Training in pulmonary medicine occurs via several venues:
Inpatient Pulmonary Consult Services
- See approximately 800-900 consults per year
- Includes all aspects of pulmonary consultative medicine
- Two consult teams (one based in the James Cancer Hospital, one based in the Ross Heart Hospital) each with a faculty, fellow and 0-2 residents or students
The two consult teams alternate days of accepting new admissions from the University Hospital. The majority of the patients are pulmonary in nature but there are critical care consults and ventilator management for patients requiring mechanical ventilation on cardiology services in the Ross Heart Hospital, in the James Bone Marrow Transplant Unit and in the University Hospital Surgical Intensive Care Unit. We only provide consultative service for these ICUs and are not responsible for the primary care of these patients.
Through these experiences the fellow will be exposed to the entire spectrum of pulmonary procedures including:
Pulmonary and critical care consult service
- Chest tube placement and management
- Pleural catheter placement
- Pleurodesis and bronchoscopic procedures (such as bronchoalveolar lavage, transbronchial and needle biopsies, cryotherapy, stent placement and brachytherapy)
The pulmonary and critical care consult service at OSU East provides exposure to a wide spectrum of pulmonary patients. OSU East is a secondary hospital with a combination of private practice services and traditional academic services. This experience exposes the fellow to a different patient population and healthcare system than OSU University Hospital.
Lung transplant and cystic fibrosis
All fellows spend two weeks during their first year rotating on the adult cystic fibrosis service at Nationwide Children’s Hospital. During this time, they attend all outpatient cystic fibrosis clinics and complete a core curriculum. Additional elective time is available during the F2 and or F3 year for those fellows who are interested.
All fellows spend one month on the lung transplant service. This is a combined inpatient and outpatient experience designed to encompass all aspects of care for this patient population. The fellows attend pre-transplant evaluation clinics, post-transplant clinics, round on the inpatient service and participate in all related procedures for the month. Additional elective time on this service or in the outpatient transplant clinic is available for those fellows who are interested.
Outpatient pulmonary medicine training
Training in outpatient pulmonary medicine occurs via fellow clinics which are located in the Martha Morehouse Medical Plaza. Fellows maintain a outpatient clinic one half day per week throughout their fellowship. Clinics are only cancelled during the non-medical ICU rotations in SICU, cardiac and thoracic surgery.
Fellows will have a continuity clinic in general pulmonary medicine for 23 months. In addition, they spend two weeks in their first year in the sleep medicine clinics. The final 12 months of clinic will be done in six month blocks in a variety of the sub-subspecialty clinics.
Fellows will choose which three sub-subspecialty clinics they wish to rotate through from the following programs:
- Pulmonary hypertension
- Pulmonary transplantation
- Cystic fibrosis
- Lung cancer
- Interventional pulmonary
- Other programs that can be modified to the fellow’s interest