Critical Care Training, 9.5 months total: 6 months MICU, 3.5 months non Medical ICU
Our Critical Care Training program offers the unique ability for fellows to experience caring for critically ill patients within various models of ICU structure.
The fellow gets to experience a wide range of critical care models which require different levels of involvement and team dynamics.
We also have monthly critical care ultrasound sessions in the ICU staffed by ER and Pulmonary/Critical Care faculty which are intended to allow interested fellows to become proficient in all aspects of critical care ultrasound.
Non-medical ICU training occurs via the following rotations:
1. F2s spend one month as part of the SICU CC team, caring for all surgical patients including trauma patients.
2. F3s spend one half month caring for all post-operative cardiac patients in the ICU
3. F3s spend one half month caring for all critically ill neurologic patients in the Neurologic ICU.
4. Fellows also see surgical critical care patients in a consultative manner when on consult rotations at University Hospital and OSU East Hospital.
5. The Surgical CC fellows also rotate in the 4th floor MICU as part of our cross-disciplinary training in critical care.
Training in pulmonary medicine occurs via several venues:
The two consult teams alternate days of accepting new admissions from the University Hospital. The majority of the patients are pulmonary in nature but there are critical care consults and ventilator management for patients requiring mechanical ventilation on cardiology services in the Ross Heart Hospital, in the James Bone Marrow Transplant Unit and in the University Hospital Surgical Intensive Care Unit; we only provide consultative service for these ICUs and are not responsible for the primary care of these patients.
Through these experiences the fellow will be exposed to the entire spectrum of pulmonary procedures including:
The pulmonary/cc consult service at OSU East provides exposure to a wide spectrum of pulmonary patients. OSU East is a secondary hospital with a combination of private practice services and traditional academic services, this experience exposes the fellow to a different patient population and health care system than OSU University Hospital.
All fellows spend two weeks during their first year rotating on the adult CF service at Nationwide Children’s Hospital. During this time, they attend all outpatients CF clinics and complete a core curriculum. Additional elective time is available during the F2 and or F3 year for those fellows who are interested.
All fellows spend one month on the lung transplant service. This is a combined inpatient and outpatient experience designed to encompass all aspects of care for this patient population. The fellows attend pre-transplant evaluation clinics, post-transplant clinics, round on the inpatient service and participate in all related procedures for the month. Additional elective time on this service or in the outpatient transplant clinic is available for those fellows who are interested.
Outpatient Pulmonary Medicine Training
Training in outpatient pulmonary medicine occurs via fellow clinics which are located in the Martha Morehouse Medical Plaza. Fellows maintain a outpatient clinic one half day per week throughout their fellowship. Clinics are only cancelled during the non-medical ICU rotations in SICU, Cardiac and Thoracic surgery.
Fellows will have a continuity clinic in general pulmonary medicine for 23 months; in addition, they spend two weeks in their first year in the sleep medicine clinics. The final 12 months of clinic will be done in six month blocks in a variety of the sub-subspecialty clinics.
Fellows will choose which three (3) sub-subspecialty clinics they wish to rotate through from the following programs:
Over the last several years, graduating fellows have performed approximately 250-300 bronchoscopic procedures including transbronchial biopsies, transbronchial needle aspirations, bronchoalveolar lavage; 10-20 chest tubes; 50+ intubations including use of glidescope and intubating bronchoscope; as well as thoracentesis and central venous catheters (both with and without ultrasound guidance).
We also have a growing Interventional Pulmonology program and fellows can achieve competency in performance of endobronchial ultrasound guided TBNA, argon plasma coagulation (APC), cryotherapy, flexible stent placement, medical thoracoscopy, rigid bronchoscopy, and indwelling pleural catheter placement.
Fellows assist and have the opportunity to become proficient in placement of percutaneous tracheotomies in the MICU. Fellows also have the opportunity to achieve competency in critical care ultrasound imaging.