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Neonatal Nutrition Fellowship Program

Discussion Topics, Case Studies

Month 1 | Month 2 | Month 3

Month 1 ^

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 the Nutrition Services Section of the Texas Department of State Health Services
  • Orientation to the Early Childhood Intervention Program
  • Discussion: Infant formulas
  • Discussion: Premature infant growth charts
  • Discussion: Challenges in feeding
  • Discussion: Respiratory distress syndrome
  • Discussion: Infection and nutrition

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 and the Blueprint for Nutrition and Physical Activity: Cornerstones for a Healthy Lifestyle

Month 2 ^

Week 5

  • Discussion: Protein needs
  • Discussion: Vitamin E

Week 6

  • Discussion: Post discharge nutrition
  • Discussion: Iron
  • Decide special project

Week 7

  • Participation: TCPA Community Cares Programs
  • Discussion: Bronchopulmonary dysplasia

Week 8

  • Discussion: Vitamin D and calcium
  • Participation: Meyer Center Developmental Follow Up Clinic

Month 3 ^

Week 9

  • Present case study of patient from NICU
  • Written case due

Week 10

  • In-service presentation
  • Discussion: Necrotizing enterocolitis
  • Discussion: Extracorporeal membrane oxygenation (ECMO)

Week 11

  • Discussion: Vitamin A
  • Discussion: Necrotizing enterocolitis
  • Discussion/Participation: MCH Public Policy and Advocacy

Week 12

  • Special project due
  • Discussion: Role of neonatal nutritionist

Additional meetings with other health care providers and centers will be scheduled.