In addition to the core programs in Pulmonary Medicine and Critical Care, fellows have the option of pursuing specialized training in a conventional or innovative area of special clinical interest. Several of these tracks are described below.
All fellows will receive a core education in sleep in their first two years of fellowship through a lecture series, participation in sleep clinics, and a regular polysomnogram conference. Fellows interested in making sleep disorders the focus of their career have the opportunity to pursue additional in-depth clinical training in sleep medicine, focusing on both respiratory and non-respiratory disorders of sleep. This will require an additional year of clinical work focusing on sleep in the ACGME-accredited sleep fellowship. Pulmonary fellows are accepted directly into the sleep fellowship without an additional application process.
Advanced Lung Disease and Lung Transplantation
A specialized pathway is available for in-depth clinical training focusing on the care of patients with advanced, disabling lung disorders. Areas of exposure include:
- Lung transplantation
- Lung volume reduction surgery
- Vasodilator therapy for pulmonary hypertension
- Pulmonary thromboendarterectomy for chronic pulmonary embolism
- Use of anti-inflammatory and antifibrotic agents in the treatment of interstitial lung diseases
A specialized pathway incorporating an additional year of training has been established to train fellows in advanced bronchoscopic, pleuroscopic and other techniques employed in the care of patients with lung disease. Skills acquired as part of this training include:
- Laser bronchoscopy
- Insertion of tracheal and bronchial stents
- Rigid bronchoscopy
- Endobronchial brachytherapy
- Insertion of chest tubes and PleurX catheters
- Percutaneous tracheostomy
By special arrangement, fellows may develop their own advanced clinical training pathways. In recent years, fellows have extended their core clinical training with advanced studies in allergy and immunology, critical care administration, post-graduate education administration, and international health.