The Pediatric Pulmonology fellowship at NewYork-Presbyterian Morgan Stanley Children's Hospital and Columbia University is an ACGME-approved training program. This three-year fellowship is available to candidates who have completed a pediatric residency at an accredited program. In general, 14 months are spent acquiring clinical skills and the remaining 19 months are spent pursuing academic research. Fellows see outpatients in weekly clinics throughout the training period. On the inpatient months fellows provide care to children admitted to the pulmonary service as well as provide consultation to other services for children with respiratory complications. It is also during the inpatient months that fellows learn to perform flexible bronchoscopy. During the first year, fellows choose a research mentor and research track. This research activity continues through the 2nd and 3rd years of fellowship, usually resulting in a presentation at a national or international medical meeting.
The major focus of the training program is to provide fellows with a strong balance of clinical training and research experience. The strong outpatient and inpatient services provide the fellow with experience in diverse areas of pediatric pulmonary medicine. The medical center provides myriad scientists, clinical and basic, able and willing to serve as research mentors. The research activity is expected to result in a presentation at a major national meeting, and in the submission of a manuscript to a peer reviewed journal. The fellow should also gain a broad clinical experience during the training years.
The first year of training introduces the fellow to both the clinical and research aspects of Pediatric Pulmonology. Just over half of the year is spent managing the inpatient service. This entails supervising the care of patients admitted to the hospital with primary pulmonary illnesses and providing pulmonary consultations to inpatients. While on the inpatient service, the fellow performs bronchoscopies under the direct supervision of the faculty. Other available rotations include critical care, pediatric radiology, lung transplant medicine, and anesthesiology.
During the first year, the fellow spends time in the pulmonary function laboratory becoming familiar with pulmonary function testing (PFTs) and their interpretation. The fellow will also become acquainted with our pediatric exercise physiology laboratory.
Fellows participate in a variety of weekly conferences within the Pulmonology Division. A weekly conference is attended by all members of the interdisciplinary Cystic Fibrosis team. There is also a weekly physiology seminar in which the fellows alternate teaching various topics of pulmonary physiology to their colleagues and faculty members. Additionally, there is a weekly clinical case conference in which fellows and faculty members present interesting inpatient and outpatient cases for discussion. There is a weekly Sleep conference where fellow learn to read and interpret sleep studies. Post-graduate coursework in research design and statistics are available as well.
In addition to research within the division, collaborations exist with microbiology, cellular biology, genetics and development, anesthesiology and immunology laboratories within the medical center.
Andrei Constantinescu, MD