Clinical Rotations
Pulmonary & Critical Care Medicine Fellowship Program

University Hospital

Medical Intensive Care Unit
The MICU at University Hospital is a high acuity unit where fellows will gain first-hand experience in managing complex, critically ill patients, with an increasing level of autonomy as they advance in their training. Fellows are integral to daily multidisciplinary rounds, medical student and resident education and supervision. Fellows are trained in a variety of critical care procedures, including central venous catheters, arterial lines, thoracentesis, paracentesis, lumbar puncture, endotracheal intubations, chest tubes, and bronchoscopy. All fellows receive extensive training in point-of-care ultrasound and can pursue training in advanced critical care echocardiography. A seasoned Palliative Care Team is a key part of the MICU, and fellows will become adept at providing empathetic end-of-life care. Fellows have nighttime ICU rotations at UH during which time they attain additional independence and confidence in their abilities.

Pulmonary Consultation and Pulmonary Physiology
Trainees, in conjunction with Pulmonary and Critical Care faculty, will assess and help manage inpatients with a wide variety of acute and chronic respiratory illnesses. Requests for consultation come from all services within the hospital, including Medicine, Surgery, Surgical subspecialties, Psychiatry and Obstetrics-Gynecology ensuring that fellows become well versed in a wide range of pulmonary conditions. Fellows will become experts in pulmonary physiology and interpretation of pulmonary function tests. The fellow will learn to perform flexible bronchoscopy, including transbronchial biopsy, endobronchial biopsy, transbronchial needle aspiration, bronchoalveolar lavage, and endobronchial brushing, under conscious sedation as well as general anesthesia and are also trained in endobronchial ultrasound (EBUS) and navigational bronchoscopy. Fellows will also directly supervise and educate medical students and residents who are on their pulmonary elective.

Tuberculosis Consultation
Pulmonary fellows, supervised by faculty from the Global TB Institute, are consulted when Tuberculosis and other pulmonary mycobacterial diseases are either suspected or confirmed. Fellows can gain expertise in diagnosis and management of patients with TB, often in the setting of other complex illnesses.

VA New Jersey Health Care System – East Orange VA Medical Center

Intensive Care Unit
The ICU is a combined MICU/SICU, providing an opportunity in multidisciplinary intensive care. Fellows are central in evaluating and managing critically ill Veterans, supervising and performing procedures, and educating NJMS residents and medical students. Faculty include both medical and surgical critical care specialists.

Pulmonary Consultation
Fellows provide inpatient pulmonary consultation and gain exposure to a wide variety of respiratory illnesses. Fellows gain experience in a broad range of procedures, including endobronchial ultrasound (EBUS). A fully equipped Pulmonary Lab provides standard pulmonary function testing and more specialized testing which the fellow will become familiar with. In addition, fellows become well versed in Sleep Medicine in the VA’s state of the art Sleep Center.

Pulmonary Outpatient Rotation
During this rotation fellows will have ample opportunity to engage with Veterans in an outpatient setting, and gain a rich understanding of chronic respiratory illnesses, including sleep disorders, lung cancer, pleural diseases, obstructive lung disorders and interstitial lung diseases.

Cooperman Barnabas Medical Center

Intensive Care Unit
The intensive care unit rotation includes care of complex patients with medical, surgical and neurosurgical conditions. Fellows are an integral part of the multidisciplinary critical care team and gain experience in team leadership and critical care consultation. Fellows will become adept at ICU procedures, ventilator and hemodynamic management and are supervised by dedicated Critical Care faculty.

Pulmonary Consultation
The inpatient pulmonary consultation team includes the pulmonary fellow, an advanced practice provider, pulmonary faculty and NJMS residents. Fellows will perform bronchoscopy and pleural procedures in a state of the art, fully equipped procedure suite.

Please read more about the CBMC pulmonary faculty here:
https://www.rwjbh.org/saint-barnabas-medical-center/treatment-care/lung/pulmonary-services/meet-our-pulmonary-team/

Other rotations

•  Interventional pulmonology and advanced procedures


• Quality Improvement