An important part of the training program is the development of skills that will be important in the practice of medicine after fellowship. These include developing professional relations with colleagues and staff, refining teaching and presentation skills, fostering independent decision making, and understanding administrative aspects of pulmonary and critical care medicine. To develop those skills, graded levels of responsibility have been designed into the curriculum. In general, they encompass the following areas:
- First year: Evaluate patients under close and direct supervision of attending; procedures done with help and close supervision of attending.
- Second year: Present to the attending the assessment/plan (A/P) for a new consult; preround and present to the attending the plan for the day on all follow-ups; develop long-term plan for patients; closer supervision of rotating residents.
- Third year: Organize, direct, and manage the consult service with minimal input from the attending. This type of training provides ample opportunity for the trainee to become a team leader in the management of patient care.
- First year: Organize consult list, act as a resource to the rotating residents and medical students.
- Second year: More active in direct consult rounds, more active participation in supervision of rotating resident and medical students.
- Third year: Organize, direct and manage the consult service with minimal input from the attending; assume major role in supervision of rotating residents and medical students.
- First year: Act as resource to the rotating residents and students, expected to read general pulmonary textbook regarding cases and bring knowledge to rounds; prepare a complete review of topic to present at the pulm/cc lecture series.
- Second year: Serve as a resource for training first-year fellows in procedures and function on consult service. Act as a resource for residents and students on consult service. Expectation to review medical literature and bring appropriate references to rounds; prepare a complete review of topic to present at the pulm/cc lecture series.
- Third year: Expectation to review medical literature and bring appropriate references to rounds; prepare a complete review of topic to present at the pulm/cc lecture series; assume major role of teaching the rotating residents and medical students.
- First year: Develop an idea, generate several hypotheses, choose a research mentor.
- Second year: Project with written hypothesis, methods, data collection in progress; preparation and presentation of project at research conference.
- Third year: Publication of research project; abstract/poster presentation.
Organization and Administration
- First year: Participate in divisional conferences and meetings.
- Second year: More active participation in divisional conferences and meetings, act as resource for first-year fellow.
- Third year: Act as resource for fellows, represents fellows at divisional meetings, makes conference and rotational schedule for fellows in conjunction with program director.
Our fellows have the unique experience of exposure to procedures including, but not limited to, advanced bronchoscopic procedures such as endobronchial ultrasound, navigational bronchoscopy, percutaneous tracheostomy, and pleuroscopy.
Fellows are evaluated monthly by the faculty, and are reviewed by them and the program director quarterly. Fellows have the opportunity to discuss the evaluations with the program director in detail. Fellows also get verbal feedback from the attending at the end of each rotation. Faculty and the program are evaluated by the fellows in writing anonymously every year.