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The Curricular goals will be achieved through a variety of
methods. Specific educational goals and objectives are
present for each rotation, including assigned readings.
Fellows will be encouraged to
develop self directed learning skills. Required topics will
be covered in didactic conferences, rotation experiences
including subspecialty clinics, and directed readings.
Specific Objectives:
Pulmonology
Medicine Knowledge
Fellows will demonstrate knowledge of the pathophysiology
and perform appropriate diagnosis and management of patients
with the following conditions:
- Lung disease caused by
infections, obstruction, inflammation, and
occupation/environment
- Pulmonary vascular diseases
- AIDS
- Common issues of post-op lung
transplantation
- Pulmonary neoplasms
- Pleural and mediastinal disorders
- Chest trauma and acute lung
injury
- Developmental
abnormalities/congenital disorders
- Respiratory failure
- Hypersomnia and sleep disorders
Critical
Care Medicine Knowledge
Fellows will learn
pathophysiology and how to diagnose and manage patients
with the following:
- Disorders which can cause
patients to be come critically ill, including
cardiovascular, respiratory, neurologic, endocrine,
hematologic, and musculoskeletal; infectious
diseases; obstetric and gynecological disorders; and
anaphylaxis and acute allergic reactions
- Disorders secondary to
critical illness, including shock states;
electrolyte, nutritional, and endocrine effects of
critical illness; hematologic and coagulation
disorders secondary to critical illness;
pharmacokinetics, pharmacodynamics, drug metabolism,
and drug excretion in critical illness
Pulmonary Medicine Practice Skills
Fellows will
demonstrate skills in the following areas:
- History taking
- Physical exam
- Data interpretation
- Physiologic data relevant
to pulmonary problems
- radiologic imaging
studies relevant to pulmonary problems
Critical Care Medicine Practice Skills
Fellows will
demonstrate skills in the following areas:
- History taking
- Physical exam
- Lab data
interpretation
- Radiologic data
interpretation
Patient Care Evaluation Plan
By the end of
the two-year fellowship program, patient
care in pulmonary diseases and critical care
medicine is expected to reach a level
appropriate to a practicing pulmonary
subspecialist. Standards are being
developed for each rotation and stage of
training regarding required/desirable levels
of performance on testing/evaluation as
follows:
-
Mini-CEX forms
- Attending
evaluation form
- Procedure logs
- Consult logs
- Clinic patient
logs
-
360° evaluation
Procedural Patient Care
Fellows will demonstrate the technical
skill necessary to use specialized
equipment and perform specialized
procedures used to diagnose and manage
problems pertinent to Pulmonary
Medicine. Use of lectures, models,
and simulators early in the fellowship
will be emphasized so as to minimize
risk of injury to patients during
learning. Mastery of these skills
is best done through direct patient care
under careful supervision of the
attending staff.
Fellows will learn:
-
indications,
contraindications, complications,
and proper use of specialized
equipment for managing patients with
pulmonary problems
-
data analysis of
specialized data pertaining to
pulmonary and critical care
-
technical skills
of performing specialized procedures
Interpersonal
and Communication Skills and
Professionalism
Fellows
will demonstrate ability to apply
knowledge, practice skills, and
technical skills to diagnose and
manage patients with problems
pertinent to pulmonary medicine.
You will develop the skills
necessary to function as a
sub-specialty consultant.
Considerable overlap occurs in the
domains of interpersonal and
communication skill with
professionalism in the realm of the
internist consultant.
Fellows will
learn:
- the basic
constructs of the
referral-consultant relationship
for managing or co-managing the
care of patients with pulmonary
problems or patients who are
critically ill.
- when to
refer patients for procedures to
be performed by a thoracic
surgeon or other specialist
- to
demonstrate attitudes, values,
and habits of a dedicated
academic sub specialist in
Pulmonary Medicine. The
Pulmonary fellow will learn to
model and live as a consummate
Professional
-
constructive coping skills for
physicians (including yourself)
and other health care
professionals who care for
chronically ill pulmonary
patients.
Systems
Based Practice
Fellows
will demonstrate knowledge of
how the care of problems
pertinent to Pulmonology fit
into patients' overall health
plan. By working on
quality improvement projects,
teaching, and participating in
medical direction roles, the
fellows will gain understanding
of how systematic, large scale
societal issues may impact
patient outcomes in both
positive and negative ways and
how large-scale systems may
improve patient care.
Practice
Based Learning
Pulmonology Fellows will learn
from their patient results and
outcomes. The scientific
method will be used to analyze
practice patterns of the fellow,
their peers, and the division so
as to investigate, evaluate, and
improve patient care.
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