Pulmonary disease and critical care medicine fellowship

Doctor looking at an x-raySpectrum Health and Michigan State Univeristy College of Human Medicine logo

The Corewell Health – Grand Rapids/Michigan State University Pulmonary Disease and Critical Care Medicine Fellowship offers fellows a broad experience in acute and chronic respiratory conditions, critical care and diagnostic and therapeutic procedures in world-class facilities with cutting-edge technology. Trainees get experience in a variety of specialties, including interventional pulmonology, lung transplant, cystic fibrosis, pulmonary hypertension, sarcoidosis, critical care, lung cancer and interstitial lung disease.

From the Program Director

Welcome to the Corewell Health – Grand Rapids/Michigan State University Pulmonary Disease and Critical Care Medicine Fellowship.

Corewell Health in West Michigan is committed to improving the health and wellness of our communities. Our talented physicians and caregivers are privileged to offer a full continuum of care and wellness services to our communities through 14 hospitals, including Corewell Health Helen DeVos Children's Hospital (part of Corewell Health Grand Rapids Hospitals), 150 ambulatory sites and telehealth offerings.

The fellowship program is an ACGME-accredited, three-year program based at Corewell Health Butterworth Hospital (part of Corewell Health Grand Rapids Hospitals) in Grand Rapids, Michigan. Butterworth Hospital is a Level 1 Trauma Center with 679 acute care beds and 80 ICU beds. It is a major referral center for lung cancer, interventional pulmonology, lung and heart transplant, mechanical circulatory support, extracorporeal membrane oxygenation, and adult blood and marrow transplant.

The Division of Pulmonary, Critical Care and Sleep Medicine has 40 specialists and is affiliated with Michigan State University. We are supportive of academic pursuits and the expertise of our faculty have resulted in numerous publications and presentations in peer-reviewed journals and national scientific meetings.

The mission of the fellowship is to improve the health of the communities we serve by training future medical leaders in this field. Our core values are teamwork, accountability, compassion, integrity, respect and excellence. They are key to provide the best care to our patients and foster an environment of learning, collegiality and innovation. Spectrum Health was the first hospital with robotic bronchoscopy in Michigan and center of excellence in robotic bronchoscopy. The Corewell Health Richard DeVos Heart & Lung Transplant Program has been recognized as having one of the best outcomes in the nation (based on the report by the Scientific Registry of Transplant Recipients).

In support of our goals, the Division of Pulmonary, Critical Care and Sleep Medicine has developed service lines tailored to the needs of our patients. We provide care to the complete range of lung disease, including chronic obstructive pulmonary disease, asthma, interstitial lung diseases and idiopathic pulmonary fibrosis, sarcoidosis, pulmonary hypertension, cystic fibrosis, alpha-1-antitrypsin deficiency, pleural effusion, sleep apnea and lung cancer.

Collaboration is part of our culture and essential in the decision-making processes during multidisciplinary ICU rounds, Multidisciplinary Lung Cancer Conference, Multidisciplinary Interstitial Lung Disease Conference and Lung Transplant Selection Committee.

Our fellows learn to evaluate patients with respiratory symptoms and radiographic abnormalities and interpret pulmonary function tests, cardiopulmonary exercise tests, bronchial challenge testing, exhaled nitric oxide testing and sleep studies. Fellows perform diagnostic and therapeutic interventions like flexible bronchoscopy, endobronchial ultrasound, robotic bronchoscopy, thoracentesis, tunneled pleural catheters; and are exposed to rigid bronchoscopy, tumor laser ablation, stent placement, endobronchial valves for bronchoscopic lung volume reduction for qualified patients with emphysema, bronchial thermoplasty for severe asthma, medical thoracoscopy (pleuroscopy), and percutaneous tracheostomy through our interventional pulmonology service.

Fellows have the important role of teaching residents and medical students. They participate in didactic activities giving lectures, presenting in the Pulmonary and Critical Care Grand Rounds, Morbidity & Mortality and act as instructors in workshops with simulation.

In collaboration with the Office of Research, fellows receive guidance and core lectures to develop their research projects. Many of our faculty are involved in clinical research, allowing fellows to have many mentors. There are opportunities to collaborate with the Corewell Health Health – Michigan State University Alliance Corporation.

As a fellow, you will learn the fundamentals of quality improvement and its applications in an academic environment. All fellows are encouraged to take on a QI project during their fellowship training.

We are committed to developing leadership and expertise to advance patient care and expand the knowledge base of pulmonary and critical care medicine. Our high-volume and clinically diverse program offers a unique experience to shape future specialists in these disciplines.

We invite you to explore our program and consider joining us to further develop our mission.

Maximiliano Tamae Kakazu, MD, FCCP
Program Director, Pulmonary Disease and Critical Care Medicine Fellowship
Associate Professor of Medicine, Corewell Health - Grand Rapids/Michigan State University College of Human Medicine

Education

The Corewell Health – Grand Rapids/Michigan State University Pulmonary Disease and Critical Care Medicine Fellowship seeks to train clinical scholars who are equally prepared to enter academic medicine or the private sector. Pursuant to these goals there is a strong emphasis on the following:

  • Mastery of the knowledge base
  • Excellence in patient care
  • Acquiring skills in teaching and mentoring
  • Procedural expertise
  • Clinical research

The program is based at Butterworth Hospital in the intensive care unit and lung transplant clinic with the following complementary experiences:

  • Corewell Health Cancer Center at Lemmen-Holton Cancer Pavilion (multidisciplinary lung cancer clinic)
  • 4100 Lake Drive outpatient office (for general pulmonary continuity clinic)
  • Pulmonary hypertension clinic
  • Sleep disorder clinic
  • Physiology
  • Cystic fibrosis clinic
  • Interstitial lung disease clinic
  • Interventional pulmonology
  • Corewell Health Grand Rapids Hospitals - Blodgett Hospital (outpatient bronchoscopies and Long-Term Acute Care Hospital)
  • Simulation laboratories are available from the vascular training program

Didactics

Each year starts with an intensive fellow boot camp that includes a daily conference series covering topics in pulmonary and critical care medicine. These conferences then transition to morning report, pulmonary and critical care grand rounds, multidisciplinary interstitial lung disease conference, research conference/journal club, critical care morbidity and mortality, and during determined rotations will have specific conferences (i.e. lung transplant selection committee, multidisciplinary interventional pulmonology conference, multidisciplinary lung cancer conference).

Research

Our program strongly supports fellow research and many of our faculty are involved in clinical research. Fellows also receive support from our scholarly activity support team. The scholarly activity support team also offers biostatistics consultation and help with poster preparation. Residents will be expected to submit their work for presentation at an institutional Research Day, held in April annually. There are opportunities to collaborate with the Corewell Health – Michigan State University Alliance Corporation led by Dr. Xiaopeng Li.

Here is a list of publications that our faculty have participated in.

Specialty services and rotations

Specialty services

Interventional pulmonology

This service allows learning basic and advanced diagnostic procedures and exposure to advanced therapeutic procedures during the three years of training. Gustavo Cumbo-Nacheli, MD, and John Egan, MD, are the only board-certified interventional pulmonologists in West Michigan. Corewell Health is the only facility in West Michigan to offer advanced and comprehensive interventional pulmonology services. Watch the program video to learn about the many procedure fellows can assist with. Get to know Gustavo Cumbo-Nacheli, MD.

Lung transplant

Our institution has performed more than 300 lung transplants, while maintaining some of the best outcomes in the country. This gives fellows experience in the evaluation of patients considered for transplantation and in the management of post-transplant patients. Fellows participate in rounds at the Corewell Health Grand Rapids Hospitals Fred & Lena Meijer Heart Center and at Butterworth Hospital. Clinic is completed at the Corewell Health Richard DeVos Heart & Lung Transplant Clinic.

Critical care

There are 80 beds at Butterworth Hospital allowing exposure to complex patients in the medical intensive care unit, neuro intensive care unit, surgical intensive care unit, and cardiothoracic intensive care unit including mechanical circulatory devices and ECMO. An attending physician is present 24 hours a day and 7 days a week allowing direct and indirect supervision. During this rotation, fellows learn airway management, resuscitation in patients with shock, insertion of central venous catheters and arterial lines, chest tubes and mechanical ventilation management.

Lung cancer

The lung mass and cancer clinic at Corewell Health Lemmen-Holton Cancer Pavilion provides a rapid and comprehensive evaluation of patients with lung nodules and those with suspicion of malignancy. Fellows see patients and participate in diagnostic and management discussions with a multidisciplinary team in our tumor board conference, which includes representatives from pulmonary, medical oncology, thoracic surgery, pathology, interventional radiology, interventional pulmonology and radiation oncology.

Interstitial lung disease

Our specialty team includes pulmonologists, cardiothoracic surgeons, radiologists and pathologists working together to treat an array of different interstitial lung diseases, including pulmonary fibrosis. Fellows see patients in our dedicated interstitial lung disease and sarcoid clinics. They then participate in the multidisciplinary interstitial lung disease conference to discuss and determine a consensus diagnosis for most of the patients.

Cystic fibrosis

The Corewell Health adult cystic fibrosis clinic care center ranks among the 10 largest in the nation and is accredited by the Cystic Fibrosis Foundation. Our team includes pulmonologists, social workers, care coordinators and respiratory therapists who focus on improving the length and quality of life. Fellows see patients in this clinic and treat those that are admitted to the hospital.

Pulmonary hypertension

Spectrum Health experts diagnose and develop treatment plans for those patients with pulmonary hypertension. Fellows have the opportunity to see these patients in the clinic, as well as treating them while they are hospitalized. In addition, fellows have the opportunity to perform right heart catheterizations to help provide a diagnosis for these patients. Fellows also participate in our pulmonary hypertension conference to discuss advanced cases to develop a consensus diagnostic and therapeutic treatment plan.

Affiliation with Michigan State University College of Human Medicine

Fellows supervise and are expected to teach residents, medical students and other learners during their rotations.

Elective rotations

In the third year, fellows will have five and a half elective rotations to gain experience in their area of interest and/or advance their quality improvement or research projects.

Medical intensive care unit team A and Medical intensive care unit team B

Fellows in each team are responsible for coordinating rounds and consultations in the medical intensive care unit and interacting with consulting services. Fellows will interact and coordinate care with nursing, respiratory therapy, pharmacy, social work, nutrition, and physical therapy. They will also supervise and teach residents and medical students.

Night float

The fellow will provide night coverage in the medical intensive care unit and urgent consultations in the medical floor. The fellow will also supervise and teach residents and medical students during the night shift.

Pulmonary consultation

The fellow will gain experience in the workup, evaluation and management of patients with pulmonary disorders while hospitalized. The fellow will supervise and teach residents during this rotation and facilitate rounds.

Bronchoscopy/procedures

The fellow will be instructed in procedures such as fiberoptic bronchoscopy, endobronchial ultrasound, radial endobronchial ultrasound, thoracentesis and assist the attending physician in procedures like electromagnetic navigation, robotic, and therapeutic bronchoscopy. The fellow will also participate in the multidisciplinary lung cancer clinic conference.

Physiology

In addition to the continuity clinic, the fellow will be responsible for the reading of all PFT’s and cardiopulmonary exercise tests. The fellow will participate in sleep studies interpretation and assess patients for pulmonary rehabilitation.

Application requirements

Applications to the Corewell Health - Grand Rapids/Michigan State University Pulmonary Disease and Critical Care Medicine Fellowship are accepted exclusively through the Electronic Residency Application Service (ERAS). We participate in the National Resident Matching Program (NRMP) Medical Specialties Matching Program. Applicants must register with National Resident Matching Program and agree to the terms of the NRMP Match. All applicants must possess U.S. work authorization or be eligible for J-1 status.

Please contact Jeffery Denhof, program coordinator, with any questions. 

Salary and benefits

Corewell Health in West Michigan provides a comprehensive and very competitive benefits package for our residents, staff and their families. In addition, our program provides educational monies to support your ongoing education. Download our salary and benefits document to learn more.

Explore West Michigan

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Food, entertainment and shopping
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Food: Release your inner foodie exploring one of the top food cities in the US.

Entertainment: From zoos and museums to festivals and art, there is a new experience around every corner.

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Outdoors: With trails, lakes and more, there is so much of West Michigan to explore.

Sustainability: Located along the shore of Lake Michigan, West Michigan has many initiatives to protect our natural resources.

Resources
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Identities matter and so do you! Our residency and fellowship programs offer social activities, wellness programs and a diversity council to foster respect, personal health and community.

Program Director

Maximiliano Tamae Kakazu, MD
Maximiliano Tamae Kakazu, MD

Pulmonary and Critical Care Physician

  • Specialty: Sleep Medicine
  • Fellowship:
    • (Pulmonary and Critical Care Medicine) John H. Stroger, Jr. Hospital of Cook County
    • (Sleep Medicine) University of Chicago
  • Residency: John H. Stroger, Jr. Hospital of Cook County
Maximiliano Tamae Kakazu, MD
Maximiliano Tamae Kakazu, MD

Pulmonary and Critical Care Physician

  • Specialty: Sleep Medicine
  • Fellowship:
    • (Pulmonary and Critical Care Medicine) John H. Stroger, Jr. Hospital of Cook County
    • (Sleep Medicine) University of Chicago
  • Residency: John H. Stroger, Jr. Hospital of Cook County

Associate Program Director

Stephen Doyle, DO
Stephen Doyle, DO

Pulmonary and Critical Care Physician

  • Fellowship: Ohio State University Medical Center
  • Residency: University of Kansas Medical Center
Stephen Doyle, DO
Stephen Doyle, DO

Pulmonary and Critical Care Physician

  • Fellowship: Ohio State University Medical Center
  • Residency: University of Kansas Medical Center

Core Faculty

Diego Conci, MD
Diego Conci, MD

Pulmonary and Critical Care Physician

  • Fellowship: Ohio State University Medical Center
  • Residency: University of Kansas Medical Center
Gustavo Cumbo-Nacheli, MD
Gustavo Cumbo-Nacheli, MD

Pulmonary and Critical Care Physician

  • Specialty: Interventional Pulmonology
  • Fellowship: Cleveland Clinic Foundation
  • Residency: Wayne State University
John Egan, MD
John Egan, MD

Pulmonary and Critical Care Physician

  • Specialty: Interventional Pulmonology
  • Fellowship: Cleveland Clinic Foundation
  • Residency: Wayne State University
Reda Girgis, MD
Reda Girgis, MD

Pulmonary and Critical Care Physician

  • Specialty: Pulmonary Disease and Lung Transplantation
  • Fellowship:

    • (Pulmonary and Critical Care) Henry Ford Health System
    • (Lung transplantation) Stanford Health Care – Stanford University
  • Residency: Henry Ford Health System

Diego Conci, MD
Diego Conci, MD

Pulmonary and Critical Care Physician

  • Fellowship: Ohio State University Medical Center
  • Residency: University of Kansas Medical Center
Gustavo Cumbo-Nacheli, MD
Gustavo Cumbo-Nacheli, MD

Pulmonary and Critical Care Physician

  • Specialty: Interventional Pulmonology
  • Fellowship: Cleveland Clinic Foundation
  • Residency: Wayne State University
John Egan, MD
John Egan, MD

Pulmonary and Critical Care Physician

  • Specialty: Interventional Pulmonology
  • Fellowship: Cleveland Clinic Foundation
  • Residency: Wayne State University
Reda Girgis, MD
Reda Girgis, MD

Pulmonary and Critical Care Physician

  • Specialty: Pulmonary Disease and Lung Transplantation
  • Fellowship:

    • (Pulmonary and Critical Care) Henry Ford Health System
    • (Lung transplantation) Stanford Health Care – Stanford University
  • Residency: Henry Ford Health System

Ryan Hadley, MD
Ryan Hadley, MD

Pulmonary and Critical Care Physician

  • Fellowship: University of Michigan
  • Residency: University of California - Los Angeles
Malik Khan, MD
Malik Khan, MD

Pulmonary and Critical Care Physician

  • Fellowship: Albany Medical College
  • Residency: Grand Rapids Medical Education Partners/Michigan State University in Grand Rapids
Marc McClelland, MD
Marc McClelland, MD

Pulmonary and Critical Care Physician

  • Fellowship: University of Michigan Hospitals & Health Center
  • Residency: Stanford Health Care – Stanford University
Joseph Pitcher, MD
Joseph Pitcher, MD

Pulmonary and Critical Care Physician

  • Fellowship: Maine Medical Center
  • Residency: Virginia Commonwealth University
Syed Razvi, MD
Syed Razvi, MD

Pulmonary and Critical Care Physician

  • Fellowship: Henry Ford Health System
  • Residency: Grand Rapids Medical Education Partners/MSU
Gayathri Sathiyamoorthy, MD
Gayathri Sathiyamoorthy, MD

Pulmonary and Critical Care Physician

  • Fellowship: Cleveland Clinic Foundation
  • Residency: State University of New York Upstate Medical University
Ruchira Sengupta, MD
Ruchira Sengupta, MD

Pulmonary and Critical Care Physician

  • Fellowship: University of Cincinnati
  • Residency: Henry Ford Health System
Glenn VanOtteren, MD
Glenn VanOtteren, MD

Pulmonary and Critical Care Physician

  • Fellowship: University of Michigan Hospitals & Health Center
  • Residency: University of Texas Southwestern Medical School
Xiaopeng Li, PhD
Xiaopeng Li, PhD

Education:

  • PhD, Michigan State University
  • Postdoctoral Research Associate, University of Iowa
  • Postdoctoral Research Associate, University of California San Francisco

Class of 2026

Wahaaj Khan, MD
Wahaaj Khan, MD

Internal Medicine: Atlantic Health System

Raman Kutty, MD
Raman Kutty, MD

Internal Medicine: White River Health System

John Parent, MD
John Parent, MD

Internal Medicine: Spectrum Health/Michigan State University

Felicia Wright, MD
Felicia Wright, MD

Internal Medicine: Spectrum Health/Michigan State University

Wahaaj Khan, MD
Wahaaj Khan, MD

Internal Medicine: Atlantic Health System

Raman Kutty, MD
Raman Kutty, MD

Internal Medicine: White River Health System

John Parent, MD
John Parent, MD

Internal Medicine: Spectrum Health/Michigan State University

Felicia Wright, MD
Felicia Wright, MD

Internal Medicine: Spectrum Health/Michigan State University

Class of 2025

Sara Akbar, MBBS
Sara Akbar, MBBS

Internal Medicine: Westchester Medical Center

Tyler Kemnic, DO
Tyler Kemnic, DO

Internal Medicine: Sparrow Hospital/Michigan State University

Julieta Osella, MD
Julieta Osella, MD

Internal Medicine: Lincoln Medical and Mental Health Center

Sara Akbar, MBBS
Sara Akbar, MBBS

Internal Medicine: Westchester Medical Center

Tyler Kemnic, DO
Tyler Kemnic, DO

Internal Medicine: Sparrow Hospital/Michigan State University

Julieta Osella, MD
Julieta Osella, MD

Internal Medicine: Lincoln Medical and Mental Health Center

Class of 2024

Samridhi Gulati, MBBS
Samridhi Gulati, MBBS

Internal Medicine: Creighton University

Angela Peraino, DO
Angela Peraino, DO

Internal Medicine & Pediatrics: Spectrum Health/Michigan State University

Combined Adult & Pediatric Fellowship Track

Fazal Raziq, MBBS
Fazal Raziq, MBBS

Internal Medicine: Michigan State University

Samridhi Gulati, MBBS
Samridhi Gulati, MBBS

Internal Medicine: Creighton University

Angela Peraino, DO
Angela Peraino, DO

Internal Medicine & Pediatrics: Spectrum Health/Michigan State University

Combined Adult & Pediatric Fellowship Track

Fazal Raziq, MBBS
Fazal Raziq, MBBS

Internal Medicine: Michigan State University

Ready to Apply?

We participate in the National Resident Matching Program and use the Electronic Residency Application Service.