Pulmonary, Critical Care, and Sleep Medicine
Pulmonary, Critical Care, and Sleep Medicine
Fellowship Training Program
Overview
The Pulmonary, Critical Care, and Sleep Medicine fellowship training program at the University of Florida seeks to train sub-specialists for clinical and research activities in the fields of pulmonary medicine, critical care medicine, lung transplantation, and sleep medicine. Fellows are trained to develop the skills necessary for a successful career in academic medicine. Qualifications for the pulmonary training program include one year of internship and two years of residency in internal medicine.
The Pulmonary, Critical Care, and Sleep Medicine training program at the University of Florida is under the direction of Dr. Michael Jantz. The division chief is Dr. Veena Antony. Other faculty include: Drs. M. Baz, R. Berry, A. J. Block, E. R. Block, M. Brantly, R. J. Gonzalez-Rothi, E. Harman, M. Lauzardo, K. Mohammed, N. Najmunissa, J. Patel, Y. Su, J. Zhang and S. Zharikov. The fellowship includes rotations at Shands Hospital at the University of Florida and the Gainesville Veterans Administration Medical Center. Fellows are thereby exposed to a wide variety of patients and have excellent facilities for procedural training.
Inpatient, MICU, and Consultation Services
An active consultation service functions at each hospital. The fellow will spend 6 months on the Shands Hospital consult service and 6 months on the VA Medical Center consult service over the course of the fellowship. Two to five consults per day are seen. The fellow will have the opportunity to teach residents and students doing a pulmonary medicine elective while on the consult service. During the fellowship, the fellow will rotate through the MICU at Shands Hospital for 6 months. The fellow supervises and teaches the housestaff on the MICU rotation. For 3 months during the fellowship, the fellow will rotate on the lung transplant and advanced lung disease service.
Procedures
Both hospitals are equipped with full pulmonary function and bronchoscopy facilities. Fellows are taught how to perform bronchoscopy, bronchial brushing, bronchoalveolar lavage, transbronchial lung biopsy, and transbronchial needle aspiration. Fellows are also taught how to perform thoracentesis, closed pleural biopsy, and chest tube insertion. Instruction regarding the interpretation of methacholine challenge testing, cardiopulmonary exercise testing, shunt study calculation, and polysomnogram interpretation is provided. For those fellows who are interested in interventional pulmonology, experience with endobronchial laser therapy, endobronchial electrocautery, stent placement, transtracheal oxygen catheter placement, and thoracoscopy is provided. While rotating in the MICU, fellows are taught intubation, chest tube insertion, arterial line placement, central line placement, and Swan-Ganz catheter placement. The fellows perform procedures under faculty supervision.