The following is a schedule of discussion topics and case studies that our fellows participate in:
First Month
Week 1
- Orientation to Baylor College of Medicine, Texas Children's Hospital, and Ben Taub Hospital
- Background reading and completion of take-home test
- Daily attending rounds in the Level 2 nursery or NICU for the rest of the program
- Discussion: Classification of neonates by weight and gestational age
- Discussion: Breastfeeding the full-term infant
- Discussion: Scientific basis of breastfeeding
- Discussion: Human milk and fortification
- Discussion: Calculation of calories
- View: Dubowitz examination film
- View: Film on development of premature Infants
Week 2
- Orientation with Nutritionists/Dietitians of the Texas Health and Human Services Commission
- Orientation to the Early Childhood Intervention Program
- Discussion: Infant Formulas
- Discussion: Premature Infant Growth Charts
- Discussion: Challenges in Feeding
- Discussion: Respiratory Distress Syndrome
- Discussion: Patent Ductus Arteriosis
Week 3
- Discussion: Hyperbilirubinemia
- Discussion: Fluid and electrolyte management
- Discussion: Parenteral nutrition
- Discussion: Anthropometric measurements
- Introduction to a computer-driven neonatal nutrition program
Week 4
- Present Case Study of a NICU Patient
- Discussion: Milk Expression and Storage, Breastfeeding the Premature Infant
- Discussion: Energy Needs
- Discussion: The Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents and Bright Futures in Practice: Nutrition: Third Edition.
- Discussion: Blueprint for Nutrition and Physical Activity: Cornerstones for a Healthy Lifestyle, 2nd Edition.
Second Month
Week 5
- Discussion: Protein Needs
- Discussion: Vitamin E
Week 6
- Discussion: Intravenous Lipids and Cholestasis
- Discussion: Iron
- Decide special project
Week 7
- Participation: Desmond Developmental Follow-up Clinic
- Discussion: Bronchopulmonary Dysplasia
Week 8
- Discussion: Vitamin D and Calcium
- Participation: Texas Pediatric Obesity Prevention Programs
Week 8
- Discussion: Vitamin D and Calcium
- Participation: Texas Pediatric Obesity Prevention Programs
Third Month
Week 9
- Present case study of patient from NICU
- Written case due
- Discussion: Post Discharge Nutrition and Growth
Week 10
- Discussion: Necrotizing Enterocolitis
- Discussion: Extracorporeal Membrane Oxygenation (ECMO)
- Discussion/Participation MCH Public Policy and Advocacy
Week 11
- In-service Research Presentation
- Discussion: Vitamin A
- Discussion: Parental Involvement
Week 12
- Special project due
- Discussion: Role of Neonatal Nutritionist
- Participation in Texas Children's Pediatric Association (TCPA) Medical Home
- Additional meetings with other health care providers and centers will be scheduled