title: Old school.
abstract: In the last decade, the American Board of Pediatrics has reduced the number of required intensive care rotations. The Accreditation Council for Graduate Medical Education has established guidelines that limit on-call nights to 24 h and the work week to 80 h. This has had a positive impact on housestaff training and patient safety. Inadequate experience can reduce proficiency, especially in the acute management of a sick newborn. New guidelines and evidence-based standards need to assure competency without compromising work hours and broad-based exposure. Times change, but the passion and privilege of caring for sick newborns does not.
authors.affiliation: Department of Pediatrics and Neonatology, Loyola University Medical Center, Maywood, IL 60153, USA. jmurask@lumc.edu
authors.forename: Jonathan
authors.initials: J
authors.lastname: Muraskas
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D007396:Internship and Residency; D010500:Perinatology / Q000193:education; D012570:School Admission Criteria; D014481:United States