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The fellowship in Pulmonary Medicine is a combined two
year program with
Palmetto Health Richland
(PHR) and
William Jenning Bryan Dorn VA Medical Center. It is
directly affiliated with the
University
of South Carolina School of Medicine. We accept three
fellows per year. All applicants should be board eligible or
board certified in Internal Medicine and should have
completed at least 3 years of Internal Medicine Residency in
an ABIM accredited residency. All fellows are expected to be
fully competent in usual procedures, consultative skills,
and to pass the internal medicine board exam in Pulmonary
Medicine after program completion.
Training Sites:
Palmetto Health Richland is the primary teaching site for
this fellowship. It has state of the art facilities for
pulmonary laboratory, bronchoscopy, common pulmonary
procedures, and critical care. The Pulmonary/Critical Care
Division offices are adjacent to the Palmetto Richland Heart
Hospital in 8 Medical Park. Fellow continuity clinic will be
in this location as well as super specialty pulmonary
clinics in sleep disorders, interstitial lung disease,
sarcoidosis, pulmonary hypertension, asthma, pulmonary
rehabilitation, cough, and pulmonary nodules. The pulmonary
rehabilitation program is based at 8 Medical Park as well.
It is a fully operational modern rehabilitation program in
which the fellows are actively involved.
There are pulmonary function laboratories at the USC
Pulmonology clinic offices, Palmetto Health Richland and at
the WJB Dorn VA Medical Center. The fellow will be trained
in all advanced techniques of pulmonary function testing
including methacholine challenge testing and cardiopulmonary
stress testing.
A new service with
Interventional Pulmonology has been initiated at
Palmetto Richland Hospital. This includes bronchoscopy with
photocoagulation, laser procedures, stints, ultra sound
bronchoscopy, and soon to come, medical pleuroscopy.
A weekly continuity clinic is required and is at the
University Pulmonology offices. Two months of outpatient
niche clinics are included in the rotations.
A monthly interdisciplinary Thoracic Oncology conference
occurs at PHR. Pulmonary function test conference, case
conferences, state of the art reviews, and patient based
conferences are all included in the curriculum. There are
approximately four conferences per week. Fellows are
encouraged to be involved in the teaching of residents and
medical students as well.
USC is intimately involved in the development of hand help
ultrasound and in the teaching of medical students,
residents, and fellows. Ultrasound technology will be
heavily used in evaluation of pulmonary and pleural lesions
as well as in critical care units.
Active research is presently ongoing in pulmonary, critical
care and sleep areas. In addition we have liaisons with
basic science researchers within the School of Medicine
Basic Science Faculty. We are also developing programs with
the School of Public Health on USC main campus. A great
wealth of research opportunities is present. Currently six
months of research are planned for the second year of
fellowship.
Ours is a very comprehensive pulmonary medicine training
program in which the fellow will be exposed to sleep
disorders, cystic fibrosis, pulmonary hypertension,
tuberculoses, and other unusual infections, HIV and all of
its manifestations, and a wide breadth of critical care.
Electives are available in Allergy, chest radiology,
cardiothoracic surgery, and pediatric pulmonology.
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