Electives - Pulmonary
Elective Number: (Oasis E42a) 1620
Rotation Supervisors: Dr. Y. Michael Shim
Coordinator: Denise Young, 924-5210, firstname.lastname@example.org
Duration: Maximum 4 weeks, Minimum 2 weeks
Available: all rotations
Report to: 3rd Fl Main Hospital, Pulmonary Fellow's Room
Time to Report: 8:30 am
Place to Report: Pulmonary Fellows office (between 3C & 3W) or as directed
Typical day: 8:00 am - 5:00 pm
Attendance: Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must
contact Student Affairs and the Attending on Service.
- Students are allowed to take off up to 1 day per week to
interview between November 1 and February 1.
- Specific days missed must be approved by the Attending on
Number of students per rotation: 2
Course Description: Students will participate in both outpatient and
inpatient venues. They would begin the week immersed in a variety of clinics.
By mid-week, they will join the consult team and participate with residents
and fellows in pulmonary consultation where they will observe procedures, see
and follow initial consultations, and attend didactic sessions, including the
MICU core lecture series. Experience in Pulmonary Function Laboratory will
include first hand experience with procedures. On alternate weeks, students
will begin the week in MICU, rounding with the respiratory therapists and MICU
nurses on ventilated patients. On alternate weeks students will attend the
Cystic Fibrosis, Pulmonary Hypertension, and Interstitial Lung Disease clinics.
Students will attend the joint conference with Pathology to review recent cases
from the consult and outpatient services.
- Detail the treatment algorithms for common pulmonary conditions including
COPD, Asthma, pulmonary hypertension, chronic cough.
- Understand the work up of chronic cough and dyspnea.
- Detail and describe the workup for interstitial lung diseases.
- Understand the diagnostic workup and management of obstructive sleep apnea.
- Understand details of respiratory management and treatment of mechanically
ventilated, critically –ill patients.
- Understand the selection criteria for lung transplant candidacy.
- Interpret pulmonary function tests and cardiopulmonary exercise tests.
- Describe the following procedures: bronchoscopy and thoracentesis.
- Everyday is divided into Am and Pm blocks.
a. Attend about 50% sub-specialty outpatient pulmonary clinics: Use
group practice like approach: one person will be in clinic, and the other
person will cover inpatient service.
b. All blocks other than the pulmonary clinics, students are expected to
report to pulmonary inpatient consult fellow to round with the inpatient
consult team (Report to pulmonary fellow’s room, 3rd floor Main hospital)
c. Students are not to be in pulmonary clinic during pulmonary fellow’s
d. Didactic lectures: (1) Tuesday at noon (Pulmonary didactic conference);
(2) Wednesday at 1pm (Pulmonary case conference); (3) Tuesday at 4pm (Pulmonary
research or Journal Club: ask consult fellows about specifics).
e. No need to work in weekends.
f. STRONGLY RECOMMENDED: If schedule permits, attend MICU core curriculum
lecture at 2pm on Mon, Wed, Friday in the MICU conference room.
- Attend all sub-specialty clinics in pulmonary clinic
a. Lung transplant clinic (Dr. Enfield, Dr. Weder)
b. Sleep Clinic (Dr. Esau, Dr. Suratt, Dr. Brown)
c. Pulmonary Hypertension Clinic (Dr. Gay)
d. CF clinic (Dr. Indihar, Dr. Brown)
e. COPD clinic (Dr. Shim/Dr. Brown/Dr. Gay/Dr. Truwit
- Recommended reading
a. Major reference: Textbook of Respiratory Medicine by Murray and
b. Major reference: Fishman’s Pulmonary Disease and Disorder
- Pulmonary clinic master schedule
a. Pulm = all pulmonary patients
b. Dr. Indihar/Brown on Tuesday PM has different clinics depending on which
week of the month.
|Enfield& Weder (Transplant )
|| Brown (Sleep)
Indihar (2nd & 4th week, CF)
| Suratt (Sleep)
| Gay (Pulm HTN)