The clinical component, which is usually the first year, consists of six inpatient rotations in conjunction with general outpatient pulmonary clinic and various subspecialty clinics. During the clinical year fellows without research backgrounds may develop an area of interest and explore possible opportunities for their ensuing research time. After completing one year of clinical training an additional three months in critical care training during the research fellowship and participation in weekly outpatient clinics complete eligibility for certification in Pulmonary and Critical Care Medicine. The program is certified by the Accreditation Council of Graduate Medical Education.
Fellows also have opportunities for additional training in sleep medicine and lung transplantation.
The fellow meets three times weekly with the Physiology attending for tutorials and interpretation of studies. The fellow interprets all pulmonary function tests at Johns Hopkins Hospital with faculty supervision. The fellow also supervises and interprets specialized pulmonary physiology studies including pulmonary exercise tests, lung compliance studies, and transdiaphragmatic pressure studies. In addition to the physiology tutorials, formal training in sleep medicine in included in this rotation. Fellows are instructed in the interpretation of polysomnography and attend weekly sleep clinic.