Overview of Program

Overview: The program is a world-class ABIM-accredited fellowship in Pulmonary Medicine and Critical Care Medicine that requires completion of three years to be board-eligible in both subspecialties. The first year follows a traditional clinical track that enables trainees to learn the requisite skills for the diagnosis and treatment of both common and rare diseases of the lung through rotations on the Pulmonary Consult and Pulmonary Acute Care Clinic (PACC) services at both Boston Medical Center (BMC) and the Veteran Affairs (VA) Boston Healthcare system. During the physiology rotation at BMC, trainees will gain exposure to management of extracorporeal membrane oxygenation (ECMO), pulmonary hypertension, and pleural disease. Lastly, trainees will acquire skills for the diagnosis and treatment of critically-ill patients through rotations on the two Medical Intensive Care Unit (MICU Blue and MICU Red) teams at BMC.

In the second and third years, trainees spend the majority of their time carrying out a mentored research project. Several clinical months are interspersed in these years, including Anesthesia, Neurological Intensive Care Unit (Neuro ICU), and Surgical Intensive Care Unit (Surgical ICU), during which trainees will also gain exposure to airway intubation. Additionally, trainees will participate in one external rotation on the Lung Transplantation service at Brigham and Women’s Hospital. During their research months, trainees will also be engaged in cardiopulmonary exercise testing (CPET) and for bronchoscopy with endobronchial ultrasound (EBUS) (2 months during the second year and 2 months during the third year). Trainees can choose to remain for a fourth year of entirely protected research time to continue their mentored research project.

Call Schedule and Vacation: Weekend coverage is one weekend every six weeks for all the first and second year trainees. Third and fourth year trainees do not have weekend call responsibilities. Pulmonary and Critical Care Medicine service weekend coverage is provided by two attendings and two trainees. Weeknight call is beeper call from home, with each trainee on call one night per week. There is no in-house call. Trainees will have 4 weeks of vacation each academic year during their fellowship training.