The unique cohort-based clinical program offers fellows the opportunity to develop clinical, research and academic expertise beyond the standard in specific areas of individual interest, through the NICHE’s Cohorts (Neonatal Abstinence Syndrome, Intestinal Rehabilitation, Cardiac, Hypoxic-Ischemic Encephalopathy, Extremely Low Birth Weight and Maternal Toxic Stress). The learning experience is further enriched through exposure to specialized programs, such as the robust, internationally-recognized congenital diaphragmatic hernia and neurosurgical programs, and the LifeLine Critical care transport program. Novel simulation-based learning modules complement didactics in daily interactive learning sessions led by core teaching faculty. The Neonatal-Perinatal Medicine Fellowship program also benefits from research collaboration throughout Johns Hopkins Medicine.
Neonatal-Perinatal Medicine fellows starting in July 2018 on the St. Petersburg, Florida, campus will benefit from a new Research and Education Building, which will house the Johns Hopkins All Children’s Maternal, Fetal & Neonatal Institute, along with three other core institutes, the Heart Institute, the Brain Protection Sciences Institute, and the Cancer & Blood Disorders Institute, in an environment designed to promote collaboration, education and research.
The Johns Hopkins All Children’s Hospital Neonatal-Perinatal Fellowship Program will train two high-caliber fellows per class, nurturing a passion for exceptional and compassionate clinical care, while promoting individual academic and research goals. Join us in developing tomorrow’s leaders in the field of Neonatal-Perinatal Medicine
Innovative Learning Environment
The Mission of the NPM fellowship program is to train the next generation of leaders in Neonatal-Perinatal Medicine, within an innovative, collaborative, personalized and learner-centric environment. Fellows will develop superior skills in delivering family-engaged patient care through a systems-based model, advocating for safety, quality and value-based care, and in advancing scientific research and investigation.
A dedicated simulation laboratory within the NICU is equipped with the most advanced technology available for simulation-based learning. Dedicated and specially trained simulation laboratory staff assist core teaching faculty with a wide spectrum of learning scenarios.
A personalized academic structure will allow the fellow to advance individual learning objectives and develop expertise in a specialized area of interest, facilitated by the institute’s patient-centered, cohort-based continuum of patient care model, beginning at delivery in Bayfront’s Baby Place, continuing through the hospital course in the 97-bed Level IV NICU, and extending through the Neonatal Follow-Up Clinic and Neonatal Medical Home.
At a Glance
Location: Johns Hopkins All Children’s Hospital, St. Petersburg, Florida
Duration: Three Years
NICU Designation: American Academy of Pediatrics Level IV
Fellows Report: July 2018
97 Beds in NICU
167 Beds in nine affiliated Level I-III NICU network
22 Beds in CVICU
1,200 NICU admissions annually
140 Very Low Birth Weight admissions annually
65 Extremely Low Birth Weight admissions annually
4,200 deliveries annually in the on-site perinatal center, Bayfront’s Baby Place, specializing in high-risk deliveries.
Research and Investigation
The Johns Hopkins All Children’s Maternal, Fetal and Neonatal Institute and the NPM fellowship program provide the fellow a range of opportunities to pursue clinical, integrative basic science and translational research, as well as quality improvement. The program benefits from research collaboration with the Johns Hopkins Medicine campus in Baltimore and the multicenter MFNI-wide research patient population. The institute has committed to a state of the art “omics” approach to investigation, with emphasis on microbiota, microbiome, biomarkers and links to clinical outcomes.
The Johns Hopkins All Children’s Hospital Clinical and Translational Research Organization (CTRO) includes the Research and Grant Administration Core, Study Design and Analysis Core, the Pediatric Biorepository, the Research Operations Core, the Database Design and Data Management Core, the Investigational Drug-Services Core, the Regulatory Affairs and Quality Assurance Core, and the Investigational New Drug/Investigational Device Exemption Core.
Maternal, Fetal & Neonatal Institute (MFNI)
The Johns Hopkins All Children’s Maternal, Fetal & Neonatal Institute seeks to improve outcomes for newborns through collaborative approaches to value-based care, beginning with the high-risk expectant mother, continuing through delivery and neonatal intensive care unit (NICU) admission, and extending beyond discharge through patient-centered cohort-based neonatal follow-up.
The institute works closely with Bayfront’s Baby Place, located within Johns Hopkins All Children’s Hospital. Baby Place averages 4,200 deliveries per year and is a state-approved Level III Regional Perinatal Intensive Care Center. The maternal-fetal specialists are Johns Hopkins All Children’s faculty, and their referrals originate from a large geographical area extending beyond the west coast of Florida to a growing number of national and international locations. Complex congenital anomalies and maternal complications are managed by a multidisciplinary team, including maternal-fetal medicine specialists, neonatologists, geneticists, cardiologists, surgeons and other diverse specialists, working together to offer a continuum of care that meets the needs of patients and families in a patient-centered Neonatal Medical Home model.
The institute’s mission is to disseminate clinical excellence, innovate through research and train the next generation of physicians to continue improving the short-and long-term health outcomes and needs of medically complex newborns. The MFNI provides neonatal and high-risk obstetrical clinical care at a number of community hospitals within the west coast of Florida.
The institute collaborates in clinical care, advocacy and research with Johns Hopkins All Children’s Hospital’s Heart Institute, Institute for Brain Protection Sciences and Cancer & Blood Disorders Institute, along with a full-spectrum of pediatric medicine subspecialty divisions.
Joana Machry, M.D., FAAP, Joana Machry, M.D., FAAP, is program director of the Johns Hopkins All Children’s Hospital Neonatal-Perinatal Medicine Fellowship Program and instructor in pediatrics at the Johns Hopkins University School of Medicine. Dr. Machry received a Department of Pediatrics Teaching Excellence Award as a resident at Jackson Memorial Hospital/University of Miami Miller School of Medicine, where she completed her pediatric residency and fellowship in Neonatal-Perinatal Medicine. Her clinical expertise and research interests include exploring optimal practices in newborn respiratory support and care, management of the most complex cases of Bronchopulmonary Dysplasia with focus on neurodevelopmental outcomes, and innovation in medical education. Dr. Machry leads the NICU Pulmonary Task Force and the NICU Multidisciplinary Tracheostomy Team.
Aaron M. Germain, M.D., FAAP, Aaron M. Germain, M.D., FAAP, is associate program director of the Johns Hopkins All Children’s Hospital Neonatal-Perinatal Medicine Fellowship Program and instructor in pediatrics at the Johns Hopkins University School of Medicine. Dr. Germain was named Pediatric Resident Teacher of the Year at the University of South Florida College of Medicine. He completed his fellowship training in Neonatal-Perinatal Medicine at Baylor College of Medicine/Texas Children’s Hospital. His research interests include patient management and outcomes, management of Neonatal Abstinence Syndrome and innovation in medical education. Dr. Germain is an assistant director of the LifeLine critical care transport program.
Prabhu Parimi, M.D., MBA, CPE, FAAP, is director of the Johns Hopkins All Children’s Maternal, Fetal & Neonatal Institute, director of the division of neonatology, and associate professor, Johns Hopkins University School of Medicine. He is the author of numerous papers published in peer-reviewed journals and has presented peer-reviewed original science publications at national and international meetings. Dr. Parimi leads the cohort-based continuum of care model at Johns Hopkins All Children’s Hospital, oversees clinical and translation investigative research, and provides leadership to 26 full-staff neonatologists. Dr. Parimi was previously director of the division of neonatology, medical director of the neonatal intensive care unit and neonatal medical home, and professor of pediatrics at the University of Kansas Medical Center.