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 VA Health Care System (VAPORHCS)
- Kaiser Permanente Hospital (KPH)
- Legacy Emanuel Hospital (EM)
- Providence St. Vincent Medical Center (PSV)
- Divisional research laboratories at OHSU
- Divisional research Laboratories at VAPORHCS
- 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 and conference presentations, 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, non-MICU
- 18 blocks research
In addition to the rotations listed below, fellows participate in alternating bi-weekly continuity clinics at UH and VAPORHCS.
- Bronchoscopy and PFT Service, VAPORHCS
- Pulmonary Consult Service, UH
- Pulmonary Consult Service, VAPORHCS
- Kaiser Sunnyside Intensive Care Unit, KH
- Medical Intensive Care Unit/Critical Care Consult Service, EM
- Medical Intensive Care Unit, VAPORHCS
- Medical Intensive Care Unit, UH
Other ICU rotations
- Anesthesiology, PSV (1 block in first year)
- Trauma ICU, UH
- CSI-Post Cardiac Surgery & Surgical Sub-Specialty, UH
- Neuro ICU, UH
The first year consists of 13 four-week rotations on clinical services. 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 our 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.