The fellowship program consists of a minimum of 18 months of clinical exposure, the majority of which occurs during the first year. We have a large and diverse patient population and currently have 8 core clinical rotations per month. In addition to these rotations, F2s rotate with the surgical critical care team and F3’s rotate with the thoracic surgical critical care team and the neurologic critical care team. Night call is fulfilled via a night float rotation. When not on night float, fellows have no overnight call responsibilities. F1s do approximately 2 weeks of night float, F2s 4 weeks and F3s 4 weeks. Two fellows split a 4 week block of night float and when not on service that block the fellow has no clinical responsibilities except for his/her own continuity clinic. Night float and all clinical rotations are structured to comply with ACGME duty hour guidelines.
The First Year fellow is exposed to the entire spectrum of pulmonary and critical care illnesses through time spent at OSU University Hospital on the Medical Intensive Care Unit (MICU) service; at University Hospital, James Cancer Hospital and Ross Heart Hospital on the Pulmonary Consult services and Transplant service; and at OSU East Hospital on the pulmonary/critical care consult service.
The fellow will rotate among the core service rotations and each fellow will spend approximately the same amount of time on the various rotations. In addition first year fellows also spend two weeks in the sleep medicine clinics.
A unique feature of our fellowship is that we have a month-long orientation program in July of F1 year developed by our Program Director, which we call Pulmonary Medical School.
No first year fellow takes any call in July and they are not formally assigned to a service. First year fellows spend July:
When not in class or in the simulator lab (1/2 day per most days), F1s spend time on the core rotations learning the specific requirements of each rotation and fully participating in the care of the patients.
The goal of this month is to allow the first year fellows to review the basics of pulmonary/critical care physiology and clinical medicine, begin to learn the essential procedural skills required of a pulmonologist and get acclimated to the hospital/program before being placed on service or on call.
During the second and third years, the primary focus of training is on research projects and fellows also complete the remaining 7 months of their 18 month clinical requirement. This will include core rotations as described above, as well as rotations with the surgical critical care, thoracic and neurologic critical care teams.