Curriculum Overview

The Pulmonary/Critical Care fellowship at Henry Ford is designed to provide fellows with a robust exposure to all subspecialties of pulmonary medicine, while developing autonomy and skill proficiency in the ICU and bronchoscopy suite. Extensive bedside learning is supplemented by regular didactic activities each week. The bulk of the didactic curriculum is delivered on Friday afternoon academic half days, during which time attending physicians hold the phone/pagers for all fellows so they may attend.

Fellows also have the option to enroll in curricular tracks to supplement their career development.

For more on each rotation, check out the fellowship Instagram account or their specific pages.

Fellow Rotations (in blocks per year)

1 block = 4 weeks
1 year = 13 blocks

Night/Call Duties: Fellows will be on in-house night float (7p-8a) call for the ICU for no more than 4 weeks per year, and an average of 2. There is an in-house nocturnal intensivist to help with critical situations, staffing admissions with residents, and procedures.

Pulmonary Disease: A mix of inpatient and outpatient clinical exposure with separate curricula for each- fellows also have robust sub-subspecialty exposure throughout training in both the inpatient and outpatient settings. Fellows interested in career development in Transplant, Pulmonary Hypertension, and ILD can repeat these rotations as electives.

Critical Care: Fellows rotate through the Medical, Surgical, and Neuro-ICUs throughout training. Clinical learning opportunities are supplemented by core curriculum didactics on academic half days given through lectures, workshops and small group teaching sessions. MICU teams remain primary on all V-V ECMO patients and fellows will round with ECMO-trained faculty for additional teaching. V-A ECMO patients are seen in the CVICU and additional training in ECMO is available for interested fellows. A dedicated ECMO track is under development and is expected to be available in 2025.

Physiology: Didactic sessions and training in Pulmonary Function Testing and Cardiopulmonary Exercise Testing.

Procedures: Includes a Core Curriculum in Bronchoscopy, including advanced bronchoscopy like EBUS. A curriculum in point-of-care ultrasound is also provided as part of the training. Fellows interested in sitting for critical care ultrasound board certification are able to enroll in the Ultrasound Track.

Weekly Didactics

Other Educational Sessions

Simulation Workshops for: Bronchoscopy, Chest tube placement/management, Line placement, Ultrasound, Mechanical Ventilation

Small group teaching sessions: directed by the different pulmonary and critical care subspecialties (Pulmonary Hypertension, Lung Transplantation, Interstitial Lung Disease, Interventional Pulmonology, ECMO)

Journal Clubs: as part of the different pulmonary subspecialties as well as critical care medicine.

Board Review Seminars: in preparation for the Pulmonary and Critical Care Board Exams.

CLEAR Conversations: a program that is directed to improve conversation and communication between providers and patients.

Thoracic Tumor Board: Multidisciplinary discussion of patients with thoracic malignancies.

Difficult Airway Conference: Multidisciplinary discussion of topics and patients. Includes Anesthesia, ENT, Trauma surgery, Emergency Medicine and Critical Care.

Elective Rotations:

Interstitial Lung Disease

Interventional Pulmonology

Cardiovascular ICU

Ultrasound

Tele ICU

Early Intervention Team (ICU in Emergency Department)

Thoracic Surgery

Cystic Fibrosis (through Detroit Medical Center/Children’s Hospital of Michigan)

Lung Transplant, Sleep Medicine and Pulmonary Hypertension (1 month mandatory, additional electives possible)