Neonatal Nutrition Fellowship Program
Discussion Topics, Case Studies
Month 1 ^
Week 1
- Orientation to Baylor College of Medicine, Texas Children's Hospital, and Ben Taub General 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: Ventilators and blood gases
Week 3
- Discussion: Hyperbilirubinemia
- Discussion: Fluid and electrolyte management
- Discussion: Parenteral nutrition discussion
- Anthropometric measurements
- Introduction to NEONOVA®*, 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: Assessment, prevention and treatment of pediatric obesity
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 Medical Home Clinic
- Discussion: Bronchopulmonary dysplasia
Week 8
- Discussion: Vitamin D and calcium
- Participation: Neonatology 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
- Present case study of low birth weight infant in the home setting
- Special project due
- Discussion: Role of neonatal nutritionist
Additional meetings with other health care providers and centers to be scheduled.
*NEONOVA is a registered trademark of Ross Products Division of Abbott Laboratories.
