CCF and CWRU at MHMC are centers of academic excellence,now jointly offer superior training in NPM in a combined fellowship program. Training facilities include 2 (Level 3 and 4) NICUs with INO and ECMO. The program draws over 20 neonatal and 150 pediatric medical/surgical subspecialists. Fellows have opportunities to participate in clinical and basic science research. Program specifically focuses on training fellows in formal QI, moderate sedation, and developing evidence based guidelines.