Selectives - Medicine
Selective Number: (Oasis S42c) 1645
Rotation Supervisor: Dr. Y. Michael Shim
Available: all Rotations
Duration: 2 weeks
Report to: Pulmonary fellow's room 3rd floor main hospital. Contact
Y. Michael Shim (Page or email) first day
Time to Report: 8:30 am
Typical Day: 8:00 am - 5:00 pm
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.
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
- Understand the selection criteria for lung transplant candidacy.
pulmonary function tests and cardiopulmonary exercise tests.
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
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
consult team (Report to pulmonary fellow’s room, 3rd floor Main
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
a. Major reference: Textbook of Respiratory Medicine by Murray and
b. Major reference: Fishman’s Pulmonary Disease
- 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)