Pulmonary Fellowship

residencyAt Norwalk Hospital, we’re committed to providing the educational opportunities that enable our fellows to pursue careers in clinical care, administrative leadership and academic medicine.

The education of fellows occurs in diverse sites that capitalize on the strengths of our affiliates. The pulmonary training is based primarily at Norwalk Hospital. Fellows also rotate through the pulmonary consultation service at Yale-New Haven Hospital, which is the primary teaching site at Yale. Fellows pursuing additional critical care training at Yale University rotate through Surgical, Neurosurgical and Medical Intensive Care Units and the Thoracic Interventional Program at Yale-New Haven Hospital as well as through the West Haven Veterans Administration Medical Center Pulmonary/ICU Service. Fellows also perform a rotation at the University of Connecticut-affiliated Hospital for Special Care, an outstanding pulmonary rehabilitation hospital. Additionally, additional interventional pulmonary training occurs during a 2 week elective at University of Connecticut.

Norwalk Hospital graduates are highly prepared to meet the clinical and academic expectations of our profession.

During the two-year Pulmonary Fellowship, fellows complete 16 months of clinical training. Again, training occurs primarily at Norwalk Hospital. Fellows also rotate in their second year on the Yale-New Haven Hospital Consult Service and attend weekly continuity clinics in both a private office and clinical settings, except when on critical care rotations. Technical training in cardiac echo is performed at Norwalk Hospital.  Norwalk Hospital also hosts an accredited Fellowship in Sleep Medicine, in which many Pulmonary fellows have trained following completion of their Pulmonary training at Norwalk and Critical Care training at Yale.

Intensive Care Unit

The Intensive Care Unit (ICU) is a 16-bed state-of-the-art medical-surgical unit. Along with a teaching attending, fellows conduct daily radiology and work rounds with a multidisciplinary team that includes residents, medical students, a pharmacist, dietitian, nurses and respiratory therapists. Daily rounds with physical rehabilitation staff and nurse managers promote early mobilization and awake mechanical ventilation. In addition to overseeing the care of all medical patients, fellows work closely with the surgical team on selected cases.

Pulmonary Consultation Service

The Consultation Service provides pulmonary consultations to all units of the hospital including Medicine, Surgery, Post-operative Care, Rehabilitation, Obstetrics and Emergency Medicine.  Fellows are supervised by the nine attending pulmonologists. Case review and didactic sessions are conducted by a dedicated teaching attending, who also interprets pulmonary function tests with the fellow. Medical students and residents on elective join the fellow on the service and teaching rounds.

Yale-New Haven Consultation Service

Second-year fellows rotate on the Pulmonary Consultation Service at Yale-New Haven Hospital. This rotation provides exposure to transplantation-related pulmonary disorders and also introduces the fellow to the systems of care at Yale-New Haven Hospital. During this rotation, the fellows may have the opportunity to interact with the specialty clinics in interstitial lung disease, pulmonary hypertension and adult cystic fibrosis.

Critical Care Ultrasound and Cardiac Echo

This rotation is divided into two two-week blocks, one at the beginning of the first year and the other toward the end. The fellows spend half of each day at Norwalk Hospital learning the basics of performance of echocardiography in the Cardiology Section. The remainder of the time is devoted to self-study utilizing videos and texts and practical applications with echo simulation using SonoSim®.  The fellow reviews echocardiograms performed at Norwalk Hospital with the attending cardiologist.  The second rotation provides the fellows the opportunity to refine their echo technique after employing it clinically during the intervening rotations. Dr. Ian Weir oversees the fellows’ performance during this rotation.

Sleep Medicine

In their second year, fellows spend two months in Sleep Medicine at Norwalk Hospital’s accredited Sleep Disorders Center. This busy service housed in new facilities just offsite performs more than 1,000 sleep consultations, 1,500 polysomnograms, and 100 MSLT and MWTs per year. The fellows work with three board-certified attendings, including a pediatric sleep specialist and insomnia expert on all sleep disorders. Fellows attend the lectures of the Sleep Fellowship. This experience provides the Pulmonary fellows with the opportunity to decide whether to pursue further training in Sleep Medicine.

Pulmonary Function Laboratory

Fellows in their first year spend a two-week block learning how to conduct and interpret pulmonary function tests, challenge testing, and cardio-pulmonary exercise testing under the direction of Brian Mitchell, RPFT, Director of the PFT Laboratory.

Pulmonary Rehabilitation

Pulmonary Rehabilitation at Norwalk Hospital is a nationally recognized service directed by Katherine Roarty, APRN, and overseen by Dr. Amy Ahasic. Fellows spend two weeks working in this ambulatory service to learn how to provide this essential and uplifting part of comprehensive pulmonary care. Fellows also have the opportunity to pursue research related to pulmonary rehabilitation.  

Long Term Acute Care (LTAC) rotation

Intervention Pulmonary rotation at UCONN

Norwalk Hospital’s commitment to education is evidenced by its highly active conference schedule that combines workshops, faculty and invited speakers, and fellow-led activities. Weekly conferences include:

  • Connecticut State Chest Conference hosted at Yale Medical School. This one-hour weekly conference features exceptional case presentations and lectures from internationally renowned pulmonary-critical care physicians. During the summer months, State Chest is devoted to lectures on common pulmonary and critical care disorders.
  • Norwalk Pulmonary Section Conference. This weekly series entails a rotating format of invited expert speakers, topical lectures from Section members and fellows as well as Morbidity and Mortality, Pathology, and Quality and Safety lectures.
  • Ambulatory Case Conference. Dr. Amy Ahasic, Section Chief, conducts this broad-ranging weekly session, in which ambulatory cases and topics are examined in depth.
  • Pulmonary Physiology Lecture Series. Each year, the fellows and faculty participate in a 12-lecture course that provides grounding in respiratory physiology.
  • Research Conference. This conference focuses on the research of the Pulmonary and Sleep fellows.

Fellows also participate in Norwalk Hospital’s bi-weekly multidisciplinary Thoracic Tumor Board attended by Yale thoracic surgeons and pulmonologists. Additional conferences include journal club, weekly Sleep Medicine conferences and Internal Medicine Grand Rounds.

Fellows also participate in Norwalk Hospital’s bi-weekly multidisciplinary Thoracic Tumor Board attended by faculty, thoracic surgeons, medical oncologist and radiation oncologists. Additional conferences include monthly journal club, Sleep Medicine conferences, Interstitial Lung Disease case conference and Internal Medicine Grand Rounds.

Research

By integrating our comprehensive clinical training experience with the opportunity to engage in clinically oriented research, our fellowship program prepares fellows to combine excellent patient care with investigational endeavors. All fellows participate in clinically related research endeavors in a variety of areas including critical care medicine, pulmonary medicine, outcomes research, sleep medicine and quality improvement.. The research training at Norwalk has successfully prepared fellows for university-based positions as well as hospital leadership posts. Fellows have access to statisticians and receive close mentoring by faculty.

Examples of previous projects pertain to the study of 30 day readmission of COPD, management of environmental hypothermia, evaluation of pulmonary embolism, and implementation of ARDS protocol. The Section also participates in NIH-sponsored trials such as the PROCESS study, which evaluated the outcome of sepsis treatment with Early Goal Directed Therapy versus routine care and the Procalcitonin Antibiotic Consensus Trial. High-level statistical support and professional coordinators are available to assist the fellows in their research.

Amy Ahasic, MD

  • Section Chief, Norwalk Hospital Pulmonary Fellowship affiliated with Yale School of Medicine
  • Fellowship: Harvard School of Public Health, Pulmonary and Critical Care Medicine
  • Residency: Yale-New Haven Hospital, Yale University School of Medicine
  • Medical School: Yale University School of Medicine

Professional Interests:  Occupational lung disease, research and methodology. Director of Pulmonary function testing lab, CPET (Cardio Pulmonary Exercise testing) for evaluation of unexplained dyspnea as well as preoperative lung cancer resection.

Jonathan M. Fine, MD

  • Faculty and former fellowship Program Director, Pulmonary and Critical Care
  • Director, Medical Education at Western Connecticut Health Network
  • Fellowship: Yale-New Haven Hospital, Yale University School of Medicine; Cardiovascular Research Institute, University of California, San Francisco
  • Residency: Yale-New Haven Hospital, Yale University School of Medicine
  • Medical School: Yale University School of Medicine

Professional Interests: Dr. Fine has conducted investigations into the emergency management of pneumonia and sepsis that have led to metrics in quality of care (antibiotic selection and timing) and discoveries in admission decision-making and pathophysiology. He has served as the site primary investigator in numerous NIH trials in these areas, most recently the “Protocolized Care for Early Severe Sepsis” study. In addition, Dr. Fine has led studies into the diagnostic evaluation for pulmonary embolism. Upcoming proposed multi-centered investigations include the “Retrievable Inferior Vena Caval Filters in Acute Pulmonary Embolism Trial” and the “Procalcitonin Antibiotic Consensus Trial.”

As Director of Medical Education, Dr. Fine has introduced numerous teaching methodologies to the Hospital’s post-graduate medical education programs, including simulation training.

Ian Weir, DO

Program Director, Norwalk Hospital Pulmonary Fellowship affiliated with Yale School of Medicine

  • Director, Sleep Medicine Fellowship
  • Fellowship: Critical Care, Yale-New Haven Hospital, Yale University School of Medicine; Pulmonary, Norwalk Hospital affiliated with Yale University School of Medicine
  • Residency: Sinai Hospital, Johns Hopkins University School of Medicine
  • Medical School: Nova Southeastern University, College of Osteopathic Medicine

Professional Interests: Dr. Weir serves as Program Director of the Pulmonary and Sleep Medicine Fellowship.  His primary research interest is in medical education.   He co-directs the CT state-wide POCUS boot camp for Pulmonary and critical care fellows held at UCONN.  He serves as Chair of the AASM Sleep Fellowship Program Directors steering committee, member of the AASM Innovative Fellowship Model Committee, and member of the ATS pulmonary and critical care medicine match committee.  He also serves as faculty for the ATS Resident boot camp at ATS and is the Chair of the AASM sleep boot camp program committee.

Robyn Scatena, MD

  • Director, Norwalk Hospital Pulmonary and Critical Care Medicine
  • Associate Program Director, Pulmonary Fellowship

Professional Interests: Dr. Scatena was an internal medicine, pulmonary and critical care fellow, and Instructor in Medicine at Yale University before being recruited to Norwalk Hospital to direct the Intensive Care Unit. She also serves as the director of the Thoracic Oncology Tumor Board and is a trained specialist in endobronchial ultrasound (EBUS) for diagnosis and staging of lung cancer and other pulmonary abnormalities.

Christopher Manfredi, DO

  • Medical Director, Norwalk Hospital of the Sleep Disorders Center
  • Chief, Subsection of Sleep Medicine
  • Fellowship: Critical Care, Yale-New Haven Hospital, Yale University School of Medicine; Pulmonary, Norwalk Hospital affiliated with Yale University School of Medicine
  • Residency: Norwalk Hospital affiliated with Yale University School of Medicine
  • Medical School: University of New England College of Osteopathic Medicine

Professional Interests: Dr. Manfredi serves as a teaching attending in Pulmonary, Critical Care, and Sleep Medicine. He has a longstanding interest in methodologies to detect sleep abnormalities and the administration of medical sleep services in the face of evolving diagnostic methodologies.

Caroline Kurtz, MD

  • Fellowship: Mount Sinai Hospital, Mount Sinai School of Medicine; Pulmonary, Norwalk Hospital affiliated with Yale University School of Medicine
  • Residency: Mount Sinai Hospital, Mount Sinai School of Medicine
  • Medical School: New York University School of Medicine

Professional Interests: Dr. Kurtz serves as a teaching attending in Pulmonary, Critical Care, and Hyperbaric and Wound Care. She oversees fellows in a private practice ambulatory site, where she teaches the skills necessary for the successful administration of services such as billing, scheduling, and patient flow along with high quality medical management of complex pulmonary disorders.

Charles Cochran, MD

  • Attending Pulmonary-Critical Care Physician, Soundview Medical Group
  • Chief, Bronchoscopy Service
  • Fellowship: Vanderbilt University Medical Center, Vanderbilt School of Medicine
  • Residency: Vanderbilt University Medical Center, Vanderbilt School of Medicine
  • Medical School: Vanderbilt School of Medicine

Professional Interests: Dr. Cochran serves as a teaching attending in Pulmonary and Critical Care.

Andrew Murphy, MD

  • Fellowship: Montefiore Medical Center, Albert Einstein College of Medicine
  • Residency: New York Medical College
  • Medical School: New York Medical College

Professional Interests: Dr. Murphy serves as a teaching attending in Pulmonary and Critical Care.

Jonathan Rosen, MD

  • Director, Undergraduate Medical Education
  • Associate Dean,University of Vermont College of Medicine
  • Fellowship: Pulmonary Fellowship, Rhode Island Hospital, Brown University School of Medicine
  • Residency: Internal Medicine Residency, St. Vincent’s Hospital,University of Massachusetts school of Medicine
  • Medical School: SUNY downstate Medical Center

Professional Interests: Dr. Rosen serves as a teaching attending in Pulmonary and Critical care.

For more information about the Norwalk Hospital’s Pulmonary Fellowship please contact:

Arber Lecaj
GME Administrator
Telephone: 203-852-2670 
eMail: Arber.Lecaj@wchn.org

How to Apply: We only accept applications through ERAS (Electronic Residency Application System). Learn more about ERAS.