Fellowship in Neonatal & Perinatal Medicine at Cohen Children’s Medical Center
The Neonatal Intensive Care Units (NICU) at Cohen Children's Medical Center and North Shore University Hospital are both Regional Perinatal Centers recognized by the New York State Department of Health. Cohen Children’s Medical Center is a leading center for child health in the country as recognized by the US News & World Report.
As the neonatal program of the North Shore-LIJ Health System, trainees help manage the care for 27,000 newborns in the seven hospitals with delivery services, as well as infants referred to us from the entire tri-state area and beyond.
The NICU at Cohen Children’s Medical Center and North Shore University Hospital operate collaboratively, providing the same advanced medical services from more than 20 board certified neonatologists. Patient volume at these NICUs has grown with the opening of Katz Women’s Hospitals at each site and with more than 200 neonatal transports annually. Active Maternal-Fetal Medicine Services account for a significant number of antenatal referrals and advanced transport services for high-risk pregnancies. Our fellows rotate through both NICUs at Cohen Children’s Medical Center and North Shore University Hospital and work alongside teams of pediatric residents and neonatal nurse practitioners. Faculty and fellows all have academic appointments in the Department of Pediatrics at Hofstra North Shore-LIJ School of Medicine and participate in the teaching of medical students.
The Fellowship Program is the focus of our educational efforts for the division. The fellowship program provides daily didactic conferences that include case discussions, mortality & morbidity reviews, journal clubs, topic reviews, maternal-fetal medicine conferences, and reviews of biostatistics and research. Evidence-based best practices are discussed and reviewed critically. All sessions include web conferencing to include fellows at all sites.
The program provides a full spectrum of advanced technology and therapies for neonates. In addition to continuous faculty, fellow, and nursing management 24/7, our Division maintains the following multidisciplinary clinical programs:
- High Frequency Transport with Nitric Oxide
- Lung Rescue/Extracorporeal membrane oxygenation (ECMO)
- Multidisciplinary Antenatal Care Services
- Interdisciplinary Team Rounds
- Intestinal rehabilitation
- Pulmonary Hypertension Center
- Lactation and Donor Milk Program
- Specialized nutrition strategies
- Selective Brain Cooling
- Heliox therapy
- Neonatal Skin Team
- Neonatal Airway Disorders Program
- Neonatal Interdisciplinary Feeding Team
- Cleft Palate Team
- Neonatal Pain Team
- PURE Program for disorders of sexual development
- High Risk Follow-Up Clinic
All neonatal surgical specialties are available on-site including; general surgery, cardiovascular, neurosurgery, otolaryngology, ophthalmology with retinal specialists, urology, and a craniofacial surgery team. Our pediatric medicine specialty group represents all subspecialties.
The division maintains the Lilling Family Neonatal Research Lab at the Feinstein Institute for Medical Research, coordinated by specialized research assistants. All fellows participate actively in research. Active areas of research include:
- Gene transfer of antioxidant enzymes
- Effects of hyperoxia
- Neonatal nutrition and human milk components
- Effects of neonatal management on the intestinal microbiome
- Neonatal transport with high frequency mechanical ventilation
- Brain cooling for hypoxic ischemic-encephalopathy
- Non-invasive cardiopulmonary monitoring
- Multiple gestations
- Substance abuse
- Palliative care
- Outcomes research
A detailed neonatal patient database and EHR support a variety of quality and outcomes projects. Faculty, fellows, nurse practitioners, and residents have been yearly presenters at national pediatric research meetings. Selected research publications and invited presentations are tabulated below.
Our NICU Quality and Patient Safety teams are actively working toward sustaining our reductions in bloodstream infections associated with central lines. We actively work toward ensuring that oxygen therapy is applied within specified limits, that infant developmental care is based on physiologic principles, and that human milk is provided exclusively. We conduct weekly unit-based safety rounds and a daily safety call to provide a venue where staff can voice their concerns and share best practices for safety.
Fellowship Year 1
- Orientation Lecture Series
- Fellowship mentor assigned (first month)
- Procedure review and training exercises
- ECMO course
- Fatigue avoidance training
- No primary clinical service for first block
- Lecture series, journal club, case reviews, teleconferences and ‘lunch & learn’ conferences
- Introduction to Research Program for first year fellows
- Research Mentor assigned by December
- Subspecialty In-Service Exam sponsored
- Clinical Competency Committee review quarterly
Fellowship Year 2
- Research data acquisition with mentor
- Internal research meetings quarterly
- Subspecialty In-Service Exam sponsored
- NICHD/Industry sponsored neonatal meetings
- Data presentation at local research meeting
- Clinical Competency Committee review quarterly
Fellowship Year 3
- Subspecialty In-Service Exam sponsored
- Junior Attending, Semi-Intensive Care Unit
- Assistance in Job Placement
- PAS, AAP National Meeting abstract presentation
- Manuscript for research project
- Clinical Competency Committee review
Richard J. Schanler, MD
- Chief of Division of Pediatrics - Neonatal-Perinatal Medicine, Long Island Jewish Medical Center
- Associate Chairman of Pediatrics - Neonatal-Perinatal Medicine, North Shore University Hospital
- Professor, Hofstra North Shore-LIJ School of Medicine
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Ahmed MN, Patel, H, Arif A, Liu SF, Miller E. NF-kB dimer activity in pulmonary hypertension induced by hypoxia. Pulmonary Circulation 2013: 3 (1):186.
Ahrabi AF, Schanler RJ. Human milk is the only milk for premies in the NICU! Early Human Develop 2013; 89:S51-3
Cristofalo E, Schanler RJ, Blanco CL, Sullivan S, Trawoeger R, Kiechl-Kohlendofer U, Dudell G, Rechtman DJ, Lee ML, Lucas A. Abrams S. Randomized trial of exclusive human milk versus preterm formula diets in extremely premature infants. J Pediatr 2013: 163: 1592-5.
Dehaes M, Aggarwal A, Lin PY, Rosa Fortuno C, Fenoglio A, Roche-Labarbe N, Soul JS, Franceschini MA, Grant PE. Cerebral oxygen metabolism in neonatal hypoxemic ischemic encephalopathy during and after therapeutic hypothermia. J Cerebral Blood Flow Metab 2014 34: 87-94.
Garg LF, Van Naarden Braun K, Knapp MM, Anderson TM, Koppel R, Hirsch D, Beres LM, Sweatlock J, Olney RS, Glidewell J, Hinton CF, Kemper AR. Results from the New Jersey statewide critical congenital heart disease screening program. Pediatrics 2013; 132:e314-23.
Handa D, Schanler RJ. Role of the pediatrician in breastfeeding management. Pediatr Clin No Amer 2013; 60:1-10.
Perveen S, Patel H, Arif A, Younis S, Codipilly CN, Ahmed M. Role of EC-SOD overexpression in preserving pulmonary angiogenesis inhibited by oxidative stress. PLoS One. 2013;7:e51945
Schanler RJ (Editor in Chief), and Mass S, Krebs N (Co-editors): American Academy of Pediatrics/ACOG Breastfeeding Handbook for Physicians, Second Edition, American Academy of Pediatrics, 2013.
Recent Research Presentations
Aharon J, Ahrabi AF, Handa D, Codipilly C, Potak D, Schanler RJ. Manual or automatic defrost freezers differ in human milk preservation during long-term storage. Pediatric Academic Societies, Washington DC, May 2013
Ahmed MN, Patel H, Miller E. NF-kB dimer activity in pulmonary hypertension induced by hypoxia. Pediatric Academic Societies, Vancouver BC, May 2014,.
Ahrabi AF, Handa D, Codipilly CN, Shah S, Ruff S, Potak D, Schanler RJ. Effects of long-term freezer storage on the integrity of human milk. American Society for Nutrition, April 2013, Boston MA, and Pediatric Academic Societies, Washington DC, May 2013.
Baranek D, Gennattasio A. Introduction of a neonatal nurse practitioner service at CCMC. 16th Annual Neonatal Advanced Practice Nursing Forum, Washington DC, May 2013.
Boyar V. Successful treatment of slowly healing neonatal wounds and skin injuries with medical grade honey: case series. NY Conference on Perinatal Research, Westchester NY, November 2013 and Orlando, FL.
Castaldo M, Schanler RJ. Does growth in the NICU predict outcome of the extremely low birth weight infant? American Academy of Pediatrics, October 2013, New Orleans, LA, and Pediatric Academic Societies, Washington DC, May 2013
Frattini SA, Kirtley A, Ochani K, Tallberg J, Lin K, Scherrer S, Dewey S, Ahmed M, Al-Abed Y, Huerta P, Miller EJ. Macrophage migration inhibitory factor in chronic hypoxia-induced cognitive impairment. Experimental Biology, San Diego, CA, May 2014.
Goenka S, Khan M, Koppel R, Heiman H. Precordial doppler ultrasound achieves earlier and more accurate newborn heart rates in the delivery room. American Academy of Pediatrics, October 2013, New Orleans, LA, Eastern Society for Pediatric Research, Philadelphia, PA, March 2014
Goldshtrom N, Schanler RJ. Do we recognize the need for enriched nutrition in ELBW infants at discharge? American Academy of Pediatrics, October 2013, New Orleans, LA, and Pediatric Academic Societies, Washington DC, May 2013
Handa D, Ahrabi AF, Codipilly CN, Shah S, Potak D, Schanler RJ. Effects of storage, thawing, and warming on the integrity of human milk. American Society for Nutrition, April 2013, Boston, MA and Pediatric Academic Societies, Washington DC, May 2013
Heiman HS. Aeromedical neonatal-pediatric transport radiographs: clues to initial diagnosis and treatment success, and High frequency transport ventilator workshop. Eleventh Annual Airborne Life Support Systems Neonatal/Pediatric Transport Conference. Austin TX. April 2013.
Kamity R, Patel H, Younis S, Miller E, Ahmed MN. CXC Chemokine inhibitor can delay preterm delivery induced by chorioamnionitis and reduce neonatal mortality and morbidity. Eastern Society for Pediatric Research, Philadelphia, PA, March 2013 and Pediatric Academic Societies, Washington DC, May 2013
Koppel R. CCHD screening: background and evidence for screening critical congenital heart disease: the next phase of universal newborn screening. Children’s Hospital at Montefiore, New York NY, November, 2013.
Lau C, Fucile S, Schanler RJ. Preterm infants have more mature oral feeding skills than we think? Pediatric Academic Societies, Washington DC, May 2013.
Leon Hernandez A, Patel H, Aron D, Younis S, Sherry B, Ahmed MN. Effect of hyperoxia exposure on FOXp3 regulatory cells among neonates. Westchester Perinatal Conference November 2013, and Eastern Society for Pediatric Research, Philadelphia PA, March 2014.
Leon Hernandez A, Patel H, Bogdan M, Manoff L, Younis S, Sherry B, Ahmed MN. Effect of hyperoxia exposure on T-lymphocyte maturation, differentiation and function in neonatal mice. Pediatric Academic Societies, Washington, DC May 2013
Li R, Schanler RJ. When should extremely preterm infants be transitioned from incubator to crib? Eastern Society for Pediatric Research, Philadelphia PA, March 2014.
Morales L, Castro-Alcaraz S. Maternal diabetes classification affects the incidence of neonatal hypoglycemia. Eastern Society for Pediatric Research, Philadelphia PA, March 2014
Palmeri LC, Nitzan M, Gradwohl G, Shapir Y, Koppel R. Coarctation of the aorta in newborns is better identified by photoplethysmographic waveform analysis than standard pulse oximetry screening. Eastern Society for Pediatric Research, Philadelphia PA, March 2014.
Perveen S, Patel H, Ochani K, Orner D, Al-Abed Y, Cheng KF, Miller E, Ahmed M. Antenatal inhibition of macrophage migration inhibitory factor prevents pulmonary hypoplasia and pulmonary hypertension in neonates with congenital diaphragmatic hernia. Pediatric Academic Societies, Vancouver BC, May 2014.
Perveen S, Patel H, Younis S, Ahmed MN. Endothelial progenitor cell proliferation in wild type vs. transgenic neonate mice after exposure to acute hyperoxia. Eastern Society for Pediatric Research, Philadelphia, PA, March 2013 and Pediatric Academic Societies, Washington DC, May 2013.
Remedios K, Genen L. Delivery mode and risk of intraventricular hemorrhage in VLBW infants. Pediatric Academic Societies, Washington DC, May 2013.
Remedios KG, Patel H, Leon Hernandez A, Sherry B, Ahmed M. The impact of hyperoxia on T-helper cell function. Westchester Perinatal Conference November 2013 and Eastern Society for Pediatric Research, Philadelphia PA, March 2014.
Schanler RJ. Human milk feeding strategies to promote brain development (as well as prevent NEC). Plenary presentation. Pediatric Academic Societies, Washington DC May 2013.
Schanler RJ. IPOKRaTES Seminar in Neonatal Nutrition and GI, presentations: “Nutrient Needs for Preterm Infants,” “Feeding Issues in Preterms,” Human Milk use in the NICU,” Post-Discharge Nutrition for Preterm Infants,” “Nutrition and BPD,”and “Pre/Probiotics and Other Things for Preterm Infants.” Porto, Portugal April, 2013.
Schanler RJ. National strategies to support breastfeeding in the US, Global Breastfeeding Initiative and Excellence in Pediatrics Conference, Doha Qatar, December 2013.
Schanler RJ. Only Human Milk Use in the NICU, Copenhagen, Denmark, April 2013.
Schanler RJ. Feeding strategies to prevent NEC, and Early TPN for extremely LBW infants, University of Miami Neonatology Conference, Miami FL, November, 2013.
Shukla S, Kaczmarzyk J, Scherrer S, Agorastos S, Ahmed M, Dewey SL. A novel strategy for prevention of neonatal abstinence syndrome. Eastern Society for Pediatric Research, Young Investigator Award, March 2014, Philadelphia PA.
Zaghloul N, Ahmed M. Defining and characterizing the neuroprotective genes against hyperoxia in neonate mice. Pediatric Academic Societies, Washington DC, May 2013.
Zaghloul N, Frattini S, Huerta P, Ahmed MN. Electrophysiologic studies after exposure to chronic hypoxia in wild and transgenic adult mice with overexpression of EC-SOD. Pediatric Academic Societies, Washington DC, May 2013.
Applicants interested in the neonatal and perinatal training program at Cohen Children’s Medical Center should apply through the Electronic Residency Application Service (ERAS). Completion of an ACGME-accredited residency program in general pediatrics is mandatory for admission to this program.
Essential application information includes:
- Universal application
- Personal statement
- At least three (3) letters of recommendation. Letters of recommendation must be less than six (6) months old.
- USMLE or COMLEX transcript
- Medical school transcript
- Updated Curriculum Vitae
- Letter of recommendation from program director
Only applicants who have passed USMLE examination STEP 1 and 2 on the first attempt should apply. Only completed applications with all supporting documentation will be reviewed.