Pediatric Neonatal and Perinatal Fellowship at Steven and Alexandra Cohen Children's Medical Center of New York
Division of Neonatal-Perinatal Medicine
The Neonatal Intensive Care Units (NICUs) at Cohen Children's Medical Center and North Shore University Hospital are both Regional Perinatal Centers recognized by the New York State Department of Health. We are proud to be a leading center for child health in the country as recognized by the US News & World Report. As the Neonatal Service Line of the North Shore-LIJ Health System, we manage the care for 27,000 newborns in the 7 hospitals with delivery services, as well as infants referred to us from the entire tri-state area and beyond.
The NICUs at Cohen Children’s Medical Center and North Shore University Hospital operate collaboratively, providing the same advanced medical services from more than 20 board certified neonatologists. Patient volume (>2500 discharges annually) at these NICUs has grown with the opening of Katz Women’s Hospitals at each site and with more than 200 neonatal transports annually. Active Maternal-Fetal Medicine Services account for a significant number of antenatal referrals and advanced transport services for high-risk pregnancies. Our fellows rotate through both NICUs at Cohen Children’s Medical Center and North Shore University Hospital and work alongside teams of pediatric residents and neonatal nurse practitioners. Faculty and fellows all have academic appointments in the Department of Pediatrics at Hofstra North Shore-LIJ School of Medicine and participate in the teaching of medical students.
The Fellowship Program is the focus of our educational efforts for the Division. We provide daily didactic conferences that include case discussions, mortality & morbidity reviews, journal clubs, topic reviews, maternal-fetal medicine conferences, and reviews of biostatistics and research. Evidence-based best practices are discussed and reviewed critically. All sessions include web conferencing to include fellows at all sites. See brief review of fellowship curriculum below.
We provide a full spectrum of advanced technology and therapies for our neonates. In addition to continuous faculty, fellow, and nursing management 24/7, our Division maintains the following multidisciplinary clinical programs:
- High Frequency Transport with Nitric Oxide
- Lung Rescue/Extracorporeal membrane oxygenation (ECMO)
- Multidisciplinary Antenatal Care Services
- Interdisciplinary Team Rounds
- Intestinal rehabilitation
- Pulmonary Hypertension Center
- Lactation and Donor Milk Program
- Specialized nutrition strategies
- Selective Brain Cooling
- Heliox therapy
- Neonatal Skin Team
- Neonatal Airway Disorders Program
- Neonatal Interdisciplinary Feeding Team
- Cleft Palate Team
- Neonatal Pain Team
- PURE Program for disorders of sexual development
- High Risk Follow-Up Clinic
All neonatal surgical specialties are available on-site including; general surgery, cardiovascular, neurosurgery, otolaryngology, ophthalmology with retinal specialists, urology, and a craniofacial surgery team. Our pediatric medicine specialty group represents all subspecialties.
The Division maintains the Lilling Family Neonatal Research Lab at the Feinstein Institute for Medical Research, coordinated by specialized research assistants. All fellows participate actively in research. Active areas of research include:
- Gene transfer of antioxidant enzymes
- Effects of hyperoxia
- Neonatal nutrition and human milk components
- Effects of neonatal management on the intestinal microbiome
- Neonatal transport with high frequency mechanical ventilation
- Brain cooling for hypoxic ischemic-encephalopathy
- Non-invasive cardiopulmonary monitoring
- Multiple gestations
- Substance abuse
- Palliative care
- Outcomes research
A detailed neonatal patient database and EHR support a variety of quality and outcomes projects. Faculty, fellows, nurse practitioners, and residents have been yearly presenters at national pediatric research meetings. Selected research publications and invited presentations are tabulated below.
Quality and Performance Improvement
Our NICU Quality and Patient Safety teams are actively working toward sustaining our reductions in bloodstream infections associated with central lines. We actively work toward ensuring that oxygen therapy is applied within specified limits, that infant developmental care is based on physiologic principles, and that human milk is provided exclusively. We conduct weekly unit-based safety rounds and a daily safety call to provide a venue where staff can voice their concerns and share best practices for safety.