Pulmonary and critical care fellows are eligible to participate in the Leadership Preventive Medicine Residency. This track will be offered to selected fellows and is tailored for those interested in gaining further knowledge and skills in the assessment of medical outcomes and in leading change and improvements in health care systems. The track combines 2 years of clinical training in Pulmonary and Critical Care Medicine with Dartmouth Hitchcock Medical Center's 2-year Leadership Preventive Medicine Residency program. The first 2 years of the program consist primarily of clinical rotations; the third year of the program consists primarily of classes, and the final year consists of a practicum wherein the knowledge and skills acquired in the classroom are applied to some aspect of the care of patients with pulmonary disease or critical illness. When completed, fellows will be board eligible in Pulmonary and Critical Care Medicine and in Preventive Medicine, and will have acquired a Masters in Public Health (MPH) through the Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth College.