Fellows assigned to the University Hospital Consultation Services will be responsible for consultations received by the Pulmonary Division from the UAB Hospital,. The fellow on Consults should see these patients with the medicine resident and the student before attending rounds. While patient care is the foremost responsibility of the fellow on this service, diplomacy and interdisciplinary relationships are important and must be taken into account. Time of daily rounds with faculty varies with faculty members assigned, but is usually in the morning. During some months of the year, the consultation service at UH is split in two: pulmonary disease and critical care. The fellow assigned to this service will assist with consultations from the Emergency Department and possible MICU transfers from 7 am to 12 noon to allow the fellows assigned to the MICU services to round with minimal interruption.
We are striving to meet the needs for more intensivists, and as a result, we have transitioned to three medical intensive care unit teams. Two teams are comprised of interns/residents, a fellow, and an attending. The third team is a non-teaching service comprised of an attending and Nurse Practitioners. Census on each team averages around 12 to 15 patients. The fellows rotating in the ICU will admit to their respective services during the day and will rotate responsibilities of handling transfer or admission calls week to week. The fellow will be very familiar with the patients and concentrate on new admissions each morning. He/she will also arrange for bronchoscopies and will closely supervise any procedures performed by the house staff (central venous catheters, thoracentesis, pulmonary artery catheters, intubations, etc.). Education has a very important role in the ICU and the fellow will have an important role in teaching on relevant ICU topics.
The goals of this rotation are to provide a comprehensive clinical experience in the management of pre- and post-lung transplant patients as well as patients undergoing ECMO, to provide the fellows with the opportunity of working on a non-medical ICU environment, in conjunction with nurse practitioners, to increase knowledge on the guidelines for referral and the appropriate timing for lung transplantation, to increase knowledge on the chronic management of immune suppression in the outpatient setting and to enhance skills on bronchoscopy and associated techniques/procedures in the lung transplant setting.

Fellows will be exposed to all aspects of lung transplantation medicine and management of patients with advanced lung disease on ECMO. They attend pre-transplant and post-transplant clinics as well as rounds in the many intensive care units that handle this patient population.
All patients hospitalized in the VA MICU are admitted to a dedicated MICU team consisting of 5 residents, a Pulmonary/CCM fellow, and one faculty physician.

VA MICU Fellow Responsibilities consist of Monday-Friday rounds with the team, supervising performance of all major procedures (e.g. bedside bronchoscopies, thoracentesis, etc.), and assisting the attending in carrying out teaching and rounding responsibilities.

On the weekend, the fellow will not round routinely with the team, but the on-call fellow will be available for coverage of procedures, admissions of complicated patients, etc. The designated faculty physician will perform morning weekend rounds.
The VA Consult Fellow will be responsible for consultations received by the Pulmonary Division from the VA Hospital and are expected to interpret PFT's, attend Lung Mass and ILD clinics and also attend the activities of the Sleep Laboratory on the 7th Floor. The VA Consult Fellow is also responsible for any outpatient bronchoscopies and will collaborate with the Section’s Nurse Practitioner and the Lung Cancer Fellow in ensuring that patients with Thoracic malignancies have the appropriate follow up.
This is a rotation for senior fellows only. Here, you will be exposed to patients being evaluated for thoracic malignancies, and will work closely with our lung cancer interdisciplinary team that includes faculty from the Pulmonary Section, Thoracic Surgery and Clinical Oncology.

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