Neonatal/Perinatal Medicine Fellowship

Delaware Area

The Neonatal-Perinatal Fellowship Training Program — offered jointly by Nemours/Alfred I. duPont Hospital for Children, Christiana Hospital, and Sidney Kimmel Medical College at Thomas Jefferson University (TJU) — provides a unique and comprehensive training experience that will lead to a career in academic or clinical neonatology.

The program, leveraging the diverse strengths of all 3 hospitals, provides a well-rounded experience in the clinical care of critically ill newborns and extensive training in the principles of clinical and basic science research.

Program Details

About Our Fellowship Program

The fellowship program in Neonatal-Perinatal medicine offers the unique opportunity to provide clinical care at three distinct settings in the Delaware Valley. Your clinical experience will range from the largest delivery center in Delaware at Christiana Care Hospital, through a large inner-city delivery experience at Thomas Jefferson University to a referral children’s hospital NICU at Nemours/Alfred I. duPont Hospital for Children. The clinical program will provide training across the full breadth of neonatal care from the care of the periviable premature neonate to providing ECMO to the critically ill term newborn.

While experiencing high-level clinical training you will also be fully immersed in a vibrant academic environment, including weekly dedicated lecture time, multiple clinical conferences and a defined research and simulation curriculum. As your fellowship progresses and research becomes more prominent, you will be presented with an abundance of research opportunities ranging from bench basic science research, through clinical database design to qualitative research methodology.

Our fellowship program graduates clinically and academically excellent Neonatologists that we anticipate to become future clinical and academic leaders in the field.


Program Components

 
Unique Clinical Settings

You’ll do your rotations at all hospital facilities. Although the campuses are located within 45 minutes of each other, you’ll work at only one of these clinical sites on any given day:

  • Nemours/Alfred I. duPont Hospital for Children, located in Wilmington, Del., is one of the top children’s hospitals in the United States providing high-level clinical care and cutting edge academic research. Part of your clinical experience will occur in the 14-bed Cardiac Intensive Care Unit where you will care for infants with congenital heart disease both before and after surgery. In the 32 bed referral NICU you will learn the care of the surgical infant, the infant requiring ECMO and those requiring multiple complex subspecialty referrals. As of the fall of 2019, the hospital will open and your experience will include the Advanced Delivery Program focusing on the care of the fetally diagnosed neonate requiring immediate access to post-delivery care.
  • Thomas Jefferson University Hospital, the Intensive Care Nursery (ICN) at Thomas Jefferson University Hospital, located in Philadelphia and affiliated with Sidney Kimmel Medical College, is a 40-bed Level III NICU associated with a busy delivery room and a maternal fetal medicine department that serves as a referral service for high-risk pregnancies. The ICN is also a tertiary referral site for neonates requiring photocoagulation therapy for retinopathy of prematurity and therapeutic hypothermia for hypoxic ischemic encephalopathy. Its urban setting exposes you to a highly diverse patient population with a particular focus on premature neonates born as early as 22 weeks gestation and opiate exposed neonates with neonatal abstinence syndrome as a part of the Maternal Addiction Treatment Education & Research (MATER) program..
  • Christiana Hospital, located in Newark, Del., is the only general tertiary care facility in the state and is a high risk obstetrics referral center. With more than 7,000 annual deliveries, the hospital has an active maternal fetal medicine department that evaluates high-risk pregnancies and a 68-bed Level III NICU. The NICU has an annual admission rate of 1,500 newborns and an average daily census of 49. Our training environment is enriched by the hospital’s advanced neonatal transport team which has served as a mobile NICU for more than 25 years. The hospital offers total body hypothermia to treat hypoxic ischemic encephalopathy. In collaboration with the pediatric subspecialists at Nemours, the NICU provides neonatal palliative care services through the IMPACT team which is comprised of a neonatologist who is board certified in hospice and palliative medicine, physicians and nurses from neonatology and obstetrics, advanced practice clinicians, social work and pastoral care. Our neonatology group is active in quality improvement, clinical research and trainee education.
 
Program Activities

With fellows from other programs, you’ll participate in a variety of didactic sessions, including basic research training and statistics, as well as pediatric grand rounds.

Other activities include:
  • daily teaching rounds during clinical rotations
  • orientation lectures on ventilator management and ECMO
  • neonatal-perinatal, laboratory, and radiology rounds
  • fellow physiologic lecture series (weekly lectures that cover the entire content of the subspecialty certifying examination)
  • classic and neonatal journal clubs
  • fellow board review
  • conferences and seminars on fellow research, quality
    improvement, professionalism/communication, morbidity and mortality and fetal therapy
Master's Opportunity at Thomas Jefferson University

You may also pursue a Masters degree through Thomas Jefferson University, concurrently or following your fellowship training. They offer programs in:

  • human clinical investigation (NIH-sponsored)
  • public health
  • healthcare quality and safety

These fulfill the scholarly activity requirement of the American Board of Pediatrics.

Research Opportunities

Research Opportunities

 
Nemours Alfred I. duPont Hospital for Children

At Nemours there is an expanding research program ranging from basic science projects looking at the genetics of BPD and pulmonary hypertension, through quality improvement work on reducing medication errors to multi-center projects looking at variation in neonatal end-of-life care. Faculty are also available to mentor fellows interested in pursuing research on ECMO, palliative care and the neo-surgical patient. The research efforts of the division are rapidly growing and expanding and we appreciate the participation of neonatal fellows in ongoing projects or in the initiation of a new project.  Interested fellows are welcome to contact faculty directly to discuss potential research projects.

 
Christiana Care Hospital

The Division of Neonatology at Christiana Hospital has 14 attending neonatologists who are active in a wide variety of scientific research activities. The research topics are diverse and fellow participatory activities would primarily be in the areas of clinical and translational research and quality improvement. Examples of recent fellow-based research include detailed pulmonary physiology and mechanics, cytokines, breastmilk nutrition, transfusion medicine, transport medicine, parent decision aids and communications, spirituality/mindfulness for parental coping, neonatal resuscitation, and epidemiologic analysis of retrospective and prospective database studies. Through your fellowship training, you will learn research design, methodology, ethics, informed consent, process control, quality improvement, database management and statistical procedures. There are additional opportunities to collaborate with maternal-fetal medicine, obstetrics, pediatric radiology and global health.

About Our Hospital

Nemours/Alfred I. duPont Hospital for Children is like no other in the region — designed by families, for families.

About Our Hospital in Delaware

The Nemours/Alfred I. duPont Hospital for Children is a multispecialty, tertiary care teaching institution located on a 300-acre estate in the scenic Brandywine Valley in Wilmington, Del.

As a program participant, you’ll have access to advanced computer systems for patient care activities, electronic mail, word processing, internet access and library research functions. Among the hospital’s amenities for all staff are:

  • free parking
  • park-like setting
  • gym/fitness center
  • on-site child care center for children of staff
  • massage therapy

Learn More About duPont Hospital for Children »

Contact Us

Veronica Sapp

Program Coordinator
(215) 955-2074
veronica.sapp@nemours.org

Zubair Aghai, MD

Program Director
(215) 955-2894
zubair.aghai@nemours.org

Apply for This Fellowship