Neonatal-Perinatal Medicine Fellowship

The Department of Pediatrics at the University of North Carolina at Chapel Hill offers a broadly based fellowship in neonatal-perinatal medicine, providing both clinical and research training with the goal of preparing trainees for careers in neonatal-perinatal medicine. Our graduates are capable of applying their academic skills to scholarly investigation both in academic medicine and community practice.

The fellowship program accommodates up to six fellows at any time. Each appointment is for a period of one year with the option for a second and third year appointment. Completion of the Pediatric Level III training is a minimum requirement in advance of appointment.

Fellowship Objectives

Over the course of their fellowships in neonatal-perinatal medicine at the University of North Carolina, we expect trainees to:


  • Become proficient in the care of sick newborns.
  • Develop a scholarly approach to patient care, critical analysis skills, and a commitment to self-instruction and lifelong learning.
  • Incorporate professionalism and a commitment to continued improvement into the daily practice of Neonatology.

Clinical Care

  • Obtain experience and receive instruction that is adequate to develop special competence in the management of critically ill neonates.
  • Refine expertise in techniques such as neonatal resuscitation, venous and arterial access, endotracheal intubation, preparation for transport, ventilatory support, continuous monitoring, temperature control, and nutritional support.
  • Obtain appropriate knowledge of:
    • The physiology of the neonate and the pathophysiology of neonatal disease.
    • The scientific, ethical, and legal implications of confidentiality and of informed consent.
    • Bioethics, biostatistics, epidemiology and population medicine, and the economics of health care
    • Cost-effective patient care, practice management, quality improvement, and clinical outcomes
    • The psychosocial implications of disorders of the fetus, neonate, and young infant, as well as in the family dynamics surrounding the birth and care of a sick neonate
    • The evaluation of neonatal complications and death
    • The review literature in clinical medicine and biomedical research.
  • Be involved in a regional program that involves outreach education, patient consultation, and transport of ill neonates.
  • Identify the high-risk pregnancy and become familiar with the methods used to evaluate fetal well-being and maturation, becoming familiar with factors that may compromise the fetus during the intrapartum period and recognizing the signs of fetal distress.
  • Participate in the longitudinal follow-up of high-risk neonates.

Research and Scholarly Activity

  • Become knowledgeable in the scientific and ethical bases of clinical research, including study design, modeling and methodology, statistical concepts, and data collection and analysis.
  • Engage in a research project or in a project of substantive scholarly exploration and analysis that requires critical thinking. Areas in which scholarly activity may be pursued include, but are not limited to: basic, clinical, or translational biomedicine; health services; quality improvement; bioethics; education; and public policy.
  • Learn to evaluate pertinent medical literature and will participate in Journal Club.
  • Learn the process of grant application, preparation of scientific articles, and medical writing.
  • Conduct research seminars and prepare reports of research activities.

Trainees interested in research may learn more by reviewing the Division’s Research and Scholarly Activities online.