Pulmonary Fellowship Schedule
Rotation Schedule and Teaching Sites
The primary teaching site is New York Methodist Hospital (NYM), Brooklyn, New York. Memorial Sloan-Kettering Cancer Center, Manhattan, New York, King’s County Hospital Center, Brooklyn, New York, and Columbia Presbyterian Medical Center, New York, New York will serve as additional training sites. Fellows will spend more than two-thirds of their time at the primary teaching center (New York Methodist Hospital) and less than one-third of the time at each of the other training sites. All the training sites are well-equipped, modern facilities with in-patient and ambulatory care facilities, laboratories for Pulmonary Function testing, and exfoliated cytology laboratories and extensive pathology services. There are dedicated modern Bronchoscopy/procedure suites, facilities for training and microbiology procedures. The only fully accredited Sleep Center in Brooklyn is an integral part of the Pulmonary & Critical Care Medicine environment.
Mandatory Outside Rotations:
Memorial Sloan Kettering Cancer Center (MSK) is a specialized cancer hospital. The 1st year PCCM fellows carry out a one month rotation in the critical care units at MSK. They perform critical care consults and manage the MICU patients with a designated, supervising attending physician. MSK offers a unique educational experience in the management of critically ill patients with cancers, many of whom develop complications from drugs, surgery, and disseminated cancers.
Columbia Presbyterian Hospital has one of the most well known lung transplant programs in the country. A one month mandatory rotation for 3rd year fellows is carried out plus additional elective rotations in lung transplant are available to the fellows. The PCCM fellows get a unique exposure in the management of end-stage lung disease, and become well-versed in the criteria for lung transplantation, harvest runs, and in management of post-transplant complications. They also attend out-patient rehab for the month they are doing their transplant rotation.
King’s County Hospital is located approximately five miles from New York Methodist Hospital and has one of the busiest Level I trauma centers. The 3rd year fellows rotate for a one-month mandatory rotation in their SICU trauma units. The trauma service is jointly headed by two full time attending physicians. The trainees get an excellent opportunity to manage trauma, gunshot wounds, intra-abdominal catastrophes, neurosurgical trauma and Ob-Gyn emergencies. The trauma center cares for over 1,500 cases per year. Approximately 500 patients assessed in the emergency department are admitted to the critical care unit.
A total of five months of elective time is given to the fellows in their second and third years of training (two months in the second year, and three months in the third year). This is done to allow a broad based training in all aspects of critical care, while giving the trainee an opportunity to select the rotations that he/she is interested in. The choice of electives includes cardiothoracic surgical ICU, anesthesiology, lung transplant, trauma/SICU, thoracic radiology, dialysis, pediatric pulmonology, sickle cell disease clinic/blood bank, and ENT.
Graded Levels of Responsibility for Each Level of Training:
Throughout all aspects of patient care, fellows work closely under the supervision of full time faculty. The faculty is comprised of experienced, board certified, pulmonary and critical care physicians. The medical intensive care unit and the clinical pulmonary service are each directed by a full time board certified/eligible critical care or pulmonary physician. The PCCM fellow is supervised one-on-one by an attending physician for every procedure. Medical students are supervised by the PCCM fellow and attending physician. The PCCM program director is responsible for the overall supervision of all trainees.
Click here for the Schedule Summary for Three Years of Training for PCCM fellows