Immersion Month
Month-long orientation in July with a mix of didactics, hands on procedural training, and spending time with the upper level fellows to become familiar with the medical system prior to starting clinical rotations in Block 2.
Ambulatory
During this rotation, fellows receive broad exposure to
various sub-subspecialties in pulmonary medicine including cystic
fibrosis, pulmonary hypertension, severe asthma, interstitial lung
disease and interventional pulmonary. This occurs across several sites
in our system within the Indianapolis area.
Bronchoscopy/Pulmonary Function Testing
This is a very popular rotation at University Hospital and
fellows are able to participate in placement of tracheal stents and
endobronchial valves with opportunities for certification in robotic
bronchoscopy if desired.
Consults
Each of these services provide significant breadth in
pathology seen. There are few unique aspects to each service as
highlighted below.
Eskenazi Hospital Medical ICU
Eskenazi Hospital is home to one of three level one trauma centers in the state
and has the most experienced burn center as well. We have two ICU teams
in the MICU with residents and APPs. Fellows on this service are
responsible for seven nights of home call and one weekend of rounding.
IU Health West
This provides opportunities for fellows to work one-on-one
with an attending in a more community-like setting. No overnight call
is required. Fellows work one day each weekend.
IU Health Methodist Hospital Cardiac Medical Critical Care
This service cares for patients for acute conditions such as
severe pulmonary hypertension and acutely
decompensated heart failure requiring mechanical assist
devices. Fellows will also gain experience with interpretation of
pulmonary artery catheters Additionally, this block provides the
opportunity to work primarily one-on-one with an attending (sometimes
there will be a fourth year student on the rotation as well). No overnight
call is required. Fellows are only assigned one week at a time and
will cover the weekend associated with that week.
VA Medical Clinic Medical ICU
This service includes both residents and interns. The
Indianapolis VA Medical Center has the capability of caring for very critically ill
patients, providing a solid educational experience. Fellows are
responsible for covering two weeks of home call and two weekends of
inpatient rounding.
Methodist Hospital Cardiovascular Surgical Critical Care
This block provides experience in co-management of post-cardiothoracic
surgery patients alongside the surgical teams. There is significant
breadth of exposure to post-surgical care and includes care of patients
with mechanical left ventricular support devices. There are no call
requirements on this service, but fellows may cover a weekend as an off
service fellow.
Methodist Hospital Neurocritical Care
This block includes residents and/or interns and provides
opportunity to learn as part of a multidisciplinary team caring for
patients with a variety of neurologic conditions requiring ICU level
care. There are no call requirements on this service, but fellows may
cover a weekend as an off service fellow.
Methodist Hospital Transplant/ECMO
This service is divided into inpatient and outpatient
experiences. When on the inpatient service, fellows will round on
patients on ECMO and those who have recently undergone lung
transplantation. The outpatient service will allow fellows to
participate in the care of clinic patients in both the pre- and
post-transplant period, attend transplant listing meetings, and assist
with post-transplant bronchoscopies. There are no call requirements and
the fellow will work one weekend of their choosing.
University Hospital Medical ICU
This is an extremely busy ICU which primarily houses
patients with end-stage liver diseases, advanced GI problems such as
necrotizing pancreatitis, and malignancy. There is no overnight call on
this rotation. This rotation in done in two-week increments and the
fellow will be assigned to work one of the two weekends.
Each fellow will have a general pulmonary clinic at Eskenazi Health every other week for all three years of fellowship, alternating with a clinic at a different site. If desired, sub-subspecialty continuity experience is possible in the following areas: