- Residents in our program are promoted from junior fellow to senior fellow at beginning of their second year. Residents must complete the required rotations in their first year with successful ITERs to be promoted to their second year as senior fellow.
- There is a graded responsibility when residents do their NICU rotation. The role changes from one of understanding of general principles of Neonatology to becoming increasingly more independent of their decision making around clinical issues. In addition, as seniors they are expected to supervise and teach other residents and learners. As residents progress from junior to senior they are expected to make presentations and lead discussions during academic half-days and other teaching sessions. They are responsible for carrying out educational activities of the Tuesday afternoon journal club, Friday morning Neonatal seminars, Combined MFM round and Combined Neo – Pediatric Surgery rounds. Senior fellows are expected to present at Paediatric grand rounds during summer months. They also should actively take leadership or administrative roles on various committees.
- Clinical Coverage also reflects greater responsibilities. Junior fellows take full clinical load in NICU rotations, where as senior fellows only take 1-2 critically ill babies for direct frontline care and spend their remaining time on supervising the junior learners and Nurse Practitioners. Senior fellows are expected to do decision making rounds twice per week supervised by their attending covering the clinical service. The junior fellow may be in a position of supervising learners (such as pediatric or anesthesia residents) when on night call.
- There is a stronger emphasis and more time allocated to research and scholarly activities in the second year allowing senior fellows to focus on research methodology, collating and analysing data, and presentation skills in research platforms, organizing and designing research projects and also teaching research methodology and critical appraisal to learners.
- This system allows the resident to become comfortable with common newborn issues in their beginning of training, they then advance to manage more critically ill babies. They also develop their supervisory, managerial and collaborator skills.
- Residents are expected to demonstrate increasing skills in all of the CanMEDs competencies.