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Division of Pulmonary, Allergy & Critical Care Medicine |
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Clinical Centers |
Pulmonary
and Critical Care Fellowship Program
Charles A. Powell, M.D.,
Program Director Columbia University, College of
Physicians & Surgeons How to Apply: We participate in the
Electronic Residency Application Service- ERAS. A complete application
packet includes: ■ ERAS
application form ■ 3
letters of recommendation ■ ECFMG
Certification (for foreign medical graduates) ■ USMLE
Scores (for foreign medical graduates) ■ Photo
(optional) |
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Interventional
Bronchoscopy and Endobronchial
Therapy Center |
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Jo-Ann F. LeBuhn Center for
Chest Disease & Respiratory Failure |
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Pulmonary Clinic |
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Stress Test |
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Tuberculosis
Clinic |
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General Description The Division offers four
positions each year to board eligible internists who wish to subspecialize in Pulmonary and Critical Care
Medicine. This three-year program is designed to meet the needs and
interests of individuals preparing for an academic career as a practicing
pulmonologist/intensivist who
is also qualified to teach and/or to conduct research as a member of a
medical school faculty. The first two years offer a
wide and closely mentored experience in the diagnosis and management of
patients with respiratory disease and critical illness in both in-patient and
ambulatory settings. The third year is devoted to a laboratory-based or
clinical investigation program that is determined by the fellow and program
director. An optional fourth year is
available to facilitate continuation of promising research projects. Goals and Objectives The goal of our program is to
present an experience that will permit graduates to qualify as scholarly
practitioners or investigators in an academic environment. The graduate
will acquire a clinical approach based upon a knowledge of the relationship
between structural and functional respiratory abnormalities and their
clinical manifestations; a critical analysis of the literature; and expert
performance of invasive procedures as well as interpretation of a wide
variety of non-invasive diagnostic examinations. The fellowship also
provides experience and management of the diverse clinical problems seen in
the Medical Intensive Care Unit setting. By the end of the training
program, the graduate should be equipped to provide superior care to
critically ill patients. In addition, the graduate should be familiar
with the instrumentation and data acquisition systems used in the ICU setting
and should be able to recognize the indications, the benefits and the
complications of the invasive procedures utilized in the ICU setting. Pulmonary Medicine During the first two clinical
years, the fellow encounters a broad spectrum of disease entities as a
consequence of the wide geographic referrals to this tertiary care center and
of the interests of the Divisional and Departmental faculty. The fellow
is afforded an armamentarium of modern and innovative diagnostic techniques
such as spiral and thin section CT, PET scanning, and gated MRI, as well as
an unusual mix of therapies, including lung transplantation, lung volume
reduction surgery for emphysema, and novel treatments for primary pulmonary
hypertension. During year one, each fellow is encouraged to familiarize
him/herself with the research programs being conducted within the program. The fellows responsibilities
lie in the consult service, the pulmonary function laboratory, the sleep
laboratory, the cardiopulmonary exercise laboratory, the lung transplant
service, the Medical Intensive Care Unit and the outpatient Chest and Asthma
Clinics. There are also rotations through non-medical critical care
units. The fellows respond to all adult service consultation requests
throughout the Because the in-patient
service of the Department of Medicine is not organized on a subspecialty
basis, the consultative component of the pulmonary program serves as a major
bedside input for house staff and clinical clerks with respect to diagnosis,
management and prognosis of respiratory disease, in addition to patient
management. This interaction includes a scholarly component of notes in
the case record citing the relevant literature for each condition. In
addition, the program accepts up to two fourth year students per month in a
pulmonary medicine elective and house officers at the PGY1 to PGY3 level for
elective periods from one to three months. The fellows act as mentors
to these individuals. Under faculty supervision,
fellows interpret all evaluations of pulmonary function and sleep disordered
breathing daily. The fellows attend Chest Clinic once a week during
each year of the program. In-patients are referred by the house staff
or the fellows themselves, while out-patients may be referred by Emergency
Services, other Subspecialty or General Medicine Clinics as well as the
various community based clinics organized by the Critical Care Medicine The Rotations are also scheduled
in the Cardiac Intensive Care Unit. The fellow participates in the
evaluation and management of patients with acute cardiac disease including
acute myocardial ischemia and infarction, malignant arrhythmias, acute cardiogenic pulmonary edema, decompensated
chronic heart failure, and aortic dissection. The fellow will gain
experience in the management of patients undergoing evaluation for various
angioplasty procedures, for cardiac valve replacement, for coronary bypass
surgery, and for heart and lung transplantation. In addition rotations are
scheduled in the Surgical-Anesthesia Intensive Care Unit and the
Neurological-Neurosurgical Intensive Care Unit. Rotations can also be
arranged in the Cardio Thoracic Surgical Intensive Care Unit. Research During the third research
year, the fellow has access to a wide range of investigative problems and
technologies in clinical investigation, cell and molecular biology, and
immunology in ongoing programs throughout the Dr. Robert Basner (sleep
disorders) Dr. Boris Reizis (immune
system development) Additional Years Additional research
experience is often needed both to qualify for faculty appointment and to
bring interesting projects to fruition. When the quality of performance
during the second year suggests special aptitude for development in this
direction, we will offer further post-doctoral experience and resources while
supervising the fellow's application for independent support. |
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Pulmonary and Critical Care Curriculum The curriculum for the
Pulmonary and Critical Care fellows is based on a strong foundation of
clinical and academic exposure to the following following
subjects: Clinical Curriculum Pathophysiology
Curriculum
Pulmonary Circulatory
Abnormalities induced by Respiratory Disturbances
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Pulmonary and Critical Care Weekly Conference Schedule
* Case presentations with basic science correlation,
pathology reviews, monthly joint conference with Pediatric Pulmonary Group. |
