Pulmonary and Critical Care Fellowship
The majority of clinical activities are located at the University of California, Davis Medical Center (UCDMC). This tertiary care hospital is the site of outpatient clinics and inpatient management. Rotations at this site include Medical ICU, pulmonary consultations, critical care management, exercise and physiology testing, and subspecialty pulmonary clinics. Additional clinical experience is obtained at the Veterans Affairs Medical Center, Mather.
Fellows are expected to participate in one or more subspecialty-focused areas, in addition to the core clinical activities. The subspecialty-focused areas commonly included are advanced lung disease, cystic fibrosis, pulmonary fibrosis, granulomatous diseases, neuromuscular/respiratory diseases, sleep medicine, pulmonary hypertension, and interventional bronchoscopy.
All incoming fellows spend a month in education and simulations prior to patient-based learning. Orientation includes a review of pulmonary physiology, critical thinking, and research skills. Additional problem-based training in research skills and statistics are addressed through a series of interactive journal clubs, using the classic pulmonary literature. Utilizing the UC Davis Medical Center for Health and Technology, new fellows are provided simulation experiences for bronchoscopies, ultrasound, chest tubes, and percutaneous tracheostomies. Near the Thanksgiving break, fellows are given an additional block of training time to hone procedural skills, investigate topics that arose in previous months of service, and initiate a research project.
UC Davis Medical Center Medical Intensive Care Unit
The MICU is a closed unit managed by the Division of Pulmonary and Critical Care. It has over 1,300 admissions per year and, as a tertiary care center, receives patients from Northern California and sections of Nevada. Fellows complete at least 6 months of service in our 12 bed unit, working in conjunction with Internal Medicine, Family Medicine, Emergency Medicine, and Anesthesiology.
UC Davis Medical Center Pulmonary Consults
Fellows complete inpatient pulmonary consult training at the University of California, Davis. Fellows will complete all new inpatient and emergency room consults, and round on established patients. As a teaching service, the fellow will work with one or two residents and a medical student. Emergent procedures (e.g. bronchoscopies) are completed under the supervision of an attending.
VA of Northern California, Mather
At this site, fellows gain experience through inpatient ICU management of combined medical/surgical/critical care, and provide inpatient and outpatient pulmonary consultations. The VA rotation encompasses the full range of inpatient, outpatient, and procedural experiences.
Critical Care Management
The critical care rotation focuses on critical care consults as well as participation in the Neurocritical Care ICU and the Cardiothoracic ICU, with the progression of responsibility based on the fellow's level of experience.
Pulmonary Outpatient Clinics
In the second and third year, all fellows have two half-day pulmonary clinics (at UC Davis Medical Center and VA Mather). In addition, two week outpatient clinic blocks allow fellows to experience subspecialty clinics in advanced lung disease, cystic fibrosis, sleep medicine, pulmonary hypertension, lung cancer, and interstitial lung disease.