Neonatal Neurology


Washington University in St. Louis is proud to offer a 1-year clinical fellowship in the evaluation and management of neurologic conditions impacting the fetal and newborn child. We provide comprehensive training in a large inpatient setting at St. Louis Children’s Hospital, including a newly expanded 125-bed NICU, combined with multiple outpatient specialty clinics. We are able to provide this fully funded fellowship annually due to generous support from the Baker Family, and our next available position will start in July 2021. The successful candidate has typically completed prior training in Pediatric Neurology, Neonatology or Neurodevelopmental Disabilities.

Training goals of the fellowship include:

  • Develop expertise in the neurologic examination of the newborn, including expected age-specific normal and abnormal findings
  • Understand the possible neurologic complications seen in preterm and very low birth weight infants
  • Evaluation and management of neonatal seizures, including acute symptomatic versus genetic and metabolic etiologies
  • Increase comfort with evaluation of neonatal and preterm EEG with regards to expected electrographic elements, background and seizure recognition
  • Facility in the interpretation of neonatal neurologic imaging including fetal, preterm and term MRI, including vessel imaging and MR spectroscopy
  • Family-centered communication regarding the neurologic course, evaluation and management of neurologic disease in the infant
  • Recognition and efficient evaluation of the infant with neonatal encephalopathy and aid in the evaluation for treatment with therapeutic hypothermia
  • Recognition of primary neuromuscular and neurogenetic/metabolic presentations in the neonatal period
  • Understanding of the importance of transition of care from the NICU to home
  • Early identification and management of motor, coordination symptoms associated with early brain injury, with knowledge of appropriate therapy and equipment needs as the infant ages

The Fellowship includes a combination of inpatient and outpatient electives:

  • Inpatient experience (at least 50% of the fellowship): 2 to 4 week blocks on the NICU Consult service which serves our Neonatal ICU as well as infants aged < 6 months in our Cardiac ICU. The role of the fellow develops over the year to aid in the complete management of this busy service.
  • Elective experience (1-2 week blocks) available for the following:
    • Palliative care, Genetics, Therapy Services, Maternal Fetal Medicine, PICU consult service, Neurosurgery, Research, with additional electives based on the interest of the fellow
    • Neonatal Neurology specific clinics (1-2 per week)
      • Neonatal Neurology Follow-up Clinic
      • Cardiac Neurodevelopmental Clinic
      • Spina Bifida Clinic
      • Neonatal/infant epilepsy
      • Intellectual Disability/Developmental Delay
      • Congenital Malformations
      • Fetal consultations
      • Urgent clinic visits
  • Fellows will have the opportunity to conduct mentored research during their fellowship and present at national conferences on their work completed during this time.
  • Development of an educational portfolio
  • Call responsibilities: When on inpatient consult service, provide back-up call and support for the NICU consult resident when they are post-call or in clinic. Otherwise, no expected call responsibility after 5pm on weekdays and no weekend call expectations
Previous Fellows Current Position
1. Alexa Craig, MD M.Sc Assistant Professor, Maine Medical Center
2. Rafael Galindo, MD PhD Assistant Professor, Washington University in St. Louis
3. Siddharth Jain, MD Assistant Professor, Washington University in St. Louis
4. A. Hafeez Khair, MD Fellow, Thomas Jefferson University, Philadelphia
5. Sarah Bauer Huang, MD PhD Assistant Professor, Washington University in St. Louis
6. Lindsay Peglar, MD MS Assistant Professor, Washington University in St. Louis
7. Darrah Haffner, MD Assistant Professor of Clinical Pediatrics and Neurology, The Ohio State University College of Medicine
Upcoming Fellow (2020-2021) Current Position
Laura Vernon, MD Child Neurology/ Ann & Robert H. Lurie Children’s Hospital of Chicago

Application Process

Applications are accepted on a rolling basis by November of the year prior to the start of the position. If interested, for additional application information please contact:
Lori Nichols
Baker Family Fetal-Neonatal Neurology Fellowship Program Coordinator
Phone: 314-454-6042