Fellowship Third Year

During the third year, the fellow is expected to develop skills to practice neonatology competently and independently. They complete 3 blocks in the NICU on either the resident team or the NNP team, with one block as a “junior attending” supervising a NICU team. They also complete one block on the delivery team.  They also assume responsibility for organizing conferences and call schedules. They are expected to complete the core curriculum and produce a “work product” to summarize their completed scholarly activity.

Each of the 3 years of fellowship is divided into 13 4-week blocks. On average during the three years of fellowship there are 17.5 blocks of clinical training, (including clinical electives, call, and follow-up clinic) 19.25 blocks for research and 2.25 blocks of vacation.

Third Year NICU Blocks


The UH NICU or UH NNP rotation in the PGY6 year continues to build on the foundations from PGY4 and PGY5 years. The fellow develops increasing autonomy and has more responsibility for teaching junior fellows, residents and NNPs. Several months into the last academic year, the fellow will have maximum autonomy as the acting attending. Staff backup and oversight will always be present and available; however, interference with fellow management plans will be kept to a minimum. The primary goal is to ensure that the fellow is a competent independent practitioner at the completion of their PGY6 year. Senior fellows continue to organize and run AM report with more autonomy than PGY 4 and 5 years.

Delivery Team (PGY6)

Fellows will spend 4 weeks of their 3rd year on the delivery team.  On this clinical service block the fellow will attend all high-risk deliveries with a Neonatal nurse and Neonatal respiratory therapist.  The fellow will lead the team in all delivery room resuscitations and procedures.  The fellows in the final year of training will attend most deliveries independently and will have faculty attend deliveries as needed and as outlined in the supervision policy. Fellows on the delivery team will be the fellow primarily involved in new NICU admissions and for procedures in the NICU throughout the day.

PREMIEre Clinic (PGY6)

Fellows continue to attend high-risk follow up clinics each year. The goals for the clinic remain the same throughout all 3 years of fellowship, to provide health care management and maintenance to parents and their infants who were cared for at UH NICU and were born with a birth weight of <1500 grams and/or have a high risk for long term neurodevelopmental disability. Patients will be seen by the NICU fellow assigned to the clinic and supervised by a staff neonatologist. All management decisions and follow-up plans will be communicated with the patient’s primary care physician.