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The Pulmonary and Critical Care fellowship program at Carolinas Medical Center in Charlotte, North Carolina is a 3-year program designed to provide fellows opportunities in managing complex respiratory diseases and critically ill patients across diverse settings. The program emphasizes a strong foundation in pulmonary physiology, critical care procedures, and evidence-based medicine. With exposure to advanced diagnostic techniques and therapeutic interventions, fellows develop proficiency in areas like mechanical ventilation, bronchoscopy, and point-of-care ultrasound. The curriculum balances clinical rotations with didactic sessions, research opportunities, and quality improvement projects. Located in a vibrant city, the fellowship provides a supportive learning environment with access to a large patient population from both urban and rural settings.

Program Highlights

The Pulmonary and Critical Care Training Fellowship Program at Carolinas Medical Center is dedicated to cultivating the next generation of leaders in pulmonary and critical care medicine. Our mission is to provide comprehensive, hands-on training that integrates outstanding clinical exposure and excellence with compassionate patient care. We are committed to fostering an environment of continuous learning and professional growth, while promoting innovation and evidence-based practice.

Fellows have the opportunity to rotate through our Medical Intensive Care Unit as well as subspecialty intensive care units: Neurosurgical, Cardiac Critical Care, and Cardiothoracic Care. Our Pulmonary rotations include care of patients with a wide breadth of pulmonary pathology and a unique ICU stepdown experience in the Progressive Care Unit

Annual volume at CMC typically consists of more than:

  • More than 1000 bronchoscopies including advanced diagnostic and therapeutic procedures such as EBUS, Navigational, Thoracentesis, Tunneled Pleural Catheters, and more
  • More than 100 ECMO patients in our various ICUs including V-A and V-V ECMO
  • More than 15,000 patients seen in the Jan and Ed Brown Center for Pulmonary Medicine

Program Curriculum

Year 1

PCC Boot Camp   1st month dedicated to didactics and procedural experience
MICU (2-3 months) Team structure with attending, fellow, residents, and students
Pulmonary (2-3 months) Consult rotation and care of patients in our Progressive Care Unit. Team structure with attending, APPs, and residents
Elective (1-2 months) Opportunity to participate in research, Quality Improvement, or Scholarly Activity. Additional rotations in our many ICUs including NSICU, CTICU, CCU, and Surgical Trauma ICU or Ambulatory rotation through subspecialty clinics
Night Float (2 months) Each fellow completing ~2 weeks of float per month
CCU (1 month) Structure with ICU attending and APP co-rounding with the Cardiology team with primary and consultative responsibilities
Ambulatory (1 month) Outpatient experience spent in subspecialty clinics including Cystic Fibrosis, Interventional Pulmonology, and Pulmonary Hypertension. Time spent with dedicated Interstitial Lung Disease faculty

 

Year 2

MICU 
(1-2 months) 
Pulmonary 
(2-3 months) 
Elective 
(4-5 months)
 
Night Float 
(2 months) 
NSICU  Paired with Neurointensivist and APPs with primary and consultative responsibilities
Interventional
Pulmonology
 Dedicated month in the Endoscopy suite with exposure to wide breadth of procedures as well as outpatient IP clinics

 

Year 3

MICU 
(1-2 months) 
Pulmonary 
(2-3 months) 
Elective 
(4-5 months)
 
Night Float 
(2 months) 
 CTICU Paired with Intensivist and APPs with consultative responsibilities on post-operative cardiothoracic patients

 

Conference Schedule

Tuesday  PCC Educational Noon Conference, Interstitial Lung Disease (monthly)
Wednesday  Incidental Lung Nodule
Thursday  Multidisciplinary Thoracic Oncology
 Friday  Fellows conference

Our fellows conference on Friday is a combination of standard didactic lectures on core curriculum, case based and flipped classroom sessions directed by the fellows. Sessions cover topics considered required medical knowledge. We also have multiple sessions attended by faculty and fellows to prepare our trainees for board certification in Pulmonary and Critical Care.

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