Pediatric Neonatal Intensive Care

Description:

To gain an understanding of the common disease processes of newborn infants and the facilities and resources available to treat them. Description The Neonatal Intensive Care Unit of the Children's Hospital of Eastern Ontario provides care for approximately 400 high risk infant patients each year, born in the surrounding region of Eastern Ontario and Western Quebec. Students are encouraged under the supervision of the attending neonatologist, neonatal fellow and the pediatric residents, to be involved in the care of premature low birth weight infants with their multiple complicating disease processes. Full term infants are also referred for care suffering from perinatal asphyxia, jaundice, neonatal sepsis, congenital heart disease or major congenital malformations requiring surgical repair. In addition, the student has the option to participate in the neonatal transport program providing for the stabilization and transfer of high risk infants from the hospital of birth to the Neonatal Intensive Care Unit. Attendance at the multi-disciplinary Neonatal Follow up Clinic to assure the quality of survival of high-risk infant patients is also possible. Pre-clinical students are welcome to join daily patient care rounds to observe the many critical aspects involved in the comprehensive neonatal intensive care or to participate in the multidisciplinary assessment of infants at greatest risk of neuro-developmental handicap in the Neonatal Follow-up Clinic. Students of any year may choose a major topic to study in depth under the supervision of the neonatologist.

Location: Children's Hospital of Eastern Ontario

Duration: 2 weeks

Number of Students: 1-3 students

Available for: All medical students, priority given to clinical clerks


Neonatology / Perinatology

Objectives: 

  • To gain insight into normal and abnormal fetal development;
  • To learn about the transition from the intrauterine to extrauterine environment;
  • To learn about the disease processes in newborn infants;
  • To explore ethical principles involved in neonatal intensive care.

Description:

Almost 4,000 deliveries per year take place at the Ottawa Hospital General Campus, which is the Regional Perinatal Centre for Eastern Ontario. Many of these are following high-risk pregnancies; fetal anomalies may have been detected in utero; the mother may have significant medical problems or pregnancy-induced problems, or premature labour may have occurred. There are over 450 admissions per year to the NICU, 35% are infants weighing less than 1,500 grams at birth. During this elective, students will participate in a variety of rounds and seminars discussing the optimal care for high-risk pregnancies. Whenever possible, they will observe or participate in the ongoing care of sick newborns. They may also get a chance to attend a Neonatal Follow up Clinic. This elective is suitable for students of any year, with pre-clinical students taking primarily an observers role and clinical students having more direct involvement with patient care. For all years, the basic physiology and pathophysiology of the clinical situations will be stressed.

Location: The Ottawa Hospital General Campus

Duration: 2 weeks

No. of Students: 1 student

Available for: All medical students, priority given to clinical clerks

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