2025-2026 M3/M4 Course Syllabi
Pediatrics
COURSE NUMBER:
16 01 21
TITLE:
CARE NORM & HI RSK NEWBRN GSH -ICE
This Neonatal Intensive Care Unit (NICU) elective provides students the opportunity to recognize, understand, and manage neonatal disease. This NICU elective affords the opportunity to learn about neonatal medical management, therapeutic procedures, and family-centered dynamics in a busy community level III NICU.
PREREQUISITES:
26961373 (PEDIATRICS CORE CLKSP)

To meet ICE requirements, can only be taken in one, consecutive 4 week block.  Cannot be taken for 8 weeks to fulfill ICE requirements.
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GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
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:
This is a 4 week rotation working full time Monday through Friday (approximately 6:30 AM through 2-5 PM).
DIRECTOR:
Morgan Hill
Morgan.Hill@cchmc.org
517-7142
T Building, 11th Floor Ste. 535
ADMINISTRATIVE SUPPORT PERSON:
Mimi Pence
Mimi.Pence@cchmc.org
513-636-0339
Kasota Building, 7th Floor at CCHMC, BN7.722
SITE(S):
Good Samaritan Hospital
MAX ENROLL:
1  MAX/YR: 12
ROTATIONS:
Rotation Dates Max
1 04/21/2025 - 05/16/2025 1
2 05/19/2025 - 06/13/2025 1
3 06/16/2025 - 07/11/2025 1
4 07/14/2025 - 08/08/2025 1
5 08/11/2025 - 09/05/2025 1
6 09/08/2025 - 10/03/2025 1
7 10/06/2025 - 10/31/2025 1
8 11/03/2025 - 11/28/2025 1
9 12/01/2025 - 12/26/2025 0
10 12/29/2025 - 01/23/2026 1
11 01/26/2026 - 02/20/2026 1
12 02/23/2026 - 03/20/2026 1
13 03/23/2026 - 04/17/2026 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:
Follow a Pediatric Resident work schedule
REPORT 1ST DAY:
Rhonda Berte - Good Samaritan NICU - 9th Floor Rm. 976.32 (When you exit the Clifton Elevators on the 9th floor, Rhonda's office is the door immediately to the left of the elevator doors).
COMMENTS:
The medical student will join a team comprised of pediatric residents, a neonatal perinatal medicine (NICU) fellow, a nurse practitioner, and a neonatal attending. They will have the opportunity to interact with dieticians, respiratory therapists, clinical pharmacists, and nurses throughout the month. They will present patients on rounds, assist in delivery room resuscitations, observe/perform procedures, and help with admissions and daily family communication.

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)
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
  • Lecture
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Peer Teaching
  • Problem-Based Learning (PBL)
  • Simulation
  • Team-Building
  • Ward Rounds
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:
70% Attending Physician
10% Senior Resident
10% Other Allied Health Professional(s)
10% Fellow Physician
FEEDBACK:
ASSESSMENT:

ASSESSMENT METHODS:
Narrative Assessment
Oral Patient Presentation
Other: Describe other methods not listed above:
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
  • Neonatal Resuscitation Program AAP 8th edition
  • Fanaroff and Martin's Neonatal-Perinatal Medicine, 2-Volume Set: Diseases of the Fetus and Infant (Current Therapy in Neonatal-Perinatal Medicine) 11th Edition (Martin, Faranoff, and Walsh)
  • Gomella's Neonatology, 8th Edition (Gomella, Eyal, Bany-Mohammed)
Knowledge/Skills:
1. Recognize a neonate requiring urgent or emergent care. Additionally:
     - Demonstrate competency in assigning an APGAR score at birth
     - Understand the Neonatal Resuscitation Program (NRP) Algorithm. 
2. Perform a complete physical examination on both well and ill neonates. Additionally:
     - Describe special methods and maneuvers involved in performing a newborn examination (example: assessment of hip dysplasia).
     - Understand and perform the methods to assess gestational age at birth.
3. Initiate evaluation and management of an acutely ill neonate.
4. Describe the pathophysiology and mangement for common illnesses in newborns, such as respiratory distress or respiratory distress syndrome, cyanosis, meconium aspiration syndrome, lethargy, jaundice, bilious vomiting, hypoglycemia, sepsis, and/or perinatal infections.
5. Demonstrate empathy, compassion, and a commitment to acknowledge and address suffering.
6. Collaborate as a member of an interprofessional team.
7. Assist under supervision or via simulation common neonatal bedside procedures, such as bag mask ventilation, intubation, and central umbilical lines.
8. Perform patient handoff of the medically complex patient including but not limited to provider to provider or provider to consult.
9. Recognize the scope of their abilities, asking for assistance with appropriate urgency (consultation with supervising physician or other specialty).
10. Apply medical ethical principles to cases of periviability. Become familiar with the key principles important in perinatal counseling. 
Main Course Topics :
  • Critical care
  • Neonatal resuscitation
  • Respiratory distress syndrome
  • Meconium aspiration syndrome
  • Chronic lung disease
  • Neonatal opioid withdrawal syndrome
  • Hyperbilirubinemia
  • Perinatal infections
  • Bilious emesis
  • Hypoglycemia
  • Sepsis
  • Prematurity
  • Extremely low birthweight infant
  • Periviability 
  • Communication with families
Procedures:
  • Describe the indications for and articulate the steps of common neonatal procedures, including, but not limited to: lumbar puncture, umbilical arterial and venous catheter placement, chest tube placement, bag mask ventilation, and intubation. 
  • The technical aspects will be introduced and the student will have an opportunity to perform these procedures under proper supervision and guidance as opportunities arise.
Remediation Plan:
Individualized self-directed assignments as needed.

SAMPLE WEEK

SCHEDULE NOTE:

Monday-Friday:

6:30 AM: Arrive for sign-out and pre-rounds

8-9 AM: Education (such as lecture, simulation, case-based question of the day)

9 AM-12 PM: Medical interprofessional team rounds

12-5 PM: Afternoon tasks, deliveries, admissions (end of day may be between 2-5 PM pending NICU acuity)

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.




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