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How to ApplyAbout St. Louis
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Fellowship PROGRAM DIRECTION Michael J. Holtzman, M.D. Daniel B. Rosenbluth, M.D. PROGRAM ADMINISTRATION Lisa Wetzel Terra Mouser PROGRAM DESCRIPTION The goal of our program is to provide outstanding and innovative medical care and train tomorrow's leaders in pulmonary and critical care medicine. Our Pulmonary and Critical Care Medicine Fellowship Program is an ACGME accredited program that engages the National Residency Matching Program to fill open positions annually (one year in advance). Our program covers Barnes-Jewish Hospital North and South and the Veterans Administration Medical Center. The program consists of a rigorous curriculum that includes a very broad inpatient and outpatient clinical experience, a multitude of conferences and didactic lectures, and protected time devoted to research. The required duration of the training program leading to dual board certification in Pulmonary and Critical Care Medicine is three years divided between clinical and research activities. In exceptional situations, fellows can pursue training for only one or two years tailored individually to their clinical or research needs in order to complement fellowship training elsewhere. Fellows that pursue research may extend their training as clinician scientists for an additional one or two years. Stipends are determined by years of post graduate time spent in training and are provided by Barnes-Jewish Hospital during the clinical half of the training program and by Washington University School of Medicine during the research half of the training program. For more information about the consortium and benefits, please visit the Barnes-Jewish Hospital and Washington University Graduate Medical Education website: http://aladdin.wustl.edu/gme/gme.nsf. First-year clinical pulmonary fellows rotate through the teaching hospitals of the Washington University School of Medicine - Barnes-Jewish Hospital South, Barnes-Jewish Hospital North, and the VA Medical Center. The clinical year consists of clinical rotations at Barnes-Jewish Hospital (Consult, South MICU, North MICU and PICRU, Lung Transplantation, Radiology, Pulmonary Function Testing, and Sleep Medicine), and the VA Medical Center. Extensive outpatient experience is provided with broad exposure to general pulmonary medicine and specialized clinics such as Adult Cystic Fibrosis, Lung Transplantation, Sleep Medicine, Pulmonary Hypertension, Mycrobacterial Diseases, and Interstitial Lung Disease. Over the course of clinical training, each fellow performs more than 1,000 pulmonary consultations, over 200 bronchoscopies, between 50 and 100 right heart catheterizations, and miscellaneous invasive procedures including intubations, thoracentesis, pleural biopsy, and closed tube thoracostomy. In the second year of training fellows who choose clinical training toward certification in Critical Care Medicine receive true multidisciplinary Critical Care training by dedicating another six months in rotations through the Cardiac Care Unit, the Surgical Intensive Care Unit, and the Cardiothoracic Intensive Care Unit, in addition to the Lung Transplantation Service. Electives in the Neurosurgical Intensive Care Unit, Anesthesiology, and Thoracic Surgery are available. Combined certification in Pulmonary Diseases and Critical Care Medicine requires 18 months of clinical training and a minimum of three years of total training commitment. The final 18-months of training is dedicated to the pursuit of clinical or laboratory research initiatives. It is expected that during the first year of fellowship all fellows will identify a research mentor and begin to formulate a research plan. A mentor may be chosen from within the division of Pulmonary and Critical Care Medicine, or a fellow may choose to work with one of the many successful investigators at Washington University School of Medicine. The fellow's research plan is formally presented to the research review committee during the fall of the second year of fellowship, so the fellow may receive further mentoring and advice. During the research component of the fellowship, fellows have minimal clinical responsibility so they may dedicate their energies to the successful pursuit of their research. Fellows who are successful and who wish to pursue additional research experience in preparation for a career in academic medicine are welcome to continue beyond their 18-months of mandatory research activities.
Division of Pulmonary and Critical Care Medicine
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