The Pulmonary and Critical Care Medicine Fellowship Program at Memorial Sloan Kettering Cancer Center (MSK) is a 3 year newly accredited ACGME combined pulmonary/critical care medicine fellowship program which began July 1, 2019. This new program combines the components of two long-standing and independent ACGME accredited MSK programs : the two-year pulmonary medicine fellowship and the separate one year critical care medicine fellowship.
The combined pulmonary and critical care medicine program will have a total of 6 trainees (2 per year) for 3 years. The experience combines the curriculum of the previous two-year pulmonary training program along with the one-year critical care medicine training program. The critical care rotations are integrated into each year. The trainees learn from the 14-full time pulmonary medicine attendings, and additional full-time intensivists at MSK, and other full-time intensivists and pulmonologists at the outside rotations.
The fellowship offers unique and extensive exposure to patients who are immunocompromised. Our trainees become experts in malignant and malignancy-related pulmonary disease. To ensure a broad experience, the outpatient pulmonary clinics are open to all patients with pulmonary disease, not just those who are being treated for malignant or malignancy-related pulmonary disease. In addition, MSK often manages the patients’ non-oncology issues while undergoing treatment at our institution, and many patients will stay with our non-oncology faculty of >100 internal medicine non-oncology subspecialists after their therapy is completed. The trainees spend time in the sleep medicine clinic and laboratory at Lenox Hill Hospital in addition to working with our own MSK sleep medicine physician who runs a robust home sleep study program. During inpatient pulmonary consultation service fellows work with pulmonary service physician assistants and nurse practitioners and are supervised by a dedicated pulmonary attending. Electives are arranged based on the interests of the trainee.
The critical care component of the program is 10 months in duration. Trainees spend 5 months in the MSKCC state-of-the-art 20-bed adult medical-surgical ICU and will have 4 required outside rotations at 3 institutions for experience in cardiothoracic surgery (1 month) and neurocritical care (1 month), trauma surgical ICU (1 month), and community based medical ICU rotation. There is one month in the MSK Anesthesiology Department to optimize airway management skills. Additional ICU time may be arrange based on the interests of the trainee.
There is extensive ICU and pulmonary procedural training and experience including but not limited to: central venous and arterial catheter and chest tube insertions, ventilator management and waveform interpretation, therapeutic and diagnostic bronchoscopy with endobronchial ultrasound and transbronchial needle aspiration. Our fellows gain extensive experience in the management of pleural diseases including thoracic ultrasound, chest tubes and tunneled pleural catheters. The interventional pulmonology service in addition to teaching the fellows how to perform traditional diagnostic flexible fiberoptic bronchoscopy and pleural procedures, offers the trainees exposure to advanced diagnostic and therapeutic techniques.
The educational experience includes pulmonary and critical care curriculums which are integrated throughout the year and include but are not limited to: core conferences, hands on experiences starting with simulations i.e. critical care US, ventilator management, pulmonary and CCM procedure teaching, journal club, M&M, multi-disciplinary case conferences. In addition, our service participates in multi-institutional conferences including Pulmonary Grand Rounds and clinical case conference within New York City which adds to the breadth of pulmonary and CCM topics.
All trainees are expected to participate in a research project and to present at regional and national meetings. There are projects available in pulmonary medicine and critical care.
For 2021, the program is recruiting 2 trainees for the combined pulmonary and critical care medicine fellowship.
Application deadline for training to begin July 1, 2021:
September 15, 2021
Length of the program
Board eligible or board-certified graduates of an accredited US Internal Medicine residency program
Number of positions available
How to apply
Applications must be submitted through ERAS by September 15 and requires a personal statement and three letters of recommendation, including one from your Internal Medicine program director. The Pulmonary and Critical Care Medicine Program participates in the National Resident Matching Program.
Interviews take place mid-September through October for the following July.