Program Overview

Clinical Training

The 16-bed Medical Intensive Care Unit and 24-bed Medical Intermediate Care Unit provide the foundation for critical care training. Additional critical care training occurs in the Surgical Intensive Care Unit, the Pediatric Intensive Care Unit, Trauma Services, and Rehabilitation Services. We have an outstanding critical care and outpatient referral base from Central Pennsylvania. Through the Pulmonary Function Laboratory, we provide complete respiratory diagnostic services. In-and-outpatient bronchoscopy serves both our own clinical needs and those of referring physicians.

Pulmonary/critical care fellows have the advantage of the close interaction with allergy specialists within our Division. This allows a balanced training in asthma diagnosis and management.

Teaching

Formal teaching in the Pulmonary/Critical Care Fellowship Program occurs through a series of conferences scheduled from 3-5 each Tuesday afternoon. These provide a foundation in the pathophysiology, diagnosis and clinical management of lung diseases. A biweekly research conference supported by both members of the Pulmonary Division and collaborating basic scientists. Ricky Mahraj, MD, our chest radiologist, attends the 4:00 pm conference, emphasizing the basics of diagnosis. A weekly clinical conference rotates topics including clinical management, radiographic interpretation, sleep disorders, and clinical pathologic correlations.

The medical center hosts weekly Grand Rounds, daily residents’ conference, and many subspecialty grand rounds. A weekly Critical Care Lecture Series delivers a core curriculum from Sandralee Blosser, MD, board certified in Pulmonary, Critical Care Medicine and Anesthesiology provides administrative leadership for adult critical care throughout the Medical Center. A joint clinical critical care conference is held weekly and is lead by the MICU, SICU, and Medical Ethics teams alternating in weeks. A quarterly Critical Care Grand Rounds provides outside speakers to present new research findings.

Specialty clinics in the second and third year allow fellows to sharpen their skills in selected areas under the personal tutorial of a pulmonary faculty member. Dr. Timothy Craig provides clinical tutorial in allergy and the allergic approach to asthma management. Dr. Rebecca Bascom provides tutorial guidance in the diagnosis and management of environmental and occupational respiratory disease. Drs. Kevin Gleeson and Virginia Imadojemu lead the Sleep Disorders Clinic. The local Health South ventilator-weaning unit provides a training site for pulmonary rehabilitation. Dr. Margaret Wojnar, director of the Intensive Care Unit coordinates training with the Simulation Development and Cognitive Science Laboratory that provides ample models and simulators for the development of individual and interdisciplinary competency in critical care.

Fellows maintain a one-half day continuity clinic for the three years of their fellowship clinic. The continuity clinic is fed by a new patient clinic that the fellow has during the first year of the fellowship rotation, and from inpatient consultations.

Laura Delo, RN, MScN, is an advanced practice nurse working within our group focusing on sleep. She sees patients both independently and collaboratively. We believe the use of advanced practice nurses is the wave of the future, and we are training fellows to be comfortable with this practice model. We also work with an outpatient clinical case manager who is a nurse focused on care coordination for our most challenging patients.