As part of a three-year program leading to board eligibility in both pulmonary diseases and critical care medicine, fellows see approximately 1,000 consultations per year, and assume significant responsibility for the patients admitted directly to the Medical Service and Intensive Care Units. We take 2 – 3 fellows per year.  The Division has been approved for 8 fellows and has received ACGME approval for a 1 or 2 year critical care track within our existing program.

The Division strictly adheres to the ACGME duty hour regulations. Fellows take call from home 3-5 times a month and 6-7 week-ends a year. Week-end call starts Friday evening and ends Sunday evening at 9PM.

The training program has rotations as indicated below. Pulmonary fellows assigned to the ICU cover rapid response team calls as well.

Rotations include (in months):

• St. Luke’s Medical Intensive Care Unit
• St. Luke’s ICU consult and Pulmonary Step Down
• Pulmonary consult and Pulmonary Function Testing at St. Luke’s
• Roosevelt Medical Intensive Care Unit
• Roosevelt Pulmonary & ICU Consults and Pulmonary Function Test interpretation
• Electives (research, sleep medicine, pulmonary rehabilitation, anesthesiology, coronary care unit, cardiothoracic unit, surgical intensive care, neurosurgical intensive care, radiology, lung transplantation)
• Vacation

Fellows are taught all pulmonary procedures, including a full range of bronchoscopic procedures, Swan-Ganz and pulmonary arterial catheterizations. The critical care experience stresses the interpretation of hemodynamic data and hemodynamic intervention, as well as ventilatory care. In addition, goal directed ultrasound, echocardiography, and ultrasound guided thoracentesis, chest tube placement, and PICC/central line placement are routinely performed. In a combined program with thoracic surgery, endobronchial ultrasound is being performed for mediastinal staging of lung cancer.