The first year of training focuses on the development of knowledge and clinical skills in neonatal-perinatal medicine as well as development of research skills. It includes a total of six 28-day blocks of NICU (3 each at CHEO and TOH-GC), one block of maternal-fetal medicine, one block of neonatal follow-up and development, and one block of genetics (if not done previously). Up to four blocks are available for research. The resident may choose to do an elective in a pediatric subspecialty or level 2 NICU. Clinical fellows who are only doing one year of training are offered 6 to 7 blocks of NICU (3 to 4 each at CHEO and TOH-GC) and 2 or more research blocks. They will have the opportunity to do 1 to 3 blocks of other rotations (MFM, genetics, neonatal follow-up or surgery) depending on the availability of these rotations.
The second year objectives include consolidation of clinical knowledge and skills as well as the development of research skills. The year includes a total of six 28-day blocks of NICU (3 each at CHEO and TOH-GC), one block of neonatal transport and one block of consulting neonatology. If a resident reaches a high level of proficiency, 1 to 2 3 blocks of the NICU rotations may be organized in which the trainee functions as a “junior attending”. The remaining 5 research blocks are available to complete a scholarly project. One or more of these blocks can also be used for elective time.
Neonatal-Perinatal Medicine is a certified Royal College subspecialty, thus trainees eligible for Royal College certification may undergo the written exam at the end of the second or third year. If the resident chooses, they may take a third year of training devoted to furthering their scholarly project, consolidation of research skills, or earning a Masters degree. Clinical rotations will be set up to meet the needs of the individual.
Neonatal residents play a role in teaching and supervising more junior pediatric residents, medical students and neonatal nurse practitioners. This consists of structured and informal teaching sessions, assisting with clinical questions in the unit and on patient rounds as well as teaching neonatal procedures. The neonatal residents will often buddy a junior trainee while on call and provide support in the day-to-day tasks in the NICU.
There will not be more than 7 calls per 28-day rotation, with 2 free weekends. We have three lines on-call system; one resident/Fellow on-call at CHEO and two residents on-call at TOH each night. We also have a senior Fellow/Resident who is doing in-house call and support trainees on-call in both CHEO and TOH NICUs.