The current neonatal department dates back to 1990 when it started as two parallel neonatal units in the old KKH. With the move into the new KK in 1997, the departments amalgamated as one. The number of annual deliveries in KKH ranks amongst the highest of any hospital in the world and the department serves approximately 16,000 newborns per year with many in the high-risk obstetric group.

The department offers comprehensive training in Neonatology from perinatal care, neonatal intensive and special care and neuro-developmental follow up of premature babies.

The department has 24 neonatal intensive care, 60 special care beds and a wide range of specialist outpatient clinics. There is a strong liaison with high-risk obstetrics with a well-developed Birth Defect Clinic and High-Risk pregnancy consult service.

The department's perinatal mortality, neonatal mortality and morbidity rates are comparable to developed countries. We are one of the few Asian centers with the Vermont Oxford Network for international benchmarking. Further, there is strong support from in-house paediatric medical and surgical sub-specialties.

The department has participated in many multi-centered randomized controlled trials in both perinatal and neonatal areas of research.

We have well-equipped conference and teaching areas and IT support for teaching and training. There is also a neonatal library with full range of reference materials available. Each trainee is assigned a supervisor who will meet with him / her regularly to assess learning and training. Training is approached with various techniques to ensure quality and an atmosphere of learning.

RANGE OF SERVICES

• Standby For High Risk Deliveries
• Neonatal Intensive Care With Full Range Of Ventilatory Support
• Neonatal Special Care
• Pre And Post Operative Neonatal Care For Surgical Premies
• High Risk And Birth Defect Consultations
• Screening Of Well Babies
• Neonatal Follow Up
• Specialist Outpatient Clinic
• Neonatal Transport

TRAINING PROGRAM

Basic trainees (Paediatrics) are trained to ensure skills and knowledge required for paediatric specialization. Advanced trainees undergo general and sub-specialized training to gain further experience and confidence in Neonatology.

Training will comprise lectures, conferences, didactic teaching, bedside clinical tutorials and on-the-job training. The following are some training activities in the departments:

• X-ray Sessions
• MO Lectures
• Slide Sessions
• Research Meetings
• Antibiotic Rounds
• In-Service Lectures
• Social Case Discussions
• Morning Reports
• Mortality Round / Quality Assurance Meetings
• Chronic Case Review
• Perinatal Mortality Rounds
• Journal Clubs

INTERMITTENT COURSES FOR BST / AST

• Orientation course in basic neonatal skills
• Neonatal Resuscitation
• Advanced Resuscitation in Children
• Bedside Cranial Ultrasonography (with accreditation by Dept of Diagnostic Imaging)
• Prevention of Medication Error Workshop

TRAINEE RESPONSIBILITIES

Clinical experience plays a vital role in our training. The trainee is required to perform the clinical activities of standby for resuscitation at delivery, routine ward work, night duties and outpatient clinics. Presentations, journal reading and literature search are also expected.

RESEARCH ACTIVITIES

Basic trainees are encouraged to do at least one clinical paper. Advanced trainees are expected to complete and publish a paper as the first author.

WELFARE & FACILITIES FOR JUNIOR DOCTORS
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