Pulmonary & Critical Care Fellowship Program

About Pulmonary and Critical Care Fellowship Program

Welcome to the division of pulmonary and critical care medicine at Lankenau Medical Center. Our fellowship program provides a unique opportunity for high level training in pulmonary and critical care medicine. Our program is comprised of a total of six fellows, with two fellowship positions offered per year. Our high faculty to trainee ratio offers our fellows a superior educational experience, while our broad range of patients provides exposure to all areas of pulmonary and critical care medicine. The philosophy of our division is to provide the highest level of care to our patients through the practice of thoughtful evidence-based medicine, while maintaining a strong personal connection to our patients and their families.

In addition to the close interaction with faculty in the division of pulmonary and critical care medicine, our fellows will also have the opportunity to interface directly with faculty and trainees in other subspecialties of internal medicine as well as with faculty from thoracic, cardiac, and general surgery, emergency medicine, radiology, pathology, anesthesiology and neurology.

Lankenau Medical Center is a community based academic medical center with a strong emphasis on education and research. At Lankenau, we pride ourselves on the respectful collaboration between physicians of different specialties and all members of the health care team, and we are committed to enduring advanced medical education for our trainees as well as our faculty, which allow us to fulfill our mission of providing outstanding care to our patients.

Learn more about Diversity, Respect, Equity & Inclusion at Main Line Health

Application Process

All applicants interested in training at Lankenau Medical Center in the Pulmonary Disease and Critical Care Medicine Fellowship Program will be considered without regard to race, color, religion, sex or national origin.

Our program only accepts applications through the Electronic Residency Application Service (ERAS) system. We begin reviewing the applications in July and interview applicants September through October. The deadline for receiving your completed application is September 30. We participate in the National Resident Matching Program (NRMP).

All applications must include:

  • ERAS common application form
  • Three letters of recommendation
  • Personal statement
  • Medical school dean’s letter and medical school transcripts
  • USMLE scores step 1, 2, 3
  • COMLEX scores level 1, 2, 3
  • Board scores if applicable
  • ECFMG certificate (if applicable)

Contact information

For additional questions or concerns, please contact:

Briana Tangney
Pulmonary and Critical Care Program Coordinator
[email protected]

Pulmonology Associates
Lankenau Medical Center
100 East Lancaster Ave
MOB West Suite 230
Wynnewood, PA 19096
Phone: 610.642.3796

Resources

Research

Our division has an active clinical and basic science research program focusing on the study of lung cancer and the study of Mycobacterium avium complex pulmonary infection. In collaboration with Janet Sawicki, PhD, a member of our faculty as well as the deputy director of the Lankenau Institute for Medical Research, we have received grant funding for these and other projects. Dr. Sawicki serves as a mentor to fellows interested in pursuing basic research projects. Our pulmonary/critical care faculty engage actively in various clinical research projects on COPD, pulmonary vascular disease, and critical care medicine. In addition, our sleep medicine faculty have ongoing research projects investigating various aspects of sleep medicine. We have a research nurse coordinator on our staff who works actively with the faculty and fellows in the organization of research projects and data collection.

Research program

Fellows are introduced to ongoing research activities during the first year of their training. During bimonthly research conferences, our faculty discuss ongoing research protocols and help fellows to explore ideas for new projects. Each fellow selects a research area and mentor(s) from among the faculty of the division of pulmonary and critical care medicine, sleep medicine, or the Lankenau Institute for Medical Research. With the assistance of their research mentor(s), fellows prepare and present a research proposal at the beginning of the first research year. Fellows receive guidance during their research training from their individual mentor(s) and from the fellowship program director. Fellows are strongly encouraged to apply for individual national fellowship research training awards from the National Institutes of Health or other agencies, and are guided in this process by their research mentor(s) and by Dr. Sawicki. Fellows are expected to discuss their research projects and data periodically at our bimonthly Divisional Research Conferences, to present their work at local and national scientific meetings, and ultimately to submit their results for publication in the peer-reviewed biomedical literature.

Conferences

Summer core conference series (7:30–8:30 am Tuesday and Thursday)

A pulmonary and critical care lecture series occurs during the first three months of fellowship. A 12-week course comprised of basic topics in pulmonary and critical care medicine are presented by faculty members of the division of pulmonary, critical care, and sleep medicine and other physicians outside of our division.

Pulmonary and critical care core curriculum (7:30–8:30 am Thursday)

Weekly didactic lectures by division of pulmonary and critical care medicine faculty and fellows, as well as invited speakers, covering key clinical topics in pulmonary disease and critical care medicine.
  • Core conferences: 32 pulmonary/12 critical care
  • Case conferences: two per month
  • Journal club: one per month
  • Radiology conference: one per month
  • Lung cancer conference: one per month
  • Sleep conference: every other month
  • Research conference: every other month
  • Multidisciplinary conferences: harmonious, medicine, mortality, infectious disease, research

Faculty and Fellows

Learn more about the Pulmonary and Critical Care Fellowship Program's Faculty and Fellows.

Curriculum

Fellows will fulfill the required rotations in the medical intensive care unit, surgical and cardiothoracic intensive care unit, and pulmonary consultation service, as well as trauma, radiology/pathology, sleep and pulmonary function testing/pulmonary rehabilitation under the direct supervision of a Pulmonology Associate faculty member. Elective rotations will be offered during the third year of fellowship. In addition, fellows will have a weekly outpatient continuity clinic during which they will follow a panel of patients throughout the three years of their fellowship. A total of nine months will be dedicated to research, during which time fellows will have the opportunity to develop a clinical research project with the supervision of our pulmonary/critical care faculty or work on a basic science research project under the mentor-ship of our faculty at the Lankenau Institute for Medical Research.

Pulmonary and critical care rotation schedule

Typical three-year training schedule

Rotation Year one Year two Year three Total
MICU Three months Two months One month Six months
CT/SICU One month One month One month Three months
CONSULTS Three months Two months Two months Seven months
TRAUMA One month One month
PFT/REHAB/ BRONCH One month One month One month Three months
RADIOLOGY/ U/S/IR One month One month
SLEEP One month One month One month Three months
PEDIATRICS One month One month
ELECTIVE Two months Two months
RESEARCH One month Four months Four months Nine months
PULMONARY CLINIC

One half day
per week

One half day
per week

One half day
per week

Pulmonary and critical care rotations

Pulmonary consult service: seven months
The Fellow will be responsible for inpatient pulmonary consultation, care, and follow-up on all patients during the assigned month at Lankenau Medical Center. The consult team will often be made up of medical residents on elective rotation from Lankenau and a medical student often from Thomas Jefferson University or Philadelphia College of Osteopathic Medicine. Pulmonary attendings rotate on a weekly schedule and therefore the fellow will provide continuity of care but have the opportunity to interact and review care with several of our faculty. The consult service is active, often seeing between four to 10 new patients daily with 10–20 patients requiring follow-up daily. Over the course of the three-year fellowship, it is anticipated that the fellow will assume greater responsibility and independence.

Medical intensive care unit (ICU): six months
The fellow will be responsible for all patients assigned to our medical intensive care unit service. The ICU team is made up of two upper year medical residents, four first year residents, and one medical student. Our ICU attending faculty rotates on a weekly basis and therefore the critical care fellow will provide continuity of care, while having the opportunity to interact with several members of our attending staff. The Medical ICU team currently admits two to six new patients daily and averages a census of 10–20 patients. This demanding rotation often will require the fellow to work from 7:00 am–7:00 pm. Fellows are not required to take in-house call at this time. Night call once/week is shared among all the fellows. Over the course of the three-year fellowship it is anticipated that the fellow will assume greater responsibility and independence in the care of the critically ill patient.

Pulmonary function lab/bronchoscopy/pulmonary rehabilitation: three months
The fellow will have one month each year assigned to this rotation. Each Tuesday and Thursday the fellow will be assigned to the interventional bronchoscopy procedure room to gain more experience with diagnostic bronchoscopy. The fellow will be responsible for reading all pulmonary function tests performed during the month. During the pulmonary rehabilitation experience the fellow will be required to monitor the progress of assigned patients. A defined required exposure to exercise testing and airway reactivity testing will be met. A required reading list ensures adequate review of principles of pulmonary physiology

Sleep rotation: three months
The fellow will have one month each year devoted to sleep medicine. This experience will include a daily half day outpatient clinic where the fellow co-manages and assists the sleep medicine attendings in the care of patients with a variety of sleep disorders. The afternoon will be devoted to interpretation of sleep studies under the guidance of sleep technologists and attendings. Fellows will be expected to thoroughly understand sleep apnea equipment and how to monitor the effectiveness of treatment. Core lectures will be given during the bimonthly sleep conferences. A required reading list ensures adequate review of principles of sleep apnea and sleep medicine.

Cardiothoracic surgery/surgical intensive care (CT/SICU): three months
The fellow will be assigned to the CT/SICU for one month each year. The fellow will round with the CT/SICU attending each morning where they will serve as a resource to address issues related to medical critical care. In addition, the fellow will consult and follow general surgical ICU patients along with the assigned faculty attending. Fellows will also be scheduled to follow thoracic surgical cases in the operating room with our thoracic surgical attendings. During this month, the fellow will gain additional experience performing intubations with the anesthesia department.

Radiology: one month
During the first year of fellowship a radiology elective is designed to introduce the fellow to chest CT imaging, vascular ultrasound, and interventional radiology procedures. The fellow will acquire hands-on ultrasound training that will assist in critical care ultrasound procedures. Fellows will assist in the performance of IR procedures such as CT scan directed core needle biopsies, and will become familiar with the limitations and complications of these procedures.

Trauma: one month
During the first year of training the fellows will spend one month in the acute care surgical ICU at Thomas Jefferson University. The fellow will be assigned to the clinical care team and serve as a medical core resource for the trauma team. The goal of the rotation is to gain further experience in the care of the complex trauma patient with specific experience in utilizing various modes of mechanical ventilation.

Pediatrics: one month
During the second fellowship year, a pediatric rotation will provide the fellow with a variety of pediatric experiences. We have arranged for the fellow to round in the Lankenau neonatal ICU in the mornings to gain experience in the ventilator management of neonatal respiratory failure. The afternoons will be organized as a series of outpatient clinic experiences in pediatric allergy, pediatric ENT, and cystic fibrosis.