PULMONOLOGY

Contacts: Mitchell Kaye (612) 863-3750; coordinator (612) 863-3733

Subspecialty clinic: The resident is expected to attend Wednesday AM clinic with Dr. Bowen. The clinic is located in the MHI building, suite #700.

Resident continuity clinic: Tuesday AM, a three week minimum notice, given to Anne is required if you are planning on taking vacation time.

Conference: 1. Best of chest held quarterly.  2. Resident presentation of case at lung cancer conference once during rotation

	AM	PM
Monday	ANW Consults	ANW Consults
Tuesday	Medicine Clinic	ANW Consults
Wednesday	Grand Rounds Pulmonary Clinic Bowen	ANW Consults
Thursday	ANW Consults	ANW Consults
Friday	ANW Consults	ANW Consults

Performance Expectations and Educational Goals and Objectives:

	Educational objectives	Assessment method
Patient Care	1) Hospital and clinic consults and follow up visits will be performed, staffed, and documented in Excellian or the clinic chart with appropriate language by the resident 2) Understand risk assessment and choose appropriate testing (including indications, contraindications, and benefits of arterial blood gas, thoracentesis, pulmonary nodule biopsy, bronchoscopy, thoracostomy) 3) Understand non-invasive and mechanical ventilation	1) Global faculty assessment 2) Direct faculty bedside observation
Medical Knowledge	1) Review core topics noted below using patient care and didactic opportunities and supplement with independent reading 2) PFT interpretation 3) Attend Best of Chest Conference if occurs on rotation 4) Present one case at Lung Cancer Conference 5) Lung imaging interpretation	1) Global faculty assessment 2) On-line PFT interpretation test
Practice-Based Learning and Improvement	1) Demonstrate insight into knowledge deficiencies and limitations 2) Use information technology to answer clinical questions	Global faculty assessment
Interpersonal and Communication Skills	1) Refine the skills necessary to present patients and topics informally and formally to another physician or group	Global faculty assessment
Professionalism	1) The resident is expected to perform up to 4 consults per day, with no new consults started after 4 PM and follow up on previously seen patients and write follow up notes	Global faculty assessment
Systems-Based Practice	1) Understand systems unique to this subspecialty	Global faculty assessment

Core topics to be covered by patient care, didactic lectures, or independent reading include the evaluation, diagnosis and treatment of:
Obstructive lung disease
Pulmonary neoplasm
Pulmonary infection
Diffuse interstitial lung disease
Pulmonary vascular disease
Occupation and environmental lung disease
ARDS
Pulmonary manifestations of systemic disease
Neuromuscular respiratory drive disorders
Disorders of the pleura and mediastinum
Sleep disorders and hypoventilation syndromes

Other topics include
Peri-operative pulmonary assessment and management
Ventilator management
Indications for fiberoptic bronchoscopy, lung biopsy (CT guided versus bronchoscopy)
Radiology interpretation
Pulmonary function testing and interpretation

Procedures (indications, contraindications, performance, complications, and limitations):
ABG
Thoracentesis
Thoracostomy tube insertion and drainage if possible

Past resident recommendations: You generally don’t get called before 8:30 a.m., and usually are out between 5 – 6 PM. Before going home you should contact attending to discuss plan for the next morning. It is important that you do not let a busy hospital service prevent the outpatient experience – it is important and very good.