More specifically, the first year of fellowship training is dedicated to learning the fundamentals of pulmonary diseases, physiology, procedures, critical care medicine and bronchoscopy. Year 2 of fellowship training is focused on further improving upon clinical skills in PCCM, initiating research projects and developing leadership abilities. Towards the later half of the 2nd year into the 3rd year, the fellows are allotted research time to develop skills in academic leadership. The fellows are provided dedicated research time with the expectation of scholarly activity in projects involving medical education, quality improvement, clinical medicine or basic sciences with the benchmark of a presentation at national conferences and/or manuscript publications.
Core Competencies: Throughout the 36 months fellows are trained and evaluated on the ACGME milestones in Core Competencies including:
- Medical Knowledge
- Patient Care
- Practice Based Learning and Improvement
- Interpersonal and Communication Skills
- Systems Based Practice
Increasing Levels of Responsibility and Supervision: Throughout the fellowship, the fellows are supervised in the care of their patients by PCCM faculty. Each rotation has a dedicated “key clinical faculty” (KCF), an attending who has direct supervision of the fellow. With each year of additional training, the fellow acquires graduated levels of responsibility for each rotation. Fellows begin by learning the fundamentals of PCCM and then progress through their 2nd and 3rd year with respect to their management skills, procedural skills, level of responsibility in leading the team and educating members of the team. Ultimately, at the end of the 36 months of training, fellows are expected to have gained enough experience and knowledge to independently practice PCCM.
Educational Resources: There are a variety of educational resources that are available to the fellow. These include:
- The Levy Library with online access to standard pulmonary and critical care textbooks as well as relevant publications in pulmonary and critical care journals including UpToDate.
- Pulmonary and Critical Care reading lists (updated annually by the PD and associate PD).
- Board Review curriculum (available as a hard-copy or from the internal pulmonary fellowship website).
- A schedule of divisional and external weekly conferences emailed to all faculty and fellows including combined teleconferences within the Mount Sinai Health System and with National Jewish Hospital, Denver.
Clinical Competency Committee: The new accreditation system (NAS) has set up a practice whereby fellows need to meet certain milestones within the three years of training. These milestones correspond to six core competencies. A fellow’s performance is evaluated by a Clinical Competency Committee (CCC) made up of key clinical faculty (KCF): Drs Dua, Poor, Rho, Harkin, Feinsilver, Braman, Rogers, DiFabrizio, Mathur, Powell. They meet on a semi annual basis to review each fellow’s progress and then determine if there are any deficiencies in meeting milestones. If a fellow is found to be deficient in any milestone, they meet with the PD to discuss strategies on improvement. Fellows meet with the PD on a semi-annual basis to review their six monthly performance.