The Pulmonary and Critical Care Fellowship Program assumes that fellows will spend the majority of their off-service months engaged in an independent, supervised research project. However, the program does encourage participation in clinical electives that allow fellows to broaden their training in areas of particular interest.
- Thoracic oncology and advanced bronchoscopy: The fellow will gain additional experience in a variety of procedures, including endobronchial ultrasound-guided transbronchial needle aspiration, YAG-laser cautery, argon plasma coagulation, navigational bronchoscopy, and airway dilatation and stenting. This elective includes time with the Radiation Oncology service, in the Cytopathology lab, and with the Thoracic Surgery team, tailored to fit the fellow’s interests and needs.
- Cystic fibrosis clinic: Opportunities are available to evaluate patients with cystic fibrosis (CF) at the monthly multidisciplinary CF clinic at Dartmouth Hitchcock Medical Center in Lebanon and at Dartmouth Hitchcock Clinics Manchester.
- Chest radiology: An elective with our chest radiologists will have an emphasis on interpretation of both plain film imaging and computed tomography of the thorax.
- Interventional radiology: Time spent with the interventional radiology service will provide an opportunity to gain additional experience performing tube thoracostomy, as well as other drainage procedures, including the placement of indwelling PleurX catheters.
- Echocardiography: Point-of-care ultrasound, including cardiac ultrasound, plays an increasing role in the care of critically ill patients. Although there is a didactic series dedicated to echocardiography and abundant opportunities for “hands on” experience during the ICU rotations, many fellows choose to do one or more elective months in the echocardiography lab, where they gain additional experience interpreting echocardiograms under the supervision of an attending cardiologist.