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. Thrice weekly 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 nearby St. Vincent’s 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. The second rotation provides the fellows the opportunity to refine their echo technique after employing it clinically during the intervening rotations. Dr. Lewis Berman oversees the fellows’ performance during this rotation.
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.
Hyperbaric and Wound Care Elective
Fellows have the opportunity to take an elective in Hyperbaric Medicine and Wound Care. This service, which is part of the Pulmonary-Critical Care Section, is run by Dr. Sandra Wainwright. Fellows are exposed to all aspects of wound care, including the use of hyperbaric oxygen as an adjunctive therapy. Fellows participate in the provision of critical care hyperbaric service for carbon monoxide poisoning air embolism, undersea diving emergencies and life-threatening necrotizing infection.
Pulmonary Rehabilitation at Norwalk Hospital is a nationally recognized service directed by Margaret Haggerty, APRN, and overseen by Dr. Stephen Winter. 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.