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FELLOWSHIP IN NEONATAL - PERINATAL MEDICINE

The Neonatal-Perinatal Medicine Fellowship program is a unique cooperative training program sponsored by the University of Hawaii with training sites at Tripler Army Medical Center (TAMC) and Kapiolani Medical Center for Women and Children (KMCWC). This arrangement allows trainees to gain experience working with clinicians and researchers with many areas of expertise at several facilities. The net result is a well-rounded curriculum designed to produce neonatologists with solid clinical skills and basic research abilities who are able to function in both military and civilian settings.

FACILITIES

TRIPLER ARMY MEDICAL CENTER (TAMC)
TAMC is a 450 bed tertiary care facility located in Honolulu and represents the principle military referral center for the entire Pacific Basin. TAMC provides obstetrical care for the large military population on the island of Oahu as well as referral care for military and civilian patients from the Pacific islands and Asia. With 3000 deliveries a year, TAMC has the largest delivery service of any DoD Neonatal/Perinatal training program. Newborn facilities include a combined mother-baby unit, as well as a 22 bed single-room NICU which admits approximately 300 infants annually.

KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KMCWC)
KMCWC is a 240 bed private, nonprofit, tertiary care facility specializing in gynecological, obstetrical, newborn and pediatric care. It is the only tertiary civilian hospital delivering these services in the western Pacific region. KMCWC has the largest delivery service in the state of Hawaii with 6500 deliveries annually and a referral population of 16,000 deliveries per year. The newborn facility at KMCWC includes a large normal newborn nursery and a combined level II-III 55-bed NICU which flexes up to care for as many as 90 babies. The combined NICU admits approximately 1000 infants annually. Construction is underway for a new 70-bed single room NICU.

NEONATAL TRANSPORT SYSTEM
The Neonatal transport Program at KMCWC is responsible for managing the transport of infants from other hospitals on Oahu and on other islands in the Hawaiian chain, as well as from Hawaii to the Mainland. The team consists of specially trained transport nurses and respiratory therapists and is accompanied by a neonatologist or fellow for critically ill infants. Fellows have ample opportunities to participate in neonatal transports either between islands or from Hawaii to the continental US.

CLINICAL EXPERIENCE
Clinical service rotations total 15 months over three years. Fourteen months are NICU rotations split equally between the two hospitals. The remaining clinical rotation is split between pediatric cardiology and perinatology. Outpatient experiences include the High-risk Medical Follow-up and Neighbor Island Developmental Clinics at KMCWC and the NICU Special Care Clinic at TAMC. The first year emphasizes clinical rotations while the second year emphasizes research. Third year fellows experience increased supervisory responsibilities in the clinical setting as well as completion of research.

CONFERENCES
Weekly:
Neonatal-Perinatal Medicine Conference
TAMC Neonatal Morning reports


Monthly:
Perinatal Conferences
Journal Club (every two months)
Morbidity/Mortality Conferences (quarterly)

RESEARCH OPPORTUNITIES
There are many avenues for research available to fellows in neonatal-perinatal medicine. There is a basic science research facility located on the grounds of TAMC in the Department of Clinical Investigation (DCI). Fellows are welcome to participate in research which is ongoing through DCI. Many fellows have chosen to pursue clinical research projects at either TAMC or KMCWC. In addition there are basic science and translational research opportunities though University of Hawaii. Full-time staff include several neonatal research mentors, as well as a full-time research physiologist and a full-time pharmacologist who are involved in fellowship research. An animal care facility is located nearby and a full-time veterinarian is on staff. In addition to traditional modes of achieving scholarly activity and a scholarly work product, alternate routes to achieving scholarship such as pursuing a Master degree in biomedical ethics, have been followed as well.

NEONATOLOGY FACULTY
The Newborn Medicine Service at TAMC includes six board-certified neonatologists. The Neonatology Department at KMCWC is affiliated with the University of Hawaii John A. Burns School of Medicine, Department of Pediatrics. It is composed of 13 board-certified neonatologists.

NEONATAL/PERINATAL BOARD SUCCESS RATE
In the past five years Neonatal/Perinatal Board Success Rate has been 100% for fellowship graduates taking the test for the first time. Overall, the success rate for graduating fellows has been well above the national average.

ABOUT HAWAII
Located 2,200 miles southwest of the continental United States, Hawaii boasts one of the best climates in the world. The islands are home to a multi-ethnic, multi-cultural population, so cultural pursuits are many and varied. Recreational opportunities abound, with emphasis on outdoor and ocean-related pursuits. Because of population pressure on limited land area, the overall cost of living is about the same as in other large metropolitan centers.

For more information contact:

Brenda L. Stryjewski, MD
MAJ(P), MC, USA
Director, Neonatal-Perinatal Medicine Fellowship
Department of Pediatrics
MCHK-PE
Tripler AMC, HI 96859
DSN: 433-5910
Fax: (808) 433-6046
COMM: (808) 433-5910
E-Mail: brenda.l.stryjewski.mil@mail.mil
or

Venkataraman Balaraman
Associate Director, Neonatal-Perinatal Medicine Fellowship Program
Kapiolani Medical Center for Women and Children
Department of Pediatrics
1319 Punahou Street
Honolulu, HI 96826
COMM: (808) 937-8020
Fax: (808) 949-4232
E-Mail: vbalaraman@kapiolani.org


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