Pulmonary & Critical Care Medicine Los Angeles Medical Center - Curriculum

The Pulmonary Critical Care Medicine (PCCM) fellowship training spans over 36 months, with at least 28 required clinical rotations, of which 11 are ICU-based, while another 11 are pulmonary-based, with the remaining 6 being procedure/physiology-focused.  There is time built-in for elective experiences as well as research.  The fellows will spend approximately 70% of their clinical time at LAMC, the primary training site.  The remaining time will be spent at Cedars-Sinai Medical Center (CSMC).

Clinical Rotations:

LAMC Rotations:

• Medical ICU
• Pulmonary Consult
• Bronchoscopy/Respiratory Physiology
• Ambulatory Pulmonary Medicine (including Transplant, PH, CF, Sleep and ALS clinics)
• Neuro ICU
• Cardiothoracic ICU

CSMC Rotations:

• Medical ICU
• Pulmonary Consult/Pulmonary Vascular Disease
• Bronchoscopy
• Lung Transplant

Other Rotations:

• Electives (Chest Radiology, Cardiac Echocardiography, Anesthesia, Thoracic Surgery, Palliative Care, Allergy Medicine, Sleep Medicine)
• Research
• Simulation Training

Conference:

The fellowship conducts following regularly-scheduled conferences:

• Didactic lectures in pulmonary, critical care or sleep medicine topics, weekly
• Thoracic Tumor Board, weekly
• Chest Conference, weekly
• PCCM Journal Club, monthly
• Allergy-Pulmonary Conference, monthly
• Physiology conference, monthly
• IM/CCM Case Conference, monthly
• Pathology Conference, monthly
• Morbidity and mortality conference, monthly
• Neuro-Critical Care Journal Club, bimonthly
• Research Conference, quarterly
• Board Review, monthly
• Central line insertions

Expected Procedural Competency:

• Bronchoscopy (including EBUS, navigational bronchoscopy, transbronchial/endobronchial biopsy, laser surgery, balloon dilatation and airway stent placement)
• Chest tube placement (including indwelling pleural catheters)
• Dilatational tracheostomy
• Endotracheal intubation