Graduate Medical Education - Fellowship
The Division of Pulmonary, Allergy & Critical Care Medicine offers a 3-year fellowship training program in Pulmonary and Critical Care Medicine. The program is staffed by University of Massachusetts Medical School faculty who are active in 1) the teaching of medical students, house officers and fellows; 2) clinical and laboratory research; and 3) the practice of pulmonary, allergy, and critical care medicine. The program has 3 fellows for each of the 3 years (9 total). Graduating fellows pursue an academic career about 60% of the time, with the remainder entering private practice.
University Pulmonary Inpatient and Consultation Services
Trainees assume direct patient care responsibilities for patients admitted to the Pulmonary Medicine service. Under the guidance of the Attending Physician, the fellow will participate in all management decisions that involve patients for whom he or she assumes primary care. This rotation also involves consultations called by Hospitalist, medical subspecialists, and non-medical specialists, including consultation in the Cardiac/Cardiothoracic Surgery, Neurological, Trauma, and Surgical ICU’s, and Bone Marrow Unit and Organ Transplant Services. Fellows will develop expertise in flexible bronchoscopy (and its attendant skills) primarily during this rotation.
Memorial Pulmonary Consultation Service
Fellows manage all in-patient consultations, including consultations on the OB/Gyn service, Orthopedic service, Surgical ICU, and Hospitalists.
Interventional Pulmonary Service
2nd and 3rd year fellows will rotate with the Interventional Pulmonary attending where they will participate in more advanced bronchoscopy procedures such as EBUS, rigid bronchoscopy, and navigational bronchoscopy. In addition, fellows will participate in other advanced procedures such as percutaneous tracheostomy, chest tube/Pigtail catheter placement, and pleuroscopy.
Critical Care Medicine Services
The fellow assumes primary responsibility along with an Attending Physician in the care of critically ill medical patients in one of three medical intensive care units. The fellow is responsible for directly overseeing and acting as a central resource to the medical housestaff and NP/PA providers. Throughout training, fellows will be given increasing responsibilities such that 3rd year fellows will be expected to manage the ICU under an attending’s supervision. The fellow is also responsible for procedures such as placement of dialysis catheters, Swan-Ganz catheters, bronchoscopy and endotracheal intubation. Fellows will have the opportunity to learn and perform bedside thoracic, cardiac, and abdominal ultrasound. They also oversee and instruct the housestaff on placement of arterial lines, thoracentesis, paracentesis, lumbar punctures, and central venous catheters.
Lung & Allergy Center - Outpatient Clinic
The center is a very active outpatient clinic with over 14,000 visits per year. This setting serves as the fellow’s longitudinal outpatient experience over the 3 years. Fellows will have a half-day clinic each week consisting of 1-2 new patients and 2-5 follow-up visits of fellowship. For each clinic session, the fellow is precepted by an attending physician whose time is specifically dedicated to reviewing data and radiographs, confirming the trainee’s findings, and discussing management plans.
Fellows have the opportunity to complete a comprehensive research project within the course of the fellowship. Significant time is dedicated to this during the 2nd year of the program. Faculty research mentors will be provided. Fellows have the option to participate in basic science or clinical research projects. Fellows will also have the opportunity to participate in other scholarly activities including writing of textbook chapters.
Other opportunities available to fellows include: eICU (telemedicine coverage of intensive care units across the medical center); Outpatient subspecialty clinics (Adult CF, TB, Thoracic Oncology, Sleep, Pulmonary Hypertension, and ALS); Pulmonary Function Laboratory (~ 10,000 studies per year); electives in Thoracic Surgery, Anesthesia, Palliative Care, Radiology; and Allergy Clinic.
Applications, Inquiries, Recruitment
We participate in the match. Applications are submitted via the ERAS system. Click here to visit the ERAS site.