University Hospital-Consultation Services

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 this service, diplomacy and interdisciplinary relationships are important and must be taken into account. Daily rounds with faculty vary in time depending on faculty members assigned, but are 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 PM to allow the fellows assigned to the MICU services to round with minimal interruption.

University Hospital - Medical ICU

We are striving to meet the needs for more intensivists. 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. The fellows rotating in the ICU will admit to their respective services during the day and will rotate transfer and admission responsibilities week to week. The fellow will be very familiar with patients and concentrate on new admissions each morning. The fellow 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. To this end, the fellow will have an important role in teaching on relevant ICU topics.

Lung Transplantation and Advanced Lung Disease Service

The goals of this rotation are to provide a comprehensive clinical experience in the management of pre- and post-lung transplant and ECMO patients, to provide fellows with the opportunity of working in 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. Fellows in this rotation attend pre-and-post-transplant clinics as well as rounds in the intensive care units that handle this patient population.

Veterans Affairs Medical Center

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.

VA Consult Service

The VA Consult Fellow will be responsible for consultations received by the Pulmonary Division from the VA Hospital. Those fellows are expected to interpret PFTs, attend Lung Mass and ILD clinics, and with with VA Sleep Laboratory. 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. This will ensure that patients with thoracic malignancies have the appropriate follow-up treatment.

Lung Cancer Rotation

This rotation is for senior fellows only. Fellows will be exposed to patients being evaluated for thoracic malignancies. Fellows will work closely with our interdisciplinary lung cancer team. This team includes faculty from the Pulmonary, Thoracic Surgery and Clinical Oncology.