This is unpublished

Locations 

Located throughout Seattle, our fellows train at four different medical centers: University of Washington Medical Center (UWMC), Harborview Medical Center (HMC), Veterans Affairs Puget Sound Health Care System (VAPSHC), and the Fred Hutchinson Cancer Center.

UW Medical Center, Harborview Medical Center, VA Puget Sound and Fred Hutchinson Cancer Center

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:

  • General pulmonary clinic
  • Asthma and allergy
  • Chest radiology
  • Cystic fibrosis
  • Interstitial lung disease
  • Lung transplantation
  • Neuromuscular disease
  • Otolaryngology
  • Pulmonary vascular disease
  • Sleep medicine
  • Tuberculosis
  • Thoracic surgery

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, VAPSHC)
  • 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 (CICU) 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
  • Crisis leadership training
  • Diagnostic and procedural ultrasonography
  • Extracorporeal life support
  • Pleural procedures
  • Right heart catheterization
  • Ventilator management

Sample Track Schedules

Clinical

Year 1

  • Pulmonary (5 months)
  • ICU (7 months)

Year 2

  • Pulmonary (6 months)
  • ICU (2 months)
  • Ambulatory block (1 month)
  • Elective (3 months)

Year 3

  • Pulmonary (4 months)
  • ICU (2 months)
  • Ambulatory (2 months)
  • Elective (4 months)

Clinician-Educator 

Year 1

  • Pulmonary (5 months)
  • ICU (7 months)

Year 2

  • Pulmonary (2 months)
  • ICU (1 month)
  • Scholarly time (9 months)

Year 3

  • Pulmonary (4 months)
  • ICU (2 months)
  • Ambulatory blocks (2 months)
  • Scholarly time/Electives (4 months)

Physician-Scientist (non-degree seeking)

Year 1

  • Pulmonary (5 months)
  • ICU (7 months)

Year 2

  • Pulmonary (3 months)
  • ICU (1 month)
  • Ambulatory blocks (2 months)
  • Research (6 months)

Year 3

  • Research (12 months)

 Physician-Scientist (degree seeking)

Year 1

  • Pulmonary (5 months)
  • ICU (7 months)

Year 2

  • Pulmonary (2 months)
  • Research (10 months)

Year 3

  • Pulmonary (2 months)
  • Ambulatory blocks (2 months)
  • Research (8 months)