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.
- Cardiovascular critical care: This rotation provides fellows the opportunity to participate in the care of patients with pulmonary artery catheters, intra-aortic balloon pumps, ventricular-assist devices, and sometimes patients undergoing ECMO.
- 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.
- 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 1 or more elective months in the echocardiography lab, where they gain additional experience interpreting echocardiograms under the supervision of an attending cardiologist.
- 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 placement of tunneled pleural catheters.
- Palliative care: The palliative care elective provides fellows with additional experience in serious illness conversations as well as symptom management in patients with advanced lung disease.