Curriculum/Education

Pulmonary Fellowship Training


Core Curriculum

There is a weekly teaching session for the first year fellows that are designed to cover core topics in pulmonary and critical care medicine. The goal of the core curriculum is to provide a foundation in the basics of pulmonary and critical care medicine. The sessions include didactic lectures, chest x-ray and CT interpretation, hands-on teaching about ventilators, BiPAP, CPAP, and tracheostomy tubes.  We have also introduced an outpatient pulmonary curriculum utilizing case-based teaching scripts.  The cases serve as the focal point for discussion amongst the fellows, with the faculty member serving as a discussion facilitator.

Pulmonary/Thoracic Work Conference

This is a weekly conference attended by the fellows and faculty of the pulmonary and cardiothoracic services to discuss the diagnostic and therapeutic management of patients at Boston Medical Center. Specific patients are discussed, imaging is reviewed, and pathology is discussed. The goal of this conference is to develop treatment plans for complex patients. This conference provides an opportunity to discuss patient care in a multidisciplinary format.

Chest Conference/Pulmonary Grand Rounds

The entire pulmonary division along with several community-based practicing pulmonologists attend the weekly Pulmonary Grand Rounds. At this interactive clinicopathologic conference (CPC), first year fellows present “unknown” clinical cases to faculty members. Fellows are able to observe and learn how a faculty member reasons through a case as data is presented.  Key elements of the case are discussed by the faculty member and at the end of the discussion, the first year fellow presents a summary of the pertinent relevant literature. The intent is to highlight new and classical literature regarding diagnosis, treatment, or disease mechanisms. During the year, the core topics of sleep, exercise physiology, and allergy are focal points of the conference.  We also utilize this conference time for clinical updates given by the pulmonary faculty who are sub-specialists in pulmonary disease.

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Sample Presentations:

Journal Club

Once a month, a clinical journal club is held during chest conference. A fellow and faculty member present a selected article and oversee the ensuing discussion. The goals are to identify new and interesting clinical findings, and to teach fellows how to critically read and interpret published literature in pulmonary and critical care medicine.

Senior Fellows’ Conference

This is a weekly conference that is run by senior fellows. Individual senior fellows lead a case-based discussion on a specific topic along with a review of the pertinent literature. The conference varies from reviewing interesting radiography, case management issues, reviewing exercise physiology and sleep cases, and new treatment strategies.

Thoracic Oncology Conference

This weekly conference is a multidisciplinary conference in which thoracic surgery, oncology, radiology, pulmonary, and radiation oncology review lung cancer patients and formulate diagnostic and management plans.  During this conference session, fellows have the opportunity to hear the clinical presentations of thoracic patients, review the chest imaging by CT and PET, review the pathology of biopsies and resections performed.  The fellows learn about immunohistochemistry and the genetic mutations seen in lung cancer.  The fellows learn how to perform clinical and pathologic staging of lung cancer patients and the state of the art management of lung cancer patients that includes surgery, neo-adjuvant chemotherapy/radiotherapy, adjuvant therapy, stereotactic radiosurgery, and immunotherapy.

Simulation Training Programs

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Boston Medical Center has a state of the art Simulation Center which is utilized by the Pulmonary and Critical Care Medicine Fellowship for skill development. The list of simulation programs that Boston University Pulmonary and Critical Care Fellows cycle through include:

Bronchoscopy Simulation

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EBUS Simulation

bronch simulator

 

Mechanical Ventilation Training

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Pleural Biopsy Training

IMG_2484IMG_2486orientation pleural bx 2015

 

Critical Care Ultrasound Training

  • Pleural
  • Vascular
  • Cardiac
  • FAST exam
  • Lung

orientation 2015 lines

 

Airway Training

Airway simulation 2015 AAirway simulation 2015 C

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Chest Tube Placement

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Emergency Airway Management

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  • Emergency Tracheostomy tube management
  • Code Blue Simulations: facilitating cases for residents
  • Decompensating patients

 

Pulmonary Core Curriculum

Topic
Speaker
 
Competency
Swan Ganz Catheters Liz Klings MK, PBL, PR, CIS
Mechanical Ventilation Michael Ieong MK, PBL, PR, CIS
Pulmonary hypertension for the pulmonologist Hap Farber PBL, PR, CIS
Introduction to IPF Finn Hawkins MK, PC
ARDS Allan Walkdy MK, PC
Advanced thinking 101: Becoming a consultant David Center PBL, PR, CIS
Ultrasound guided Central Line Placement Frank Schembri MK, PBL, PC
Ultrasound guided Thoracentesis Frank Schembri MK, PBL, PC
Noninvasive ventilation Chris Reardon MK, PBL
Pulmonary Function Test Interpretation David Center MK, PBL, PC
COPD Part I: inhaled therapies Andrew Wilson PBL, CIS, PR
Bronchoscopy: case based discussion Chris Reardon PBL, CIS, PR
Outpatient management of TB John Bernardo MK, PC
Management of recurrent pleural effusions Felicia Chen PBL, PR, CIS
Advanced thinking 102: Strategies and philosophies for complex problem solving David Center MK, PC
Initial evaluation of ILD Finn Hawkins PBL, PR, CIS
Bronchoscopy course John Berk, Chris Reardon, Ehab Billatos MK, PBL, PC
Pre-operative Risk Assessment Katie Steiling MK, PC
Lung Cancer Staging Hasmeena Kathuria MK, PC
Jack Faling: learning to read chest imaging Jack Faling MK, PC
Solitary Pulmonary Nodule Katie Steiling MK, PC
EBUS I Ehab Billatos MK, PC
EBUS II Ehab Billatos MK, PC
Asthma Mimics Fred Little MK, PC
Jack Faling: learning to read chest imaging Jack Faling MK, PC
Tobacco Cessation Hasmeena Kathuria MK, PC
Venous thromboembolic disease James Murphy MK, PC
Chart Documentation/Intro to billing Praveen Govender MK, PC
COPD Part 2: Advanced medical therapies Liz Klings MK, PC
Alpha-1 antitrypsin deficiency Andrew Wilson MK, PC
Asthma and pregnancy Felicia Chen MK, PC
Pregnancy related lung disease Felicia Chen MK, PC
Jack Faling session Jack Faling MK, PC
Dyspnea and Pulmonary Rehabilitation Jon Iaccarino MK, PC
Management of the challenging patient Katrina Traber MK, PC
HIV-associated lung disease Michael Ieong MK, PC
Jack Faling session Jack Faling MK, PC
Advanced Thinking 103: Parallel Processing David Center MK, PC
Sarcoidosis Jeff Berman MK, PC
Cystic Fibrosis Finn Hawkins MK, PC
Pulmonary complications of sickle cell disease Liz Klings MK, PC
Anaerobic lung infection and empyema Art Theodore MK, PC
Amyloid cases John Berk MK, PC
Sleep cases Ting Chen MK, PC
Jack Faling session Jack Faling MK, PC
Advanced thinking 104: Complementary use of algorithms and heuristics David Center MK, PC
Lung transplant referral Hap Farber MK, PC
Jack Faling session Jack Faling MK, PC
Advanced thinking 201: Outside the box. Challenging dogma and creating new knowledge David Center MK, PC
Pulmonary vasculitides Jussi Saukkonen MK, PC
Jack Faling session MK, PC
Pulmonary complications of HIV Michael Ieong MK, PC
Neuromuscular pulmonary diseases Chris Reardon MK, PC
Jack Faling session Jack Faling MK, PC
Alpha-1 antitrypsin deficiency Andrew Wilson MK, PC
Pulmonary Complications of Amyloidosis John Berk MK, PC
Control of Breathing and Central Sleep Apnea Ting Chen MK, PC
Palliative care of the COPD patient Katrina Traber MK, PC
Jack Faling session Jack Faling MK, PC
Occupational Lung Diseases James Murphy MK, PC
Diving, Drowning, Altitude Jeff Berman MK, PC
Jack Faling session Jack Faling MK, PC
BOOP/LAM/EG Jeff Berman MK,PC
Eosinophilic lung diseases Praveen Govender MK, PC
Jack Faling session Jack Faling MK, PC
Introduction to CPET Michael Ieong MK, PC
Pulmonary complications of transplantation Darrell Kotton MK, PC

MK: Medical Knowledge
PBL: Practice based learning
PR: Professionalism
PC: Patient Care
CIS: Communication and Interpersonal Skills