Pulmonary and Critical Care

The Division of Pulmonary, Critical Care, and Sleep Medicine offers fellowship positions each year to board-eligible internists who wish to subspecialize in pulmonary and critical care medicine. The three-year combined subspecialty program provides supervised training at a level that allows the fellow to acquire the expertise and competency of a specialist in pulmonary medicine and critical care medicine, according to the requirements set forth by the Accreditation Council of Graduate Medical Education. We offer a closely mentored experience in the diagnosis and management of patients with respiratory disease and critical illness in both inpatient and ambulatory settings. Fellows are strongly encouraged to participate in scholarly activities involving teaching, basic and clinical research, and focused study in a particular area of interest.

The training program is fully integrated into the activities of the Division of Pulmonary, Critical Care, and Sleep Medicine. It includes at least 24 months of clinical training with nine months devoted to patient care responsibility in critical care units. This training will occur at two tertiary care institutions, Long Island Jewish Medical Center (LIJ) and North Shore University Hospital (NSUH). Clinical training includes active participation in two large pulmonary consultative services (NSUH and LIJ), training in the performance and interpretation of pulmonary function and cardiopulmonary exercise testing, and training in pulmonary procedures, including bronchoscopy, endobronchial ultrasound, ultrasound, and fiber-optic evaluation of swallowing and the diagnosis of sleep disorders. Critical care training includes six months divided between the medical intensive care units of LIJ and NSUH, with mandatory rotations in the neurosurgical intensive care unit of NSUH and surgical intensive care unit and cardiothoracic intensive care units of NSUH or LIJ. An elective rotation in the cardiac care unit at either NSUH or LIJ is available. Fellows will round in the respiratory care unit at NSUH, which provides care primarily to patients receiving mechanical ventilation outside the ICU. There is a weekly conference schedule at each hospital site that includes clinical, core, and multidisciplinary conferences. Many of our conferences are held jointly between both sites. Fellows participate in a continuity care clinic experience throughout the length of the training period for one half-day per week. In addition, fellows choose an area of clinical or basic science research and pursue it actively under the guidance of a faculty member.

Accredited subspecialty programs in cardiovascular disease, infectious disease, general surgery, and cardiothoracic surgery are present on campus to ensure the extensive educational, patient care, and research resources and peer interactions that are essential to the learning environment for critical care medicine fellows. NSUH provides services for the care of patients with major trauma.

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