The 16-bed Medical Intensive Care Unit provides the foundation for critical care training. Fellows lead rounds under the guidance of faculty, supervise procedures, and provide didactics to residents and students on service. Proficiency with critical care ultrasonography and mechanical ventilation are also emphasized. Additional critical care training occurs in the Surgical Anesthesia Intensive Care Unit, the Heart and Vascular Intensive Care Unit, and the Trauma Service in the second and third years of training.
On the pulmonary inpatient consultation service fellows learn about the diagnosis and management of pulmonary diseases including a variety of obstructive, vascular, and interstitial lung diseases. Pulmonary issues of the immunocompromised patient are also regularly encountered. This service also assumes primary care on all cystic fibrosis patients admitted to the medical center.
The interventional pulmonary team is a combined inpatient and outpatient core rotation where fellows receive extensive training in basic and advanced bronchoscopy as well as pleural procedures. As part of this rotation fellows participate in the multidisciplinary thoracic clinic and learn/co-manage various aspects of both primary and non-pulmonary thoracic malignancies.
Pulmonary/critical care fellows each have their own weekly afternoon continuity clinic where they will care for patients with a broad scope of pulmonary pathology. We have an outstanding outpatient referral base from Central Pennsylvania. Over the span of their training fellows typically will see patients with both common and rare diseases including asthma, COPD, interstitial lung diseases, neuromuscular diseases, sarcoidosis, rheumatologic diseases, and pulmonary hypertension to name a few. Throughout their training fellows will understand and become proficient at interpreting PFT's and cardiopulmonary exercise testing.
In addition to the above 2nd and 3rd year fellows will spend time on various electives including:
- Pulmonary Rehab
- Sleep Medicine
- Thoracic Surgery
- Critical Care Ultrasonography
- Allergy & Immunology
Formal teaching in the Pulmonary/Critical Care Fellowship Program occurs through a series of weekly conferences. These provide a foundation in the pathophysiology, diagnosis and clinical management of lung diseases and the critically ill.
Pulmonary Grand Rounds are scheduled from 3-5 pm each Tuesday afternoon with a monthly rotating topic based on ABIM examination content. The first hour of this conference is designated for interesting or difficult cases presented in a casual format to solicit meaningful discussion and feedback. The latter hour include formal didactic lectures based on the monthly topic, journal club review of recent published literature, or research progress of faculty members and fellows.
The fellows maintain a weekly conference each Friday morning run by the chief fellow with emphasis on board exam preparation. This includes a once monthly clinical pathology conference where fellows co-present a case and review pathology slides with Dr. Dani Zander a pulmonary pathologist. As well as a monthly radiology conference consisting of combined didactics and image review by the thoracic radiology faculty.
Dr. Philippe Haouzi also holds weekly interactive sessions with the fellows to discuss and explore the complexity of many principles in cardiac and respiratory physiology.
The medical center also hosts weekly Internal Medicine Grand Rounds as well as many other subspecialty conferences. A joint clinical ethics conference is held monthly and is attended by the MICU, SICU, and Medical Ethics teams. A quarterly Critical Care Grand Rounds hosts outside speakers to present new research findings.