The primary teaching site for the program is NewYork-Presbyterian Brooklyn Methodist Hospital (NYPBMH) in Brooklyn, New York.
Additional training sites are at King's County Hospital Center in Brooklyn and Columbia University Medical Center of NewYork-Presbyterian Hospital in Manhattan. Fellows spend more than two-thirds of their time at the primary teaching center (NewYork-Presbyterian Brooklyn Methodist Hospital) and less than one-third of the time at each of the other training sites. All the training sites are well-equipped, modern facilities with in-patient and ambulatory care facilities, laboratories for pulmonary function testing, and exfoliated cytology laboratories and extensive pathology services. There are dedicated modern bronchoscopy/procedure suites and facilities for microbiology procedures. NewYork-Presbyterian Brooklyn Methodist Hospital's Center for Sleep Disorders, a fully accredited eight-bed sleep center, is an integral part of the Pulmonary, Critical Care and Sleep Medicine Program.
Mandatory rotations at NYPBMH take place in the medical intensive care unit, pulmonary consultation service, and the respiratory care unit/step down unit.
The Columbia University Medical Center of NewYork-Presbyterian Hospital has one of the most well- known lung transplant programs in the country. A one-month mandatory rotation for third year fellows is required and additional elective rotations in lung transplant are available to fellows. Fellows in the program receive unique exposure to the management of end-stage lung disease, and become well-versed in the criteria for lung transplantation, harvest runs, and management of post-transplant complications. They also attend out-patient rehabilitation during the transplant rotation month.
King's County Hospital Center is located approximately five miles from NewYork-Presbyterian Brooklyn Methodist Hospital and has one of the busiest Level I trauma centers in the City. The trauma center cares for over 1,500 cases per year and approximately 500 patients assessed in the emergency department are admitted to the critical care unit. Third year fellows have a one-month mandatory rotation in Kings County surgical intensive care trauma units. The trauma service is jointly headed by two full-time attending physicians. Trainees get an excellent opportunity to manage trauma, including gunshot wounds, intra-abdominal catastrophes, neurosurgical trauma and obstetrics/gynecology emergencies.
A total of five months of elective rotation time is provided to each fellow, spread out in increasing proportions throughout the three years of training (one month in the first year, two months in the second year, and two months in the third year). This promotes broad-based training in all aspects of pulmonary and critical care and still provides the opportunity for trainees to select their areas of greatest interest. Available electives include interventional pulmonology, sleep medicine, cardiothoracic ICU, surgical ICU, anesthesiology, thoracic radiology, dialysis, pediatric pulmonology, sickle cell disease clinic/blood bank, and ENT.
Graded Levels of Responsibility for each Level of Training
Throughout all aspects of patient care, fellows work closely under the supervision of full-time faculty members. The faculty is comprised of experienced, board certified, pulmonary, critical care and sleep medicine physicians. The medical intensive care unit and the clinical pulmonary service are each directed by a full-time board certified/eligible critical care or pulmonary physician. Fellows are supervised one-on-one by an attending physician for every procedure. Medical students are supervised by fellows and attending physicians. The program director is responsible for the overall supervision of all trainees.