Neonatal hemodynamics clinical research fellowship program

Programme de fellow: Recherche clinique en hémodynamie néonatale

Neonatology Hemodynamics Clinical Research Fellowship

Mission

The purpose of the McGill fellowship in Neonatal Hemodynamics Research is to provide the trainee with additional knowledge, skills and experience in neonatal hemodynamics needed to begin a potential career as an independent investigator using neonatal echocardiography and other tools for hemodynamic assessment. Indeed, the Neonatal Hemodynamics Clinical Research training program aims to teach the skills of cardiac ultrasound, provide an in depth understanding of cardiac physiology and to integrate both in the application of a neonatal research project. The training neonatologist will understand the scope of neonatal hemodynamics practice and its limitations. Specific training objectives are described in the curriculum.

Le but du programme de formation en recherche pour l'hémodynamie néonatale de McGill est de fournir au stagiaire des connaissances, des compétences et une expérience supplémentaire en hémodynamie néonatale. Ces connaissances sont essentielles pour commencer une carrière potentielle en tant que chercheur indépendant utilisant l'échocardiographie néonatale et d'autres outils d'évaluation hémodynamique. En effet, ce programme de formation vise à enseigner les compétences de l'échographie cardiaque, à fournir une compréhension approfondie de la physiologie cardiaque et à les intégrer dans l'application d'un projet de recherche néonatale. Le néonatologiste de formation comprendra alors l'étendue de la pratique de l'hémodynamie néonatale ainsi que ses limites. Des objectifs de formation spécifiques sont décrits dans le programme.


Eligibility/éligibilité:

Eligible trainees must have completed a qualified program of residency in neonatal-perinatal medicine in North America. Residents who have obtained their MD in Québec and or/ who did a residency training in Québec in a contingent régulier or contingent particulier position can apply to the fellowship program via formations complémentaires only (https://www.mcgill.ca/pgme/admissions/formation-complementaire). The trainee has to be eligible to obtain a clinical license to practice neonatology as a trainee from the Collège des Médecins du Québec (www.cmq.org) for neonatal-perinatal medicine. We will consider candidates who have demonstrated clinical assiduity during their NICU training and a strong interest in academic neonatology, as well as in neonatal hemodynamics. The trainee must be a Canadian citizen or eligible for a visa. Please contact us if questions arise regarding eligibility for the program (Tamara Slovick - tamara.slovick@muhc.mcgill.ca or Gabriel Altit –gabriel.altit@mcgill.ca).


Les stagiaires admissibles doivent avoir terminé un programme qualifié de résidence en médecine néonatale et périnatale en Amérique du Nord. Les résidents qui ont obtenu leur doctorat en médecine au Québec et ou / qui ont effectué une formation en résidence au Québec dans un poste contingent régulier ou contingent particulier peuvent postuler au programme de fellowship via les formations complémentaires seulement (https://www.mcgill.ca/pgme/admissions / formation-complémentaire). Le stagiaire doit être éligible à l'obtention d'une licence clinique pour pratiquer la néonatalogie en tant que stagiaire du Collège des Médecins du Québec (www.cmq.org) pour la médecine néonatale et périnatale. Nous considérerons les candidats qui ont démontré une assiduité clinique lors de leur formation à l'USIN et un fort intérêt pour la néonatalogie académique, ainsi que pour l'hémodynamique néonatale. Le stagiaire doit être citoyen canadien ou admissible à un visa. Veuillez nous contacter si vous avez des questions concernant l'admissibilité au programme (Tamara Slovick -tamara.slovick@muhc.mcgill.ca ou Gabriel Altit –gabriel.altit@mcgill.ca).

ClinicalResearchNeonatalHemodynamics_Updated Sep 10, 2020.pdf

Administrative Information

Name of Institution: McGill University

Duration: 1 or 2 years (this will depend on research project planned)

Number of positions: Maximum of 1 position (this will depend on funding available)

Type: Clinical Research Fellowship

Training Sites:

McGill University Health Center – Montreal Children’s Hospital

Jewish General Hospital - NICU

CHU Sainte-Justine (for elective only)

Parent Training Program: Neonatal-Perinatal Medicine

Fellowship Director: Gabriel Altit, Montreal Children’s Hospital

Fellowship Coordinator: Tamara Slovick, Montreal Children’s Hospital

Fellowship Training Committee Members: this fellowship will be under the direction of the RPC


  1. Nina Nouraeyan, Neonatologist, JGH, Director, Neonatal Perinatal Medicine program and site supervisor at the JGH for the NHCR fellowship

  2. Marc Beltempo, Neonatologist at MUHC, Research Coordinator, MUHC site supervisor for the NHCR fellowship; Program director of the Neonatal Perinatal Medicine Scholar Fellowship Program.

  3. Elisabeth Hailu, Neonatologist at MUHC, MUHC NICU rotation coordinator

  4. Michelle Ryan, Neonatologist at MUHC, Simulation coordinator

  5. Victoria Bizgu, Neonatologist at JGH, JGH NICU rotation coordinator

  6. Gabriel Altit, Neonatologist at MUHC, director of the Neonatal Hemodynamics Clinical Research Fellowship, mentorship program coordinator

  7. External member: Samara Zavalkoff, Pediatric Intensive Care Unit, MCH


https://www.mcgill.ca/peds/education-training/pgme/programs/neonatology/fellowship

https://www.mcgill.ca/pgme/programs/fellowship-programs


Eligibility:

Eligible trainees must have completed a qualified program of residency in neonatal-perinatal medicine in North America. Residents who have obtained their MD in Québec and or/ who did a residency training in Québec in a contingent régulier or contingent particulier position can apply to the fellowship program via formations complémentaires only (https://www.mcgill.ca/pgme/admissions/formation-complementaire). The trainee has to be eligible to obtain a clinical license to practice neonatology as a trainee from the Collège des Médecins du Québec (www.cmq.org) for neonatal-perinatal medicine. We will consider candidates who have demonstrated clinical assiduity during their NICU training and a strong interest in academic neonatology, as well as in neonatal hemodynamics. The trainee must be a Canadian citizen or eligible for a visa. Please contact us if questions arise regarding eligibility for the program (Tamara Slovick - tamara.slovick@muhc.mcgill.ca or Gabriel Altit – gabriel.altit@mcgill.ca).


Rationale and Mission:

Rationale: Neonatology is probably one of the youngest yet most advanced fields in Pediatrics. The numerous discoveries made through research has led to the most advanced and innovative treatments allowing preterm babies as young as 23 weeks gestation to survive and thrive. A graduating Neonatal Perinatal Medicine resident should be given the opportunity to obtain advanced training in neonatal echocardiography research methods, if he/she shows enthusiasm for neonatal cardiovascular research. In the recent years, the evaluation of cardiovascular growth and adaptation to extra-uterine life has led to many discoveries and improved the care of newborns admitted to the neonatal intensive care unit. Targeted neonatal echocardiography is an area of focused competence that is in the process of approval for certification through the Royal College of Physicians and Surgeons.

Neonatal hemodynamics research describes the use of echocardiography (conventional and advanced) for research in the cardiovascular performance of the neonate and of previous graduate of the NICU. Echocardiography has a central role in neonatal hemodynamics research. Echocardiography can be used to assess cardiac function (left and right sided), pulmonary pressures, intracardiac and extracardiac shunts (e.g. atrial septal defect, ventricular septal defect, patent ductus arteriosus), central line position, assessment of pericardial fluid and structural defects.

Training in neonatal echocardiography by neonatologists has been actively done in neonatal units in Australia, Canada, and across Europe. Multiple guidelines for Neonatologist-performed echocardiography training have been published (1-4). However, few programs offer training for neonatologists in neonatologist-performed echocardiography that follow these recommendations.

The trainee will participate in a longitudinal program of training centered around a scholar project in neonatal echocardiography/hemodynamics. This document describes this proposed training program.

This fellowship is designed to be flexible so as to accommodate interests and timelines of good research projects in neonatal echocardiography/hemodynamics.


Mission

The purpose of the McGill fellowship in Neonatal Hemodynamics Research is to provide the trainee with additional knowledge, skills and experience in neonatal hemodynamics needed to begin a potential career as an independent investigator using neonatal echocardiography and other tools for hemodynamic assessment. Indeed, the Neonatal Hemodynamics Clinical Research training program aims to teach the skills of cardiac ultrasound, provide an in depth understanding of cardiac physiology and to integrate both in the application of a neonatal research project. The training neonatologist will understand the scope of neonatal hemodynamics practice and its limitations. Specific training objectives are described in the curriculum.


Fellowship Objectives

A summary list of Neonatal Hemodynamics Clinical Research core knowledge areas includes:

Proficient practice in Neonatal Hemodynamics Clinical Research requires skills that include the ability to:

  • Develop a complete understanding of neonatal cardiovascular physiology, anatomy and hemodynamics in the context of various neonatal pathological conditions and during their development

  • Understand the physics of ultrasound, the limitation of the technique, the standardization of measures, the functioning of the echocardiography machine and of the software for analysis

  • Understand the modalities for saving echocardiography images and ECG signals

  • Apply all the necessary echocardiography views in the context of a research question in the neonatal period.

  • Understand the principles of two‐dimensional, Doppler (blood and tissue), M‐mode and 3D imaging.

  • Understand the meaning of echocardiography measurements.

  • Appropriately calculate indices of function, pulmonary pressures and structural dimensions.

  • Interpret echocardiographic hemodynamic indices in the context of an infant's presentation

  • Standardize the approach to cardiac imaging, data extraction and data interpretation

  • Develop a research question centered on a neonatal hemodynamics topic and using echocardiography as a tool for analysis

  • Train in the methods of clinical research, including learning basic epidemiologic and biostatistical methods for a neonatal hemodynamics research project.

  • Implement one or more clinical neonatal hemodynamics research projects, leading to the analysis, interpretation, and presentation of research data.

  • Clinical training represents 25%, and academic /research training 75% of the fellowship.


Medical Expert:

  1. Exercise the role of a consultant:

    1. Understand the physical properties of ultrasound waves and the technical and safety requirements for its use

    2. Appropriate understanding of cardiac anatomy (normal and abnormal), variants, and cardiovascular physiology in the context of neonatal transition

    3. Understand the normal and disordered neonatal circulatory transition

    4. Acquire knowledge on echocardiography indices and normative values of myocardial function, pulmonary and systemic blood flow, organ and tissue perfusion. Approach the systematic manner of extraction of data from echocardiography images.

    5. Understand the pathophysiology of pulmonary hypertension, cardiac failure, patent ductus arteriosus, high output cardiac failure, and shock in the neonatal population, and their tailored management

    6. Acquired the necessary views for line placement and recognition of a tamponade (assessment of severity of a pericardial effusion)

  2. Share knowledge of the basic and clinical sciences: during the context of an echocardiography towards patients and medical health teams.

  3. Teach and supervise (in a graded appropriate level):

    1. Appropriate use and performance of procedural skills, both diagnostic and therapeutic

    2. The coordination of transport of ill newborns

    3. Effective coordination of discharge and follow-up of NICU patients.

    4. Appropriate consultation from other health professionals, and recognition of limits of one’s expertise:

    5. The pathophysiology and management of neonatal hemodynamic pathologies.


Communicator:

Teach and supervise, in a graded appropriate level:

  1. Effective therapeutic relationships with families of ill newborns characterized by understanding, trust, respect, honesty, and empathy

  2. Effective collection and synthesis of relevant information and perspectives, involving parents, families, colleagues, and other professionals

  3. Conveying relevant information and explanations to families, colleagues, and other professionals

  4. Provision of leadership in developing a common understanding on issues, problems, and plans with patients, families, colleagues, and other professionals to develop a shared plan of care


Collaborator:

Teach and supervise, in a graded appropriate level:

  1. Effective and appropriate participation in an interprofessional health care team

  2. Effective prevention, negotiation, and resolution of interprofessional conflict


Leader:

Teach and supervise, in a graded appropriate level:

  1. Contribution to the effectiveness of the NICU activities

  2. Teach and mentor effective time management principles

  3. Appropriate allocation of finite health care resources


Health Advocate:

  1. Teach and mentor approach to responding to individual patient and family health needs and concerns as part of patient care

  2. Teach and supervise identification of determinants of health and subsequent health needs for the communities and populations under one’s care

  3. Teach and supervise responding to health needs of patient populations under one’s care


Scholar:

  1. Maintain and enhance professional – research activities through ongoing learning

    1. Demonstrate knowledge of the principles of maintenance of competence in research

      1. Describe the requirements of the maintenance of Certification Program of the Royal College of Physician and Surgeons of Canada

      2. Describe the principles of continuing professional development

    2. Execute strategies for implementing a personal knowledge management system

    3. Recognize and reflect on research learning issues in practice

    4. Recognize and correct deficits in research knowledge through targeted learning

      1. Pose an appropriate research question

      2. Access and interpret the relevant evidence

      3. Integrate new learning into practice

      4. Evaluate the impact of any change in research practice

      5. Document the research learning process

      6. Formulate relevant personal research earning projects

    5. Conduct personal practice audits

  2. Critically evaluate scientific information and its sources and apply this appropriately to research practice decisions

    1. Describe the principles of critical appraisal

    2. Critically appraise retrieved evidence in order to address a clinical research question

    3. Integrate critical appraisal conclusions into research

  3. Proficient in facilitating the learning of patients, families, students, residents, other health professionals, the public, and others in research related problems

    1. Describe principles of learning relevant to research

      1. Select teaching strategies for patient and health care professional education based on the principles of research

    2. Identify collaboratively the learning needs and desired learning outcomes of others working on his/her research projects

    3. Select effective teaching strategies and content to facilitate others learning

    4. Deliver effective lectures or presentations

    5. Assess and reflect on teaching encounters

    6. Provide effective feedback

      1. Assess the knowledge, skills, and competence of junior research learners

      2. Conduct debriefing sessions as a teaching and reflective tool following difficult resuscitations or incidents

    7. Describe the principles of ethics with respect to research


  1. Contribute and complete the development, dissemination and translation of new knowledge and practices

    1. Describe the principles of research and scholarly inquiry

    2. Describe the principles of research ethics especially in application to infants and pregnancies

    3. Complete a scholarly research project related to neonatal hemodynamics that can be and is not limited to Clinical Research, Epidemiology, Education or Quality Improvement. This project must be relevant to Neonatal-Perinatal Medicine and suitable for peer-reviewed publication or presentation at an academic meeting

      1. Present the scholarly project at a national, or international forum


Program Structure and content:

The Clinical Research Neonatal Hemodynamics program consists of 1 or 2 years of additional training in hemodynamics / echocardiography research targeted to the neonatal population with research methods, under the supervision of a primary faculty supervisor. The duration of the fellowship will depend on the predicted time frame of the research project and funding. The supervisor and the duration of the fellowship will be identified and agreed by all concerned, including the fellowship director, before the fellowship begins. A 1-year fellowship may be extended to a 2nd year if all parties agree (including McGill University postgraduate office and the sponsor, where applicable). Patient care responsibilities are designed to maintain clinical competence in Neonatology and to enhance knowledge and experience in neonatal diseases targeted by the fellow’s research.

Only PhD or MD researchers with faculty appointments at McGill University will be permitted to supervise research fellows. The fellowship director and fellowship committee members must approve research proposals.


Training:

  1. Longitudinal Research Experience: Supervised echocardiography laboratory and clinical/epidemiologic research for 11 (for a 13 blocks program) but up to 22 blocks for a 26 blocks program. In year 1, phase A to C. If second year, extension of Phase B and Phase C.

    1. Phase A) Expectations: orientation to the program, orientation to echocardiography machine, Endnote course at the MUHC library, “Research of literature course” (OVID and Pubmed) at the MUHC library, introduction to research, preparation of the literature review, training for the research ethics board (REB) submission and requirements, concept for the development of the research protocol, REB submission if necessary (Nagano, research modules for MUHC-RI, RedCAP training), mandatory readings and learning provided in Appendix B, log book creation, Neonatal Resuscitation Program training if not accomplished, certification on the defibrillator and its use in the NICU and meeting with the librarian regarding research project, orientation to the units (JGH, MUHC).

      1. In phase A: Learning the views of echocardiography (mandatory readings, 1 on 1 training) and learning the standardized measures and their meanings, learning how to use a software for data extraction. Orientation of ongoing research projects in the Research lab. Scanning of participants (which my happen on both sites: JGH/MUHC).

      2. In phase A: Please refer to “Acquisition of Skills”

    2. Phase B) Data collection, scanning of participants

    3. Phase C) Data extraction, data consolidation, data analysis, conclusions and presentation. Preparation of poster, abstract, manuscript. Ongoing scanning for the participants of research projects.

  2. Clinical: 1 to 2 blocks of NICU service per year (2-4 weeks x 2 at MUHC, based on funding source and length of fellowship)

  3. Elective: Highly recommended Hemodynamics rotation at the CHU Sainte-Justine, otherwise: cardiac anesthesia, cardiology, cardiac critical care, neonatal follow-up (emphasis on cardiac patients).

  4. Teaching:

    1. Mandatory: 4 Friday afternoon teaching sessions given to NPM residents related to cardiovascular anomalies of the newborn (arrhythmias, pulmonary hypertension, patent ductus arteriosus, congenital heart defect)

    2. Mandatory: 1 presentation per year at Neonatal Rounds

    3. Mandatory: 2 presentations at Journal Club with article related to neonatal hemodynamics

    4. Mandatory: 3 case presentations per year at Quebec-TnECHO meetings

    5. Mandatory: 2 mock codes in the NICU related to a Neonatal Hemodynamics Case

    6. Optional: 2 Tuesday afternoon teaching sessions given to pediatric residents,

    7. Optional: Help teach 1 class in CCHCSP,


Acquisition of technical skills (Part of Phase A)

  1. Echocardiography Laboratory rotation: During their first year, the fellow will spend two months in the Echocardiography Laboratory. During that time, they will work with both sonographers and echocardiography attendings to learn to acquire, as well as interpret standard echocardiographic views.

  2. Simulation Cases (optional but highly recommended): the trainee will be exposed to the simulator owned by Dr Anie Lapointe and Dr Andréanne Villeneuve (CHU Sainte-Justine), shared for the training of fellows at McGill University.

  3. Ongoing scanning: The trainee will be involved in the scanning of participants in research projects throughout the training period. This will continue in Phase B and Phase C.


Evaluation:

1-Senior Research ITER to be completed after every research block by the primary supervisor

2-Junior Attending ITER to be completed after every NICU rotation (2 per year) by the supervising Neonatologist.

3-Echocardiography rotation ITER to be completed by cardiologist supervising the rotation (Dr Tiscar Cavalle is responsible for the rotation).

Supervising attendings may complete O-scores

The competence committee will review and complete summative evaluations every 6 months.


Lectures and readings:

Lectures: The trainee will be exposed to lectures, case presentations and mandatory readings throughout the curriculum. Lectures will occur every other weeks (Thursday afternoon) on material that may be presented by the trainee, by the program director or by an invited speaker. During block 1, there will be a mandatory presence for an introductory echocardiography course (by Dr. G. Altit). The minimum content that will be covered by the lectures and mandatory readings include:


Basic echocardiography (5, 6):

  • Echocardiography: principles, safety, aliasing, Doppler, M-mode

  • Echocardiography: Obtaining the standard views and assessment of gradients, Bernouilli equation and its limitations

  • Assessment of shunts: VSD, PDA, ASD and what to understand from them?

  • Heart function (part 1): the left side (7, 8)

  • Heart function (part 2): the right side (9-11)


Heart, Physiology and Pharmacology (5, 6, 12, 13):

  • Transitional physiology, fetal and immediate neonatal hemodynamics / adaptation

  • Cardiovascular embryology

  • Basic cardiac anatomy, nomenclature and clinical application

  • Pharmacology of cardiovascular drugs: inotropes

  • Pharmacology of cardiovascular drugs: anti-pulmonary hypertension medications

  • The case of inhaled Nitric Oxide


Neonatal diseases and their hemodynamics (5, 6)

  • The extreme preterm: when the focus is perfusion and not blood pressure

  • Persistent pulmonary hypertension of the newborn: clinical vignettes, diagnosis and management

  • Controversies about the patent ductus arteriosus: to treat or not to treat? (14-16)

  • Current understanding about hemodynamic impact of a large persistent ductus (17-19)

  • Septic shock and NEC in the newborn: pathophysiology, diagnosis, hemodynamic impact

  • Septic shock and NEC in the newborn: management and outcome

  • HIE: hemodynamic management for brain safety

  • Congenital Diaphragmatic hernia: the hemodynamic golden hour

  • Management and controversies about congenital diaphragmatic hernia: management of pulmonary pressures, heart function, fluid status and timing of surgery

  • BPD and pulmonary hypertension: epidemiology, pathophysiology, screening and diagnosis

  • BPD and pulmonary hypertension: controversy about management and invasive testing

  • The extremes: severe IUGR and infant of mother with preeclampsia

  • The extremes: the LGA and infant of diabetic mother


Cardiac anomalies (5, 6)

  • Coarcatation of the aorta and hypoplastic arch

  • Tricuspid atresia, Ebstein’s anomaly, pulmonary atresia intact septum

  • L-TGA and D-TGA

  • Anomalies of the mitral valve, Hypoplastic Left Heart Syndrome and variants, Shone’s complex

  • Pulmonary veins, left sided obstruction and post-capillary hypertension (MS, MR)

  • TOF and DORV

  • Coronary anomalies – fistula, sinusoids, ALCAPA and abnormal insertion

  • Genetic syndromes and their cardiac involvement

  • Endocarditis and inflammatory disease of the myocardium (infants of lupique mothers)

  • Pericardial effusion and how to recognize tamponade in the newborn


Other advanced diagnostic and therapeutic measures(5, 6)

  • Advanced echocardiography: how to understand a report and a journal article about TDI, 3D imaging, strain and speckle tracking echocardiography

  • NIRS and its applications: current knowledge of literature

  • Biomarkers: the right ventricle, the left ventricle and the pulmonary vasculature

  • MRI, VQ scan and CT: how they complement your assessment

  • Basic understanding of ECMO: cannulation, circuit, VV, VA

  • Basic understanding of cardiac transplant and ventricular assist device

  • Basic understanding of cardiac catheterization and how to interpret a diagnostic study


Research and Epidemiology:

  • Preparation of a research questions

  • Critically appraise the literature: observational studies, cohort studies, randomized control trials, meta-analysis

  • Understand basic statistical tests and epidemiological strategies to analyze data

  • Study designs

  • How to prepare a poster, manuscript and abstract

  • CV preparation


Mandatory readings will be provided to the trainee at the beginning of the year and complemented throughout the training. Please refer to Appendix B.


Trainee should attend at least one conference among these during the year(s) of training: NeoHeart, Pediatric Academic Societies, UCSF Neonatal Pulmonary Vascular Disease Conference, NeoPOCUS workshop, American Academy of Pediatrics, Canadian Pediatric Society, American Society of Echocardiography, American Thoracic Society meeting.


Mandatory Local Conference attendance:

1-Neonatal Rounds every Friday afternoon

2-Journal club every other Tuesday morning

3-Neonatal Cross-Canada Rounds (4 times a year)

4- Canadian Child Health Clinician Scientist Program (CCHCSP) training at the MUHC


Fellow Duties, responsibilities and resources:

  1. Call: 7 in-house shifts (night class and/or week end shifts) per block (alternating between JGH and MUHC sites), as decided by the program director based on source of funding.

  2. Resident Supervision: The fellow will supervise residents and students during clinical duties and will provide mid-rotation and end of rotation feedback.

  3. Academic Activities: Fellow should present his/her work at a national or international conference. The fellow is expected to present his/her work at the Neonatal Rounds - MUHC.

  4. Support staff: Administrative tasks will be managed by the program coordinator.

  5. Will need to keep track of echocardiography done on participants / patients and on simulator. Logbook will be available for the trainee. Data from the log-book will be reviewed 3 times per year with the trainee, but will not be accounted for in an evaluation.


Professional:

  1. Model and mentor principles of medical professionalism

  2. Model and mentor principles of commitment to patients, profession, and society through ethical practice

  3. Model and mentor principles of commitment to patients, the profession, and society through participation in profession-led regulation


Academic Facilities:

Jewish General Hospital:

Neonatal Intensive Care Unit, office space

Montreal University Hospital Center:

Neonatal Intensive Care Unit, office space

CHU Sainte-Justine (elective site):

Neonatal Intensive Care Unit, office space

Libraries and information Technology:

Electronic access to McGill Life Sciences Library from computers in dedicated resident/fellow rooms at each site; hospital libraries accessible at all training sites

Research Institute

Computer lab, biostatistics support and clinical research infrastructure


Selection of Candidates:

Interest in training may be expressed by contacting the Program Director (Dr. Gabriel Altit – Gabriel.altit@mail.mcgill.ca) or the Fellowship Coordinator (Tamara Slovick - tamara.slovick@muhc.mcgill.ca). We will seek candidates with a special interest in neonatal hemodynamics clinical research. Selection will be done by personal statement (maximum 1 page), CV, interview and two reference letters. Successful and non-successful applicants will be informed within two weeks of the interview.


Teaching Faculty and Research Interests are available at:

https://www.mcgill.ca/peds/education-training/pgme/programs/neonatology/fellowship

https://www.mcgill.ca/pgme/admissions/prospective-fellows

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