Curriculum
Clinical rotations
During the Neonatal-Perinatal Medicine Fellowship, you engage in supervised clinical training in three areas at Mayo Clinic with increasing entrustment to lead the NICU team:
Level IV Neonatal Intensive Care Unit
Mayo Clinic Hospital, Saint Mary's Campus
The 39 bed level IV Neonatal Intensive Care Unit (NICU) at Mayo Clinic Hospital, Saint Mary's Campus is the site where fellows care for the most complex neonates. Supervised by a member of the neonatal medicine faculty, each fellow gradually gains expertise and autonomy in the assessment and management of newborns with various medical and surgical conditions. In-house call occurs at this site, with each fellow working in-house one night a week on average. Tour our new state of the art NICU.
High Risk L&D, NPM Consult Service, and Level III NICU
Mayo Clinic Hospital, Methodist Campus
This fast-growing service currently delivers nearly 2,500 infants annually, with more than 1,000 considered high-risk due to fetal or maternal conditions. Fellows attend high-risk deliveries at this site, learning to lead a medical team, rapidly assessing the newborn patient, and providing necessary interventions quickly and effectively. Fellows also learn antenatal consultative skills here for mothers with high-risk pregnancies in the ambulatory MFM clinic and high risk L&D settings. Fellows may also rotate in the Level III NICU at the Methodist campus.
Mayo Clinic Hospital, Methodist Campus, is also the site of the Intermediate Special Care Nursery (ISCN). Each fellow spends one month on service in the ISCN during the final year of fellowship, learning to master the care of chronically ill neonates who are making the transition to discharge home.
Neonatal Developmental Follow-Up Program
Mayo Building
Fellows participate in the multidisciplinary team caring for NICU graduates in the Mayo Clinic NICU follow-up clinic. Here, fellows learn how to diagnose developmental delays and coordinate services for affected patients in order to optimize their developmental outcomes. Fellows rotate in NICU follow-up clinic once per month on research months.
Palliative Care and Clinical Ethics
Mayo Clinic Hospital, Saint Mary's Campus
All fellows rotate with the pediatric and neonatal inpatient palliative care team for one month during NPM fellowship. The focus of this rotation is exposure to primary palliative care approaches, including advanced family-centered communication skills and effective pain and symptom management.
Rotation schedule
In total, there are 21 research blocks and 15 clinical blocks during the Neonatal-Perinatal Medicine Fellowship. Fellows have four weeks of vacation each year. A sample schedule is included below.
Month | Year 1 | Year 2 | Year 3 |
---|---|---|---|
1 | NICU | Research | Research |
2 | Research | Research | NICU |
3 | Research | NICU | Research |
4 | NICU | Research | Research |
5 | Research | Research | NICU |
6 | Research | NICU | Research |
7 | NICU | Research | Labor and Delivery |
8 | Research | Research | NICU |
9 | Research | NICU | Research |
10 | NICU | Research | Palliative Care and Clinical Ethics |
11 | Research | Research | NICU |
12 | Research | NICU | Research |
Call frequency
- SMH NICU: As an on-service fellow, you are responsible for just one night of call a week — Tuesday.
- Research, L&D, and PCCE: The fellows assigned to research rotations are responsible for just one night of call a week — Sunday or Thursday, alternating week to week.
Fellow responsibilities
As a neonatal-perinatal fellow, you will have the following responsibilities:
- Review rotation- and level-specific goals and objectives for each rotation. These are available from MedHub, which you access via the Mayo Clinic intranet.
- Present twice a year at the Neonatal Clinical Consensus Conference. As a fellow, you identify a controversial patient management topic and lead discussion regarding evidence-based approaches to clinical problem-solving.
- Present on an annual basis at the Neonatal Morbidity and Mortality Conference. You participate in discussion regarding patient outcomes and system improvements.
- Select a research and neonatology mentor.
- Meet with a research mentor biweekly during research rotations and meet with the neonatology mentor quarterly.
- Develop curriculum to be taught at the Multidisciplinary Simulation Center.
- Present your research at the Neonatal Fellow Research Symposium.
- Present emerging evidence in the basic science and practice of neonatal medicine at journal club on an every-other-month basis.
- Give specific feedback regarding the structure of the fellowship training program at the Neonatal Program Review once a year.
- Identify members to participate in the scholarship oversight committee. You will schedule meetings with members of the committee and record minutes of the meeting.
- Develop an individualized learning plan with guidance provided by the fellowship director and your mentor.
- Semiannually, you are asked to complete a self-reflection tool, which guides you in evaluating your learning goals and actions required to meet those goals. The reflection tool is reviewed by the program director during your semiannual reviews. The reflection tool is part of your online portfolio and can be reviewed at any time.
- Participate in a quality improvement project with the Quality and Safety Committee or Family-Centered Care Committee.
Fellow conferences
Our core learning experiences occur on Thursday afternoons and rotate systematically throughout fellowship. Active learning is promoted in conferences that facilitate discussion rather than in traditional didactic formats. Our conferences include regularly scheduled conferences such as:
- Core neonatal medicine curriculum
- Landmark series in neonatology
- Article of the month series
- Neonatal board review workshops
- Equity in neonatology curriculum
- Longitudinal procedural mastery curriculum
- Longitudinal advanced communication curriculum
- Longitudinal leadership curriculum
- NeoSurgery conference
- Fellow's choice series
- Senior fellow's research seminar
Recurring meetings blending clinical and educational needs, include:
- Morbidity & Mortality
- Fetal board
- NICU Mayomics (Genome) board
In addition, informal clinical conferences are held with medical students, pediatric interns, and residents serving clerkships in neonatology.
See details on conferences for fellows.