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Neonatal

FELLOWSHIP IN NEONATAL / PERINATAL MEDICINE TRIPLER ARMY MEDICAL CENTER
AND KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN

The Tripler Army Medical Center and Kapiolani Medical Center Joint Neonatology Fellowship Program is a unique cooperative training program sponsored by the United States Army and the University of Hawaii. 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 16 bed 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 5500 deliveries annually and a referral population of 16,000 deliveries per year. The newborn facility at KMCWC includes a large normal newborn nursery, a level II nursery with a 30 bed capacity and a 20 bed level III NICU. The combined NICU admits approximately 1100 infants annually.

QUEENS MEDICAL CENTER
Fellows also provide on-call coverage at the Queens Medical Center which delivers 1500 infants a year and has a 6 bed, level II Special Care Nursery.

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. With 218 Transports over the past year fellows have ample opportunities to participate in neonatal transports.

CLINICAL EXPERIENCE
Clinical service rotations total 12 months over three years. Six months are at KMCWC which includes one month on the Perinatal High Risk Service. The remaining six months are at TAMC. Optional rotations are also available at outside institutions to provide ECMO experience. Outpatient experiences include the High-risk Medical Follow-up and Neighbor Island Developmental Clinics. 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. In the first month of fellowship, the trainee begins a structured reading program with the fellowship director to build a reference file of important literature. Other faculty members meet weekly with each fellow on an individual basis to review readings from basic neonatal texts.

CONFERENCES

Weekly:
Department of Clinical Investigation Research Conferences

Monthly:
Perinatal Conferences
Journal Club
Morbidity/Mortality Conferences
Basic Science Lecture Series

RESEARCH OPPORTUNITIES
The basic science research facility is located on the grounds of TAMC in the Department of Clinical Investigation (DCI). 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. Faculty members and fellows have demonstrated productivity in their individual areas of research with 21 peer reviewed publications, 37 abstracts and 24 regional and national presentations of research findings over the past four years.

NEONATOLOGY FACULTY
The Newborn Medicine Service at TAMC includes four 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 11 board-certified neonatologists.

NEONATAL/PERINATAL BOARD SUCCESS RATE
In the past four years Neonatal/Perinatal Board Success Rate has been 100% for military 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:

Mark W. Thompson LTC/MC
Director, Neonatology Fellowship
Department of Pediatrics
Newborn Medicine Service
MCHK-PEN
Tripler AMC, HI 96859
DSN: 433-5912
Fax: (808) 433-6046
COMM: (808) 433-5912
E-Mail: mark.thompson@haw.tamc.amedd.army.mil

or

Kenneth T. Nakamura, M.D.
Director, Neonatology Fellowship Program
Kapiolani Medical Center
Department of Pediatrics
1319 Punahou Street
Honolulu, HI 96826
COMM: (808) 937-8020
Fax: (808) 949-4232
E-Mail: nakamurk@jabsom.biomed.hawaii.edu