Program
Year
Neonatal-Perinatal Medicine Subspecialty Program – University of Manitoba Page 1 of 3
Content and Sequence of Rotations
Number of Months (or 4-week blocks)
First
Second
Third
1 2 3 4 5 6 7 8 9 10 11 12 13
______________________Clinical Neonatology_______________________
Clinical Neonatology Junior
Attend
Research or
Elective
High
Risk
Follow up
Maternal
Fetal
Medicine
_________________________Perinatal Research_____________________
Vac
Vac
Junior
Attend
________________________________ Variable Structure ___________________________________
Vac
Clinical Neonatology (9 periods)
Sites: Health Sciences Centre Children’s NICU
Women’s Hospital IMCN
St. Boniface General Hospital NICU
The first year in the neonatal residency program concentrates on development of clinical neonatal skills. The subspecialty resident undergoes a total of 8 periods of clinical neonatology split between the level III NICUs at the Children’s Hospital (Health Sciences
Centre) and St. Boniface General Hospital. At both institutions the trainee is exposed to the management of the neonate in the labour and delivery suite, and to critically ill neonates in the intensive care nurseries, including care of the general surgical neonate. At the St.
Boniface General Hospital the NICU includes a level II nursery and provides exposure to step-down care. An additional period is spent in the Intermediate Care Nursery at the
Women’s Hospital (Health Sciences Centre) to provide further experience in care of chronic infants, healthy growing premature newborns, and additional exposure to neonatal resuscitation at the labour and delivery floor. Junior residents from Paediatrics,
Obstetrics/Gynecology, and Anaesthesia are present on these services. The neonatal resident is expected to develop a supervisory role over the course of the year. In addition, consultations to the neonatal service are assigned to the neonatal resident under supervision by the attending neonatologist.
Version 2.0 - Approved by Subspecialty Residency Program Committee August 10, 2007

Neonatal-Perinatal Medicine Subspecialty Program – University of Manitoba Page 2 of 3
Maternal-Fetal Medicine (1 period)
Sites: Fetal Assessment Clinic at Women’s Hospital
Fetal Assessment Clinic at St. Boniface General Hospital
The first year includes a 1 period exposure to maternal-fetal medicine through the Fetal
Assessment Unit which is involved in outpatient high-risk obstetric care. Residents are involved in the antepartum care of high-risk obstetrics patients (high risk due to maternal health or fetal anomalies). Residents participate in consultations to the neonatology under supervision by an attending neonatologist.
Newborn Follow-up Rotation (1 period)
Sites: Newborn Follow-up Clinic at Children’s Hospital
Newborn Follow-up Clinic at St. Boniface General Hospital
The first year also includes a 1 period exposure to developmental follow-up of NICU graduates through the High-Risk Follow-up Program. Residents are exposed to the practice of developmental paediatrics as it applies to graduates of the NICU. They are exposed to the day-to-day function of the multi-disciplinary clinic and the use various tools for developmental and neurologic assessment (BINS and Bayley, etc.). The resident is also exposed to the function and utility of the follow-up database.
Research or Elective (1 period)
The first year includes a period of either elective or dedicated research time.
Elective can be taken in all fields of clinical and subspecialty paediatrics available at the University of
Manitoba. Electives in other teaching centres (Canadian and abroad) are allowed but must approved by the Program Director. Such electives must be supervised and must have formalized objectives and evaluations.
Research (8.5 periods)
The second year concentrates on exposure to research and the development of research skills. Nine periods are dedicated to research. Participation in on-going research projects is encouraged in the first year. During the second year, the resident is expected to be participating in an on-going research project as well as development of their own research idea and project. Research projects in both basic science (lab) and clinical are accommodated. It is an expectation that the resident will enter the local paediatric resident and fellow research competition in the second year of the program and to submit an abstract to the Canadian Paediatric Society and/or American Society for Pediatric Research conferences for presentation.
Version 2.0 - Approved by Subspecialty Residency Program Committee August 10, 2007

Neonatal-Perinatal Medicine Subspecialty Program – University of Manitoba Page 3 of 3
Clinical Neonatology (2.5 periods)
Sites: Health Sciences Centre Children’s NICU
Women’s Hospital IMCN
St. Boniface General Hospital NICU
The clinical component in the second year involves 3 periods of clinical neonatology.
Emphasis is placed on graduated responsibility. The resident is expected to provide less role in direct hands-on patient care and more supervisory role of junior residents including junior neonatal residents. The resident are also assigned weeks of junior attending where they provide the day-to-day management of patient care in the NICU and carry out the responsibility of decision-making. During all such exposures, the resident is under supervision of an attending neonatologist.
Junior Attending (cumulative 1 period)
Sites: Health Sciences Centre Children’s NICU
Women’s Hospital IMCN
St. Boniface General Hospital NICU
In the second year of neonatal subspecialty training, subspecialty residents are expected to undergo junior attending weeks in each of the three neonatal nurseries (HSC NICU,
Women’s IMCN, St. Boniface NICU). The combined 4 weeks of junior attending per year comprises the Junior Attending Rotation.
During each week of junior attending, the subspecialty resident will assume the clinical role of an attending neonatologist. He or she is expected to lead rounds, make clinical decisions for all patients, speak with parents and manage the neonatal nursery. Supervision during the week will be by the assigned attending neonatologist.
THIRD YEAR
For those residents who plan to pursue an academic career, a third year of training is strongly encouraged. A separate application is required detailing specific goals and objectives for a third year of training as well as sources of funding. Not all residents will be approved for a third year of training. The structure of the third year is variable to fit the varied academic goals. See Research and Scholarly Curriculum.
Version 2.0 - Approved by Subspecialty Residency Program Committee August 10, 2007