WebForMDs > PROVIDER RESOURCES > FAIRFAX PEDS > ROTATIONS > WELL BABY

During the PL-1 year, the resident will spend a one-month block seeing patients in the well baby nursery, functioning as the primary care physician for these children.  The focus will be on obtaining an appropriate perinatal and neonatal history, performing an accurate physical exam (looking for signs of illness or congenital malformations), well newborn care, and parent education (providing anticipatory guidance to the new families).  The intern will be attending neonatal lectures and teaching rounds with the more senior residents, attending staff and Pediatric Nurse Practitioners.  The PL-1 will become familiar with the initial evaluations and treatment of the common Level 1 maladies.

Contact: (703) 204-6020 Requirements depend on the attending.
Hours: 8:15am - 4:00pm

Hints & Expectations:
8:15-12 noon  well baby rounds (rounding with attending begins at 8:15am)
1 morning/month attend lactation class at 10 am
2-4 PM   2 afternoons/month at the rehab clinic
    2 afternoons/month at lactation rounds
    4 afternoons/month at continuity clinic
    All remaining afternoons doing transitional care with NRN

First week:   Become familiar with nursery protocols (polycythemia, hypoglycemia, R/O sepsis).  Copies of protocols are to be given to the residents.
· Become familiar with feeding issues in newborn
· Achieve competence in performing newborn exam, to become familiar with normal verses abnormal findings.
· To learn about discharge instructions, establishment for outside follow-up.
· To be responsible to obtain census and find out which babies require newborn exam and which are to be discharged.
· First week lecture: Polycythemia, R/O sepsis, Hypoglycemia, DR Resuscitation

Second Week:  To being infant exam and chart work, obtaining lab results
· To be able to assess babies for serum bilirubin.
· To follow border babies and discuss their history, findings and medical management with attending.
· Become more comfortable regarding anticipatory guidance to families regarding their questions and discharge planning
· Second week lectures: Management of mothers with HBSag, Management of HIV+ mothers.

Third week:  Present 30 minute presentation on topic of choice
· Further skills regarding assessment of jaundice, need for lab work, consultations
· To spend 1 afternoon with well baby attending in NICU to see interesting cases and to do procedures
· Third week lectures:  birth injuries, IUGR

Fourth week:  Prepare 20-minute presentation on topic mutually agreed upon by attending/resident.
· Responsible to round on, and decision making for border babies, update families by phone or in person.
· Responsible for all discharge admission exams with presentation to attending (all orders to be cosigned by attending before it is given to secretary).  Discussion with families will be initiated by resident regarding f/u care, questions, and referrals.
· Verbal orientation for upcoming month's PL-1
· Fourth week lectures: post term pregnancy, IDM, Perinatal issues.

Other:    Do not attend morning report when post call.  Do not need to wear a white coat.  Read the articles in the black manual in the NICU resource room (they rate highly).