubinemia
Procedures:
1) Learn to perform, with supervisor, necessary technical skills in sick newborn:
a) tracheal intubation
b) placement of umbilical arterial and venous catheters
Remediation Plan:
Student can choose to repeat the rotation to improve the performance at a later date
SAMPLE WEEK
Monday:
7:30AM |
8:30AM |
Preround on inpatients |
8:30AM |
10:30AM |
Rounds: NICU |
12:00PM |
1:00PM |
Joint Perinatology and Neonatology Conference |
Tuesday:
7:30AM |
8:30AM |
Preround on inpatients |
8:30AM |
10:30AM |
Rounds: NICU |
11:00AM |
12:00PM |
Attending Lecture |
Wednesday:
7:30AM |
8:30AM |
Preround on inpatients |
8:30AM |
10:30AM |
Rounds: NICU |
11:00AM |
12:00PM |
Attending Lecture |
Thursday:
7:30AM |
8:30AM |
Preround on inpatients |
8:30AM |
10:30AM |
Rounds: NICU |
11:00AM |
12:00PM |
Attending Lecture |
Friday:
7:30AM |
8:30AM |
Preround on inpatients |
8:30AM |
10:30AM |
Rounds: NICU |
1:00PM |
2:00PM |
Neonatal Grand Rounds |
SCHEDULE NOTE:
This is a patient care elective. In general, the daily schedule is 8-5
on Monday-Friday, and mornings on Saturday/Sunday. Of course time
demands will change depending on the patient load.
ATTENDANCE AND ABSENCE POLICY
Session Attendance for M4 Students
- Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
- Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
- AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
- Excused Absences - The following will be considered excused absences:
- Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
- Personal illness, accident or a major catastrophic event
- Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
- Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
- The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
- The following items are explained in detail in the Medical Student Handbook:
- Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work
See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.