Albany Medical Center is the only State-designated Level IV Regional Perinatal Center in the area. The new 60 bed NICU is one of the largest in upstate New York.
Together with the on-service neonatologist, fellows conduct work rounds, supervise and teach house staff in NICU rotations, and orchestrate neonatal transports. Fellows' responsibilities are gradually increased throughout the training program. During the second and third years, fellows spend at least one month on the clinical service, as "co-attendings." A one month Pediatric Cardiology and Cardiothoracic Surgery rotation supplements the experience acquired on the NICU service.
The Newborn Follow-up Program is directed by Judy Lucas, M.D., Director of Developmental and Behavioral Pediatrics. Fellows attend half-day follow-up clinics, during all 3 years.
Fellows on the clinical service participate in the clinical research studies and integrate quality improvement teams. Fellows must also develop their own research project(s). Assistance in study design, writing and submission of protocols, project execution, data analysis and submission for publication is provided by the faculty and Research Nurse Coordinators. By the end of the first year, a Scholarship Oversight Committee is appointed to oversee each fellow's research activities. Fellows are taught computer database administration and analysis for quality management, essential for competency in practice-based learning.
The on-call schedule for fellows (with an in-house attending) is flexible; its frequency approximates every 5th night during the first year, and every 6th night in the second and third years.
TEACHING CONFERENCES SCHEDULED WEEKLY INCLUDE:
Neonatology Conference - a rotating schedule of Journal Club, M&M review, developmental physiology topics, and research updates.
Pediatric Grand Rounds
Pediatric Case Management Conference - on pediatric cases from all subspecialties, including neonatology.
Daily Radiology conference including ultrasound review.
Didactic teaching sessions, 2 - 3 days/week, by attending (or fellow), for the NICU team
Other scheduled conferences include a monthly Perinatal Conference with the department of Ob/Gyn and Pediatric subspecialties, and a monthly Perinatal Ethics Conference, with faculty from the Bioethics Department.
Additional learning sessions are added to cover the fellowship core curriculum, which includes topics in physiology, bio-statistics, Boards review ("Fellow Fridays") and development of written, poster and spoken presentation skills. Other research conferences are held by research groups with which the fellow may be associated.
Finally, an online series of modules on core competencies and related topics is offered through the AMA's Introduction to the Practice of Medicine site.The modules are available to all residents and fellows.