EDUCATION AND RESEARCH IN NEONATOLOGY - Congresso 2010

Società Italiana di Neonatologia 

EDUCATION AND RESEARCH 

IN NEONATOLOGY 

“Can we find a common track ?” 

Paolo Giliberti

EDUCATION AND RESEARCH IN NEONATOLOGY 

DEVELOPMENTS OF NEONATAL CARE 

1 

1888 BUDIN The first systematic 

experiences in Paris 

1948 DIAMOND Exchange – transfusion 

1953 APGAR Apgar Score 

1958 CRAMER Phototherapy 

1958 SILVERMAN Thermoregulation



2 

1960 SCHAFFER Conied the term of 

“NEONATOLOGY” 

1965 STAHLMAN First positive experiences of 

THOMAS mechanical ventilation in the 

newborn 

1968 Obstetric – neonatal Unit 

“The common house ” 

1971 GREGORY CPAP 

1972 KLAUS Mother – child bonding

3 



1972 LIGGINGS Induction of lung maturity by 

steroids 

1972 HUCK Transcutaneous measurement of 

EBERHARD paO2 

1980 PAPE Cerebral ecography 

FUJWARA “SURFACTANT” 

1990 ALS Principles and meaning of “care” 

1992 ROBERTS Nitric - oxide 

KINSELLA “The molecule of the year” 

2000 Problems of “ comunication”


THE UNSOLVED PROBLEMS 

OF NEONATOLOGY 

• Poor perinatal culture 

• Problems of adaptation to extrauterine life 

• Traditional vision of the medicine 

applied to the newborn 

• Responses to social and health care 

problems of the ex-newborn at risk


THE UNSOLVED PROBLEMS 

OF NEONATOLOGY 

Teaching of Neonatology in the 

School of Specialization in Pediatrics 

Insufficient attention to specific 

aspects of the discipline 

Learning “by doing”


UNSOLVED PROBLEMS OF 

NEONATOLOGY: THE ANSWERS 

• Implementation of neonatology 

teaching during the academic course 

• Its enhancement during the course of 

Specialization in Pediatrics 

• Creation of a path of continuous 

training and updating


TEACHING OF NEONATOLOGY IN THE 

COURSE OF PEDIATRIC SPECIALITATION 

ACQUISITION OF MINIMAL 

REQUIREMENTS IN ORDER TO 

WORK in NEONATAL STRUCTURES 

THE IDEA OF A SPECIALIZATION 

PROVIDING PROFESSIONAL AUTONOMY 

IS STILL UTOPIAN


SIN : EDUCATIONAL INIZIATIVES 

• Neonatal resuscitation course 

• The first hundreds days of life 

• Quality of care 

• Management 

• Numerous training courses of the 

study groups


SIN: THE EDUCATIONAL SCHOOL 

A SPECIFIC ORGANIZATION IN ORDER TO 

PLANE, FOCUS AND STREAMLINE ALL THE 

EDUCATIONAL ACTIVITIES 

ALONG TWO MAIN LINES : 

• EDUCATIONAL ACTIVITIES OF THE STUDY 

GROUPS 

• ORGANIZATIONAL AND MANAGERIAL 

ISSUES



THE FIRST OBJECTIVE IS THE 

IMPLEMENTATION OF METHODOLOGIES 

FOR TEACHING ADULTS : 

A. DEFINITION OF OBJECTIVES 

B. MANAGEMENT OF LEARNING CLIMATE 

C. EVALUATION OF RESULTS



Planning of a course intended to 

develop two areas of expertise: 

1. Knowledge of the dynamics that characterizes 

learning and the capacity of governing the 

cycle training 

2. Capacity of planning and managing some 

teaching tools: lesson, case teaching, analysis 

grid



This course, in collaboration with Bocconi 

University, is designed for 30 members of 

our study groups 

Providing the same educational tools for 

planning specific training programs in order to 

make effective and uniform the educational 

scenario of our Society



The recognition the multidisciplinary 

nature of clinical Neonatology, 

characterized by different specific 

interventions that must find an integration 

at the level of individual child.


ISSUES OF RESEARCH IN 

NEONATOLOGY 

• Biological peculiarities of newborn compared 

to adult 

• Lack of methodologically sound studies in 

younger subjects 

• “Empiric” approach to therapeutic strategies, 

not supported by evidence-based principles


SIN INITIATIVES FOR 

CLINICAL RESEARCH 

Creation and development of the 

Italian Neonatal Network

CENTRI INN 

Missing Nicu 

NNI Nicu 

SOCIETA’ ITALIANA DI 

NEONATOLOGIA 

QCN 

Gruppo di Studio per la Qualità 

delle Cure in Neonatologia 

Piemonte 

Torino - Università Ospedale S. Anna 

Torino Ospedale S. Anna 

Cuneo – Ospedale S. Croce e Carle 

Novara – Ospedale Maggiore della Carità 

Moncalieri (TO) – Ospedale Santa Croce 

Lombardia 

Lecco – Ospedale Manzoni 

Como – Ospedale S. Anna 

Como – Ospedale Valduce 

Varese – Ospedale di Varese 

Bergamo – Ospedali Riuniti di Bergamo 

Brescia – Spedali Civili di Brescia 

Monza – Ospedale S. Gerardo 

Rho – Ospedale di Rho 

Milano – Policlinico Mangiagalli 

Milano – Ospedale M. Melloni 

Milano – Ospedale V. Buzzi 

Milano – Ospedale Niguarda 

Milano – Ospedale S. Raffaele 

Mantova – Ospedale C. Poma 

Pavia – Policlinico S. Matteo 

Lodi – Ospedale di Lodi 

Cremona – Istituti Ospitalieri di Cremona 

Veneto 

Camposampiero (PD) - Ospedale P. Cosma 

Padova - Dip. Pediatria Università di Padova 

Treviso – Ospedale Ca’ Foncello 

Verona – Policlinico G.B. Rossi 

Verona – Ospedale Civile Maggiore 

Vicenza – Ospedale S. Bortolo 

Thiene (VI) – Ospedale Boldrini 

Friuli 

Udine – Azienda Osp. – Universitaria di Udine 

Trieste – Ospedale Burlo Garofolo 

Trentino 

Trento - Ospedale S. Chiara 

Bolzano – Ospedale di Bolzano 

Liguria 

Genova – Ospedale Gaslini 

Alessandria – Ospedale Cesare Arrigo 

Emilia Romagna 

Ferrara – Ospedale di Ferrara 

Modena – Policlinico di Modena 

Rimini – Ospedale degli Infermi 

Bologna – Ospedale S. Orsola 

Bologna – Ospedale Maggiore 

Parma – Ospedale Universitario 

Cesena – Ospedale M. Bufalini 

Reggio Emilia – Ospedale di Reggio Emilia 

Toscana 

Firenze – Ospedale Universitario Careggi 

Firenze – Ospedale A. Meyer 

Pisa – Azienda Ospedaliero-Universitaria di Pisa 

Siena – Ospedale Le Scotte 

Lido di Camaiore (LU) – Ospedale Versilia 

Marche 

Ancona – Ospedali Riuniti di Ancona - Presidio Salesi 

Umbria 

Perugia – Ospedale S. Maria della Misericordia 

Abruzzo 

Pescara - Ospedale Civile dello Spirito Santo 

Chieti – Ospedali Riuniti SS Annunziata 

Molise 

Campobasso – Ospedale Cardarelli 

Lazio 

Roma – Policlinico Umberto I 

Roma – Ospedale S. Giovanni Calibita FBF Isola Tiberina 

Roma – Ospedale S. Pietro FBF 

Roma – Ospedale Bambino Gesù 

Roma – Policlinico Gemelli 

Roma – Policlinico Casilino 

Campania 

Napoli – Ospedale Villa Betania 

Napoli – Ospedale Federico II 

Napoli – Ospedale Buon Consiglio FBF 

Napoli – Ospedale Monaldi 

Napoli – Ospedale SS Annunziata 

Napoli – Ospedale A. Cardarelli 

Benevento – Ospedale G. Rummo 

Benevento – Ospedale FBF 

Caserta – Ospedale S. Sebastiano e S. Anna 

Nocera Inferiore (SA) – Ospedale Umberto I 

Puglia 

Brindisi – Ospedale Perrino 

Foggia – Ospedali Riuniti di Foggia 

S. Giovanni Rotondo (FG) – Casa Sollievo della Sofferenza 

Lecce – Ospedale Vito Fazzi 

Tricase (LE) – Ospedale Cardinale G. Panico 

Acquaviva delle Fonti (BA) – Ente Ecclesiastico F. Miulli 

Bari – Ospedale Università Policlinico 

Bari – Ospedale Di Venere 

Calabria 

Cosenza – Ospedale Annunziata 

Reggio Calabria – Azienda Ospedaliera Bianchi Melacrino Morelli 

Sicilia 

Palermo – Ospedale V. Cervello 

Palermo – Ospedale Buccheri La Ferla 

Palermo – Azienda Ospedaliera Universitaria Policlinico P. Giaccone 

Siracusa – Ospedale Umberto I 

Messina – Ospedale G. Martino 

Catania – Ospedale Vittorio Emanuele 

Catania – Ospedale Santo Bambino 

Sardegna 

Cagliari – Ospedale S. Giovanni di Dio




• Search for a partner with experience in medical 

research identified in MEDIDATA, a well 

established Contract Research Organization in 

Italy for a mission of tutorial activities and 

clinical operations in Neonatology




MediNeos 

“the newly born in Neonatology in Italy” 

for training and operations 

in Clinical Research


SIN - MediNeos Alliance 

• Increasing quantity and quality of clinical studies and 

evidence-based science in neonatology 

• Liaising medical aspirations and sponsor needs with 

Regulatory Bodies requirements 

• Becoming a benchmark for tutorial activities and 

clinical operations 

• Contributing to establish a coordinated neonatology 

network in Italy and in other participant Countries

EDUCATION AND RESEARCH IN NEONATOLOGY - Congresso 2010

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