During the first two years of our training program, the fellows work closely with faculty as they become proficient in the diagnosis and management of respiratory disease, and in learning the required skills to care for critically ill patients. Columbia University Medical Center, located in Washington Heights, provides care for patients in the surrounding neighborhoods, which are largely comprised of underserved, inner-city patients, and serves as a large tertiary referral center for patients with a wide variety of rare lung diseases. The Columbia Medical ECMO Program is one of the only adult ECMO programs in the world focused on providing ECMO for medical indications such as hypoxemic or hypercapneic respiratory failure and pulmonary hypertension as bridge to recovery or bridge to lung transplant. These patients are managed in the MICU; thus our fellows become proficient in managing medical ECMO. We have an active interventional bronchoscopy group where the fellows perform endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) under the direct supervision of our interventional bronchoscopists. The diverse patient population and our referral programs provide fellows with an exceptional and unique setting for training in pulmonary and critical care medicine.
There is no in-house call for pulmonary and critical care medicine fellows. Weekend coverage is on average one in four weekends for first and second year fellows.
Fellows have 4 weeks of vacation each year.