Welcome! Our Pulmonary and Critical Care Medicine Fellowship program offers a three-year pulmonary/critical care training in New Orleans, a unique and very enjoyable city. During their training, our fellows manage a diverse patient population while rotating through the following facilities: Tulane Medical Center, Medical Center of Louisiana New Orleans, Southeast Louisiana Veterans Health Care System, Kindred Hospital and Ochsner Clinic Foundation. Individual curriculums are designed based on each fellow’s career goals (academic or private practice). As part of a Department of Medicine that has other excellent training programs our trainees interact not only with highly selected internal medicine residents but also with fellows from all other internal medicine subspecialties. Our fellowship program offers rotations trough an accredited sleep lab, and the possibility of one year training in sleep medicine at the end of the pulmonary/critical care fellowship. For highly selected fellows who chose an academic track and who are exceptionally productive in their scholarly efforts, the program offers financial support for a Certificate in Clinical Research course subsequently can also be used to obtain subsequently a Master of Science in Clinical Research.
The clinical experience includes rotations through a level 1 trauma unit, a surgical ICU, a solid organ transplant unit, and several electives based on specific interests or career paths. In addition to their continuity clinic, our fellows rotate through a variety of pulmonary clinics that include Cystic Fibrosis and Tuberculosis clinic. A wide variety of procedures are routinely performed, including percutaneous tracheostomies, pleural procedures and advanced bronchoscopy. Bedside ultrasound is routinely used for diagnostic purposes during our MICU rounds and to guide invasive procedures. Several faculty members are trained in endobronchial ultrasound and this is commonly used during bronchoscopies when indicated, and is taught to fellows.
Didactics place special emphasis on chest radiology, on evidence based medicine and critical appraisal of medical literature. A formal critical appraisal method is used in our Journal Club. We have a wide array of conferences, some of them combined with the Louisiana State University Pulmonary/Critical Care Fellowship Program. This interaction is very stimulating from an intellectual standpoint.
Being part of the NIH sponsored IPF-network and having a collaboration with the ARDS-network, we offer research experience in the areas of pulmonary fibrosis and ARDS. Research opportunities are also available in pulmonary hypertension, lung cancer, bronchoscopy, interventional pulmonary, sepsis, occupational lung diseases. The program offers a balanced mix of clinical and basic research opportunities. A Clinical and Translational Research, Education and Commercialization Project provides facilities, equipment,supplies, and personnel to support our fellows in their clinical/translational research efforts. Our section also has a T-32 Program in Lung Molecular and Cell pathobiology, that trains qualified post-doctoral scholars to conduct research in basic mechanisms of lung disease.
Tulane has a School of Public Health and Tropical Medicine and interested fellows can obtain a Master in Public Health to become more competitive in their academic career, although this requires paying a tuition and very hard work if done during the fellowship years.
Jaime Palomino, MD