Our fellows receive great breadth of clinical training across four training sites: University of Washington Medical Center (UWMC), Harborview Medical Center (HMC), Veterans Affairs Puget Sound Health Care System (VA), and the Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance (FHCRC/SCCA).
Pulmonary Medicine
In addition to inpatient pulmonary consultation at UWMC, HMC, and the VA, fellows participate in all aspects of pulmonary medicine through ambulatory rotations in:
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Critical Care Medicine
Fellows are the team leaders in all of our intensive care units (ICUs) where they learn the full spectrum of critical care and multidisciplinary team management:
- Medical ICU (UWMC, HMC, VA)
- Oncology/Bone Marrow Transplantation ICU (UWMC)
- Surgical ICU (UWMC)
- Trauma ICU (HMC)
- Neurocritical Care ICU (HMC)
In addition, there are opportunities to rotate through the Cardiac Critical Care Unit (CCU) and Cardiothoracic ICU (CTICU) at UWMC.
Continuity Clinic
Fellows will have a General Pulmonary continuity clinic at UWMC, HMC, or the VA. In their third-year, fellows may choose to alternate this clinic with a subspecialty clinic of their choice based on their clinical and/or research interests.
Skills/Procedures
Skills-based education is incorporated into rotations and mini-sabbatical sessions:
- Airway management, including a one month OR airway rotation early in the first-year
- Bronchoscopy, including endobronchial/transbronchial biopsies, navigational bronchoscopy, endobronchial ultrasound
- Extracorporeal life support
- Pleural procedures
- Right heart catheterization
- Diagnostic and procedural ultrasonography
- Ventilator management
- Crisis leadership training
Sample Track Schedules
Clinical |
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| Year One | Year Two | Year Three |
| Pulmonary (5 months) | Pulmonary (6 months) | Pulmonary (4 months) |
| ICU (7 months) | ICU (2 months) | ICU (2 months) |
| Ambulatory block (1 month) | Ambulatory blocks (2 months) | |
| Elective (3 months) | Elective (4 months) |
Clinician-Educator |
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|---|---|---|
| Year One | Year Two | Year Three |
| Pulmonary (5 months) | Pulmonary (2 months) | Pulmonary (4 months) |
| ICU (7 months) | ICU (1 month) | ICU (2 months) |
| Scholarly time (9 months) | Ambulatory blocks (2 months) | |
| Scholarly time/Electives (4 months) | ||
Physician-Scientist
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| Year One | Year Two | Year Three |
| Pulmonary (5 months) | Pulmonary (3 months) | Research (12 months) |
| ICU (7 months) | ICU (1 month) | |
| Ambulatory blocks (2 months) | ||
| Research (6 months) | ||
Physician-Scientist
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| Year One | Year Two | Year Three |
| Pulmonary (5 months) | Pulmonary (2 months) | Pulmonary (2 months) |
| ICU (7 months) | Research (10 months) | Ambulatory blocks (2 months) |
| Research (8 months) |