The requirements the ACGME and ABIM placed on a fellowship in terms of patient care experience are significant. At a minimum they must complete a three-year program with a minimum of 18 months of direct patient care. In reality, the board requires 18 months of patient care experience in each discipline for a total of 24 months but gives double credit to 6 months of time where the 2 disciplines are closely interwoven. Of these 18 months therefore, 9 months must be devoted to pulmonary, 9 months in critical care medicine, of which 6 months are devoted to the care of critically ill medical patients( MICU/CICU or equivalent); at least 3 months devoted to the care of critically ill non-medical patients (SICU, burn unit, transplant unit, neuro intensive care unit or equivalent).
This experience should consist of at least one month of direct patient care activity with the remainder being fulfilled with either consultative activities or with direct care of such patients. OB ICU, NeuroICU and SICU will be mandatory. For neuroICU, fellows will have direct patient care responsibility.
Pulmonary Critical Care Rotations
Core Rotations( 2 week blocks)
|UH/Crouse Pulmonary Consult Service
Non-Core Rotations (2 week blocks)
|PFT Lab/Sleep Clinic
National Jewish Health Elective
At National Jewish Health a large number of patients are seen with nontuberculous mycobacterial (NTM) or "atypical" infections, including M.avium complex, M. chelonae, M. abscessus, M. simiae, M. kansasii and other species. Most of the patients have pulmonary disease, while others have extrapulmonary infections, which include spinal, osseous, or soft-tissue sites. We also see patients with MDR-TB, an almost exclusively pulmonary disease. These patients are treated on the ward/adult-day unit (ADU) and/or are seen in the Outpatient Clinic.
Fellows will work with one attending physician, but will regularly interact with the faculty of the Infectious Diseases Division (Drs.Charles Daley, Jared Eddy, Gwen Huitt, Shannon Kasperbauer)
This rotation is a month-long rotation with the possibility of a stipend. Typically, this elective is for PGY6 fellows.