The Course and Curriculum of D M Neonatology Program offered by AIIMS (All India Institute of Medical Sciences) Delhi are as follows:

ANNEXURE I

LIST OF SKILLS

CLINICAL
Neonatal examination, anthropometery and developmental assessment
Neonatal resuscitation
Neonatal ventilation : CPAP, IMV; newer modes of ventilation
Blood sampling : Capillary, venous, arterial
Insertion of peripheral venous, umbilical venous and umbilical arterial catheters
Monitoring : invasive, non-invasive
Enteral feeding (katori-spoon, gavage, breast)
Lactation management
Parenteral nutrition
Lumbar puncture and ventricular tap
Placing of ‘chest tube’
Exchange transfusion
Bed side tests : shake test, sepsis screen, hematocrit, urine examination, CSF examination, Kleihauer
technique, Apt test etc.
Neonatal drug therapy
Nursery house keeping routines and asepsis procedures
Universal precautions
Handling, effective utilization and trouble shooting of neonatal equipment

COMMUNICATION
Communication with parents, families and communities

EDUCATION/TRAINING
Teaching skills: lectures, tutorials
Participatory and small group learning skill
Principles of educational objectives, assessment and media
Preparing learning resource material

SELF-DIRECTED LEARNING
Learning needs assessment, literature search, evaluating evidence

RESEARCH METHOD
Framing of research question, designing and conducting study, analyzing and interpreting data and writing a paper.

ANNEXURE II

Contents for D M Neonatology Course

A. BASIC SCIENCES
Basic genetics
Fetal and neonatal immunology
Mechanism of disease
Applied anatomy and embryology
Feto-placental physiology
Neonatal adaptation
Development and maturation of lungs, respiratory control, lung functions, ventilation, gas exchange,
ventilation perfusion
Physiology and development of cardiovascular system, developmental defects, physiology and
hemodynamics of congenital heart disease
Fetal and intrauterine growth.
Development and maturation of nervous system, cerebral blood flow, blood brain barrier.
Fetal and neonatal endocrine physiology
Developmental pharmacology
Developmental hematology, bilirubin metabolism
Renal physiology
Physiology of gastrointestinal tract, digestion, absorption.
Electrolyte balance
Metabolic pathways pertaining to glucose, calcium and magnesium
Biochemical basis of inborn errors of metabolism

B. GENERAL TOPICS
Research methodology
Biostatistics
Ethics in perinatology/neonatology
Principles of education (objectives, curriculum, assessment and use of media)
Computer, informations technology, internet

C. PERINATOLOGY
Perinatal and neonatal mortality, morbidity, epidemiology
High risk pregnancy: detection, monitoring and management
Fetal monitoring, clinical, electronic; invasive, and non-invasive
Intrapartum monitoring and procedures
Assessment of fetal risk, and decision for termination of pregnancy
Diagnosis and management of fetal diseases
Medical diseases affecting pregnancy and fetus, psychological and ethical considerations
Fetal interventions
Fetal origin of adult disease

D. NEONATAL RESUSCITATION

E. NEONATAL VENTILATION

F. BLOOD GAS AND ACID BASE DISORDERS

G. NEONATAL ASSESSMENT AND FOLLOW UP
Assessment of gestation, neonatal behaviour, neonatal reflexes
Developmental assessment, detection of neuromotor delay, stimulation techniques
Immunization

H. BODY SYSTEMS
i) RESPIRATORY SYSTEM
Neonatal airways: physiology, pathology; management
Pulmonary diseases: Hyaline membrane disease, transient tachypnea, aspiration pneumonia,
pulmonary air leak sysndromes, pulmonary hemorrhage, developmental defects
Oxygen therapy and its monitoring
Pulmonary infections
Miscellaneous pulmonary disorders
ii) Cardiovascular system
Fetal circulation, transition from fetal to neonatal physiology
Examination and interpretation of cardiovascular signs and symptoms
Special tests and procedures (Echocardiography, angiography)
Diagnosis and management of congenital heart diseases
Rhythm disturbances
Hypertension in neonates
Shock: pathophysiology, monitoring, management.
iii) Gastrointestinal system
Disorders of liver and biliary system.
Bilirubin metabolism
Neonatal jaundice: diagnosis, monitoring, management, phototherapy, exchange transfusion
Prolonged hyperbilirubinemia
Kernicterus
Congenital malformations
Necrotising enterocolitis
iv) Nutrition
Fetal nutrition
Physiology of lactation
Breast feeding
Lactation management, breast milk banking, maternal medications and nursing
Parenteral nutrition
Vitamins and micronutrients in newborn health
v) Renal system
Developmental disorders
Renal functions
Fluid and electrolyte management
Acute renal failure (diagnosis, monitoring, management)
vi) Endocrine and metabolism
Glucose metabolism, hypoglycemia, hyperglycemia
Calcium disorders
Magnesium disorders
Thyroid disorders
Adernal disorders
Ambiguous genitalia
Inborn errors of metabolism
vii) Hematology
Physiology
Anemia
Polycythemia
Bleeding and coagulation disorders
Rh hemolytic disease
viii) Neurology
Clinical neurological assessment
EEG, ultrasonography, CT scan
Neonatal seizures
Intracranial hemorrhage
Brain imaging
Hypoxic ischemic encephalopathy
Neuro-muscular disorders
Degenerative diseases
CNS malformation
ix) Surgery and orthopedics
Diagnosis of neonatal surgical conditions
Pre and post operative care
Neonatal anesthesia
Metabolic changes during anesthesia and surgery
Orthopedic problems
x) Neonatal infections
Intrauterine infections
Superficial infections
Diarrhea
Septicemia
Meningitis
Osteomyelitis and arthritis
Pneumonias
Perinatal HIV
Miscellaneous infective disorders including HBV and condidemia
xi) Neonatal imaging
X-rays, ultrasound, MRI, CT Scan etc.
xii)Neonatal ophthalmology
Developmental aspects
Retinopathy of prematurity
Sequelae of perinatal infections
xii)Neonatal dermatology

I. TRANSPORT OF NEONATES

K. NEONATAL PROCEDURES

K. DEVELOPMENTAL ASSESSMENT AND FOLLOW UP
xix) Organization of neonatal care
Community neonatology
Vital statistics, health system;
Causes of neonatal, perinatal death
Neonatal care priorities
Care at secondary level of care
Care at primary health centre
Role of different health functionaries
National programmes
National Neonatology Forum