Pulmonary/Critical Care Fellowship

The curriculum is designed to include all aspects of the six competency areas for Pulmonary/Critical Care as outlined in ACGME’s program requirements, with an overall curriculum repeated every 18 months. Fellows get advanced training in procedures such as endobrachial ultrasound (EBUS), cryobiopsies, radial EBUS, navigational bronchoscopy and several interventional pulmonary medicine procedures. 

Didactic Sessions

Our academic half-day every Friday includes:

• Core lecture
• Journal clubs
• M&M
• Case conference

In addition to the Friday academic half-day, the fellows participate in weekly board review and pathology conference:

• Weekly Board Review
• Combined ED/CC Conference
• Tumor Conference
• Pathology Conference at Salem VAMC

Procedural Exposure

Fellows are exposed to numerous procedures at Carilion Clinic, including: 

• Flexible bronchoscopy, includes:
  • Transbronchial biopsies
  • Bronchoalveolar lavage
  • Transbronchial needle aspirations (blind)
  • Bronchial biopsies
  • Brush (endobronchial or transbronchial)
• Bronchoscopy blind TBNA
• Bronchoscopy EBUS with TBNA
• Bronchoscopy flexible
• Bronchoscopy flexible bronchoscopy with conscious sedation
• Navigational bronchoscopy
• Rigid bronchoscopy
• Balloon bronchoplasty
• Abdominal paracentesis
• Airway stents
• Argon plasma/electrocautery
• Arterial line placement (radial, femoral)
• Central venous line placement (internal jugular, subclavian, femoral)
• Chest tube insertion
• Cryotherapy
• Endotracheal Intubation
• Foreign body removal
• Large bore central venous catheter (dialysis catheter or cordis/trauma catheter)
• Laser
• Lumbar puncture
• Percutaneous tracheostomy
• PleurX
• Pleural pigtail placement
• Pulmonary arterial catheter placement
• Thoracentesis with ultrasound