title: Practices and education surrounding anticipated periviable deliveries among neonatal-perinatal medicine and maternal-fetal medicine fellowship programs.
abstract: To explore national practices of periviable decision-making and care, and to determine and compare trainee education in this domain, within neonatal-perinatal medicine (NPP) and maternal-fetal medicine (MFMP) fellowship programs.
  
  
  
  A 75-item survey was sent to NPP and MFMP program directors in the United States.
  
  
  
  In all, 79 of 168 surveys were completed (47%). MFMPs reported offering active interventions for bigger or more mature fetuses (versus NPPs). Variability exists in estimated frequency of simultaneous antenatal counseling by both specialties (range 0 to 90%) and of inter-specialty communication before consultation (range 5 to 100%). One-quarter of MFMPs reported no fellow education regarding periviable deliveries, versus 2% of NPPs (P=0.002); 40% of MFMPs teach fellows about periviable ethics, versus 63% of NPPs (P=0.05). NPPs more frequently utilize role modeling (P=0.01) and simulation (P=0.01) as learning methods.
  
  
  
  NPPs and MFMPs report different, often asynchronous, practices and fellow education regarding antenatal counseling and resuscitation at periviability.
authors.affiliation: Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.|Department of Pediatrics, Harvard Medical School, Boston MA, USA.
authors.forename: B H
authors.initials: BH
authors.lastname: Arzuaga
authors.affiliation: Department of Pediatrics, Harvard Medical School, Boston MA, USA.|Division of Newborn Medicine, Boston Children's Hospital, Boston MA, USA.
authors.forename: C L
authors.initials: CL
authors.lastname: Cummings
mesh_terms: D000066491:Clinical Decision-Making; D003479:Curriculum; D004503:Education, Medical, Graduate; D005257:Fellowships and Scholarships; D006801:Humans; D009359:Neonatology / Q000193:education*; D009774:Obstetrics / Q000193:education*; D010500:Perinatology / Q000193:education*; D011295:Prenatal Care; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014481:United States