Y ear one is divided into 12 one-month rotations. There are also combined rotations in sleep medicine and cardiopulmonary exercise testing, as well as thoracic surgery and anesthesia. The fellow's clinical responsibilities vary depending on service and hospital. At each location, the fellow works under the direct supervision of a designated attending physician. Also attends one half-day general pulmonary clinic.
Patient population is largely tertiary care.
MICU patients are often transferred in from community hospitals. Training in sleep medicine involves interpreting polysomnograms and attending two half-day sleep clinics per week. During this rotation, the fellow also performs and interprets cardiopulmonary exercise tests. The population of the VA provides ample exposure to chronic lung disease and lung neoplasms. Attends one half-day general pulmonary clinic.