Pulmonary & Critical Care Medicine Fellowship
The Spectrum Health/Michigan State University Pulmonary & 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, critical care, lung cancer and interstitial lung disease.
This service allows learning basic and advanced diagnostic procedures and exposure to advanced therapeutic procedures during the three years of training.
Our institution has performed more than 100 lung transplants over the past five years, giving experience in the evaluation of patients considered for transplantation and in the management of post-transplant patients.
There are 78 beds at Spectrum Health Butterworth Hospital allowing an 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. There is an attending physician present 24/7 allowing direct and indirect supervision. During this rotation, the fellows learn airway management, resuscitation in patients with shock, insertion of central venous catheters and arterial lines, chest tubes and mechanical ventilation management.
The lung mass and cancer clinic at the Spectrum Health Lemmen-Holton Cancer Pavilion provides a rapid evaluation of patients with lung nodules and suspicion of malignancy. Fellows have the opportunity to see patients and participate in the discussion in the tumor board that includes pulmonologists, oncology, thoracic surgery, pathology, interventional radiology, interventional pulmonology and radiation oncology.
Interstitial Lung Disease
Fellows have the opportunity to see patients at the dedicated interstitial lung disease and sarcoid clinics and be part of the interstitial lung disease conference where multidisciplinary discussions are done to decide on a consensus diagnosis for most of the patients.
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.
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: The fellows in each team will be responsible for coordinating rounds and consultations in the medical intensive care unit and interacting with consulting services. The 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 or 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.
- Spectrum 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
- Cystic fibrosis clinic
- Interstitial lung disease clinic
- Interventional pulmonology
- Spectrum Health Blodgett Hospital (outpatient bronchoscopies and LTACH)
- Simulation laboratories are available from the vascular training program.
Each year starts with an intensive fellow’s bootcamp including daily conference series covering topics in pulmonary and critical care medicine. These conferences will 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).
Our program strongly supports fellow research, and many of our faculty are involved in clinical research. The fellows will also receive support from our scholarly activity support team, led by Alan Davis, PhD.
For research support, the scholarly activity support team can assist you. The scholarly activity support team also offers biostatistics consultation, and poster preparation. Residents will be expected to submit their work for presentation at an institutional Research Day.
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