Didactic Schedule
- Weekly core lectures primarily focused on pediatric pulmonary board content outline material
- Monthly board prep sessions with focus on physiology and board-style question-based material
- Monthly research review to discuss topics specific to conducting meaningful scholarly activity, including review of each fellows’ individual projects
- Monthly involvement with both regional and national (American Thoracic Society Fellow Case series) case presentations/discussions
- Monthly radiology rounds
- Monthly quality improvement meetings
- Quarterly journal clubs and case presentations
Clinical/Research Distribution
3-Year Rotations At a Glance
| 1st year | 2nd year | 3rd year | ||||
| 2 weeks orientation |
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| 4 weeks elective | ||||
Inpatient | 14 weeks | 8 weeks | 4 weeks | ||||
Outpatient | Attending clinic | 16 weeks
| 4 ½ days per week | 16 weeks (6 weekend inpatient call)
| 4 days per week | 16 weeks (4 weekend inpatient call)
| 4 days per week |
Continuity clinic | ½ day per week only during outpatient rotation | ½ day per week during outpatient and research rotation | 1 day per week during outpatient and research rotation | ||||
Research | 16 weeks | 24 weeks
| 24 weeks
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Vacation | 4 weeks | 4 weeks | 4 weeks | ||||
Fellows in the Pulmonary Fellowship Training Program gain hands-on clinical experience through inpatient and outpatient rotations. Clinical training is slightly concentrated in the 1st year, but it remains evenly balanced with research in the subsequent 2nd and 3rd years so that fellows continue to receive ample time for clinical care as well as scholarly activity and teaching throughout the fellowship program.
Over the course of three years, fellows spend a total of 9 months on inpatient rotations. As a consultant service, our fellows primary provide inpatient pulmonary consults but also conduct daily rounds with the hospitalist/resident teams taking care of our chronic pulmonary patients. Fellows collaborate with clinicians from other specialties to provide comprehensive care to patients and work closely with their supervising pulmonary attending.
Fellows spend an additional 9 ½ months on outpatient rotations, which incorporate interpretation of sleep, exercise and/or pulmonary function studies. They remain involved in weekly independent outpatient continuity clinics, which start out has half-day sessions in their 1st year and gradually build up to full day sessions by their 3rd year. This allows for continuity of care and building of long-term relationships with chronic patients and their families.
Our program is committed to improving access to high-quality, specialized care for underserved and vulnerable populations. In this regard, our fellows have the opportunity to work with diverse patient populations across their rotations and to become an advocate for improvement in their overall access to care.
Both during inpatient and outpatient time, there are numerous opportunities to perform bronchoscopies and our faculty collectively performs ~400-500 bronchoscopies a year, of which fellows can join and perform procedures under direct supervision. Additionally, during outpatient time there are blocks set aside for exposure, education and involvement with the interpretation of the varying pulmonary testing that exist within the field.
Lastly, fellows can pursue individual interests through elective educational opportunities. There is a 4-week elective block, which can be utilized for experience with sleep medicine, allergy medicine, additional outpatient, or inpatient interaction, or to allocate more time towards clinical research endeavors.
Our fellows take care of patients from basic to complex cases and incorporates a broad range of diseases including, but not limited to:
- Asthma Bronchopulmonary Dysplasia (BPD)
- Cystic Fibrosis (CF)
- Pulmonary Coccidioidomycosis
- Aspiration & AeroDigestive Disease
- Chronic Respiratory Failure – Tracheostomy & Home Ventilator Dependence
- Pulmonary Hypertension
- Single Ventricle Disease/Fontan Physiology
- Sleep Disorders
Scholarly Activity
In addition to clinical training, fellows are supported in developing skills in research, quality improvement and education. Over the 3 years, increasing time is given for dedicated pursuit of scholarly work and career interests. Additionally, both mentorship and financial support for attendance at national conferences are given throughout the program.
Equally as important is the preparation for fellows to be effective educators and leaders in the field. Fellows have several opportunities to teach other learners, to develop communication skills and to identify as well as engage in leadership roles of program initiatives with the follow support of the faculty and the pulmonary division at large.