Pulmonary & Critical Care Curriculum
Fellows are required to have a Continuity Ambulatory Clinic experience one-half day each week throughout their three years of Pulmonary and Critical Care Medicine Fellowship training to develop a continuous healing relationship with patients for whom they provide subspecialty care.
This continuity experience exposes fellows to the breadth and depth of the pulmonary medicine subspecialty.
Each fellow will be responsible for the evaluation and management of four to eight patients during each half-day clinic. Fellows will care for patients with a wide spectrum of pulmonary diseases and learn the natural history and course of the disease process, as well as the therapeutic options for the disease process.
Fellows and faculty will make it clear to front desk personnel which patients the fellow will become the primary physician for so that appointments can be scheduled accordingly and records can be marked appropriately for easy recognition. Continuity Ambulatory Clinic will take precedence over inpatient rounds and other outpatient responsibilities for fellows. Fellows will be excused from clinic when they are assigned to the Night Float rotation.
- Fellows are required to have at least 9 months of clinical training in the care of critically ill patients. Because critical care medicine is multidisciplinary in nature, the program will provide opportunities to manage adult patients with a variety of serious illnesses and injuries requiring treatment in the critical care setting.
- Each fellow is required to have at least 9 months of meaningful patient care responsibility for inpatients with a wide variety of pulmonary disease. During these months there will be an educational emphasis on pulmonary physiology and its correlation with clinical disorders. Fellows will have formal instruction and clinical experience with a broad range of pulmonary disease.
- Fellows are required to have at least 1 month of clinical training in anesthesia and airway management.
- Fellows will have an increase in knowledge and comprehension across a broad array of echocardiography-related topics.
- Fellows will have an increase in knowledge and understanding of the evaluation of patients with diseases of the heart, great vessels, chest, lungs and mediastinum.
PFT (Pulmonary Function Test)
- Fellows will be exposed to the technical aspects of pulmonary function testing, respiratory therapy, and pulmonary rehabilitation.
- Fellows will learn fundamental concepts regarding the standards of ethical conduct of research, design and interpretation of research studies, responsible use of informed consent, research methodology and interpretation of data. Fellows will be required to demonstrate evidence of research productivity through publication in peer-reviewed journals and/or presentation of research findings at national specialty meetings.
- The SICU rotation will provide the fellow an opportunity to manage adult patients with a wide variety of serious surgical illnesses and injuries requiring critical care services.
- The night float rotation is designed to provide continuity of care for hospitalized ICU patients. The fellow and resident are expected to have sign-out rounds with the daytime house staff team and to care for all new admissions to the ICU while communicating with the supervising attending appropriately. Pathology Fellows will have an increase in knowledge and comprehension across a broad array of pathology-related topics.
- The program curriculum requires at least one-month of a radiology rotation. This rotation will allow the fellow to increase knowledge and comprehension across a broad array of radiology-related topics.
Our Pulmonary and Critical Care Medicine fellows participate in conferences Monday through Friday. The following conferences are covered:
- Grand Rounds
- Core Curriculum series
- Clinical Case Conference
- Journal Club
- Quality Improvement/Patient Safety
- Multi-disciplinary Conferences (Interstitial Lung Disease, Tumor Board, ID-Critical Care, Cardiology-Critical Care)
Adam Highley, MD
Pulmonary, Critical Care, and Sleep Medicine Division