Department of Pediatrics

Discussions & Case Studies


The following is a schedule of discussion topics and case studies our fellows participate in:


First Month


Week 1

  • Orientation to Baylor College of Medicine, Texas Children's Hospital, and Ben Taub Hospital
  • Background reading and completion of take-home test
  • Daily attending rounds in the Level 2 nursery or NICU for the rest of the program
  • Discussion: Classification of neonates by weight and gestational age
  • Discussion: Breastfeeding the full-term infant
  • Discussion: Scientific basis of breastfeeding
  • Discussion: Human milk and fortification
  • Discussion: Calculation of calories
  • View: Dubowitz examination film
  • View: Film on development of premature Infants

Week 2

  • Orientation with Nutritionists/Dietitians of the Texas Health and Human Services Commission
  • Orientation to the Early Childhood Intervention Program
  • Discussion: Infant Formulas
  • Discussion: Premature Infant Growth Charts
  • Discussion: Challenges in Feeding
  • Discussion: Respiratory Distress Syndrome
  • Discussion: Patent Ductus Arteriosis

Week 3

  • Discussion: Hyperbilirubinemia
  • Discussion: Fluid and electrolyte management
  • Discussion: Parenteral nutrition
  • Discussion: Anthropometric measurements
  • Introduction to a computer-driven neonatal nutrition program

Week 4

  • Present Case Study of a NICU Patient
  • Discussion: Milk Expression and Storage, Breastfeeding the Premature Infant
  • Discussion: Energy Needs
  • Discussion: The Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents and Bright Futures in Practice: Nutrition: Third Edition.
  • Discussion: Blueprint for Nutrition and Physical Activity: Cornerstones for a Healthy Lifestyle, 2nd Edition.

Second Month


Week 5

  • Discussion: Protein Needs
  • Discussion: Vitamin E

Week 6

  • Discussion: Intravenous Lipids and Cholestasis
  • Discussion: Iron
  • Decide special project

Week 7

  • Participation: Desmond Developmental Follow-up Clinic
  • Discussion: Bronchopulmonary Dysplasia

Week 8

  • Discussion: Vitamin D and Calcium
  • Participation: Texas Pediatric Obesity Prevention Programs

Week 8

  • Discussion: Vitamin D and Calcium
  • Participation: Texas Pediatric Obesity Prevention Programs

Third Month


Week 9

  • Present case study of patient from NICU
  • Written case due
  • Discussion: Post Discharge Nutrition and Growth

Week 10

  • Discussion: Necrotizing Enterocolitis
  • Discussion: Extracorporeal Membrane Oxygenation (ECMO)
  • Discussion/Participation MCH Public Policy and Advocacy

Week 11

  • In-service Research Presentation
  • Discussion: Vitamin A
  • Discussion: Parental Involvement

Week 12

  • Special project due
  • Discussion: Role of Neonatal Nutritionist
  • Participation in Texas Children's Pediatric Association (TCPA) Medical Home
  • Additional meetings with other health care providers and centers will be scheduled