Congrats on the position! I have to agree with everything that Boratz said. They ARE NOT tiny adults. They have very specific disease process that you would never see in an adult. Neonatology is one of the few fields that is constantly changing and has made so many leaps and bounds in the past twenty years. Would a 22 weeker have survived in 1990? Definitely not! Take comfort in the fact that you will not know the answer to every question or have the right thing to say to a sad/distressed parent. Use your co-workers, ask questions, get involved on rounds and multidiciplinary meetings. I love talking about NICU, here to chat :)