Pediatric Neonatal and Perinatal Medicine Elective at Steven and Alexandra Cohen Children's Medical Center of New York
Dennis Davidson, MD
Associate Professor of Pediatrics
Neonatal Intensive Care Unit
The student will be a member of a team of residents, fellows and attendings who provide 24-hour care of ICU newborns. The student examine patients assigned to the team on a daily basis, and enter progress notes in the patient charts. Orders may be written by the student and counter-signed by the pediatric resident. Procedures may be performed by the student under direct supervision. The student will make daily work rounds with the team and will participate in attending rounds and teaching sessions. The student will be on-call every fourth night with a member of the team and during this period the team will cover the well-newborn nursery, labor and delivery and the NICU. The student will be informed of ongoing clinical studies and participate in these if appropriate.
Newborn Nursery and Labor & Delivery
The elective provides clinical experience in the term well-newborn nursery (NBN) and in the Labor & Delivery Room (LDR). The student will be assigned to a team consisting of a full-time neonatal attending, neonatal fellow and newborn pediatric resident. Daily teaching rounds are made in the NBN. When called to the LDR for the attendance at the delivery of a potentially high-risk newborn, the team will perform an immediate assessment of the perinatal problems of the mother and her newborn. Neonatal resuscitation, when indicated, will be instituted; an assessment of the newborn in the LDR will be performed; and a decision for admission to the NBN, transitional nursery or neonatal intensive care unit (NICU) will be made. On admission a complete physical examination of all the newborns in the NBN will be performed and recorded. Any abnormal findings will be discussed with the supervisory physicians and the assigned pediatrician will be informed of any symptom or sign. If no assigned pediatrician is identified, the neonatal staff will function as the primary physician. Daily examination of the newborn will be performed and noted in the chart, and visits to the mother are mandatory. Discharge examination of the newborn and instruction to the mother is given for those patients assigned to the neonatal staff. Attendance at teaching rounds in the NICU is recommended. Every fourth night on call will be in the NICU with the resident team member.
More details about each pediatric clerkship offered can be found here.