Objectives

The purpose of the fellowship is to provide an in-depth clinical experience in pulmonary disease and critical care medicine, and to teach the procedural required to function independently as a pulmonologist. In order to successfully complete the program, fellows must meet the following objectives:

• Develop a working knowledge of the tests of pulmonary functions used to quantify and analyze impairment in patients with respiratory complaints.
• Develop the ability to interpret data derived from imaging devices including chest x-rays, CT scans of the thoracic cavity, pulmonary angiograms and radionuclide scans.
• Develop an understanding of disorders of sleep physiology.
• Develop the psycho-motor and procedural skills necessary to safely and competently perform:
  • Fiberoptic bronchoscopy (with transbronchoscopic biopsy and transbronchoscopic needle aspiration)
  • Intubation (including both direct intubation and bronchoscopic intubation)
  • Thoracentesis and pleural biopsy; transthoracic fine needle aspiration
  • Placement of central venous lines with interpretation of physiologic data acquired by such devices (including insertion of Swan-Ganz catheters) and interpretation of the data

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