Fellows must accumulate at least 12 months of direct clinical experience in Pulmonary Disease on Wards and Consultations during the 36 month program to apply for Board Exams in Pulmonary Diseases. Eligibility in Critical Care also requires at least 12 months additional clinical experience in Intensive Care Units. In our three year combined Pulmonary Disease and Critical Care Medicine training program, six months of qualifying clinical training can be applied to both Pulmonary Disease and Critical Care Medicine, thus allowing 18 months of clinical training to suffice for the usual 24 months required for Pulmonary Disease and Critical Care Medicine.
The first year and part of the second year are oriented heavily toward the clinical aspects of Pulmonary Diseases and Critical Care for all fellows. The entire third year and part of the second year are available for research time for all fellows. Some fellows may opt for electives and teaching roles during the third year. Fellows spend l/2 day a week in an out-patient setting working with faculty members. Participation in conference and teaching activities spans the full three years.
First Year Curriculum:
The first year of fellowship is a clinical year with rotations on the Pulmonary Inpatient service, BVAMC ICU/Consults, Outpatient Bronchoscopy/Transplant, University Consults, and the University MICU. A typical schedule would include 1-2 months in the University MICU, 3 months each of Pulmonary Wards, Outpatient Bronchoscopy, and University Consults. The other 1-2 months would be in the VA ICU/Consult rotation.
Second Year Curriculum:
Second year fellows will spend approximately half of the year in critical care rotations, with most of that time spent in the University Hospital MICU. Additional clinical months are assigned based on career goals. Five to six months are available, however, for research endeavors. All second year fellows will rotate through the Sleep Center for a one-month rotation.
Third Year Curriculum:
For fellows pursuing academic medicine careers, the third year is devoted to research endeavors, working closely with a research mentor and setting goals for productivity. For fellows pursuing private practice, the year will be divided into months devoted to research, as well as some options for electives, depending on your area of interest.