The first year of PCCM fellowship training is dedicated to learning the fundamentals of complex pulmonary diseases, physiology (including exercise testing), sleep medicine, acquiring skills in various PCCM procedures, sonogram training, focusing on fundamentals of critical care medicine and bronchoscopy. Year 2 of fellowship training is focused on further developing advanced clinical and procedural skills in PCCM, while initiating research projects and developing leadership abilities.Towards the latter half of the 2nd year and going into the 3rd year, the fellows are allotted a protected block of research time to develop investigative skills, with training in research methodology and academic leadership training. This protected research time of around 48-52 weeks in entire fellowship is dedicated to scholarly activity in research projects involving medical education, quality improvement, clinical medicine/trials or basic or translational 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 assigned faculty, an expert 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 a team and educating other 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 access to UpToDate.
- Weekly PCCSM topics during core didactics, including monthly sessions in the sim lab and longitudinal sonogram training.
- Board Review curriculum (including sleep medicine and pathology review).
- A schedule of divisional and external weekly conferences emailed to all faculty and fellows.
- Annual travel fund to attend professional society conferences for CME.
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 core faculty. 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 Program Director (PD) to discuss strategies on improvement. Fellows meet with the PD on a semi-annual basis to review their six-monthly performance.