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Clinical Training Overview

Clinical Opportunities

All clinical responsibilities and educational activities are at a single-site within the Level IV NICU at Oklahoma Children’s Hospital.

In our 107-bed NICU, we offer our patients therapeutic hypothermia, high-frequency ventilation, NAVA, extracorporeal life support (ECLS), and other advanced treatment modalities. Our clinical services are supported by all pediatric and surgical subspecialties.

First-Year

Inpatient = 20 Weeks
Outpatient = 2 weeks
(half-day clinics)
Research = 30 Weeks
 

Second-Year

Inpatient =  16 weeks
(CICU rotation)
Outpatient = 2 weeks
(half-day clinics)
Research = 34 weeks
Elective = 2 weeks

Third-Year

Inpatient = 16 weeks
Outpatient = 1 week
(half-day clinics)
Research = 35 weeks
Elective = 2 weeks

Acute Care Teams

Our acute care teams may consist of residents and medical students (West) or neonatal nurse practitioners (East 1 or 2) under the supervision of an attending physician

  • Daily rounding with pharmacists, dietitians, and other auxiliary medical services
  • Collaboration with pediatric and surgical subspecialists

Specialized Care Teams

Our dedicated NICU cardiac team manages perioperative and post-surgical critically-ill congenital heart disease patients.


Bronchopulmonary Dysplasia (BPD)

Our Bronchopulmonary Dysplasia (BPD) team consists of Neonatologists with expertise in management of BPD.
  • Weekly multidisciplinary BPD team meetings to discuss current course and management plans, including PICU/TCU attendings, neonatal nurse practitioners, pharmacist, dietitian, physical therapy, social worker, case management, and nursing leadership


Cardiac
  • Daily multidisciplinary rounds with cardiologists, cardiac intensivist, cardiovascular surgeons, and cardiac anesthesiologists as part of a dedicated NICU cardiac team
  • Comprises 4 weeks inpatient clinical time per year
  • Second-year of fellowship includes rotation through the cardiovascular ICU and operating room 


Extracorporeal Membrane Oxygenation (ECMO)

Our Extracorporeal Life Support (ECLS) team consists of Neonatologist with special training and interest in ECMO support.
  • Fellow-led ECMO rounds under supervision of ECMO attending
  • Monthly ECMO team meetings to discuss previous or current cases, guidelines and management, and case scenarios


Hemodynamics (TnECHO)

Our Hemodynamics team consists of Neonatologists who underwent additional specialized training in Neonatal Hemodynamics
  • Close collaboration with cardiology and ECMO teams
  • Guidance in management of neonatal hemodynamics including in relation to sepsis, cardiac dysfunction, hypotension, or patent ductus arteriosus
Optional elective opportunity for fellows to learn basics of TnECHO, additional pathophysiology, and practice under supervision of Hemodynamics team




Transport, Labor & Delivery, and Consult (TLC)

The Transport, Labor & Delivery, and Consult (TLC) team is a cornerstone of our fellowship, delivering high-acuity neonatal care across the region. Fellows work alongside Neonatologists, residents, and Neonatal Nurse Practitioners to provide seamless care from prenatal consultation through transport and admission.

As core members of the TLC team, fellows gain experience in:
  • High-risk delivery attendance and advanced neonatal resuscitation
  • Prenatal consultation for complex fetal conditions
  • Triage and coordination of neonatal transport calls
  • Management of new admissions and regional referrals
Fellows also participate in ground and air neonatal transport as active members of the Air Kids (hyperlink) team, performing stabilization, procedures, and real-time clinical decision-making during the transfer of critically ill infants to Oklahoma Children’s Hospital.

This experience prepares fellows to lead in high-stakes, dynamic clinical environments.

Link to Air Kids: https://www.ouhealth.com/health-professionals/air-kids-neonatal-pediatric-transport-services/

Outpatient Care Teams

Our outpatient care teams bridge the gap in care of medically complex NICU graduates in our two outpatient clinics: short-term NICU follow-up (High-Risk Clinic) and neurodevelopmental follow-up (PremieR Clinic)

  • High-Risk Clinic includes management of home oxygen, assessment of need for early intervention services, nutritional guidance, and caregiver support
  • PremieR Clinic encompasses a multidisciplinary approach with neonatology, behavioral and developmental pediatrics, occupational & physical therapy, NICU dietitians, and social workers