The Pulmonary and Critical Care Medicine (PCCM) and Critical Care Medicine (CCM) fellowship tracks provide diverse inpatient and outpatient clinical experiences across multiple hospitals and specialty settings. Rotations are designed to develop expertise in pulmonary medicine, critical care and procedural training while preparing fellows for successful careers in academic medicine, community practice and subspecialty care.
First-Year Rotations
The first month of fellowship is dedicated to onboarding and immersion into critical care and pulmonary medicine. Fellows participate in focused educational experiences, procedural training, orientation activities and clinical preparation designed to support a successful transition into fellowship training.
First-year PCCM fellows complete a variety of pulmonary-focused rotations that provide exposure to the diagnosis and management of acute and chronic respiratory diseases. Rotations include experiences in pulmonary consultation, bronchoscopy, pulmonary function testing, sleep medicine, pulmonary hypertension, interstitial lung disease and outpatient pulmonary care. These experiences establish the foundation for advanced pulmonary training throughout fellowship.
Eskenazi Hospital Medical ICU
Eskenazi Hospital is home to one of three Level I trauma centers in Indiana and houses one of the nation's most experienced burn centers. Fellows work alongside residents and advanced practice providers on two MICU teams, caring for a diverse population of critically ill patients. Fellows on this service complete seven nights of home call and one weekend of rounding.
IU Health West ICU
This rotation provides an opportunity to work one-on-one with an attending physician in a community hospital setting, exposing fellows to a broad spectrum of critical care conditions and practice models. No overnight call is required, and fellows work one day each weekend.
IU Health Methodist Cardiac Medical Critical Care
Fellows care for patients with severe pulmonary hypertension, advanced heart failure and circulatory shock requiring mechanical support devices. This experience provides valuable exposure to hemodynamic monitoring and interpretation of pulmonary artery catheters. Fellows work primarily one-on-one with an attending physician and may occasionally work alongside a fourth-year medical student. No overnight call is required. Rotations are scheduled one week at a time, and fellows cover the weekend associated with their assigned week.
VA Medical Clinic Medical ICU
The Indianapolis VA Medical Center MICU serves a medically complex patient population and offers significant experience in the management of critically ill veterans. Fellows work alongside residents and interns in a collaborative learning environment. Fellows are responsible for two weeks of home call and two weekends of inpatient rounding.
IU Health Methodist Medical-Surgical Critical Care
This rotation provides experience in the co-management of post-cardiothoracic surgery patients alongside surgical teams. Fellows gain broad exposure to postoperative critical care, including the management of patients with mechanical left ventricular support devices. There are no call requirements on this service, though fellows may cover a weekend as an off-service fellow.
IU Health Methodist ICU Nights
Fellows work a maximum of 14 night shifts during this rotation. Working alongside in-house critical care faculty, fellows assist with the stabilization of acutely decompensating patients, coordinate outside transfer requests and participate in the evaluation and management of new ICU admissions.
IU Health Methodist Surgical/Trauma Critical Care
This rotation focuses on the care of trauma patients and those requiring postoperative ICU-level management. Fellows gain experience managing critically ill surgical patients in a high-acuity setting.
Second Year Rotations
IU Health Methodist Cardiovascular Surgical Critical Care
This rotation provides experience in the co-management of post-cardiothoracic surgery patients alongside surgical teams. Fellows gain broad exposure to postoperative critical care, including the management of patients with mechanical left ventricular support devices. There are no call requirements on this service, though fellows may cover a weekend as an off-service fellow.
IU Health Methodist Neurocritical Care
This multidisciplinary rotation includes opportunities to work alongside residents and interns while caring for patients with a variety of neurologic conditions requiring ICU-level care. Fellows learn as part of a collaborative team caring for complex neurologic patients. There are no call requirements on this service, though fellows may cover a weekend as an off-service fellow.
IU Health Methodist Transplant/ECMO
This rotation combines inpatient and outpatient experiences. Fellows participate in the care of patients receiving extracorporeal membrane oxygenation (ECMO) support and those who have recently undergone lung transplantation. The outpatient experience includes pre- and post-transplant clinics, transplant listing meetings and post-transplant bronchoscopies. There are no call requirements, and fellows work one weekend of their choosing.
IU Health University Hospital Medical ICU
This busy medical ICU provides extensive experience caring for patients with advanced liver disease, complex gastrointestinal disorders, malignancies and other critically ill medical conditions. There is no overnight call on this rotation. The rotation is completed in two-week increments, and fellows work one of the two weekends.
PCCM Fellows: This rotation combines inpatient and outpatient experiences. Fellows participate in the care of patients receiving extracorporeal membrane oxygenation (ECMO) support and those who have recently undergone lung transplantation. The outpatient experience includes pre- and post-transplant clinics, transplant listing meetings and post-transplant bronchoscopies. There are no call requirements, and fellows work one weekend of their choosing.
CCM Fellows: Fellows round on patients receiving ECMO support and those who have recently undergone lung transplantation, co-managing care alongside cardiothoracic surgeons. There are no call requirements, and fellows work one weekend of their choosing.
Third Year Rotations (PCCM Only)
Third-year fellows build upon prior clinical experiences through advanced pulmonary electives, additional subspecialty rotations and individualized training opportunities aligned with their career interests.
Continuity Clinic (PCCM Only)
PCCM fellows participate in a longitudinal continuity clinic throughout all three years of fellowship. Fellows maintain a general pulmonary clinic at Eskenazi Health every other week, alternating with a clinic at another site. This experience allows fellows to develop long-term relationships with patients while gaining progressive autonomy in the evaluation and management of pulmonary disease.
Fellows also have the opportunity to pursue longitudinal subspecialty continuity experiences in areas of particular interest, including:
- Cystic fibrosis
- Interstitial lung disease
- Interventional pulmonology
- Lung transplantation
- Neuromuscular disease clinic
- Post-ICU survivor clinic
- Pulmonary nodule/thoracic oncology Cclinic
- Pulmonary hypertension
- Sarcoidosis
- Severe asthma