Newborn Nursery (PGY-1)

Henry Ford Hospital

Description of Rotation or Educational Experience

By the completion of the one-month rotation the resident will understand care for well and ill newborns, including newborn exam, neonatal jaundice, feeding difficulties, signs of sepsis and treatment of respiratory distress.

Patient Care

Goal

Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Residents are expected to:

Competencies

• Receive training to perform those clinical procedures required for their future practices in the ambulatory and hospital environments.
• Receive training that focuses on the core principles of Family Medicine: including Continuity of Care, Family-Oriented Comprehensive Care Experience, Family Medicine Center Experience, Patient Care Experience, FMC Continuity and Accessibility, Medical/Surgical Experiences, and Inpatient Experiences.

Objectives

By the end of the rotation the resident is expected to be able to:

• Attend high-risk deliveries and become familiar with neonatal resuscitation techniques.
• Admit and discharge newborns

Medical Knowledge

Goal

Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of this knowledge to patient care. Residents are expected to:

Competencies

• This rotation fulfills family medicine-specific training and educational requirements for Inpatient Care and the care of Neonates, Infants, Children, and Adolescents.

Objectives

By the end of the rotation the resident is expected to be able to:

• Identify components of PALS (Pediatric Advanced Life Support) and NALS (Neonatal Advanced Life Support) within the experience of the perinatal health care setting.
• Prepare and give a presentation on a neonatal topic.

Practice- Based Learning and Improvement

Goal

Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life long learning. Residents are expected to develop skills and habits to be able to :

Competencies

• Identify strengths, deficiencies and limits in one’s knowledge and expertise;
• Set learning and improvement goals
• Use information technology to optimize learning

Objectives

By the end of the rotation the resident is expected to be able to:

• Read and become familiar with the content of the handbook provided by supervising attending.

Systems Based Practice

Goal

Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. Residents are expected to:

Competencies

• Work effectively in various health care delivery settings and systems relevant to their clinical specialty
• Coordinate patient care within the health care system relevant to their clinical specialty

Objectives

By the end of the rotation the resident is expected to be able to:

• Coordinate care between delivery room, resuscitation efforts, and the newborn nursery staffs.
• Coordinate with consult services.
• Demonstrate efficient use of site of call for admitting & discharge.

Professionalism

Goal

Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:

Competencies

• Compassion, integrity, and respect for others
• Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation

Objectives

By the end of the rotation the resident is expected to be able to:

• Practice feedback from and to midlevel providers within the patient care settings.

Interpersonal and Communication Skills

Goal

Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. Residents are expected to:

Competencies

• Communicate effectively with patients and families across a broad range of socioeconomic and cultural backgrounds
• Maintain comprehensive, timely, and legible medical records

Objectives

By the end of the rotation the resident is expected to be able to:

• Demonstrate an ability to conduct patient education with new mothers during the discharge process.

Teaching Methods

What teaching methods are you using on this rotation or educational experience?

• Didactic lecture
• Direct role-modeling and observation

Assessment Method (residents)

How do you measure the resident’s performance on this rotation or educational experience?

• Faculty evaluations of the rotator’s performance
• Real-time feedback during direct observation
• Resident is to generate self-observed behavior reports in each competency at least weekly over the course of this rotation.

Assessment Method (Program Evaluation)

How do you evaluate whether this educational experience is effective?

• Resident evaluation of rotation

Level of Supervision

How is the resident supervised on this rotation?

· Directly by attending physicians

Educational Resources

List the educational resources

• Relevant orientation materials are indicated and/or given at the beginning of the rotation and used throughout.

Resources and people residents have identified as useful, and encourage new rotators to become familiar with:

• Up-to-date
• Relevant journals/articles
• Obtain and use newborn manual
• NALS/PALS
• Attend presentations given by staff
• Attend radiology conferences
• Attend and make good use of orientation