Training & Curriculum

Clinical Rotations

Medical Intensive Care Unit (MICU)

The fellow supervises the activities of the medical house staff and students assigned to the units. Emphasis is placed on learning evidence-based principles of management, as well as highlighting the pathophysiologic aspects of conditions or treatment modalities. The fellow will learn both the theoretical and practical aspects of all procedures pertinent to the care of critically ill patients. We also offer exceptional experiences in neurological, trauma and general surgical ICU care. There are opportunities to rotate through a variety of other critical care units, including the Cardiac ICU, Cardiac-Surgical ICU, Anesthesiology, Pediatric ICU, Dialysis Unit, etc. Fellows gain experience and expertise in all ICU procedures, including ICU ultrasound. 

  • Procedures
    Fiberoptic bronchoscopy is performed by the fellow under the supervision of one of the staff. Fellows perform more than 200 bronchoscopies during their fellowship. These procedures, as well as needle aspiration biopsies, are performed in the Pulmonary/Critical Care Division Procedure Rooms. In addition, Cedars-Sinai is a major center for YAG laser resection therapy, insertion of stents, use of brachytherapy, and other state-of-the-art devices, such as navigational bronchoscopy.

  • Consultation
    The fellow provides pulmonary consultation for the Cedars-Sinai medical and surgical teaching services, as well as other participating hospitals when rotations are held there. During this period, the fellow will supervise medical house staff and students on the pulmonary elective.

  • Lung Transplantation
    During the lung transplant rotation, the fellow sees patients in a biweekly Lung Transplant Clinic. These patients are evaluated as possible candidates for lung transplantation or are seen in follow-up post-lung transplantation. The fellow primarily is responsible for the transplant patients admitted to the medical center, working closely with the lung transplant faculty members. The fellow is trained in all aspects of pretransplant, perioperative transplant, and short- and long-term transplant management. Fellows have the opportunity to participate in procurement procedures as well.

  • Pulmonary Physiology Laboratory
    The fellow will work in the Pulmonary Laboratory at participating institutions under the supervision of the full-time lab director and learn performance, calculation and interpretation of pulmonary function tests. The physiologic evaluation of patients includes spirometry, lung volumes by dilution and plethysmographic techniques, diffusion, mechanics and blood gas analysis. In addition, the lab is equipped for sophisticated exercise and other special studies (e.g., exercise studies with PA catheter in place, transdiaphragmatic pressure or high altitude studies, etc.).

  • Ambulatory Care Experience
    Our fellows work in a variety of outpatient clinical settings. These include a meaningful weekly continuity clinic held at Veterans Affairs' West Los Angeles Medical Center and Southern California Kaiser Permanente locations, complemented by ambulatory experiences in pulmonary clinics at Veterans Affairs' Sepulveda Ambulatory Care Center and Olive View-UCLA Medical Center. Specialty clinics include transplant, cystic fibrosis, pulmonary hypertension, interstitial lung disease and sleep clinics.

  • Sleep Medicine
    We have a separate accredited Sleep Fellowship Program (one year), which provides opportunities for an additional year of training and board certification. Our fellows attend sleep medicine clinics and have excellent sleep study exposure as well.

First year fellows at our simulation lab.

 

Clinical Programs

  • Alpha-1 Antitrypsin Deficiency
  • Asthma
  • Chronic Obstructive Pulmonary Disease
  • Cystic Fibrosis
  • Interstitial Lung Disease
  • Interventional Pulmonology
  • Lung Cancer
  • Lung Transplantation
  • Pulmonary Function and Exercise Testing
  • Pulmonary Hypertension
  • Pulmonary Rehabilitation
  • Sleep Medicine
  • Thromboembolic Disease