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Neonatal program directors report frequent conflict between fellows and frontline providers. Recommendations focus on clear guidelines, role clarification, and communication training to foster teamwork and a psychologically safe environment.

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Area of Science:

  • Neonatology
  • Medical Education
  • Healthcare Management

Background:

  • A 2022 survey revealed frequent conflicts between neonatal-perinatal fellows and frontline providers (FLPs).
  • FLPs include neonatal nurse practitioners (NNPs), neonatal physician assistants (PAs), and neonatal hospitalists.
  • This highlights a need for improved collaboration and teamwork within neonatal units.

Purpose of the Study:

  • To review recommendations for fostering a more collaborative neonatal unit environment.
  • To provide a framework for identifying institutional challenges.
  • To suggest interventions for enhancing teamwork and education.

Main Methods:

  • Review of recommendations from a multidisciplinary workgroup.
  • Discussion of a self-study framework for institutional analysis.
  • Identification of critical interventions and training needs.

Main Results:

  • A majority of program directors report regular conflict between fellows and FLPs.
  • Clear guidelines for procedural distribution and role clarification are key interventions.
  • Conflict management coaching and communication training are beneficial for FLPs and trainees.

Conclusions:

  • Creating a psychologically safe environment is crucial for problem-solving.
  • Optimizing teamwork is essential given anticipated staffing shortages and evolving roles.
  • Further research is needed to address ongoing challenges in neonatal unit collaboration.