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Department of Pediatrics

Neonatology

Division Chief

Sandra Juul, MD, PhD

W. Alan Hodson Endowed Chair in Pediatrics Professor of Pediatrics Head, Division of Neonatology, Department of Pediatrics

Overview

We improve the neonatal outcome of pregnancy by:

  1. Providing outstanding evidence-based neonatal clinical care
  2. Educating the next generation of neonatal caregivers
  3. Advancing neonatal scholarship

History of Division Leadership and Research Focus:

The Division of Neonatal Biology and Respiratory Diseases of the Department of Pediatrics at the University of Washington was officially created in 1963 with the recruitment of Dr. Tim Oliver. He then recruited Dr. W. Alan Hodson from Johns Hopkins in 1966 as a second faculty member. A third faculty member, Dr. Dick Wennberg, was added in 1969 and a fourth, Dr. David Woodrum, in 1971. Dr. Oliver left Seattle in 1971 to become Chair of Pediatrics at Pittsburgh and Dr. Hodson became head of the Division.

Between 1966 and 1970, research funding for the Division was obtained from the NICHD with a Neonatal Biology Training Grant, an individual research award, and a satellite clinical research center. In 1972, Division members worked together with members of the Department of Medicine to obtain a 5-year Specialized Center of Research (SCOR) Grant in respiratory disease from the NHLBI. This SCOR became an independent pediatric pulmonary SCOR when it was renewed in 1976, with a second 5-year renewal in 1982. In 1987, a Program Project grant entitled “Pathophysiology of Respiratory Disorders of the Newborn” was funded through the NHLBI for a 5-year period ending in 1992.  In 1997, Pediatric Pulmonary Medicine officially became its own division under the direction of Dr. Greg Redding

Dr. Christine Gleason was recruited from Johns Hopkins as Division Head of Neonatology in 1997 and she led the division in developmental neuroscience.  In 2000, Dr. Sandra Juul was recruited, and her NIH-funded bench research programs focused on neurodevelopment and neonatal neuroprotection, with translation to multicenter clinical trials of erythropoietin (Epo) neuroprotection.  The addition of senior scientist Dr. Colin Studholme to the Division in 2011 brought state of the art neuroimaging techniques for fetal and neonatal brain imaging.  In 2013, Dr. Juul was awarded a $10.1 million UO1 grant supporting a 5-year multi-center clinical trial investigating Epo as a neuroprotective agent in extremely preterm infants, and in 2016 a second U01 grant was awarded to study the neuroprotective effects of Epo for term infants with hypoxic ischemic encephalopathy.  Dr. Juul became division head in January 2015.  In addition to neuroscience, research in the Division over the past several years has included global neonatal-perinatal health, medical education, and ethics.

The Division received $600,000 in research funds during the academic year. Division neonatologists staffed 2 level IV NICUs (84 beds) and 3 level III NICUs (81 beds).  In addition to staffing the level IV and III NICUs, our APPs and neonatal hospitalists also staffed 5 level II NICUs (~28 beds) with oversight by our neonatologists, for a total of 193 NICU beds.

Faculty Demographics

 

Faculty Scientist

Clinician Scholar

Full-time Clinical

Total

 

Professor

2

3

10

15

42%

Associate Professor

1

4

4

9

25%

Assistant Professor

1

9

1

11

31%

Acting Assistant Professor

 0

1

 0

1

3%

Total

4

17

15

36

 
 

11%

47%

42%

 

100%

 

*FTE normalized to 100%

Research Faculty

Physician-Scientists and Clinical Scholars

Full-time Clinical

Scholarship & Research

97%

26%

10%

Administrative Leadership

4%

18%

4%

Medical Leadership

0%

6%

19%

Clinical

0%

51%

67%

  101%

101%

100%

 

71% White, 14% Asian, 9% Hispanic, 3% Black, and 3% Multiracial/Multiethnic
85% Full-time, 15% Part-time
43% Children over 18, 34% One or more under 18, and 23% No Children
42% No pets, 31% Live with dogs, 22% Live with cats, 3% Have a horse and 3% Other pets  
34% Enjoy hiking, 26% Enjoy cooking, 20% Enjoy skiing

Clinical Programs

Neonatal Intensive Care Units

University of Washington Medical Center Neonatal Intensive Care Unit (Level IV):

Thomas P. Strandjord, MD, Medical Director; Angel Rios, MD, Assoc. Medical Director, Shwu-Shin Hou, MN, ARNP, NNP-BC, NNP Program Manager

The UWMC NICU admits critically ill newborns from one of the highest risk obstetric services in the nation.  The multi-professional perinatal and NICU teams have special expertise in management of the most fragile growth-restricted and premature fetuses and newborns. The high-risk perinatal program receives obstetrics referrals from throughout the WWAMI region for fetal abnormalities, severe maternal illness, and extreme prematurity and is the site of delivery for the most complex birth defects, including infants requiring EXIT procedures for airway anomalies. Additional advanced services include therapeutic hypothermia and the full range of ventilation strategies including inhaled nitric oxide, high –frequency oscillatory and jet ventilation. The NICU medical team includes neonatal faculty, neonatal fellows, neonatal nurse practitioners, neonatal hospitalists, pediatric residents, interns and medical students. The inter-professional team includes dedicated respiratory therapists, neonatal pharmacists, dieticians, physical therapists, speech language pathologists and social work support. The nursing team includes three tiers of RN expertise and leadership. A state-of-the-art 50-bed NICU opened October 2012. The NICU includes 42 single-bed rooms with space for a family member to stay with their infant plus several additional rooms for multiples as well as an integrated OR for surgical procedures. Patients are cared for by one of two multi-disciplinary teams, a resident-based team, and an NNP/hospitalist team. The UWMC NICU’s care model includes 24/7 coverage by in-house residents and, mid-level intensivists (fellow or NNP/hospitalist), under the direction of attending neonatologists. In 2019, the UWMC had 1852 deliveries with 506 NICU admissions. The average daily census was 31 with 16 preterm infants weighing less than 1500 grams at birth and an average daily census of 2.0 on ventilators.

Seattle Children’s Hospital Neonatal Intensive Care Unit (Level IV):

Robert DiGeronimo, MD, Medical Director; Zeenia Billimoria, MD, Assoc. Medical Director, April Morris, MN, ARNP, Manager, Advance Practice Services, Melissa Koll, MN, ARNP, Supervisor of SCH NICU APPs

The Neonatal Intensive Care Unit at Seattle Children’s Hospital is the highest rated Level IV NICU in the Seattle area and serves as the major tertiary referral center for medically and surgically complex neonates in the Pacific Northwest. Seattle Children’s NICU admits 500 patients annually and has over 500 affiliated faculty that represent all pediatric subspecialties including– more than any other hospital in the region. The Children’s NICU provides the full spectrum of neonatal medical care including therapeutic hypothermia for acute hypoxic ischemic encephalopathy, seizures, high frequency ventilation, inhaled nitric oxide and ECMO for severe respiratory failure, renal replacement therapy including dialysis and surgical expertise in the areas of congenital diaphragmatic hernia, intestinal failure, bowel atresia, craniofacial anomalies, reconstructive pelvic medicine, post-hemorrhagic hydrocephalus, neural tube defects and neurovascular malformations. In addition, we offer multidisciplinary care teams providing neuro-critical care, congenital diaphragmatic hernia and management of bronchopulmonary dysplasia. Daily rounds with the medical team incorporate the patient’s family, NICU nurses, dietician, pharmacist and respiratory therapist.  The NICU team accepts admissions of critically ill neonates up to 44 weeks’ post menstrual age from the 5-state WAMI region. The Seattle Children’s Hospital NICU’s care model includes an in-house fellow or NNP and attending neonatologist 24/7. Seattle Children's Prenatal Diagnosis and Treatment Program partners with the University of Washington to provide care for pregnant women and their families when pregnancy is complicated by known or suspected conditions in the developing fetus. Our program integrates obstetric, neonatology and pediatric specialty care for families facing complicated pregnancy management or decision-making.

UW Medicine/Valley Medical Center Neonatal Intensive Care Unit (Level III)

Christina Long, DO, Medical Director; Shilpi Chabra, MD, Assoc. Medical Director, Carol Otto MSN, ARNP, Supervisor, Valley Medical Center

In July 2017, Neonatologists and Advanced Neonatal Practitioners from University of Washington/Seattle Children’s Hospital began a collaborative effort to staff the NICU at UW/Valley Medical Center. The unit has a 29-bed capacity. The single-bed rooms provide space and privacy for our patients and their families. Two, unique, infant stabilization rooms allow immediate resuscitation of infants in the NICU after birth without requiring transport after stabilization. Valley has a robust high- risk perinatal clinic and the Neonatologists work closely in conjunction with the high-risk team to provide consults for families prenatally.  The Valley NICU uses a multi-disciplinary approach to patient care with NICU dedicated pharmacists, dieticians, physical therapists, speech therapists, respiratory therapists, social work, and NICU nurses. This multi-disciplinary staff meets with families to provide the best family-centered care for our patients. Advanced services provided at Valley include therapeutic hypothermia with 24/7 Pediatric Neurology support and a large range of ventilation strategies including high-frequency oscillatory ventilation. Advanced Neonatal Practitioners staff the NICU with 24/7 in- house coverage under the direction of attending Neonatologists. In AY 2018, Valley had 3474 number of deliveries with 212 NICU admissions.

Providence Regional Medical Center Everett Neonatal Intensive Care Unit (Level III):

Michael D. Neufeld, MD, MPH, Medical Director; Anna Hedstrom MD, Assoc. Medical Director, Vanessa Rothstein, PA-C, Supervisor, Providence Regional Medical Center Everett

Providence Regional Medical Center Everett’s 29-bed capacity NICU opened on Mother’s Day in 2002. The unit was developed through the efforts of an alliance between PRMCE and Seattle Children’s Hospital. Individual rooms provide privacy for patients and their families. The multidisciplinary team meets daily with parents and concentrates on family-centered care, teaching parents how to take care of their infants, especially those with special needs. In preparation for discharge, parents are provided in-depth instruction on how to manage emergencies that may arise in the home, including the need for CPR. The unit cares for infants of all gestational ages and has HFJV, HFOV, and iNO in addition to conventional ventilation.  The care model at PRMCE is 24/7 in-house Advanced Neonatal Practitioners under the direction of attending neonatologists. In AY 2019, PRMCE had 4620 deliveries with 606 NICU admissions. The average daily census was 25.8 with 62 preterm infants weighing less than 1500 grams at birth.

Franciscan Health Care System; St Joseph Medical Center (Level III); St Francis (Level II); Harrison Medical Center (Level II); Highline Medical Center (Level II):

Stephen Welty, MD, Medical Director; Meenakshi Dutta MD, Associate Medical Director and Highline Medical Director, Kim Gustafson, MSN, ARNP, Supervisor, CHI-Franciscan Health System

Franciscan Health Care System includes a network of hospitals with approximately 9,000 deliveries annually at its 5 obstetrical facilities: St Joseph Medical Center in Tacoma, St Francis Hospital in Federal Way, St Elizabeth Hospital in Enumclaw, Harrison Medical Center in Silverdale, and Highline Medical Center in Burien. St Joseph Medical Center has a licensed capacity of 23 neonatal beds and has 24/7 in-house Advanced Neonatal Practitioners supported by faculty neonatologists. St. Francis Hospital has a licensed capacity of 10 Level II beds that receive medical care from local pediatricians, with consultation and attendance at high-risk deliveries as needed from SCH Advanced Neonatal Practitioners and/or neonatologists. For 12 hours/day, Saint Francis has in house coverage with the Advanced Neonatal Practitioners with support from Neonatology Providers and for the other 12 hours/day, Neonatology provides coverage directly and via telemedicine. Highline Medical Center has a licensed capacity of 5 Level II beds, with inpatient Level II care and consultative services provided by Seattle Children’s Neonatologists on call. St. Elizabeth is a critical access hospital with 345 deliveries a year. Seattle Children’s Hospital partnered with the Franciscan Health Care System to begin providing Neonatology services and medical direction on April 1, 2013, and St. Joseph Medical Center opened its new Level III NICU in June 2013, and Highline Medical Center began its collaboration with Seattle Children’s in November 2018. This partnership has made it possible for the vast majority of patients to stay within their community while receiving excellent care for their fragile newborns. On 1/22/18, we lowered the gestational age at which we would manage patients at SJMC to 25 weeks as our threshold of care at SJMC. With the continued emphasis on non-invasive ventilation as our primary mode of respiratory support, we average between 4 and 6 babies on nasal CPAP per day and less than one baby per day on invasive ventilatory support. In September of 2018, we expanded our care to provide inhaled nitric oxide for infants with hypoxic respiratory failure and we utilized it on three patients with excellent clinical responses. In AY 2018, St. Joseph’s had approximately 4100 deliveries with 480 NICU admissions. Our average daily census was 17.0 with 44 premature infants weighing less than 1500 and 14 weighing less than 1000 grams at birth.

University of Washington Medical Center - Northwest Neonatal Intensive Care Unit (Level II):

Angel Rios, MD, Medical Director; Thomas P. Strandjord, MD, Assoc. Medical Director

In November of 2018 Northwest Hospital Special Care Nursery, a Level II NICU began a collaborative effort with the UW Division of Neonatology and Seattle Children’s Hospital to support care for infants born prematurely at greater than 32 weeks, as well as term infants who may be suffering from a variety of neonatal conditions including but not limited to breathing difficulties and infections. Northwest Hospital delivery service sees approximately 1100 newborn infants annually. Although historically the service delivers primarily low risk patients there is always the potential need for the expertise provided by 24/7 in house coverage by our team of Advanced Neonatal Practitioners who have immediate access to consultation with UW/SCH neonatologists and a premier critical care neonatal transport system. The unit is being remodeled to support the focus on family centered care with increased opportunity and available space for couplet care.

Swedish Issaquah Hospital Neonatal Intensive Care Unit (Level II):

Linda Wallen, MD, Medical Director; Christine Cooper, DNP, ARNP, Supervisor

In April of 2019, Swedish Issaquah Hospital began a collaborative partnership with Seattle Children’s Hospital to staff their 15 bed Level II NICU with 24/7 neonatal APPs from SCH.   This new and beautiful unit offers single-patient care rooms that promote family-centered care.  With input as needed from the on-call neonatologist at SCH, they manage patients in the NICU down to 32 weeks’ gestation and admit and discharge normal newborns.  During the first year, they cared for 750 patients, about 25-30% of whom were in the NICU.  The APPs use a mobile telemedicine platform to include the resource neonatologist at SCH in interdisciplinary bedside rounds each morning with the patient’s family, nurse, dietician, pharmacist, respiratory therapist, and other providers as needed, such as feeding specialist, physical therapist, and social worker.  On-site consultations are available from pediatric cardiologists, otolaryngologists, and nephrologists.

Neonatal Consultation and Transport Program

Robert DiGeronimo, MD, Medical Director; Christopher Baker, MSN, MBA, RN C-NPT, Clinical Manager

The Division provides 24/7 neonatal consultation services for the 5-state WWAMI region.  Neonatal transport services for Seattle Children’s and its affiliated hospital partners is provided by dedicated teams from Seattle Children’s and Airlift Northwest. Our transport team are leaders in safe newborn transport and have ground, rotor and fixed wing capability. Teams are comprised of specially trained transport nurses and respiratory therapists. Infants from referral centers throughout the WWAMI (Washington, Wyoming, Alaska, Montana, and Idaho) region are transported to Seattle Children’s. Services provided include various modes of non-invasive support, high frequency ventilation, administration of nitric oxide, blood gas analysis and mobile extracorporeal membrane oxygenation for critically ill patients too unstable to move via conventional support.

Telemedicine Program

See description under NEST research program.

Prenatal Diagnosis Programs

Prenatal Diagnosis Program at Seattle Children’s Hospital

Craig Jackson, MD, MHA; Robert DiGeronimo, MD, and Zeenia Billimoria, MD

This multidisciplinary clinic is held Monday through Friday in the Springbrook office center which is across the street from the main hospital.  Patients are referred from Washington, Alaska, Montana, and Idaho.  More than 1000 patients are seen annually for fetal imaging with ultrasound, echocardiogram, and MRI, and for multidisciplinary counseling by our UW maternal-fetal medicine specialists, pediatric medical and surgical specialists, prenatal nurses, and by our genetic counselor and prenatal social worker.  About half of the visits are for fetal cardiac evaluation for known or suspected fetal cardiac defects such as ductal-dependent cyanotic heart disease, fetal arrhythmias, or for maternal health risk factors for fetal congenital heart disease.  The remainder are referred for suspected fetal surgical problems (e.g., congenital diaphragmatic hernia, congenital pulmonary airway malformations, gastroschisis), neurodevelopmental disorders (e.g., open neural tube defects, ventriculomegaly), renal or urologic problems (e.g., urinary tract obstruction, renal dysplasia), and genetic issues (e.g., trisomy 13, 18, and 21 and numerous specific genetic conditions).  Neonatologists are asked to join the multidisciplinary counseling for patients with fetal conditions that are complex, likely to require advanced delivery room resuscitation or admission to SCH, or which raise the possibility of offering palliative care.   Research projects during 2019 and 2020 included the following:

Principle Investigator

Project Title

Bhawna Arya

Fetal anatomy and physiology and associations with fetal and perinatal outcomes in DTGA/IVS: a collaborative, multicenter, multi-arm prospective study

Hannah Tully, Dan Doherty

“Retrospective Review of Prenatally Diagnosed Fetal Central Nervous System Abnormalities”

Aarti Bhat

Prenatal detection of HLHS and dTGA: significant socioeconomic and geographic barriers

Kiana Siefkas

Biallelic SCN5A Variants Cause Prenatal Onset of Complex Cardiac Arrhythmias

Bhawna Arya, Kim Riehle

Utility of maternal hyperoxygenation testing in predicting outcomes in fetuses at risk for developing PPHN

Bhawna Arya

Prenatal predictors of coarctation of the aorta

Bhawna Arya, Mikki Clouse

Cerebral Doppler pattern in coarctation of the aorta

Bhawna Arya

Fetal predictors of PAIVS outcomes

Bhawna Arya

Fetal predictors of mitral valve dysplasia outcomes

Bhawna Arya

Umbrella IRB for fetal CHD retrospective studies

Ian Glass

Donation of Embryonic & Fetal Tissue for Research (BDRL)

Daniel Doherty

NDV Disorders & Hindbrain Malformations

Colin Studholme

Fetal Imaging/MRI Brain Development

William Walker

Evaluation of the Best Urologic Management for Newborns and Young Children with Spina Bifida

Elizabeth Caris

Resiliency in Families affected by Congenital Heart Disease

Bailey Brinks

Prenatal Tour Study: Evaluating Newborn Hospitalization Preparedness In Families With Prenatal Diagnosis

 

Prenatal Diagnosis Program at University of Washington Medical Center

Craig Jackson, MD, MHA; Dennis Mayock, MD; Maneesh Batra, MD, MPH; and Davia Loren, MD

This clinic is held in the Maternal Infant Care Center (MICC) at UWMC where maternal-fetal medicine specialists primarily see patients with suspected or known fetal defects on Mondays for close monitoring during pregnancy, with ultrasound and non-stress tests as needed, and genetic testing as appropriate.  Neonatologists are asked to counsel patients with fetal defects about a month before the expected delivery of newborns who are at risk of needing admission to the UWMC NICU or be transported to Seattle Children’s Hospital.  Occasionally they are asked to see pregnant patients on other days of the week with hypertension, multiple-gestation, diabetes, and high-risk for prematurity.  Palliative care consultation from the UWMC NICU palliative care physician is available as needed.  Current research projects include:

  1. Establishing growth curves for gastroschisis
  2. Prenatal bowel dilation in gastroschisis: predictors for timing of delivery and outcome
  3. cfDNA and maternal-fetal trafficking studies

 

Neuro-NICU Program

Ulrike Mietzsch, MD, - Neonatal Codirector; Nina Natarajan, MD – Pediatric Neurology Co-director

The neonatal neurocritical care program at Seattle Children’s Hospital is a specialized service to improve the care and outcome of critically ill newborns with neurological and/or neurosurgical problems diagnosed in or before the newborn period. This advanced care service provides multidisciplinary care from experts in Neonatology, Neonatal Neurology, Neurosurgery, Pediatric Neuroradiology, Pediatric Neurophysiology, Neurogenetics, Developmental Pediatrics, Occupational & Physical therapists, audiologists and speech/language pathologists.

Conditions treated:

  • Hypoxic ischemic encephalopathy (HIE)/birth asphyxia
  • Neonatal seizures
  • Brain malformations
  • Neonatal stroke
  • Metabolic encephalopathy
  • Meningitis/Encephalitis
  • Neuromuscular disorders
  • Hydrocephalus
  • Intracranial hemorrhage
  • White matter injury (PVL or diffuse)
  • ECMO monitoring
  • Myelomeningocele

Services provided:

  • 24-hour continuous video monitoring – including electrophysiologists specialized in neonatal EEG
  • Whole-body hypothermia therapy
  • Active hypothermia during neonatal critical care transports (air and ground)
  • Near-Infrared Spectroscopy Monitoring
  • Magnetic resonance imaging and spectroscopy
  • Neonatal EMG testing
  • Advanced neurogenetic diagnostics
  • Specialized small-baby care bundles
  • Comprehensive multidisciplinary High-Risk Infant Follow Up program including General Movement Assessment

Currently between 30-40% (~200 patients/year) of patients admitted to the Level IV NICU at Seattle Children’s Hospital receive supplemental care through this service. In addition, a close collaboration has been established between the NICU at UW Medical Center and the NeuroNICU at Seattle Children’s in addition to referrals and consultations from the entire State of Washington, Idaho, Montana, and Alaska, for which the NeuroNICU team is providing consultation and outreach services.

Website: https://www.seattlechildrens.org/clinics/neuro-nicu/

Infant Development Followup-up Clinic

Emily Myers, MD; Kendell German, MD; Nina Natarajan, MD

The University of Washington Center on Human Development and Disability offer the Infant Development Follow-Up Clinic (IDFC) and the Late and Moderate Preterm Baby Clinic (LAMBs) to provide interdisciplinary neurodevelopmental assessments for infants at risk for developmental differences. Infants receive standard evaluations at 3, 9, 12, 18, and 24 months, then annually through 5 years old. Developmental Pediatrics, Neonatal Neurology, Neonatology, Advanced Practice Nursing, Psychology, Speech/Language Pathology, Audiology, Nutrition, Occupational Therapy, Physical Therapy and Social Work staff the clinic. The clinic sees approximately 2500 infants and children annually. The clinic also provides interdisciplinary training and follow-up for patients in clinical research studies.

Infants who qualify to be seen in these clinics are those that meet any of the following criteria:

  • Infants born before 37 weeks’ gestation
  • Birthweight of <1500g
  • Infants exposed in-utero to drugs or alcohol
  • Infants with prenatal, perinatal, or neonatal brain injuries (IVH, HIE, stroke)
  • Infants with complex medical disease requiring selected surgical interventions
  • Infants who required a neonatal intensive care unit hospitalization.

Recent changes to these clinics include the introduction of the Reach Out and Read program and telehealth services which were employed during COVID restrictions. Ongoing research in the clinic includes follow-up for the HEAL trial, the evaluation of the Reach Out and Read program in the NICU and follow-up clinics and the creation of a patient database to facilitate quality improvement and outcomes research.

Neonatal-Perinatal Clinical Collaboratives

Vermont-Oxford Network

Michael D. Neufeld, MD, MPH; Thomas P. Strandjord, MD, Database Coordinators

The University of Washington Medical Center Neonatal Intensive Care Unit maintains a quality improvement and research NICU database that includes all infants admitted to the NICU, as well as all infants delivered at UWMC over 22 weeks' gestation. The database is maintained by Division staff and faculty. In addition, since 2000, the University of Washington NICU has participated in the Vermont-Oxford Network (VON) database for 401-1500-gram infants. Data is selected for inclusion in the NICU database by consensus of the neonatology faculty and fellows. The NICU database contains a superset of the data required by the VON database and as such includes extensive admission, diagnostic, outcome and local QA/QI data. The outcome (morbidity and mortality) data are generated annually and reviewed with the faculty and fellows. In addition, ad hoc queries are performed at the request of fellows and faculty and reviewed as a group. 

Children’s Hospital Neonatal Consortium

Elizabeth Jacobson, MD, Site Physician Sponsor; Robert DiGeronimo, MD, Co-Sponsor

Seattle Children’s Hospital belongs to the Children’s Hospitals Neonatal Consortium (CHNC) of 34 children's hospital Level IV NICUs. This allows for involvement in benchmarking, quality evaluation, and improvement initiatives for the SCH NICU through the Children’s Hospitals Neonatal Database and focus groups on specific diagnoses, such as severe bronchopulmonary dysplasia, congenital diaphragmatic hernia, and hypoxic-ischemic encephalopathy.   Many of our neonatal faculty are members of one or more of the CHNC’s focus groups, including those mentioned as well as Fetal Therapy, ECMO, Necrotizing enterocolitis, Resuscitation, and Neurosurgery.  In addition, Elizabeth Jacobson co-leads the CHNC’s national Gastroschisis Focus Group. Publications from these efforts are listed in the Translational, Clinical, and Quality Improvement Research section of this Annual Report.

Extracorporeal Life Support Organization

Robert DiGeronimo, MD, Site Physician Co-Sponsor

Seattle Children’s Hospital belongs to the Extracorporeal Life Support Organization (ELSO), an international non-profit consortium of over 350 health care institutions dedicated to the development and evaluation of novel therapies to support organ failure. Participation in ELSO affords the opportunity to participate in and query the extracorporeal membrane oxygenation database to support clinical research, quality improvement and evidence-based guideline recommendations.

National Airway Registry for Neonates (NEAR4NEOS)

Taylor Sawyer, DO, MEd, Site Lead UWMC and SCH, Shilpi Chabra, MD, UWMC Site Co-Lead; Mihai Puia-Dumitrescu, MD, MPH, SCH Site Co-Lead; Brianna Brie MD, Fellow Site Lead UWMC and SCH   

Both the University of Washington NICU and the Seattle Children’s Hospital NICU belong to the National Airway Registry for Neonates (NEAR4NEOS), an international collaboration of 16 academic neonatal intensive care units dedicated to improving the safety of neonatal intubation. Participation in NEAR4NEOS affords the opportunity to participate in clinical research and quality improvement projects around neonatal intubation.

Regional Neonatology Outreach Program

J. Craig Jackson, MD, MHA

The Division of Neonatology Regional Outreach program started around 1980 when the WA State Department of Health received matching federal funds for regionalization of OB and neonatal services into four centers, including the University of Washington.  The UW program split into OB at UW Medical Center and neonatal at Seattle Children’s Hospital (SCH) in about 1990.  After federal funding for the program ended in about 2000, SCH continued to support a neonatal educator salary until about 2010 to do needs-assessments for referring hospitals and to teach NRP.  By then, most level II and III NICUs had their own clinical nurse specialists or educators.  Our neonatal outreach program initially focused on addressing the training needs of level I and II delivery hospitals, and then helped interested level II centers become level III centers.  In the early 1990s, SCH began to build more durable referral relationships through LLC arrangements and neonatal/pediatric hospitalist service contracts.  In the early 2000s, SCH hired a neonatologist for the level III NICU at Kadlec (until they partnered with Prov-Sacred Heart a few years later).  The neonatology outreach leader began frequent trips to sites in central WA and western MT to build personal relationships, primarily by giving didactic presentations requested by the neonatologists and reviewing the outcomes of neonatal patients they sent to SCH or UW with brief educational comments.  In about 2010, our neonatology outreach program expanded to include our level III/IV NICU medical directors.  We meet regularly with SCH Neonatology director Jake Hawksworth and leaders in the SCH Strategic Planning and Business Development office.  In 2019, we worked with them to develop a contract to support neonatal training services in Bozeman, MT.

Research Programs

Research Programs

Our division faculty have research focused on neuroscience, medical education, global neonatal-perinatal health, and ethics. 

NEONATAL NEUROSCIENCE

Program Description:

Our Neonatal Neuroscience Program is focused on improving the neurodevelopmental outcomes of high-risk infants. Components of our program include the Neonatal Neuroscience laboratory in which we carry out basic science studies to better understand mechanisms of brain injury and repair in a variety of neonatal brain injury models (rodents, ferrets and nonhuman primates), and the Brain Research Advancement in Neonatology (BRAIN) team which targets interdisciplinary clinical and translational research.

Core Programs:

  • Neonatal neuroscience laboratory (NNL)- Sandra Juul, Tommy Wood, Janessa Law, Daniel Moralejo, Kylie Corry
  • Brain Research Advancement in Neonatology (BRAIN) Team- Janessa Law, Tommy Wood, Mihai Puia-Dumitrescu, Kendell German, Krystle Perez, Ulrike Mietzsch
  • NeuroNICU- Ulrike Mietzsch, Nina Natarajan, Jason Hauptman, Sandra Juul, Francisco Perez, Dennis Shaw, Hannah Tully, Mark Wainwright, Emily Myers
  • Infant Development Follow-Up Clinic (IDFC)/Late and Moderate Preterm Babies Clinic (LAMBs)- Emily Myers, Nina Natarajan, Kendell German
  • Neuroscience Fellowship Track- Sandra Juul, Nina Natarajan, Dennis Mayock, Kendell German, Janessa Law, Mihai Puia-Dumitrescu, Ulrike Mietzsch, Megan Gray, Thomas Wood

PENUT and HEAL Data Coordinating Center (DCC)- Patrick Heagerty, Bryan Comstock

  • Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center (IDDRC)- Michael Guralnick
  • Biomedical Image Computing GroupColin Studholme, Todd Richards, Manjiri Dighe

Ongoing Trials and Collaborations:

  • Preterm Epo Neuroprotection (PENUT) trial- Sandra Juul, Patrick Heagerty, Dennis Mayock, Bryan Comstock
  • High-dose Erythropoietin for Asphyxia and Encephalopathy (HEAL)- Sandra Juul, Patrick Heagerty, Dennis Mayock, Bryan Comstock
  • Washington study of Outcomes, Neural Development and Early Risk (WONDER)- Frederick Shic, Sara Webb, Dennis Mayock

Peer-reviewed publications 2019-2020:

  1. Ahmad KA, Bennett MM, Juul SE, Ohls RK, Clark RH, Tolia VN. Utilization of Erythropoietin within the United States Neonatal Intensive Care Units from 2008 to 2017 [published online ahead of print, 2019 Dec 13]. Am J Perinatol. 2019;10.1055/s-0039-3400981. doi:10.1055/s-0039-3400981
  2. Askenazi D; Heagerty PJ; Schmicker RH; Griffin R; Brophy P; Juul SE; Mayock DE; Goldstein SL; Hingorani. S Prevalence of Acute Kidney Injury (AKI) in Extremely low Gestational Age Neonates (ELGANs): Results from the Recombinant Erythropoietin for Protection of Infant Kidney Disease (REPaIReD) Study. Pediatric Nephrology, 2020 Jun 2. doi: 10.1007/s00467-020-04563-x. PMID: 32488672
  3. Auerbach M, Abernathy J, Juul S, Short V, Derman R. Prevalence of iron deficiency in first trimester, nonanemic pregnant women. J Matern Fetal Neonatal Med. 2019:1-4. Epub 2019/06/04. doi: 10.1080/14767058.2019.1619690. PubMed PMID: 31154873
  4. German K, Vu PT, Irvine JD, Juul SE. Trends in reticulocyte hemoglobin equivalent values in critically ill neonates, stratified by gestational age. J Perinatol. 2019;39(9):1268-1274.
  5. Juul SE, Comstock BA, Wadhawan R, Mayock DE, Courtney SE, Robinson T, Ahmad KA, Bendel-Stenzel E, Baserga M, LaGamma EF, Downey LC, Rao R, Fahim N, Lampland A, Frantz, ID, Khan JY, Weiss M, Gilmore MM, Ohls RK, Srinivasan N, Perez JE, McKay V, Vu PT, Lowe J, Kuban K, O’Shea M, Hartman AL, Heagerty PJ, on behalf of the PENUT Trial Consortium. A Randomized trial of Erythropoietin for Neuroprotection in Preterm Infants. N Engl J Med 2020;382:233-43. DOI: 10.1056/NEJMoa1907423 PMID: 31940698, PMCID: , PMCID: PMC7060076 (available on 2020-07-16)
  6. Juul SE, Derman RJ, Auerbach M. Perinatal Iron Deficiency: Implications for Mothers and Infants. Neonatology. 2019;115(3):269-74. Epub 2019/02/14. doi: 10.1159/000495978. PubMed PMID: 30759449.
  7. Juul SE; Vu PT; Comstock BA; Wadhawan R; Mayock DE; Courtney SE; Robinson T; Ahmad KA; Bendel-Stenzel E; Baserga M; LaGamma EF; Downey LC; O’Shea M; Rao R; Fahim N; Lampland A; Frantz, III ID; Khan J; Weiss M; Gilmore MM; Ohls RK; Srinivasan N; Perez JE; McKay V; Heagerty PJ; for the PENUT Trial Consortium. The Effect of High Dose Erythropoietin on Blood Transfusions in Extremely Low Gestational Age Neonates: A Randomized Clinical Trial. JAMA Peds In Press Aug 17, 2020
  8. Juul SE, Comstock BA, Heagerty PJ. Erythropoietin in Preterm Infants. Reply. N Engl J Med. 2020 May 7;382(19):1862-1863. doi: 10.1056/NEJMc2002493. PMID: 32374969
  9. Klevebro S, Juul SE, Wood TR. A More Comprehensive Approach to the Neuroprotective Potential of Long-chain Polyunsaturated Fatty Acids in Preterm Infants is Needed. – Should we Consider Maternal Diet and the n-6:n-3 Fatty Acid Ratio? Frontiers in Pediatrics, section Neonatology. Front. Pediatr. 7:533. doi: 10.3389/fped.2019.00533
  10. Liao R, Wood TR, Nance E. Superoxide dismutase reduces monosodium glutamate-induced injury in an organotypic whole hemisphere brain slice model of excitotoxicity. J Biol Eng 14, 3 (2020).doi: 10.1186/s13036-020-0226-8
  11. Massaro AN, Wu YW, Bammler TK, Juul, SE. Dried blood spot compared to plasma measurements of blood-based biomarkers of brain injury in neonatal encephalopathy. Pediatr Res 2019.
  12. Massaro AN, Wu YW, Bammler TK, MacDonald JW, Mathur A, Chang T, Mayock D, Mulkey SB, van Meurs K, Afsharinejad Z, Juul SE. Dried blood spots (DBS) are not a reliable biospecimen for blood-based biomarkers of brain injury in neonatal hypoxic ischemic encephalopathy (HIE). Pediatr Res 85 (5):655-661, 2019. (PMID: 30661082).
  13. Massaro AN, Wu YW, Bammler TK, MacDonald JW, Mathur A, Chang T, Mayock, D, Mulkey SB, van Meurs K, Afsharinejad Z, Juul SE. Dried blood spot compared to plasma measurements of blood-based biomarkers of brain injury in neonatal encephalopathy. Pediatr Res. 2019;85(5):655-661. doi: 10.1038/s41390-019-0298-7. PMID: 30661082
  14. Mietzsch U, Radhakrishnan R, Boyle FA, Juul SE, and Wood TR. Active cooling temperature required to achieve therapeutic hypothermia correlates with short-term outcome in neonatal hypoxic-ischemic encephalopathy. Journal of Physiology. J Physiol. 2020 Jan;598(2):415-424. doi: 10.1113/JP278790. Epub 2020 Jan 2.
  15. Potter GDM, Wood TR. The Future of Shift Work: Circadian Biology Meets Personalised Medicine and Behavioural Science. Front. Nutr. 7:116. Doi: 10.3389/fnut.2020.00116
  16. Puia-Dumitrescu M, Sullivan LN, Tanaka D, Fisher K, Pittman R, Kumar KR, Malcolm WF, Gustafson KE, Lodge AJ, Goldberg RN, Hornik CP. Survival, Morbidities, and Developmental Outcomes among Low Birth Weight Infants with Congenital Heart Defects. Am J Perinatol. 2020 Jun 2. PMID: 32485756.
  17. Rico Mora DA, Perez KM, Parikh JM, Chatterjee D, George P, O'Reilly-Shah V, Rollins M, Sinskey JL, Patak L. Improvement in perioperative anesthesia documentation for fetal interventions. Paediatr Anaesth. 2020 Jun 27. doi: 10.1111/pan.13955. Epub ahead of print. PMID: 32594611.
  18. Swanson JO, Nathan RO, Swanson DL, Perez KM, Bresnahan BW, Mirza W, Goldenberg RL. Use of ultrasound and mHealth to improve perinatal outcomes in low- and middle-income countries. Semin Perinatol. 2019 Aug;43(5):267-272. doi: 10.1053/j.semperi.2019.03.016. Epub 2019 Mar 16. PMID: 31003635.
  19. Wilson LA, Fell DB, Hawken S, Wong CA, Murphy MSQ, Little J, Potter BK, Walker M, Lacaze-Masmonteil T, Juul S, Chakraborty P, Wilson K. Association between newborn screening analytes and hypoxic ischemic encephalopathy. Scientific reports. 2019;9(1):15704.
  20. Wood T, Moralejo D, Corry K, Snyder J, Traudt C, Curtis C, Nance E, Parikh P, Juul SE. A Ferret Model of Encephalopathy of Prematurity. Developmental Neuroscience. 2019 May 10:1-15. PMID: 31079096
  21. Wood TR, Stubbs BJ, Juul SE. Exogenous Ketone Bodies as Promising Neuroprotective Agents for Developmental Brain Injury. Dev Neurosci. 2019:1-12. Epub 2019/05/16. doi: 10.1159/000499563. PMID: 31085911
  22. Wood T, Moralejo D, Corry K, Fisher C, Snyder JM, Acuna V, Holden-Hunt A, Virk S, White O, Law J, Parikh P, Juul SE. A Ferret Model of Inflammation-sensitized Late Preterm. J Vis Exp. 2019(153). Epub 2019/12/10. doi: 10.3791/60131. PMID: 31814608.
  23. Wood T, Moralejo D, Corry K, Fisher C, Snyder JM, Acuna V, Holden-Hunt A, Virk S, White O, Law J, Parikh P, Juul SE. Hypoxic-ischemic Brain Injury. J Vis Exp. 2019(153). doi: 10.3791/60131. PMID: 31814608.
  24. Wood TR, Gundersen JK, Falck M, Maes E, Osredkar D, Løberg EM, Sabir H, Walløe L, Thoresen M. Variability and sex-dependence of hypothermic neuroprotection in a rat model of neonatal hypoxic–ischaemic brain injury: a single laboratory meta-analysis. Sci Rep 10, 10833 (2020). doi: 10.1038/s41598-020-67532-2
  25. Wu YW, Goodman AM, Chang T, Mulkey SB, Gonzalez FF, Mayock DE, Juul SE, Mathur AM, Van Meurs K, McKinstry RC, Redline RW. Placental pathology and neonatal brain MRI in a randomized trial of erythropoietin for hypoxic-ischemic encephalopathy. Peds Res, 2019, 87:879-884.PMID: 31261373


Chapters 2019-2020:

  1. Kolnik S, German K, Juul SE. Hematologic agents. Ch 58. Yaffe and Aranda's Neonatal and Pediatric Pharmacology: Therapeutic Principles in Practice
  2. Long C, Campbell, DE. Discharge Planning for the High-Risk Newborn Requiring Intensive Care. American Academy of Pediatrics Neonatology for Primary Care, 2nd edition, Campbell DE, (ed), Elk Grove, IL: 2020.
  3. Nafday S, Long C. Respiratory Distress and Breathing Disorders in the Newborn. American Academy of Pediatrics Neonatology for Primary Care, 2nd edition, Campbell DE (ed), Elk Grove Village, IL: 2020.
  4. Natarajan N, Mietzsch U, Juul SE. Encephalopathy of Prematurity IN: Evidence Based Neonatology. In Press
  5. Parikh P. and S.E. Juul, Neuroprotection Strategies in Preterm Encephalopathy. Semin Pediatr Neurol, 2019. 32: p. 100772. DOI 10.1016/j.spen.2019.08.008
  6. Rios A, Shur N. Chapter 31. Specific Congenital Metabolic Diseases. Neonatology for Primary Care 2ND Edition AAP, Editor: Deborah E. Campbell MD


Other publications and training materials 2019-2020:

  1. Chabra S, Peeples E, Strandjord T. Outcomes of extremely low birth weight infants in the NICU after initiation of a two-team care model. J. Neonatal Nursing, 25(5):254-256, 2019.

Invited presentations 2019-2020:

  1. German K. Invited Speaker, “Neurodevelopmental Outcomes of Formerly Preterm Infants”, LEND Program, Seattle, WA 2019
  2. German K. Invited Speaker, “Neurodevelopmental Care”, Nursing Conference: A Journey Through the NICU: Advancing Neonatal Outcomes. 2019
  3. Juul, SE. Invited speaker: IPOKRaTES, Kagawa, Japan, May 23-25 2019. PENUT trial results, Developmental hematology
  4. Juul, SE. Invited Speaker Monash Institute, Melbourne Australia Aug 27, 2019. What’s new in neonatal neuroprotection
  5. Juul, SE. Invited Speaker: Cool Topics, Melbourne Australia Nov 2019. Novel Therapies for Perinatal Asphyxia.
  6. Juul, SE. Grand Rounds, Royal Womens Hospital, Melbourne Australia. April 2020. Update on Clinical Trials for Neonatal Neuroprotection.
  7. Mayock DE. “Is Epo safe and effective for neuroprotection?” The Children’s Hospital of Philadelphia Neonatology Research Seminar. Jun 2019
  8. Mietzsch U. Invited Workshop, 42nd Annual Conference AAP SONMP, District VIII, “Hypothermia during neonatal critical care transport,” Anchorage, AK Jun. 2019
  9. Mietzsch U Invited presentation “Quality Measures in Neonatal Neurology”, AAP SONPM Quality Metrics Conference, Itaska, IL, October 2019
  10. Parikh P, Juul SE. Neuroprotection strategies in preterm encephalopathy. IN: Seminars in Pediatric Neurology. Forthcoming in 2019.
  11. Shih A. Invited Speaker, The 3rd VCID Translational Workshop, Carlsbad, California. 2019
  12. Shih A. Invited Speaker, “Pericytes: New Kids on the Block”, “Chronic Disorders and Cerebrovasc. Regulation” International Stroke Conference, Honolulu, Hawaii. Feb. 2019.
  13. Shih A. Invited Speaker, Blood-brain barrier consortium meeting, Portland, Oregon. Mar. 2019.
  14. Shih A. Invited Speaker, Neurovascular Unit Symposium, Columbia University, NY, 2019.
  15. Shih A. Invited Speaker, Cold Spring Harbor Laboratory Blood-brain barrier course, CSHL, Long Island, NY. Apr. 2019

NEONATAL EDUCATION AND SIMULATION-BASED TRAINING (NEST) PROGRAM

Investigators: Rachel Umoren, MD, MS, Program Director; Taylor Sawyer, DO, MEd, Director of Outreach Education; Thomas Strandjord, MD, Director of Clinical Integration; Megan M. Gray, MD, Director of Research; Zeenia Billimoria, MD, Director of ECMO and Transport Simulation; Maneesh Batra, MD, MPH.

Program Description:

In 2014, the Division of Neonatology joined an elite group of neonatal divisions who own and operate a dedicated neonatal simulation program. The Neonatal Education and Simulation-based Training (NEST) Program sets the UW and Seattle Children’s Division of Neonatology apart and highlights the Division’s dedication to simulation-based education. The mission of the NEST Program is to improve neonatal outcomes through advanced technology-enhanced training and simulation research.  The program’s vision is to provide international leadership in neonatal education, simulation-based training and scholarship. Current projects include: ‘boot camps’ for residents and fellows, neonatal resuscitation training, neonatal procedural skills training, development of a computer-based perinatal counseling simulator, and virtual reality neonatal disaster training. The NEST program works to improve the care of neonates in the Seattle region by conducting educational outreach with pediatric providers and neonatal transport teams.

Peer-reviewed publications 2019-2020:

  1. Brady J, Kovatis K, O’dea CL, Gray MM, Ades A. A Qualitative Analysis: What do neonatal-perinatal fellows identify as critical for achieving competency in tracheal intubation? Neonatology. 2019 Mar 19;116(1):10-16. PMID: 30889585.
  2. Chabra S, Sawyer T, Strand M. The meconium aspirator: still a useful tool during newborn resuscitation. Am J Perinatol. 2019 Jan. doi: 10.1055/s-0038-1677477. [Epub ahead of print].
  3. Enlow E, Gray MM, Wallace-Keeshen S, D'Agostino JA, Abbasi S, Lorch SA. Health literacy of parents of very preterm infants at NICU admission and discharge: a prospective cohort study. J Perinatol. 2019 Feb 15. PMID: 30770882. 4. Foglia E, Ades A, Sawyer T, Glass K, Singh N, Jung P, Quek BH, Johnston L, Barry J, Zenge J, Moussa A, Kim J, DeMeo S, Napolitano N, Nadkarni V, Nishisaki A, for the NEAR4NEOS Investigators. Neonatal intubation practice and outcomes: An international registry study. Pediatrics. 2019 Jan;143(1). pii: e20180902. PMID: 30538147
  4. Foglia E, Ades A, Sawyer T, Glass K, Singh N, Jung P, Quek BH, Johnston L, Barry J, Zenge J, Moussa A, Kim J, DeMeo S, Napolitano N, Nadkarni V, Nishisaki A, for the NEAR4NEOS Investigators. Neonatal intubation practice and outcomes: An international registry study. Pediatrics. 2019 Jan;143(1). pii: e20180902. PMID: 30538147
  5. Foglia E, Jensen E, Wyckoff M, Sawyer T, Topjian A, Ratcliffe S. Survival after delivery room cardiopulmonary resuscitation: a national registry study. Resuscitation. 2020 Jul;152:177-183. PMID: 31982507.
  6. French H, Arias-Shah AM, Gisondo C, Gray MM. The Flipped Classroom in Graduate Medical Education. NeoReviews. 2020 March; 21 (3): e150-156. PMID: 32123119
  7. Gray MM, Dadiz R, Izatt S, Gillam-Krakauer M, Carbajal M, Bonachea E, Falck A, Johnston L, Karpen H, Vasquez M, Chess P, French H. Value, Strengths, and Challenges of e-Learning Modules Paired with the Flipped Classroom for Graduate Medical Education: A Survey from the National Neonatology Curriculum. American Journal of Perinatology. Epub ahead of print 2020 April. PMID: 32276279
  8. Gray MM, Erika E, Ehret D, Brei B, Greenberg L, Umoren R, Ringer S, Horbar J. Opportunities for Resuscitation of Very and Extremely Low Birth Weight Infants During Fellowship. Pediatrics. Jun 2020, e20193641; 2019-3641.
  9. Gray MM, Thomas AA, Burns B, Jones N, Umoren R. Evacuation of Vulnerable and Critical Patients (EVAC): Multimodal simulation for nurse-led patient evacuation. Simulation in Healthcare. 2020 May 4. Epub ahead of print. PMID: 32371747.
  10. Gray MM, Thomas A, Burns B, Umoren R. Identifying Crucial Equipment and Skills Needed to Evacuate Critically Ill Infants During Disasters: Using Nursing Expertise to Guide Training Targets. Prehospital and Disaster Medicine. 2019 Aug; 34(4):370-375. PMID: 31239004.
  11. Grow HM, McPhillips HA, Batra M. “Understanding Physician Burnout.” Curr Probl Pediatr Adolesc Health Care. 2019 Nov;49(11). Epub 2019 Oct 23. PMID: 31668397.
  12. Hippe DS, Umoren RA, McGee A, Bucher SL, Bresnahan BW. A targeted systematic review of cost analyses for implementation of simulation-based education in healthcare. SAGE Open Medicine. 2020 Mar;8:2050312120913451.
  13. Izatt S, Gray M, Dadiz R, French H. Development and implementation of a national neonatology flipped classroom curriculum. Journal of Graduate Medical Education. 2019 June;11(3):335-336. PMID: 31210868.
  14. Keilman AE, Umoren R, Lo M, Roberts J, Yoshida H, Hartford E, Patrao F, Burns B, Fenstermacher S, Masse E, Reid J. Virtual protective equipment: Paediatric resuscitation in the COVID-19 era. BMJ Simulation and Technology Enhanced Learning. 2020 May 17:bmjstel-2020.
  15. Kemper K, McClafferty H, Wilson P, Serwint J, Batra M, Mahan J, Schubert C, Staples B, Schwartz A, on behalf of the Pediatric Resident Burnout-Resilience Study Consortium. “Do Mindfulness and Self-Compassion Predict Burnout in Pediatric Residents?” Acad Med. 2019 Jun;94(6):876-884. PMID: 30520809.
  16. Kemper KJ, Schwartz A, Wilson PM, Mahan JD, Schubert CJ, Staples BB, McClafferty H, Serwint JR, Batra M on behalf of the Pediatric Resident Burnout-Resilience Study Consortium. “Burnout in Pediatric Residents: Three Years of National Survey Data.” Pediatrics. 2019 Jan;145(1). PMID: 31843859
  17. Kemper K, Wilson P, Schwartz A, Mahan JD, Batra M, Staples B, McClafferty H, Schubert C, Serwint J, on behalf of the Pediatric Resident Burnout-Resilience Study Consortium. “Burnout in Pediatric Residents: Comparing Brief Screening Questions to the Maslach Burnout Inventory in the Pediatric Resident Burnout-Resilience Study Consortium’s Surveys.” Acad Peds. 2019 Apr;19(3):251-255. Epub 2018 Nov 3. PMID: 30395934.
  18. Kukora S, Batell B, Umoren R, Gray MM, Ravi N, Thompson C, Zikmund-Fisher B. Hilariously Bad News: Medical Improv as a Novel Approach to Teach Communication Skills for Bad News Disclosure. Academic Pediatrics. 2020 May 7; S1876-2859. PMID: 32389759.
  19. Kumar D, Vachharajani AJ, Wertheimer F, Vergales B, Glass K, Dannaway D, Winter L, Delaney H, Ganster A, Arnold J, Urban A, Johnston L, Bruno C, Gray MM, Sawyer T, for the Organization of Neonatal Training Program Directors Task Force on Simulation. Boot camps in neonatal-perinatal medicine fellowship programs: a national survey. J Neonatal Perinatal Med. 2019 Feb 23. [Epub ahead of print]. PMID: 30829620.
  20. Litke-Wager C, Delaney H, Mu T, Sawyer T. Impact of task-oriented role assignment on neonatal resuscitation performance: a simulation-based randomized controlled trial. Am J Perinatol. 2020 Jan 3. [Epub ahead of print]. PMID: 31899928.
  21. Morris A, Bosque E. Do we nurture our young? Qualitative conceptual analysis of worst and best mentorship experiences among neonatal advanced practice providers. Adv Neonatal Care. 2020; In press.
  22. Ozawa Y, Ades A, Foglia E, DeMeo S, Barry J, Sawyer T, Singh N, Glass K, Jung P, Huey Quek B, Johnston L, Kim J, Napolitano N, Shults J, Nadkarni V, Nishisaki A, for the National Emergency Airway Registry for Neonates (NEAR4NEOS) Investigators. Premedication with paralysis during neonatal intubation is associated with fewer adverse events. J Perinatol. 39 (6):848-856, 2019.
  23. Roussin C, Sawyer T, Weinstock P. Assessing competency using simulation: the SimZones approach. BMJ Simul Technol Enhanc Learn. Published Online First: 20 September 2019. doi: 10.1136/bmjstel-2019-000480.
  24. Sawyer T, Burke C, McMullan M , Yalon L, Valdivia H, Chan T, Roberts J. Impacts of a pediatric extracorporeal cardiopulmonary resuscitation (ECPR) simulation training program. Acad Pediatr. 2019 Jan 23. pii: S1876-2859(19)30008-7. [Epub ahead of print].
  25. Sawyer T, Foglia E. Defining resuscitation quality in the newly born. Am J Peri. 2019. In press.
  26. Sawyer T, Foglia E, Ades A, Moussa A, Napolitano N, Glass K, Johnston L, Jung P, Singh N, Quek BH, Barry J, Zenge J, DeMeo SD, Kim J, Nadkarni V, Nishisaki A, for the National Emergency Airway Registry for Neonates (NEAR4NEOS) investigators. Incidence, impact, and indicators of difficult intubations in the NICU. Arch Dis Child Fetal Neonatal Ed. 2019 Feb 22.
  27. Sawyer T, Motz P, Shooley N, Umoren R. Positive pressure ventilation coaching during neonatal bag-mask ventilation: A simulation-based pilot study. J Neonatal Perinatal Med. 2019 Mar 20. doi: 10.3233/NPM-1618119. [Epub ahead of print]. PMID: 30909252
  28. Sawyer T, Rovera E J. Publication Activity and Impact of the International Pediatric Simulation Society Cureus Channel: 2014 to 2018. Cureus. 2019;11(2): e4067. DOI 10.7759/cureus.4067.
  29. Sawyer T, Johnson K. Neonatal intubation: past, present, and future. NeoReviews. 2020. May; 21(5): e335-e341. PMID: 32358146.
  30. Sawyer T. Educational strategies to improve outcomes from neonatal resuscitation. NeoReviews. 2020. July. 21(7):e431-e441. PMID: 32611561.
  31. Sawyer T, Stavroudis TA, Ades A, Dadiz R, Dammann CEL, Halamek LP, Moussa A, Soghier L, Gupta A, Aliaga S, Umoren R, French H. Simulation in neonatal-perinatal medicine fellowship programs. Am J Perinatol. 2019 Jul 15. [Epub ahead of print]. PMID: 31307105.
  32. Shieh C, Khan I, Umoren R. Engagement design in studies on pregnancy and infant health using social media: Systematic Review. Preventive Medicine Reports. 2020 May 8:101113.
  33. Staples B, Burke A, Batra M, Kemper K, Schwartz A, Wilson P, Schubert C, Mahan J, Serwint J, on behalf of the Pediatric Resident Burnout-Resilience Study Consortium. “Burnout affects resident competency as assessed by pediatric milestones.” Academic Pediatrics. Accepted for Publication.
  34. Sullivan A, Elshenawy S, Ades A, Sawyer T. Acquiring and maintaining technical skills using simulation: initial, maintenance, booster, and refresher training. Cureus. 2019 Sep 23;11(9):e5729. PMID: 31723493.
  35. Thomas A, Gray MM, Burns B, Umoren R. EVAC: Evacuation of Vulnerable and Critical Pediatric Patients for Nurses. Cureus. 2020 May; 12(5): e8302. PMID: 32601574.
  36. Umoren R, Ezeaka VC, Fajolu IB, Ezenwa BN, Akintan P, Chukwu E, Spiekerman C. Perspectives on simulation-based training from paediatric healthcare providers in Nigeria: a national survey. BMJ open. 2020 Feb 1;10(2).
  37. Umoren RA, Gray MM, Handley S, Johnson N, Kunimura C, Mietzsch U, Billimoria Z, Lo MD. In-Hospital Telehealth Supports Care for Neonatal Patients in Strict Isolation. American Journal of Perinatology. 2020 Apr 8.
  38. Umoren R, Sawyer T, Ades A, DeMeo SD, Foglia E, Glass K, Gray M, Barry J, Johnston L, Jung P, Kim J, Krick J, Moussa A, Mulvey C, Nadkarni V, Napolitano N, Quek BH, Singh N, Zenge J, Shults J, Nishisaki A. Team stress and adverse events during neonatal tracheal intubations: a report from NEAR4NEOS. Am J Perinatol. 2019 Jul 31. [Epub ahead of print]. PMID: 31365934.
  39. Webber S, Schwartz A, Kemper K, Batra M, Mahan J, Babal J, Sklansky D, on behalf of the Pediatric Resident Burnout-Resilience Study Consortium. “Faculty and Peer Support during Pediatric Residency: Association with Performance Outcomes, Race and Gender.” Academic Pediatrics. Accepted for Publication.
  40. Wilson P, Batra M, Kemper K, Mahan J, Staples B, Serwint J. “Physician Well-being.” Pediatrics in Review. 2019 Oct;40(Suppl 1):12-20. PMID: 31575686.
  41. Wong J, Manhas D, Campbell DM, Moussa A, Sawyer T. Procedural experience of Canadian neonatal-perinatal medicine fellows. J Clin Neonatol. 2019 Jan;8:47-53.

Chapters 2019-2020:

  1. Bosque E. Neonatal Metabolic and Endocrine Problems, in National Certification Corporation Review for NNPs Text, Koehn A, ed., Springer Publishing Co, New York, December 2019.
  2. Sawyer T, Ali N. Resuscitation of the Newborn. In: Gomella T, ed. Neonatology: Management, Procedures, on-Call Problems, Diseases, and Drugs. 8th Ed. Stamford, Conn: Appleton & Lange; 2020: 19-30
  3. Sawyer T, Gray MM, Umoren RA. Manikins and Task Trainers. AAP Neonatal Simulation Guidebook. American Academy of Pediatrics. Forthcoming in 2020.
  4. Sawyer T, Gray MM, Umoren RA. Umbilical Line Placement. AAP Neonatal Simulation Guidebook. American Academy of Pediatrics. Forthcoming in 2020.
  5. Umoren R, Rybas N. Who Am I as a Healthcare Provider?: Identity and Transformative Learning in Virtual Environments. In Virtual and Mobile Healthcare: Breakthroughs in Research and Practice 2020 (pp. 1028-1043). IGI Global.
  6. Umoren RA, Thomas P. Immersive Learning: Virtual and Augmented Reality. AAP Neonatal Simulation Guidebook. American Academy of Pediatrics. Forthcoming in 2020.

Other publications and training materials 2019-2020:

  1. Wood, J. (January 18, 2020). Neo baby review: Neonatal nurse practitioner board exam review. Primedia eLaunch LLC
  2. Wood, J. (January 18, 2020). Neo baby review: Low Risk Neonatal Certification Review for RNC. Primedia eLaunch LLC
  3. Wood, J. (November 3, 2019). Neo baby review: High-Risk Neonatal Certification Review for RNC/CCRN. Primedia eLaunch LLC

Invited presentations 2019-2020:

  1. Batra M. “Developing a Culture of Wellbeing in Pediatric Trainees and Practitioners: Priorities for Institutions and Practitioners.” State of the Art Plenary Chair, Pediatric Academic Societies Annual Meeting, Baltimore, MD, April 27-30, 2019.
  2. Batra M. “Setting the Focus on Resilience and Wellbeing for Physicians and Other Health Care Professionals.” State of the Art Plenary Speaker, Pediatric Academic Societies Annual Meeting, Baltimore, MD, April 27-30, 2019.
  3. Batra M. “Medical Education: Burnout/Resilience/Wellness.” Platform Presentation Session Moderator, Pediatric Academic Societies Annual Meeting, Philadelphia, PA, May 2-5, 2020. Meeting canceled due to COVID-19 concerns.
  4. Batra M. “Developing a Culture of Well-Being Across Generations in Pediatrics: Priorities for Institutions and Practitioners.” State of the Art Plenary Chair, Pediatric Academic Societies Annual Meeting, Philadelphia, PA, May 2-5, 2020. Meeting canceled due to COVID-19 concerns.
  5. Batra M. “Setting the Stage: Well-Being Across Generations.” State of the Art Plenary Speaker, Pediatric Academic Societies Annual Meeting, Philadelphia, PA, May 2-5, 2020. Meeting canceled due to COVID-19 concerns.
  6. Batra M. “What’s New in Pediatric Resident Well-being” APA Well-being and Vitality SIG Plenary Speaker, Philadelphia, PA, May 2-5, 2020. Meeting canceled due to COVID-19 concerns.
  7. Sawyer T. Invited speaker: American Heart Association Pediatric Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Meeting. Session type: Webinar. Presentation title: “Identification of Gaps Between Neonatal Resuscitation and Pediatric Advanced Life Support Guidelines.” July 2019
  8. Sawyer T. Invited speaker: Seattle Children’s Hospital NICU Advanced Education Day, Seattle Children’s Hospital, Seattle WA. Presentation title: Cardiopulmonary Resuscitation in the Neonatal ICU. Sep, 2019
  9. Sawyer T. Invited speaker: American Academy of Pediatrics, Section on Neonatal-perinatal Medicine. National Conference and Exhibits. New Orleans, LA. Session type: Interactive Group Forum. Presentation title: “Post-event Debriefing in Neonatal Care.” Oct, 2019
  10. Sawyer T. Invited speaker: American Academy of Pediatrics, Section on Simulation and Innovative Learning Methods. National Conference and Exhibits New Orleans, LA. Session type: Section Meeting. Presentation title: “Using Simulation for Patient Safety.” Oct, 2019
  11. Sawyer T. Invited speaker: American Academy of Pediatric Neonatal Resuscitation Program Live Webinar. Presentation title: “Perfecting Your Performance Skills Station: Applying Motor Learning Theory to your NRP Course” June, 2020
  12. Umoren RA. Invited speaker. Neonatal Telemedicine. Central Washington Hospital, Wenatchee, WA. June, 2020

TRANSLATIONAL, CLINICAL, AND QUALITY IMPROVEMENT RESEARCH

Investigators: Zeenia Billimoria, MD; Shilpi Chabra, MD; Robert DiGeronimo, MD; Kendell German, MD; Megan M. Gray, MD; Elizabeth Jacobson, MD; Sandra Juul, MD, PhD; Dennis Mayock, MD; Ulrike Mietzsch, MD; Mihai Puia-Dumitrescu, MD, MPH; Taylor Sawyer, DO, MEd; Thomas Strandjord, MD;  Rachel Umoren, MD, MS; Elliott Weiss, MD, MSME; Steve Welty, MD

Program Description:

The Outcomes Research Collaborative is dedicated to improving the health and healthcare received by neonates in our units locally, regionally and nationally. Our diverse group performs innovative research in the fields of neonatal epidemiology and pharmacoepidemiology, health services research studying the impact of variation in clinical practice and outcomes, resource utilization and disparities in perinatal and neonatal healthcare. We develop and perform research projects and studies through our active affiliations with the Children’s Hospitals Neonatal Consortium (CHNC) and the Vermont Oxford Network (VON). We participate and lead pharmaceutical trials for new drugs and devices. We utilize large regional and national datasets to study short- and long-term outcomes on neonates.

Our division has established a local Quality Improvement Microsystem at Children’s and a larger Regional Quality Improvement Program that oversees collaborative QI work done across all our NICUs in the region.

As practicing physicians, we always prioritize the patient. Our group conducts innovative research to deliver on our mission to share knowledge that improves the outstanding evidence-based care of patients in our units and outside, and to educate the next generation of clinicians and researchers. This is possible through high quality translational, clinical and QI research. One of the goals of our group is to improve neonatal and pediatric therapeutics by establishing proper guidelines, dosing, safety, and efficacy of drugs and devices used in infants and children through research in pharmacotherapy, trials, and pharmacoepidemiology. We develop and perform research projects and studies through our active affiliations with the Children’s Hospitals Neonatal Consortium and the Vermont Oxford Network. We participate and lead pharmaceutical trials for new drugs and devices. We also report short- and long-term outcomes on neonates’ and infants’ data captured by different local, regional, national and international datasets that are available to us.

With the most vulnerable patient in mind (the premature infant or critically ill neonate), we are committed to translating scientific evidence into practical guidelines and establishing new therapies and treatment standards for the ultimate goal of improving the lives of our patients.

Peer-reviewed publications 2019-2020:

  1. Al-Haddad BJS, Jacobsson B, Chabra S, Modzelewska D, Olson E, Bernier R, Enquobharie D, Östling S, Waldorf KMA, Sengpiel V. Long-Term Risk of Neuropsychiatric Disease After Exposure to Infection During Fetal Life. JAMA Psychiatry. 2019 Mar 6. PMID:30840048
  2. Backes CH, Notestine JL, Lamp JM, Balough JC, Notestine AM, Alfred CM, Kern JM, Stenger MR, Rivera BK, Moallem M, Miller RR, Naik A, Cooper JN, Howard CR, Welty SE, Hillman NH, Zupancic JAF, Stanberry LI, Hansen TN, Smith CV. Evaluating the efficacy of Seattle-PAP for the respiratory support of premature neonates: study protocol for a randomized controlled trial. Trials. Jan 2019 20:63. PMID: 30658678
  3. Bartle RM, Miller AG, Diez AJ, Smith PB, Gentile MA, Puia-Dumitrescu M. Evaluating Endotracheal Tube Depth in Infants Weighing Less Than 1 Kilogram. Respir Care. Mar 2019
  4. Billimoria Z, Chabra S, Patel A, Gray MM, Umoren R, Sawyer T. Apgar score of 0 at 10 min and survival to 1 year of age: a retrospective cohort study in Washington state. J Perinatol. 2019;39(12):1620-6. PMID: 31388116
  5. Billimoria ZC, Rintoul NE, Sullivan KM, Hamrick SE, Chapman R, Mietzsch U, Keene S, Massaro AN, Seabrook RB, DiGeronimo RJ. Noninvasive neurocritical care monitoring for neonates on extracorporeal membrane oxygenation: where do we stand? J Perinatol. 2020 Aug 4; PMID: 32753710.
  6. Bosque EM. Development of an Alarm Algorithm, With Nanotechnology Multimodal Sensor, to Predict Impending Infusion Failure and Improve Safety of Peripheral Intravenous Catheters in Neonates. Adv Neonatal Care. 2020;20(3):233-243.
  7. Bridges M, Mcrae M, Pesek E, Chabra S. Systematic Implementation of a Sepsis Calculator Decreased NICU Admissions and Increased Breastfeeding Rate in a Community Hospital. J Obstet Gynecol Neonatal Nurs. 2019 Apr 8. [Epub ahead of print] PMID: 30974074
  8. Campbell J, MacConnell V, Sacco L, Zuill R, Bosque E. Use of Potassium Hydroxide (KOH) Test Reduces Antifungal Medication Prescription for Suspected Monilial Diaper Dermatitis in the Neonatal Intensive Care Unit: A Quality Improvement Project. Adv Neonatal Care. 2019 Dec;19(6):E3-E10.
  9. Cerone J, Rios A. Galactosemia. Pediatrics in Review. October 2019, 40, 24-27
  10. Chabra S, Strandjord T, Peeples E. Prolonged Non-Invasive Ventilation in Extremely Low Birth Weight Preterm Infants is Associated with Bronchopulmonary Dysplasia. J Neo Perinat Medicine. 2019 Mar 29. doi: 10.3233/NPM-18120. [Epub ahead of print]. PMID 30932902.
  11. Chabra S, Strandjord T, Peeples E. Variations in outcomes of extremely low birth weight infants in the NICU after initiation of a two-team care model. J Neonat Nurs 2019; 25: 254-256
  12. Dines JN, Sawyer T, Neufeld-Kaiser W, Disteche CM, Liu YJ, Dipple K. Expanding phenotype with severe midline brain anomalies and missense variant supports a causal role for FOXA2 in 20p11.2 deletion syndrome. Am J Med Genet A. 2019 Sep;179(9):1783-1790. PMID: 31294511.
  13. Dizon M, Rao R, Hamrick SE, Zaniletti I, DiGeronimo R, Natarajan G, Kaiser J, Flibotte J, Lee KS, Smith D, Yanowitz T, Mathur A, and Massaro A. Practice variation in anti- epileptic drug use for neonatal hypoxic-ischemic encephalopathy among regional NICUs. BMC Pediatric. 2019 Feb 27;19(1):67. doi: 10.1186/s12887-019-1441-7. PMID: 30813933
  14. Eldredge L, Creasy R, Presnell S, Debley J, Juul SE, Mayock D, Ziegler S. Infants with evolving bronchopulmonary dysplasia demonstrate monocyte-specific expression of IL-1 in tracheal aspirates. Am J Physiol Lung Cell Molec Physiol. 317:L49-L56, 2019. (PMID: 30969811).
  15. Freed AS, Clowes Candadai SV, Sikes MC, Thies J, Byers HM, Dines JN, Ndugga-Kabuye MK, Smith MB, Fogus K, Mefford HC, Lam C, Adam MP, Sun A, McGuire JK, DiGeronimo R, Dipple KM, Deutsch GH, Billimoria ZC, Bennett JT. The Impact of Rapid Exome Sequencing on Medical Management of Critically Ill Children. J Pediatr. 2020 Jun 15; PMID: 32553838.
  16. Fry JT, Matoba N, Datta A, DiGeronimo R, Coghill CH, Natarajan G, Brozanski B, Leuthner SR, Niehaus JZ, Schlegel AB, Shah A, Zaniletti I, Bartman T, Murthy K, Sullivan KM; Children's Hospital Neonatal Consortium (CHNC). Center, Gestational Age, and Race Impact End-of-Life Care Practices at Regional NICU. J Pediatr. 2020 Feb;217:86-91.e1. doi: 10.1016/j.jpeds. 2019.10.039. Epub 2019 Dec 9. PMID: 31831163
  17. German K, Deutsch GH, Freed AS, Dipple KM, Chabra S, Bennett JT.  Identification of a deletion containing TBX4 in a neonate with acinar dysplasia by rapid exome sequencing.  American Journal of Medical Genetics Part A.  Accepted Jan. 31, 2019.  DOI: 10.1002/ajmg.a.61096. 
  18. Goldin AB, Raval MV, Thurm CW, Hall M, Billimoria Z, Juul S, Berman L. The Resource Utilization Inflection Point for Safe NICU Discharge. Pediatrics. 2020 Aug;146(2). doi: 10.1542/peds.2019-3708. PubMed PMID: 32699067.
  19. Gray MM, Umoren RA, Harris S, Strandjord T, Sawyer T. Use and perceived safety of stylets for neonatal endotracheal intubation: a national survey. J. Perinatol. 38(10):1331,2018. PMID 30093617
  20. Hofstetter AM, Jacobson EN, deHart MP, Englund JA. Early childhood vaccination status of preterm infants. Pediatrics. Accepted Mar 2019.
  21. Hongxiu Ji, Bridges M, Graham K, Lennart T, Chabra S.  Acute Funisitis Correlates with the Risk for Early-onset Sepsis in Term Newborns Assessed Using the Kaiser Sepsis Calculator. Pediatric and Developmental Pathology. In Press 2019.
  22. Ji H, Bridges M, Pesek E, Graham K, Tan L, Chabra S. Acute Funisitis Correlates with the Risk for Early-onset Sepsis in Term Newborns Assessed Using the Kaiser Sepsis Calculator. Pediatr Dev Pathol. Nov-Dec 2019;22(6):523-531 PMID:31166881
  23. Keene S, Grover T, Murthy K, Pallotto E, Brozanski B, Gien J, Zaniletti I, Johnson Y, Seabrook R, Porta N, Haberman B, DiGeronimo R and Rintoul N; For the Children’s Hospital Neonatal Consortium (CHNC): CDH workgroup. ECMO and Bloodstream Infection in Congenital Diaphragmatic Hernia. J Perinatol. 2019 Aug 5. doi: 10.1038/s41372-019-0435-5. Epub 2019 Aug 5. PMID: 31383944
  24. Legocki AT, Zepeda EM, Gillette TB, Grant LE, Shariff A, Touch P, Lee AY, Ding L, Estrada MM, Tarczy-Hornoch K, Lee CS, Mayock DE, Pepple KL, Cabrera MT. Vitreous findings by handheld spectral domain optical coherence tomography correlate with retinopathy of prematurity severity. Online ahead of print. Ophthalmol Retina. 4/9/20. (PMID: 32446843).
  25. Machut KZ, Datta A, Stoller JZ, Rao R, Mathur A, Grover TR, Billimoria Z, Murthy K. Association of Neonatologist Continuity of Care and Short-Term Patient Outcomes. J Pediatr. 2019;212:131-6 e1. PMID: 31201026
  26. Mietzsch U, Cooper KL, Harris ML. Successful Reduction in Electrode-Related Pressure Ulcers During EEG Monitoring in Critically Ill Neonates. Adv Neonatal Care. 2019 Aug;19(4):262-274.
  27. Motz P, Arnim VSAV, Likes AM, Chabra S, Iyer R, Traudt CT, Dighe M. Limited Ultrasound Protocol for Upper Extremity Peripherally Inserted Central Catheter Monitoring: A Pilot Study in the Neonatal Intensive Care Unit. J Ultrasound Med. 2019 May; 38(5):1341-1347. PMID: 30244492
  28. Motz P, Do J, Lam T, DiBlasi R, Fang T, Kelly K, DiGeronimo R, Billimoria Z. Decreasing Radiographs in Neonates through Targeted Quality Improvement Interventions. J Perinatol. 2019 Dec 16. doi: 10.1038/s41372-019-0565-9. Epub 2019 Dec 16. PMID: 31844185
  29. Motz P, Von Saint Andre von Arnim A, Iyer RS, Chabra S, Likes M, Dighe M. Point-of-care Ultrasound for Peripherally inserted central catheter monitoring: a pilot study. J Perinat Med 2019. Nov 26;47(9):991-996. PMID: 31605580
  30. Natarajan G, Mathur A, Zaniletti I, DiGeronimo R, Lee KS, Rao R, Dizon M, Hamrick S, Rudine A, Cook N, Smith D, Flibotte J, Murthy K, Massaro A; Children's Hospitals Neonatal Consortium (CHNC). Withdrawal of life-support of neonatal hypoxic-ischemic encephalopathy. Neurol. 2019 Feb;91:20-26. doi: 10.1016/j.pediatrneurol.2018.08.027. PMID: 30559002
  31. Oster NV, Williams EC, Unger JM, Newcomb PA, Jacobson EN, deHart PM, Englund JA, Hofstetter AM. Sociodemographic, clinical and birth hospitalization characteristics and infant Hepatitis B vaccination. Vaccine. Accepted Mar 2019.
  32. Oster NV, Williams EC, Unger JM, Newcomb PA, Jacobson EN, deHart PM, Englund JA, Hofstetter AM. Hepatitis B birth dose: first shot at timely early childhood vaccination. Amer J Prev Med. Accepted May 2019.
  33. Puia-Dumitrescu M, Benjamin DK, Sr., Smith PB, Greenberg RG, Abuzaid N, Andrews W, Chellani K, Gupta A, Price D, Williams C, Malcolm WF, Clark RH, Zimmerman KO. Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants. JPEN J Parenter Enteral Nutr. Mar 2019.
  34. Puia-Dumitrescu M, Smith PB, Zhao J, Soriano A, Payne EH, Harper B, Bendel-Stenzel E, Moya F, Chhabra R, Ku L, Laugho M, Wade KC. Dosing and Safety of Off-label Use of Caffeine Citrate in Premature Infants. J Pediatr. 2019 Aug; 211:27-32. PMID: 31101409
  35. Puia-Dumitrescu M, Greenberg RG, Younge N, Bidegain M, Cotten CM, McCaffrey M, Murtha A, Gutierez S, DeJoseph J, Cochran KM, Ollendorff A. Disparities in the use of antenatal corticosteroids among women with hypertension in North Carolina. J Perinatol. 2019 Nov 25. PMID: 31767978
  36. Puia-Dumitrescu M, Tanaka D, Spears T, Daniel C, Kumar K, Athavale K, Juul S, and Smith PB. Patterns of Phlebotomy Blood Loss and Transfusions in Extremely Low Birth Weight Infants. Journal of Perinatology 2019, 39(12), 1670-1675. DOI 10.1038/s41372-019-0515-6
  37. Puia-Dumitrescu M, Younge N, Benjamin DK, Lawson K, Hume C, Hill K, Mengistu J, Wilson A, Zimmerman KO,Ahmad K, Greenberg RG. Medications and in-hospital outcomes in infants born at 22-24 weeks gestation. J Perinatol. 2020 Feb 17. PMID: 32066843
  38. Rao R, Lee KS, Zanilleti Z, Yanowitz TD, DiGeronimo R, Dizon ML, Hamrick SL, Natarajan G, Peeples ES, Murthy K, Mathur AM, and Massaro An. Anti-microbial therapy utilization in neonates with hypoxic-ischemic encephalopathy: A report from the Children's Hospital Neonatal Database. J Perinatol. 2019 Oct 14. doi: 10.1038/s41372-019-0527-2. Epub 2019 Oct 14.PMID: 31611619
  39. Sawyer T, Billimoria Z, Handley S, Smith K, Yalon L, Brogan TV, DiGeronimo R. Therapeutic plasma exchange for neonatal septic shock: A retrospective cohort study. Am J Perinatol. 2019 Jun 8. PMID: 31176309.
  40. Starr M, Boohaker L, Eldredge LC, Menon S, Griffin R, Mayock D, Askenazi D, Hingorani S. Acute Kidney Injury is Associated with Poor Lung Outcomes in Infants Born ≥32 Weeks Gestational Age. Epub ahead of print 11/18/19. Am J Perinatol. 37:231-240, 2020.(PMID: 31739364).
  41. Starr M, Boohaker L, Eldredge LC, Menon S, Griffin R, Mayock DE, Li L, Askenazi D, Hingorani S. Acute kidney injury and bronchopulmonary dysplasia in premature neonates born less than 32 weeks gestation. Am J Perinatol. 37:341-348, 2020. (PMID: 31777046).
  42. Thompson EJ, Perez K, Hornik CP, Smith PB, Clark RH, Laughon M; Best Pharmaceuticals for Children Act—Pediatric Trials Network Steering Committee. Sildenafil Exposure in the Neonatal Intensive Care Unit. Am J Perinatol. 2019 Feb;36(3):262-267. doi: 10.1055/s-0038-1667378. Epub 2018 Aug 6. PMID: 30081404; PMCID: PMC6996478.
  43. Vyas-Read S, Wymore E, Zaniletti I, Murthy K, Padula M, Troug W, Engle B, Savani R, Yallapragada S, Logan J, Zhang H, Hysinger E, Grover T, Natarajan G, Nelin L, Porta N, Potoka K, DiGeronimo R, Lagatta J; On Behalf of the Children’s Hospitals Neonatal Consortium Severe BPD Focus Group. Utility of Echocardiography in Predicting Mortality in Infants with Severe Bronchopulmonary Dysplasia. J Perinatol. 2019 Sep 30. doi: 10.1038/s41372-019-0508-5. Epub 2019 Sep 30. PMID: 31570799
  44. White BR, Zhang C, Presson AP, Friddle K, DiGeronimo R.  Prevalence and outcome of assisted home feedings in medically complex neonates. J Pediatr Surg. 2019 Mar;54(3):465-470. doi: 10.1016/j.jpedsurg.2018.05.020. PMID: 29937107
  45. Wild KT, Rintoul N, Kattan J, Gray B, Engle W, Keene S, Best D, Davis C, DiGeronimo R, Raman L. Extracorporeal Life Support Organization (ELSO): Guidelines for Neonatal Respiratory Failure.  ASAIO Journal. 2020. DOI: 10.1097/MAT.0000000000001153. PMID: 32282347
  46. Yanowitz T, DiGeronimo R, Zaniletti I, Sullivan K, Sharma J, Piazza K, Reber K, and Murthy K; CHND Surgical NEC Focus Group. Does the Initial Surgery for Necrotizing Enterocolitis Matter? Comparative Outcomes for Laparotomy vs. Peritoneal Drain as Initial Surgery for Necrotizing Enterocolitis in Infants. J Pediatric Surg. 2019 Apr; 54(4):712-717. Epub 2019 Jan. PMID:30765157

Chapters 2019-2020:

  1. Billimoria ZC, Brogan T. Evidence and management of rare presentations in neonatal ECMO. Extracorporeal Membrane Oxygenation: An Interdisciplinary Problem-Based Learning Approach. (In press)
  2. DiGeronimo RJ. (2019). Chapter 29. Respiratory Distress: Extracorporeal Membrane Oxygenation. In Jain L and Suresh G (Ed.) Clinical Guidelines in Neonatology. New York, NY: McGraw Hill
  3. Rios A, Shur N. Chapter 31. Specific Congenital Metabolic Diseases. Neonatology for Primary                      Care 2ND Edition, AAP publisher, Editor: Deborah E. Campbell MD

Invited presentations 2019-2020: 

  1. Chabra S. “Hepatitis B vaccine birth dose: 2020 Goals and Importance of birth dose”, Jan. 2019, American Academy of Pediatrics, Washington Chapter Newsletter
  2. Chabra S. Invited speaker, Seattle Public Schools, Annual Health Services Professional Development, Seattle, Washington. Presentation Title: “Moderate and Late Preterm infants: Neurodevelopmental Outcomes and Economic Burden.” Jan 2019.
  3. Chabra S. Invited speaker, University of Washington Ambulatory Conference, Lynnwood Convention  Center,  Washington.      Presentation Title: “Late and  Moderately  Preterm Infants: Outcomes and Economic Burden." April 2019
  4. DiGeronimo R. Invited Workshop, 42nd Annual Conference AAP SONMP, District VIII, “Ventilator management during neonatal critical care transport,” Anchorage, AK Jun. 2019

GLOBAL NEONATAL MEDICINE

Investigators: Maneesh Batra MD MPH, Cyril Engmann MD, Anna Hedstrom MD, Krystle Perez MD MPH, Rachel Umoren MD MS, Gregory Valentine, MD MEd

Program Description:

We have a focus on improving neonatal outcomes globally. The majority of premature and low birth weight neonates are born in resource-limited settings where there are significant barriers to optimizing neonatal care. Our members have a focus on overcoming these barriers through various means: advocacy and policy changes at local, national, and international levels; development of low-cost, innovative solutions to resource-constraints; mentorship for trainees seeking global health educational opportunities; and research into the impact of health disparities and how resource-allocation impacts both maternal and neonatal outcomes. In 2020, our group developed ALIGN (Advancing Learning and Innovation in Global Neonatology) to enhance collaboration among members both within and outside of our division. The goal is to facilitate and promote projects that focus on improving neonatal outcomes and health disparities both locally and worldwide.

Peer-reviewed publications 2019-2020.

  1. Arscott-Mills T, Ter Haar B, Firth J, Batra, M, Githanga D, Moyer V, on behalf of the Global Health Task Force of the American Board of Pediatrics. “Maintenance of Certification: You Can Make Your Global Health Work Count.” Pediatrics. 2019 Jun;143(6). Epub 2019 May 9. PMID: 31072829.
  2. Butteris SM, Leyenaar JK, Leslie LK, Turner AL, Batra M, on behalf of the Global Health Task Force of the American Board of Pediatrics. “International Experience of US Pediatricians and Comfort Caring for Vulnerable Populations.” J Peds. 2020 Jun 14. PMID:32553863.
  3. Crouse HL, Watts J, St Clair NE, Batra M, McGuinness G, Keating EM, Russ CM, Farr KM, Steenhoff AP, Schubert CJ, Leslie LK, Woods SK, Wilson KA, Camp EA, Butteris SM. “Global Health Opportunities in Pediatric Fellowships.” Pediatrics. 2020 Feb;145(2). PMID: 32001489
  4. Haq H, Barnes A, Batra M, Condurache T, Pitt M, Robison J, Schubert C, St Clair N, Uwemedimo O, Watts J, Russ C. “Defining Global Health Tracks for Pediatric Residencies.” Pediatrics. 2019 Jul;144(1). Epub 2019 Jun 18. PMID: 31213520.
  5. Hedstrom AB, von Saint Andre-von Arnim AO, Grassia KL, Nielsen KR. Markers of pediatric respiratory distress predictive of poor outcome in low- and middle-income countries: a systematic review. Journal of Global Health Reports. 2020.
  6. Hedstrom A, Perez K, Umoren R, Batra M, Engmann C. Recent progress in global newborn health: thinking beyond acute to strategic care? Journal of Perinatology. 2019;39(8):1031-41.
  7. Lauden SM, Wilson PM, Faust MM, Webber S, Schwartz A, Mahan JD, Batra M, Schubert CJ, behalf of the Pediatric Resident Burnout-Resilience Study Consortium. “Global Health Experiences, Well-being, and Burnout: Findings from a National Longitudinal Study.” Acad Peds. 2020 May 11. PMID:32437879.
  8. Nakubulwa C, Musiime V, Namiiro FB, Tumwine JK, Hongella C, Nyonyintono J, Hedstrom AB, Opoka. Delayed initiation of enteral feeds is associated with postnatal growth failure among preterm infants managed at a rural hospital in Uganda. BMC pediatrics. 2020;20(1):86.
  9. Pérez-Escamilla, Engmann C. Integrating nutrition services into health care systems platforms: Where are we and where do we go from here? Maternal & Child Nutrition. 2019 Jan Suppl e12743 Umoren R, Ezeaka VC, Fajolu IB, Ezenwa BN, Akintan P, Chukwu E, Spiekerman C. Perspectives on simulation-based training from paediatric healthcare providers in Nigeria: a national survey. BMJ open. 2020 Feb 1;10(2).
  10. Rent S, Valentine G, Ehret D, Kukora S. Global health training during neonatal fellowship: fellow and program director perspectives. Journal of Perinatology. 2020 Mar 9. Doi: 10.1038/s41372-020-0639-8. PMID: 32152489
  11. Setty SG, Batra M, Hedstrom AB. The Silverman Andersen respiratory severity score can be simplified and still predicts increased neonatal respiratory support. Acta Paediatr. 2019.
  12. Swanson JO, Nathan RO, Swanson DL, Perez KM, Bresnahan BW, Mirza W, Goldenberg RL. Use of ultrasound and mHealth to improve perinatal outcomes in low- and middle-income countries. Semin Perinatol. 2019 Aug; 43(5):267-272. PMID: 31003635
  13. Valentine G, Perez K, Weiss EM. Community Empowerment Through Education: The Inherent Foundation of Promoting Solidarity in Global Health Research. Am J Bioeth. 2020 Jun;20(5):77-79. doi: 10.1080/15265161.2020.1745941. PMID: 32364481.

Other publications 2019-2020:

  1. Engmann C, Jessica Fleming. From pregnancy to protection: advancing the intersection between antenatal care and immunization. Jan. 2019. https://www.mhtf.org/authors/cyril-engmann/
  2. Engmann C. Keynote Speaker – Royal Society, British Academy, Academy of Medical Science & Royal College of Engineering Joint Conference on Frontiers in Development; Cambridge, UK. Mar. 2019
  3. Engmann C. Maternal Immunization today and tomorrow: a global landscape and spotlight on respiratory syncytial virus (RSV) disease prevention. Keynote Speaker: The Royal Society, British Academy, Academy of Medical Sciences and Royal College of Engineering Joint Frontiers in Development Conference. Cambridge, UK Mar. 2019.

Chapters 2019-2020:

  1. Valentine G, Hair A, Martin C. Microbiome and Pediatric Obesity, Malnutrition, and Nutrition. The Developing Microbiome: Lessons from Early Life. 2020.

Invited presentations 2019-2020:

  1. Batra M.  “The Case for Bubble CPAP in Resource Limited Settings: Lessons Learned in Uganda.” Hot Topic Symposium Speaker, Pediatric Academic Societies Annual Meeting, Baltimore, MD, April 27-30, 2019.
  2. Batra M.  “Global Neonatal and Children’s Health II.” Platform Presentation Session Moderator, Pediatric Academic Societies Annual Meeting, Baltimore, MD, April 27-30, 2019.
  3. Bolte E, Seferovic M, Valentine G, Jochum M, Chu D, Pace R, Fowler S, Swennes S, Versalovic J, Aagaard A. Matenral microbial conventionalization fails to normalize Zika Virus transmission compared to conventional mouse. Society for Maternal Fetal Medicine Conference. Grapevine, Texas. February 2020
  4. Bolte B, Seferovic S, Valentine G, Jochum M, Prince A, Chu D, Pace R, Fowler S, Swennes A, Versalovic J, Aagaard K. Maternal microbial conventionalization alters type I interferon signaling in mice. Society for Maternal Fetal Medicine Conference. Grapevine, Texas. February 2020.
  5. Cerdena J, Oyewole V, Welty S, Valentine G. Prevention of neonatal refeeding syndrome with implementation of a novel parenteral nutrition regimen. Pediatric Academic Societies. May 2020 (Accepted for platform presentation, but PAS cancelled due to COVID-19)
  6. Umoren RA. Invited Speaker: 2019 Paediatric Association of Nigeria Conference. Ibadan, Nigeria. Session type: Symposium. Presentation title: Novel Approach to Saving Newborn Lives through Simulation and Virtual Reality for Healthcare Worker Training. January 2019.
  7. Valentine G, Chiume M, Hagan J, Kazembe P, Aagaard K, Patil M. Maternal administration of antenatal corticosteroids associated with improved neonatal mortality in Lilongwe, Malawi. Society for Maternal Fetal Medicine Conference. Grapevine, Texas. February 2020
  8. Valentine G, Chiume M, Hagan J, Kazembe P, Aagaard K, Patil M. Neonatal mortality rates in the neonatal intensive care unit at Kamuzu Central Hospital in Malawi. Society for Maternal Fetal Medicine Conference. Grapevine, Texas. February 2020.
  9. Valentine G, Chiume C, Hagan J, Kazembe P, Aagaard K, Patil M. Maternal administration of antenatal corticosteroids associated with improved neonatal mortality in Lilongwe, Malawi. Pediatric Academic Societies. May 2020 (Accepted for platform presentation, but PAS cancelled due to COVID-19)
  10. Valentine G, Chiume M, Hagan J, Kazembe P, Aagaard K, Patil M. Neonatal mortality rates in the neonatal intensive care unit at Kamuzu Central Hospital in Lilongwe, Malawi. Pediatric Academic Societies. May 2020 (Accepted for poster presentation, but PAS cancelled due to COVID-19)
  11. Valentine G. Low-cost, limited-electricity IV fluid infusion device to prevent neonatal dehydration. Mar 2020. Seattle Children’s Hospital Global Health Career Development Group
  12. Valentine G. COVID-19 and Newborn Care: Resource-Limited Settings. July 2020. UNICEF and AAP
  13. Valentine G. Prevention of prematurity and xylitol study. March 2020. Baylor-Malawi Children’s Foundation in Lilongwe, Malawi

NEONATAL ETHICS AND PARENTAL DECISION-MAKING

Investigators: Elliott Weiss MD, MSME

Program Description:

Ethical issues are frequently encountered by neonatologists. Our group examines how parents make medical decisions when their infant is in the NICU. Utilizing qualitative and quantitative methods, we aim to gain a deeper understand of how parents make medical decisions in the emotion-laden, high-stakes, and complex medical reality that often surrounds a seriously ill infant. Other areas of interest include clinical informed consent, research ethics and diversity in research populations, ethics at the limits of viability, and resource allocation in times of scarcity.

Peer-reviewed publications 2019-2020.

  1. Krick JA, Weiss EM, Snyder A, Haldar S, Campelia GD, Opel DJ. Living with the Unknown: A Qualitative Study of Parental Experience of Prognostic Uncertainty in the Neonatal Intensive Care Unit. Am J Perinatol 2020; epub ahead of print. PMID: 31899927
  2. Welty S. Challenging the gestational age for the limit of viability: proactive care. J Perinatol. Jan. 2019 39:1-3. PMID: 30478270
  3. Weiss EM, Magnus BE, Coughlin K. Factors Associated with Decision-Making Preferences among Parents of Infants in Neonatal Intensive Care. Acta Paediatrica 2019; epub ahead of print.  
  4. Weiss EM, Clark JD, Heike CL, Rosenberg AR, Shah SK, Wilfond BS, Opel DJ. Gaps in the Implementation of Shared Decision-making: Illustrative Cases. Pediatrics 2019; 143(3). PMID: 30824603

Other publications 2019-2020:

  1. Guttman KF, Wu YW, Juul SE, Weiss EM. Consent related challenges for neonatal clinical trials. American Journal of Bioethics. 20 (5) 38-40, 2020.
  2. Valentine GC, Perez K, Weiss EM. Community Empowerment Through Education: The Inherent Foundation of Promoting Solidarity in Global Health Research. Am J Bioeth 2020; 20(5): 77-79. PMID: 32364481

 Invited presentations 2019-2020: 

  1. Weiss EM. “Ethics in the Newborn Intensive Care Unit” Nursing NICU Advanced Education Day, Seattle, WA, May 2019
  2. Weiss EM. “Neonatal Clinical Research Enrollment: Can We Do Better?” Neonatal Research Conference, Children’s Hospital of Philadelphia, Philadelphia, PA, June 2019
  3. Weiss EM. “Neonatal Clinical Trial Enrollment: Challenges, Successes, and Lessons from a Large Randomized Controlled Trial” Dr. Gregory Mantych Visiting Professors & Pediatrics Grand Rounds, Department of Pediatrics, St. Louis University, St. Louis, MO, April 2020

Research Program and Lab Websites

Training Programs

Continuing Faculty Education

Division

  • Weekly UWMC and community sites BPD team conference
  • Weekly Tuesday fellows’ clinical conference/board review for fellows and faculty
  • Weekly Tuesday conference, rotating agenda for clinical, research, education, business topics
  • Monthly Tuesday Neonatology/Surgery clinical conference
  • Weekly Wednesday bedside SCH NICU clinical conference with pediatric surgeons
  • Wednesday bedside SCH Neurosurgery teaching rounds
  • Weekly Thursday SCH BPD team conference
  • Weekly Friday prenatal genetics and imaging conference
  • Weekly Friday research conference
  • Weekly Friday SCH Neuro-NICU conference
  • Monday and Friday SCH NICU Radiology teaching conference
  • Monthly Friday SCH Neonatal Neuroradiology Conference

Department

  • Weekly Wednesday Department of OB/GYN Grand Rounds
  • Weekly Wednesday Department of Medicine Grand Rounds
  • Weekly Thursday Department of Pediatrics Grand Rounds

Neonatal-Perinatal Fellowship Training Program

Megan Gray, MD, Program Director; Kirti Upadhyay, MD, Associate Program Director

The Neonatal-Perinatal Medicine Fellowship Training Program at the University of Washington began in the mid-1960s. Our mission is to educate and inspire the next generation of neonatologists who will provide state-of-the-art, evidence-based clinical care, and to assist and mentor them in finding and pursuing their scholarly passion so they are poised to be the future academic leaders of our field.  During their 3 years of training, fellows' complete NICU rotations in the two teaching hospitals (Seattle Children's Hospital & University of Washington Medical Center); as well as rotation in Perinatology, Cardiac ICU, Pediatric Surgery; and also in one of the Division's community hospital NICUs. Fellows also attend NICU follow-up clinic. Additionally, fellows achieve a high degree of scholarly/ academic competence in order to excel in a career in academic neonatology. We have designed our program to provide ample protected time for scholarly activities. Our research areas of focus include neuroscience, global health, education/simulation, quality improvement, and biomedical ethics. We have strong research mentors both within and outside the Neonatology Division.  As of 2020, 66 neonatologists have successfully completed their clinical and research training in our program, and more than 50% have pursued an academic career. Our graduates have a first-time board pass rate of 100% over the past 5 years.

Neonatology Fellow Research Curriculum

Meenakshi Dutta, MD, Kendell German, Mihai Puia-Dumitrescu, MD

The Neonatology Fellow Research Curriculum is a program that spans all three years of Neonatology fellowship. The main objective for this program is to provide a structured research education framework as well as individualized research guidance. At quarterly meetings, we will meet with the fellows to discuss progress on their research projects and trouble-shoot problem areas. The interactive lectures, a major focus for the curriculum, are led by program staff or guest speakers on such topics as mentorship, research support services and grant writing. The goal of this curriculum project is to support fellows in their completion of fellowship requirements for scholarly activities, assure their productivity and spur their interest in a career in academic medicine.

AY20-21 Name     Pediatric Residency Program
3rd Year

Sarah Kolnik, MD, MBA

Katherine Kenningham, MD

New York University

University of Washington

2nd Year

Rushabh Shah, MD

Ben Al-Haddad, MD, MSc, PhD

Albany Medical Center

University of Washington

1st Year

Allison Lyle, MD

Sara Neches, MD

Indiana University

University of Washington

 

Division Fellowship Graduates:

Name

Years of Training

Current Position/Institution:

Richard Wennberg

1966-1968

Clinical Professor of Pediatrics, University of Washington, Seattle WA (after retiring from the University of California, Davis), retired

Thomas Helmrath

1967-1969

Medical Director, Riverside Hospital, Columbus, OH

Robert Hall

1968-1970

Professor of Pediatrics, University of Missouri, Mercy Children’s Hospital

David Woodrum

1969-1971

Professor Emeritus of Pediatrics, University of Washington, Seattle, WA

Colby Parks

1969-1971

Private Practice, Anchorage, AK

Ron Bloom

1969-1971

Professor of Pediatrics, University of Utah, Salt Lake City, UT

Errol Alden

1970-1972

Executive Director, American Academy of Pediatrics, retired

Thomas Nelson

1971-1973

Professor of Pediatrics, Georgetown University, Washington, DC

Rosemary Orr

1971-1973

Professor of Anesthesiology, University of Washington, Seattle, WA, retired

Jacquelyn Bamman

1972-1974

Director, Neonatal & Pulmonary Medicine, Ventura County Hospital, Ventura, CA

Janet Murphy

1972-1974

Associate Professor Emeritus of Pediatrics, University of Washington (Retired), Seattle, WA

David Belenky

1973-1975

Private Practice, Seattle, WA

John Prueitt

1973-1975

Private Practice, Seattle, WA, retired

Paul Hinkes

1973-1975

Private Practice, Glendale, CA

John Yount

1973-1975

Private Practice, Salem, OR

Robert Guthrie

1974-1976

Professor of Pediatrics, Drexel University, Philadelphia, PA

Jonelle Rowe

1974-1976

Professor Emeritus of Pediatrics, University of Connecticut Health Center, Farmington, CT

Charles Haberkern

1975-1977

Clinical Professor of Anesthesiology, University of Washington, Seattle, WA

Robert Perelman

1975-1977

Director, Department of Education, American Academy of Pediatrics

William E. Truog

1976-1978

Professor of Pediatrics, University of Missouri, Kansas City, MO

Dale Kessler

1976-1978

Director, Neonatal Medicine, Maine Medical Center, Portland, ME

Dennis Mayock

1979-1981

Professor of Pediatrics, University of Washington, Seattle, WA

Kelly Wright

1979-1981

Private Practice, Memphis, TN

Greg Sorensen

1982-1984

Vice President, Medical Affairs, Bon Secours Health System, Richmond, VA

J. Craig Jackson

1982-1985

Professor of Pediatrics, University of Washington, Seattle, WA

Richard Badura

1982-1985

Private Practice, Seattle, WA

Jon Watchko

1983-1986

Professor of Pediatrics, University of Pittsburgh, Pittsburgh, PA

Gary Twiggs

1985-1987

Private Practice, Newport Beach, CA

A.C. Hoffmeister

1985-1987

Private Practice, Eugene, OR

Sandra Juul

1986-1989

Neonatology Division Chief, Professor of Pediatrics, University of Washington, Seattle, WA

Charles Davis

1987-1989

United States Navy

Thomas Strandjord

1987-1990

Clinical Professor of Pediatrics, University of Washington, Seattle, WA

Matt Lee

1989-1992

Research Assistant Professor, University of Southern California,
Los Angeles, CA

James Berger

1990-1993

Private Practice, Ogden, UT

Valerie Newman

1993-1994

Private Practice, Portland, OR

Peter Tarczy-Hornoch

1992-1995

Professor and Chair, Biomedical Informatics and Medical Education, University of Washington, Seattle, WA

Michael Neufeld

1999-2003

Clinical Professor of Pediatrics, University of Washington, Seattle, WA

Eric Leung

1999-2003

Private Practice, Yakima, WA

David Anderson

2000-2003

Private Practice, Walnut Creek, CA

Susan Miller

2002-2005

Private Practice, Naples, Florida

Robert Mertz

2002-2005

Private Practice, Seattle, WA

Eric Demers

2002-2005

Private Practice, Seattle, WA

Katherine Salinas/Simon

2004-2006

Private Practice, Austin, TX

Maneesh Batra

2004-2007

 Professor of Pediatrics, University of Washington, Seattle, WA

Marcella Mascher-Denen

2005-2008

Private Practice, Corpus Christi, TX

Jessica Slusarski

2006-2009

Associate Professor, Brown University, Providence, RI

Annie Nguyen-Vermillion

2007-2010

Private Practice, Seattle, WA

Janna Patterson

2007-2010

Senior Vice President, Global Child Health and Life Support

Andrew Beckstrom

2008-2011

Private Practice, Seattle, WA

Elizabeth Jacobson

2008-2011

Clinical Assistant Professor of Pediatrics, University of Washington,
Seattle, WA

Pattaraporn Tanya Chun

2010-2013

Private Practice, Honolulu, HI

Rachel Fleishman

2010-2013

Assistant Professor, Drexel University College of Medicine; St. Christopher's Hospital for Children, Philadelphia, PA

Anna Hedstrom

2011-2014

Assistant Professor of Pediatrics, University of Washington, Seattle, WA

Stacey Soileau

2011-2014

Ochsner Health System, New Orleans, LA

Shaun Odell

2012-2015

Private Practice, Utah Valley Regional Medical Center, Provo, UT

Vijayeta (Vij) Rangarajan

2012-2015

Private Practice, Seattle, WA

Eric Peeples

2013-2016

Assistant Professor, University of Nebraska

Jayalakshmi (Ammu) Ravindran

2013-2016

Private Practice, University of San Francisco

Gillian Pet

2014-2017

Assistant Professor Washington University, St. Louis

Anita Shah

2014-2017

Private Practice, Children’s Hospital of Orange County

Meenakshi Dutta

2015-2018

Clinical Assistant Professor of Pediatrics, University of Washington,
Seattle, WA

Kendell German

2015-2018

Assistant Professor of Pediatrics, University of Washington, Seattle, WA

Jeannie Krick

2015-2018

Neonatologist, Madigan Army Medical Center, Tacoma, WA

Teresa Lam

2016-2019

Private Practice, Providence Medical Center, Anchorage, Alaska

Patrick Motz

2016-2019

Private Practice, Kaiser Permanente, Roseville, California

Brianna Brei

2017-2020

Assistant Professor, University of Nebraska, Omaha, NE

Shubha Setty

2017-2020

Assistant Professor, Emory, Atlanta, GA

 

Resident Education

Maneesh Batra, MD, MPH, Associate Director, Pediatric Residency Program

Our faculty, fellows, and advanced neonatal practitioners are involved in several aspects of the core training program for pediatric residents. Currently the University of Washington Pediatric Residency Program accepts 45 residents per year. All residents complete one 4-week rotation in the UWMC NICU during their intern year and one or more rotations in the UWMC NICU and SCH NICU over the course of their subsequent 2 years of residency. For all of these trainees our faculty, fellows and advance neonatal practitioners provide bedside teaching during the rotation. Additionally, our Division has been responsible for training all pediatric interns in the Newborn Resuscitation Program (NRP). Several of our faculty are invited to participate each year in the WWAMI (Washington, Wyoming, Alaska, Montana, and Idaho) visiting professor program.  Our neonatologists and neonatal APPs are involved in the training of Family Practice residents at several of our clinical sites.

Medical Student Education

Davia Loren, MD, Course Director

An elective rotation in the UWMC NICU is offered to 4th year medical students. Division faculty also lecture in various medical school courses (for example, Ethics) and offer research experience for students in their laboratories. In addition, selected faculty have participated in the University of Washington’s medical school “College Faculty” program.

Advanced Practice Provider Training

Elena Bosque, PhD, NNP, Neonatal Program Development

We have developed a two-pronged approach to grow the neonatal advanced practice provider (APP) staff in our many hospitals:

Neonatal Physician Assistant (PA) Fellowship Program: A 12-month neonatal PA fellowship program included clinical training and weekly didactics. Case-based presentations were provided by neonatal APPs, neonatologists, and allied professionals.

New Graduate Nurse Practitioner (NNP) Orientation Program: The new graduate NNP program included clinical training and monthly meetings with peer support, lectures, and case presentations. For both programs, neonatal APP’s are clinical mentors. Team-building activities supported mentorship and collaboration among all care providers.

In addition, the SCH NNPs train NNP students from long-distance Masters/Doctorate in Nursing Practice NNP Programs from around the country.

 

Faculty

Maneesh Batra, MD, MPH

Professor of Pediatrics Associate Director, Pediatric Residency Program

Zeenia C Billimoria, MD

Assistant Professor of Pediatrics Associate Medical Director, NICU, Seattle Children’s Hospital Associate Medical Director, Neonatal Transport Program, Seattle Children’s Hospital Director of ECMO and Transport Simulation, Neonatal Education & Simulation Based Training (NEST) Program Co-lead, Seattle Children’s NICU Quality Improvement Microsystem

Krista Birnie, MD

Clinical Assistant Professor

Shilpi Chabra, MD

Professor of Pediatrics

Toby L Cohen, MD

Professor of Pediatrics Associate Medical Director NICU, UW Valley Medical Center

Robert J DiGeronimo, MD

Professor of Pediatrics Medical Director, NICU, Seattle Children’s Hospital Medical Director, Neonatal Transport and Extracorporeal Life Support Programs, Seattle Children’s Hospital

Meenakshi Dutta, MD

Clinical Assistant Professor of Pediatrics Medical Director, NICU, Highline Medical Center

Cyril M Engmann, MD

Clinical Professor of Pediatrics and Global Health Global Program Leader/Director, Maternal, Newborn, Child Health & Nutrition, PATH

Kendell R German, MD

Assistant Professor of Pediatrics BRAIN Director of Infant Development and Follow-Up Clinics

Megan Mariner Gray, MD

Assistant Professor of Pediatrics Program Director, Neonatal-Perinatal Medicine Fellowship Training Program

Sarah J Handley, MD

Clinical Associate Professor of Pediatrics Associate Medical Director NICU, Providence Regional Medical Center Everett

Anna Bruett Hedstrom, MD

Assistant Professor of Pediatrics Associate Medical Director NICU, Providence Regional Medical Center Everett

Craig Jackson, MD, MHA

Professor of Pediatrics Associate Division Head, Regional Program Development

Elizabeth N. Jacobson, MD

Clinical Associate Professor of Pediatrics Quality and Safety Medical Director, Neonatology Regional Network Site Physician Sponsor, Children's Hospital Neonatal Consortium, Seattle Children’s Hospital;

Sandra Juul, MD, PhD

W. Alan Hodson Endowed Chair in Pediatrics Professor of Pediatrics Head, Division of Neonatology, Department of Pediatrics

Robin LaGrandeur, MD

Clinical Assistant Professor

Janessa Law, MD

Assistant Professor of Pediatrics Director of BRAIN (Brain Research Advancement In Neonatology)

Christina M Long, DO

Clinical Associate Professor of Pediatrics Medical Director, NICU, Valley Medical Center Chair, Department of Pediatrics, Valley Medical Center

Davia Liba Loren, MD

Associate Professor

Dennis E. Mayock, MD

Professor of Pediatrics Associate Division Head, Scholarship and Clinical Research

Ulrike Mietzsch, MD

Clinical Associate Professor of Pediatrics Medical Director, Neuro-NICU, Seattle Children’s Hospital BRAIN Director of Neurocritical Care and Clinical Application

Michael D. Neufeld, MD, MPH

Clinical Professor of Pediatrics Medical Director, NICU, Providence Regional Medical Center Everett

Colin J. Parker, MD

Clinical Instructor

Jose Perez, MD

Clinical Professor of Pediatrics Co-Director of the Regional Neonatal Outreach Program Medical Director, NICU, Swedish Issaquah Medical Center

Krystle Perez, MD, MPH

Assistant Professor of Pediatrics BRAIN Director of Global Public Health

Mihai Puia-Dumitrescu, MD, MPH, CMQ

Assistant Professor of Pediatrics BRAIN Director of Clinical Research

Angel Rios, MD

Clinical Professor of Pediatrics Associate Medical Director, NICU, University of Washington Medical Center-Montlake Campus Medical Director, NICU, University of Washington-Northwest Campus

Taylor L Sawyer, DO, MEd

Associate Professor of Pediatrics Director of Medical Simulation, Seattle Children's Hospital Director of Outreach Education, Neonatal Education & Simulation Based Training (NEST) Program Associate Division Head, Education

Andy Shih, PhD

Associate Professor of Pediatrics Principal Investigator at the Shih Lab at Seattle Children’s Research Institute

Kendra Smith, MD

Clinical Professor of Pediatrics

Thomas P. Strandjord, MD

Clinical Professor of Pediatrics Medical Director, NICU, University of Washington Medical Center Associate Medical Director, NICU, UW-Northwest

Colin Studholme, PhD

Professor of Pediatrics and Professor of Bioengineerng Adjunct Professor of Radiology

Amy E. Thompson, MD

Clinical Assistant Professor

Rachel A Umoren, MB, ChB, MS

Associate Professor of Pediatrics Director, Neonatal Education and Simulation Training (NEST) Program Director for Immersive Learning & Telesimulation

Kirti Upadhyay, MD

Clinical Associate Professor Associate Program Director, Neonatal-Perinatal Medicine Fellowship

Gregory Charles Valentine, MD, MEd

Assistant Professor of Pediatrics Adjunct Assistant Professor in Obstetrics & Gynecology - Baylor College of Medicine

Daron M. Vandeleur, MD

Clinical Instructor

Linda Wallen, MD

Clinical Professor of Pediatrics Associate Division Head, Clinical Operations

Elliott Mark Weiss, MD, MSME

Assistant Professor of Pediatrics Assistant Professor, Division of Bioethics

Stephen E Welty, MD

Professor of Pediatrics Medical Director, NICU, St. Joseph’s Medical Center

Thomas Ragnar Wood, BM, BCh, PhD

Research Assistant Professor of Pediatrics BRAIN Director of Basic and Transitional Science

Staff

Tracy Anderson

PCCM Fellowship Program Coordinator

Kylie A. Corry - No picture available

Kylie A. Corry

Research Scientist

 Isabella Esposito - No picture available

Isabella Esposito

Research Coordinator

 John Feltner - No picture available

John Feltner, MS

Lead Research Coordinator

R. Neil Kline - No picture available

R. Neil Kline

Program Coordinator

Daniel Moralejo - No picture available

Daniel Moralejo, PhD, DVM

Research Scientist Lab Manager

Ujiro Okiomah - No picture available

Ujiro Okiomah, MBA

Division Administrator

Rachelle Sigourney - No picture available

Rachelle Sigourney

Administrative Specialist

Lisa Wormke - No picture available

Lisa Wormke

Grant Manager

Contact Information

Box 356320, RR542 HSB
Seattle WA 98195-6320
Tel (206) 543-3200
Fax (206) 543-8926