Fellowship commences with a month of orientation, during which the first year fellow will become competent in basic ICU procedures, including central lines, arterial lines, and chest tubes gaining an understanding of the indications and complications of these procedures. The fellow will work alongside an attending and senior fellow during this month in both the medical intensive care unit and pulmonary consult
service.
Each first year fellow will also participate in:
The pulmonary consult rotation is a dedicated teaching service with 2 fellows per month, rotating residents, medical students, and teaching attending. During this rotation the fellows gain competency in clinical knowledge, management skills, and procedural skills in all aspects of pulmonary medicine. Fellows are responsible for coordinating treatment plans, procedures and for the subsequent follow up of these patients. The most senior fellow on rotation will serve as a “junior attending” and lead the team of residents and medical students. 9 months of consults will be required over the 36 months of training. A cap has been created to ensure the educational experience is of the utmost importance.
The lab rotation is dedicated to learning and gaining competency in all aspects of bronchoscopy, including diagnostic, therapeutic, endobronchial ultrasonography, transbronchial biopsy, cryobiopsy, endobronchial blocker placement, endobronchial valve placement, supraclavicular lymph node biopsy, and navigational bronchoscopy under the direction of our interventional pulmonary team. The fellow will perform bedside tracheostomies and tunneled pleural catheter placement.
Our fellows generally have 6-7 months of MICU training, which
encompass all aspects of critical care, including cardiac arrest, ARDS, PE, shock, respiratory failure, upper and lower GI bleeds, liver failure, hematological/oncological emergencies, toxic and metabolic disorders, and renal disorders. During these months, fellows will learn conventional and unconventional modes of mechanical ventilation. As the fellow progresses their role will become that of a Junior Attending leading MICU team rounds. This graduated responsibility provides the fellow more autonomous growth and confidence in handling an ICU upon graduation.
AGH is a Level 1 Trauma Center. During the Trauma ICU rotation fellows will learn primary and secondary surveys, respond to trauma codes with the trauma team, participate in and lead trauma rounds, and perform critical care procedures.
The fellow will gain experience with VA and VV ECMO, pulmonary artery cat
