The Pulmonary & Critical Care curriculum consists of three to four years combining structured clinical rotations and protected research time.The Pulmonary & Critical Care Medicine fellowship includes the following training sites:
University Hospital (UH)
- Portland Veterans Administration Medical Center (PVAMC)
- Kaiser Permanente Hospital (KPH)
- Legacy Good Samaritan Hospital (GSH)
- Divisional research laboratories at OHSU
- Divisional research Laboratories at PVAMC
- Associated laboratories including the Department of Biochemistry, the Department of Cell and Developmental Biology, the Department of Physiology and Pharmacology, and the Oregon Cancer Institute
Each fellow is assigned a faculty mentor who provides guidance during the Fellowship and with career planning. This includes advice concerning rotations, discussion of the selection of research projects and mentors, and feedback during the course of the Fellowship.
The minimum rotation requirements are:
- 9 blocks of pulmonary consult rotation
- 6 blocks of MICU rotations
- 3 blocks of other ICU rotation, not MICU
- 18 blocks research
In addition to the rotations listed below, fellows participate in alternating bi-weekly continuity clinics at UH and PVAMC.
Cardio-Pulmonary Physiology Rotation, UH (1 block in 1st year)
Pulmonary Consult Service, UH
Pulmonary Consult Service, PVAMC
Sleep Medicine Rotation, UH (1 block in 2nd year)
Kaiser Sunnyside Intensive Care Unit, KH
Medical Intensive Care Unit/Critical Care Consult Service, GS
Medical Intensive Care Unit, PVAMC
- Medical Intensive Care Unit, UH
Other ICU Rotations
- Anesthesiology, PVAMC (1 block in first year)
- CSI-Post Cardiac Surgery & Surgical Sub-Specialty, UH
- Neuro ICU, UH
The first year consists of 13 four-week rotations on clinical services and varies for each Fellow depending on their experience. The goal of this year is to teach the trainee the basic aspects of pulmonary and critical care medicine.
Year 2 and 3
The second and third years of the program are arranged to support the development of the Fellows research and clinical interests. Each of these years will provide an average of nine months protected time for research, with three months of clinical rotations. The major focus at this point in the program is to engage in research under the guidance of a research mentor. This can involve research projects ranging from investigations of the mechanisms of disease to the collection of outcomes data, and spans all aspects of Pulmonary and Critical Care Medicine. Fellows may enroll in the Human Investigations Program at OHSU during this period and provides a basic scientific foundation for those Fellows without postgraduate science training.
The fourth year has become increasingly common for those Fellows planning to continue as clinician-investigators. It ensures an additional year of protected time to further develop a strong foundation for a career in academic medicine. It consists primarily of research time, and continuity clinic.