PULMONARY DISEASES
PRESBYTERIAN HOSPITAL
| PU01P Pulmonary Medicine |
| Course Director: |
Dr. Neil Schluger, (212) 305-4904, ns311@columbia.edu |
| Given: |
All year |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 8:30 AM |
| Site/Location: |
Columbia University Medical Center, Milstein Hospital Building
5 Hudson South, MICU |
| Description: |
Training in diagnosis and management of cardiopulmonary disorders.
Objective: Student will learn examination, radiologic interpretation, pulmonary function evaluation, bronchoscopic examination, clinical evaluation and management.
Learning Experience: Student will participate in consultation rounds with two Fellows and Attending physicians of the Pulmonary Division.
Feedback: Daily rounds provide close interaction and supervision by Fellows and Attendings. A library is available.
Evaluation: Evaluation is ongoing throughout the month. |
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| *PU02P Subinternship in Critical Care Medicine |
| Course Director: |
Dr. Sanja Jelic, (212) 305-3357, sj366@columbia.edu |
| Given: |
All year |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 8 AM |
| Site/Location: |
Columbia University Medical Center, Milstein Hospital Building
5 Hudson South, MICU |
| Description: |
Objective: Diagnosis and management of the critically ill patient under close, daily supervision by Critical Care Fellows and Attendings. 12 bed Medical Intensive Care Unit on Milstein 4 Hudson South.
Learning Experience: Students will participate in direct patient care and in the lectures and conferences offered in the Critical Care Training Program.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course. |
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RESEARCH
| PU90P Pulmonary Physiology Research |
| All interested Columbia P&S students MUST have approval from the course director for this elective. |
| Course Director: |
Dr. Neil Schluger, (212) 305-4904, ns311@columbia.edu |
| Given: |
All year for two or more months. |
| Maximum: |
4 students per period |
| Start Date/Time: |
Start date and time to be arranged (contact course director) |
| Site/Location: |
Columbia University Medical Center, location to be arranged (contact course director) |
| Description: |
Objective is participation in acquisition of basic scientific techniques and their application to investigation of cardiorespiratory disease.
Learning Experience: Areas of interest include: Functional and structural abnormalities in interstitial lung disease, airway mechanics in status asthmaticus, molecular pathogenesis of HIV infection, receptor-mediated phagocytosis.
Feedback: Continuous throughout the elective.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course.
Faculty: Drs. Randolph P. Cole, Steven Greenberg, and Paul Simonelli. |
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MARY I. BASSETT HOSPITAL
This elective is not available to visiting students.
| PU20C Clinical Pulmonary Medicine |
| Columbia P&S students must have prior approval from the Office of Medical Education, (888) 547-6349 |
| Course Director: |
Dr. Michael Bauer |
| Course Coordinator: |
Ms. Leann Smith, (888) 547-6349, leann.smith@bassett.org |
| Given: |
All year, housing is provided. |
| Maximum: |
1 student per month |
| Start Date/Time: |
First Monday of the month, 8:30 AM |
| Site/Location: |
Bassett Hospital, One Atwell Rd., Cooperstown NY, Medical Education Office |
| Description: |
This rotation is designed to provide the student with a broad experience in the clinical practice of inpatient and outpatient Pulmonary Medicine.
Objectives: The elective in Pulmonary Medicine will introduce the student to problems commonly encountered in the outpatient and inpatient settings; this would include evaluation and management of patients with cough, dyspnea, asthma, COPD, pulmonary neoplasms, restrictive lung disease, pulmonary infection, and occupational lung disease. Students will become proficient in the interpretation of pulmonary function tests, chest radiographs, and decision making regarding invasive procedures. Students will become knowledgeable in the application of various respiratory therapy modalities such as oxygen therapy and aerosol therapy. There will also be an introduction to the recognition and management of patients with primary sleep disorders.
Learning Experience: The student will function as a member of the pulmonary team. This will involve daily rounds on all inpatients with the attending in Pulmonary Disease. New patients will be seen initially by the student who will present the case to the Attending on service. Students will also actively participate in the outpatient clinics of all of the attending pulmonary staff. This should offer experience in both consultative skills and management principles of ongoing medical problems. Pulmonary function tests will be reviewed with the attending staff on a daily basis. Students will also be expected to work with respiratory therapists both in the Pulmonary Laboratory and on the medical floors to gain first hand knowledge about respiratory therapy treatment modalities. If desired, the student may attend any of the wide variety of diagnostic procedures performed by division members. |
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HARLEM HOSPITAL
| PU40H Clinical Pulmonary Medicine |
| Course Director: |
Dr. Peter Spiro, (212) 939-1450, ps120@columbia.edu |
| Given: |
All year |
| Maximum: |
2 students per month |
| Start Date/Time: |
First weekday of the month, 9:00 AM |
| Site/Location: |
Harlem Hospital Center, 135th St. and Lenox Ave., MLK Pavilion
14th floor, Fellow's Room 146 |
| Description: |
The elective has evolved into a well structured program. Its goal is to provide an introduction to chest medicine emphasizing clinical aspects of respiratory disease. For this reason the majority of the month long rotation is spent on the consultation service under the direction of the chest medicine attending and clinical pulmonary fellow. Students will be assigned a preceptor who will teach them to perform a thorough chest exam.
Learning Experience: Consultation service will provide the opportunity to learn the important elements in the history and physical examination of patients with chest disease; correlation with radiographic, pulmonary function, bronchoscopic and pathologic studies, where indicated; and development of a management plan for each patient. Several interdisciplinary conferences occur weekly; encompassing thoracic surgery, high-resolution and standard CT, nuclear medicine, and infectious disease review of selected clinical cases. Computerized case management sessions are available to assist with didactic learning, in addition to the resources of the departmental library. Participation in bi-weekly journal club is encouraged. Several days will be spent in the PFT lab working closely with the PFT technician. The opportunity to perform and have a full PFT and Lung Physiology study is usually available.
Feedback and evaluation are a continuing process by regular meetings with one's preceptor.
Faculty: Drs. S. Nachman, M. Olibrice, J. Schicchi, G. Pesola and P. Spiro. |
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ST. LUKE'S – ROOSEVELT HOSPITAL CENTER
ST. LUKE'S SITE AND ROOSEVELT SITE
| PU50L Pulmonary Medicine |
| Course Director: |
Dr. Edward Eden, (212) 523-3610, ee5@columbia.edu
Dr. Mary O’Sullivan, (212) 523-3610 |
| Course Coordinator: |
Ms. Charlene Davis, (212) 523-3610, chdavis@chpnet.org |
| Maximum: |
2 students per month (1 student at each hospital) |
| Start Date/Time: |
First weekday of the month, 10:00 AM |
| Site/Location: |
St. Luke's Hospital, 114th and Amsterdam Avenue |
| Description: |
The elective, available at both hospital sites, provides the student with an introduction to pulmonary medicine and focuses on the clinical approach to the diagnosis and management of pulmonary diseases.
Objectives: The student should become familiar with techniques used in the diagnosis of pulmonary disease, pulmonary function testing, and the care of respiratory insufficiency.
Learning Experience: Students work closely with pulmonary fellows and attendings who emphasize proper synthesis of clinical, laboratory, and roentgenologic information. Students work-up patients and review chest x-rays, CT scans, pulmonary function tests, EKG, laboratory data, and observe and/or participate in special procedures with a pulmonary physician. The applications of bronchoscopy, broncho-alveolar lavage, lung biopsy and pleural biopsy with their indications, limitations and interpretations are discussed, weighed and performed in the evaluation of patients. Students are expected to attend the pulmonary, asthma and smoking cessation clinics. All cases are presented to the consult or clinic attending. Student follow-up of patients is expected. There is excellent learning experience resulting from the one-on-one with pulmonary fellows and attending physicians. Pulmonary function tests are reviewed in depth with the student from the basic spirogram and lung volumes to sleep studies and exercise testing. Conferences include a weekly pulmonary conference, bimonthly critical care, chest CT, and thoracic surgery conferences. For those interested in the subtleties of respirator management, we encourage the student to spend time in our pulmonary stepdown and palliative care units. The role of pulmonary medicine in total health care delivery in chronic, acute lung diseases and critical care is emphasized.
Feedback: The student works closely with fellows and attendings and is given on-going feedback and suggestions.
Evaluation: Will be based on a consensus of all faculty members involved in the student's education in this course. |
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STAMFORD HOSPITAL
| PU30S Pulmonary Medicine |
| THIS ELECTIVE IS NOT AVAILABLE TO VISITING STUDENTS. |
| Course Director: |
Dr. Paul Sachs, (203) 325-7443, PSachs@stamhealth.org |
| Course Coordinator: |
Ms. Joanne Cesario, (212) 348-2437, JCeasrio@stamhealth.org |
| Maximum: |
1 student per month |
| Start Date/Time: |
First weekday of the month, 9:30 AM |
| Site/Location: |
Stamford Hospital, Stamford, CT, Pulmonary Medicine Department Office |
| Description: |
This elective provides experience in the in-patient and ambulatory management of a wide range of problems in the discipline of Pulmonary Medicine.
Objectives: The student will develop a sound clinical understanding of Pulmonary Medicine, in the context of thoroughness of history taking and physical examination, understanding of pathophysiologic principles, and integration of laboratory and ancillary studies. The student will learn to develop a management plan appropriate to the clinical needs of the patient, and to effectively utilize ongoing data and analysis to make relevant modifications in diagnostic and therapeutic strategies. The student will also become well-principled in the understanding of fundamental pulmonary physiology, laboratory assessment of pulmonary function, and interventional procedures in Pulmonary Medicine.
Learning Experience: The student will work under the aegis of the attending Pulmonary Medicine physician, and in concert with the resident physicians assigned to that rotation. Students will make inpatient rounds and will be actively involved in clinical assessment and diagnostic and therapeutic planning. The student will have the opportunity for direct involvement in relevant laboratory techniques, and will become proficient in their principles and practices. In concert with the resident and attending staff, students will see patients in Pulmonary Medicine consultation. The student will also be involved in the assessment, care, and management of ambulatory patients with pulmonary problems in the Ambulatory Care Center and in the offices of the attending staff.
Students will attend daily Morning Report, Noon Conference, Medical Grand Rounds, and Chief of Service Rounds. Students will also play an active and participatory role in the Pulmonary Medicine Conferences, and will be called upon to present and discuss topics relevant to their clinical experiences.
Evaluation: The final evaluation will be based upon the student's performance at all levels of activity on this rotation. Clinical skills, assimilation of new knowledge, work ethic, humanistic qualities, and overall specialty proficiency will be important criteria of evaluation. This evaluation will be constructively discussed with the student at the completion of the rotation. In addition, the student will be given regular and ongoing feedback throughout the rotation.
Faculty: Drs. Lester J. Krasnogor, James S. Krinsley, Paul Sachs, Dominic Roca, PhD, and Steven Thau. |
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