Pulmonary, Critical Care & Sleep Medicine

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Pulmonary & Critical Care Fellowship Program


Program Structure & Facilities

The Pulmonary/Critical Care Medicine Program at the Medical College of Wisconsin is a combined three-year program designed to provide opportunities to learn the basic and clinical aspects of each of these areas of medicine.

The training program consists of rotations at Froedtert Hospital, Clement J. Zablocki VA Medical Center and St. Luke's Medical Center. Offices are located at the Froedtert East Office Building and the VA Hospital. Pulmonary function laboratories and Critical Care Units are located in each of the three hospitals.

Research laboratories are located in the Medical College of Wisconsin and at the VA Medical Center.

 

Consultative & Clinic Services

The program offers a broad experience with a number of patients with pulmonary disorders. Consultative services are offered at all three hospitals. Froedtert Hospital is a well-established tertiary referral center providing care to a diverse spectrum of medically complex patients and recognized transplant center and fellows gain additional experience in the care of the immunocompromised host when they rotate at this hospital.

While at the Zablocki VA Medical Center, the fellows also actively participate in the bimonthly Thoracic Tumor Conference where a number of patients with lung cancer or other thoracic neoplastic diseases are discussed. St. Luke's Medical Center has a very active Cardiothoracic Surgery Department and the fellows provide consultation to many of these patients who have incurred peri-operative cardiopulmonary complications.

The fellows will attend a pulmonary continuity clinic one half day per week for all three years of fellowship. This clinic experience may be obtained at the Medical College of Wisconsin Clinics at Froedtert Hospital, Zablocki VA Medical Center, or both over the course of the training period.

Additional outpatient clinic experience is provided at Froedtert Hospital in the Adult CF Clinic, the Sleep Medicine Clinic, the Pulmonary Hypertension Clinic, and the Lung Transplant Clinic.
 

Critical Care

An important strength of the training program is the presence of a closed primary Medical Intensive Care Unit Service at Froedtert Hospital. Overall responsibility for direction and implementation of patient care on this service rests with the Critical Care staff person, and the Fellow who acts in a key junior attending role.  Fellows also rotate on the Surgical Intensive Care Service, the Neurointensive Care Service, and the Cardiology service during their elective critical care time.

At the VA Medical Center, we provide a 24-hour-per day Medical Intensive Care Unit service and Critical Care consultation service. Additional critical care experience is secured at St. Luke's Medical Center where a variety of ventilator management, and other Pulmonary and Critical Care Medicine consults are requested.
 

Pulmonary Telemedicine

The VA Medical Center has become a large, regional center for telemedicine, including teleradiology and telepathology. A pulmonary telemedicine clinic has been started to provide pulmonary consultation services to rural areas.
 

Bronchoscopy

Considerable experience is gained in a variety of bronchoscopic procedures.

These studies are conducted with and without fluoroscopy; and video imaging is used to record these procedures. Emphasis is placed on indications, patient preparation, proper sample processing and handling.
 

Pulmonary Function

The fellows rotate through the pulmonary function and cardiopulmonary exercise lab at Froedtert Hospital and VA Medical Center. Disability evaluation and occupational disease is taught in a clinical environment and in the Pulmonary Function Laboratory. Training in sleep medicine is also provided as part of fellowship training.
 

Radiology

Weekly sessions are conducted with the Chest Radiology Service at Froedtert Hospital. Fellows also have the opportunity to rotate through this service on an elective basis. The Radiology Department enjoys a close relationship with the GE Medical Systems and therefore has access to the latest imaging technology.
 

Thoracic Surgery

The fellows play an important role in the evaluation and care of patients who are undergoing surgery for lung cancer and lung transplantation. Rotation through this service permits an appreciation of the thoracic surgeons' perspective in managing a variety of lung diseases and their surgical management.
 

Research

The fellows are encouraged at all stages of their training to participate in investigative projects and are expected to become associated with research being done in Pulmonary and Critical Care Medicine or related divisions and departments.

A dedicated research block of time will be provided during the second or third year of training.  Several well-equipped laboratories are associated with the Division, including the Cardiovascular Research Center and the Pulmonary and Physiology Laboratories at the VA Medical Center.

Fellows will be encouraged to submit and present abstracts of work completed in their training to both local and national scientific meetings.
 

Teaching

The fellows are encouraged to play an active role in teaching and training of students and house staff at the Medical College of Wisconsin. This includes formal lectures and informal conferences in both Pulmonary and Critical Care Medicine.
 

Lectures, Conferences & Evaluations 

Weekly lectures are given by the faculty on the central curriculum covering Pulmonary Diseases and Intensive Care Medicine. Faculty and fellows also participate in the daily ICU lecture for the Froedtert Medical Intensive Care Unit service. Didactic lectures cover all areas of pulmonary physiology and medicine. A Research Conference and Pathology Conference are held each month at Froedtert Hospital.

The program director meets with the fellows on an individual basis twice each year to discuss the assessment of the faculty regarding their progress. This also gives each fellow an opportunity to make recommendations regarding the program.
A yearly educational retreat is held and attended by fellows and faculty.
 
 

Contract & Benefits Information
 

Information regarding benefits and stipends can be provided through the Medical College of Wisconsin Affiliated Hospitals office at 414-456-4575.

 

Application & Interview Process

Those interested in applying to the Pulmonary and Critical Care Fellowship Program at the Medical College of Wisconsin should apply via ERAS.  We begin reviewing applications in December of each year and conduct interviews through April preceding the match.  Our program participates exclusively in the NRMP to select three-year Pulmonary and Critical Care candidates. 

Program Director:
Kenneth W. Presberg, MD 
Professor of Medicine 
Division of Pulmonary and Critical Care Medicine
Medical College of Wisconsin
presberg@mcw.edu
 
Associate Program Director:
Rose. A Franco, MD
Assistant Professor of Medicine
Division of Pulmonary and Critical Care Medicine
Medical College of Wisconsin
 
For application information contact:
Jessica Kaho
Medical College of Wisconsin
Division of Pulmonary & Critical Care Medicine
9200 W. Wisconsin Ave CLCC 5100
Milwaukee, WI 53226
Phone: 414-805-0437
Fax: 414-805-0535
jkaho@mcw.edu
 

 

 

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Page Updated 12/01/2014