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Neonatal-Perinatal Medicine

The Neonatal-Perinatal Fellowship Program at UCLA is a three year training program that strives to attract candidates with an affinity for academic medicine. The program is structured to include clinical and research training in neonatology (as per the requirements spelled out by the ACGME).

The clinical program consists of fellows providing supervision in the neonatal intensive care units, transports, delivery room resuscitations, and primary care in the high risk follow-up clinic. The well-structured educational program consists of weekly sessions which range from case discussions, research seminars, journal club, perinatal and neonatal morbidity and mortality, multidisciplinary fetal care, neonatal-surgical and neonatal-pathology conferences, clinical topic oriented presentations, and physiological basis for disease, and board review study sessions. In addition, there is a departmental core curriculum competency series per the guidelines developed by the American Board of Pediatrics that enhances the education of all fellows.

The Research Program is individualized and mentor-based and provides a scientifically rich environment where fellow trainees are afforded the opportunity of training in well- established laboratories/clinical research programs with a wide range of expertise that spans the study of Developmental and Neonatal Diseases. Research program faculty, with proven track records in training physician-scientists are chosen from diverse fields pertinent to Neonatology.

Our fellowship has received support from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development institutional training grant in Neonatal and Developmental Diseases. In addition, there is a National Institutes of Health supported training program in Pharmacology with a curriculum targeted at Perinatology and Neonatology. Our fellows also have opportunities to enroll in the K-30 physician-scientist development program and the CTSI (Clinical and Translational Science Institute) sponsored courses that provide the tools necessary for developing a clinical trial. Every fellow has the opportunity to apply for The Janet and Ray Scherr Fellowship Loan Repayment Endowment and NIH Loan Repayment Program.

The Mattel Children's Hospital within the UCLA Ronald Reagan UCLA Medical Center houses a 32 bed NICU (22 ICU beds and 10 intermediate beds). There are approximately 600 admissions to the NICU per year with approximately 300 transports per year with busy surgical and medical consultative services. There is a congenital cardiac program on-site; an ECMO program; and a Head/Body Cooling Program in the Neonatal Intensive Care Unit. There are approximately 2,200 births per year with many high-risk deliveries. Maternal transports are an important part of the Maternal-Fetal Medicine Program. UCLA has been a leading Neonatal Center in Southern California, a major referral center for high risk mothers and neonates. A widely respected infertility and fetal diagnostic program exists at UCLA. In addition to the UCLA Westwood NICU, the fellows also rotate through the UCLA Santa Monica NICU which is a 16 bed NICU with an in-house delivery service (1400 births/year). The High Risk Neonatal Follow-up Clinic is a multi-disciplinary program which has achieved a Center of Excellence status in the State of California. A database situated in the Neonatal Research Center links all UCLA neonatal de-identified information to the State of California Perinatal Quality Care Collaborative (CPQCC) and the Vermont Oxford Network. The Neonatal Research Center (with a link to the Research Program page) houses laboratory, translational, clinical and outcomes based research activities of the division.

The neonatology faculty consists of thirteen M.D.s and five Ph.D.s. Research interests include: perinatal/neonatal metabolism & nutrition, hypoxic/ischemic brain injury, developmental origins of adult onset chronic diseases, neonatal palliative care, molecular mechanisms of lung development and injury; clinical trials in neonatal nutrition and energy expenditure using stable isotope technology and neuroimaging in neonatal diagnosis; mechanisms linking perinatal infections with bronchopulmonary dysplasia; pathogenesis of neonatal infections; innate immunity to infectious agents in neonates, with particular emphasis on the role of vitamin D in host defense; vascular remodeling during initial blood vessel formation in early embryonic development; and international neonatal outreach educational program. Federal funding from the National Institutes of Health supports many of these projects. Neonatology faculty enjoy membership at Regional and National Organizations including the Western Society for Pediatric Research, Society for Pediatric Research, American Pediatric Society and the American Academy of Pediatrics. Scientific mentors with diverse research backgrounds have established track records in neonatal, pediatric, and adult diseases. The fellowship offers ample opportunities to present scientific research at various local, regional and national meetings. Our fellow graduates are well placed in faculty positions at various institutions across the nation including Johns Hopkins, UCSF, UCLA, UC Davis, UCI-CHOC, Albert Einstein, and the University of Arizona.

UCLA Ronald Reagan Medical Center was recently ranked by U.S. News & World Report as the fifth best hospital in the nation and best in the Western United States. Mattel Children's Hospital is one of the highest-rated children's hospitals in Southern California and is an integral component of the UCLA Ronald Reagan Medical Center, which is situated on the Main UCLA School Campus.

The UCLA campus is situated in Westwood, which is eight miles from the Pacific Ocean. Westwood is unique in that it is predominantly a college village along with neighborhoods that offer independent housing. The UCLA Santa Monica Hospital is situated 10 minutes from the UCLA main campus and 5 minutes from the Pacific Ocean.