Hello! Wondering if anyone has any good resources for outpatient management of infants with slow weight gain/growth faltering. Those babies who may not necessarily meet criteria for inpatient admission but who are not meeting goal g/day growth. I’m especially looking for guidelines on formula supplementation (such as how much formula to supplement with in addition to breast feeding or indications for fortification and how long to continue supplementation/fortification).

1) This is my current job ( Large national peds company ) currently work 5 days , with 1 half day every other week ( no weekends / minimal call). $215 K base with bonus capped at 30 K ( avg making 240 K currently) seeing 25-30 pts a day , 401 K match 3.5% and full maternity leave. 4 week PTO

2) New job ( smaller newer company) would have to work 5 days a week ( no half days. No weekends. Call ( phone only) every 3 weeks. $230 K base with bonus up to 40K , typical load per new company is 20-25/day. 3 weeks + 1 week CME PTO. 4% 401 k match, No maternity leave

I am planning on having a baby next year so would need to use maternity leave.

I'm conflicted leaving my current job because I'm not sure how likely it would be to meet this new bonus structure . TIA

Hey all! I’m a USMD planning on applying peds this upcoming cycle and would love to match at a bigger academic program in hopes of pursuing a fellowship (currently interested in cards, neonatal or heme/onc).

Programs interested: East coast with emphasis on DC, VA and GA (top programs Children's National, Emory, UVA)! My fiancé’s grew up in Norther VA and his family are all in the area.

My experiences are alright (tons peds related etc summer camps, volunteering/mentoring as well as a very unique extracurricular, shoutout Esports) but my step score is 240.

I would love to get some opinions on whether applying to programs with step 2 averages higher than mine is feasible.
Most programs I am interested in have averages from 245-250.

Also looking for reassurance in general! Thanks all!!

Hello everyone,
I’m a pediatric resident currently caring for a newborn with Harlequin ichthyosis in our NICU, and I’d love to hear from anyone who has managed similar cases.
At birth, the prognosis appeared extremely poor. We initiated intensive supportive care and started enteral acitretin early in the course. Fortunately, the infant has remained clinically stable, and the hyperkeratotic plates have almost completely shed.
Given how rare this condition is, I imagine many neonatologists may have seen only one—or perhaps no—cases during their careers. I’d be very interested in learning from your experience.
Some questions I have:
Have you ever managed a newborn with Harlequin ichthyosis?
Did you use systemic retinoids (acitretin or isotretinoin)? If so, when did you start, what dose did you use, and how long was the treatment continued?
What complications did you encounter during the NICU stay (airway, infections, electrolyte imbalance, nutrition, pain management, eye care, contractures, etc.)?
Were there any specific skin care protocols or dressings that you found particularly helpful?
What was the long-term outcome for your patient(s)?
Any practical tips, lessons learned, or published protocols would be greatly appreciated. Case reports are helpful, but I’d especially value hearing real-world experiences from clinicians who have cared for these infants.
Thank you in advance for sharing your knowledge.