Medicina pulmonar, cuidados intensivos y del sueño

Todos nuestros becarios completan tres años de formación clínica, que se lleva a cabo principalmente en el Hospital John H. Stroger, Jr. of Cook County, a public hospital serving the residents of Cook County. The following are some of the rotations we offer:

Unidad de cuidados intensivos médicos
The hospital has 82 adult critical care beds divided between six units. The medical intensive care unit has 22 beds. The fellows supervise medical students, interns, and residents; assess and triage admissions to the MICU; and lead the cardiopulmonary arrest team in the hospital. Our fellows train to be proficient in all aspects critical care, such as airway management and intubations, advanced ventilator management, central and arterial line placements, critical care ultrasound, and resuscitation.

Pulmonar Consultar servicio
The fellow in consultation with an attending manages our inpatient consultation service. We offer a wide range of procedures, and our fellows routinely perform basic and advanced bronchoscopies, as well as pleural procedures. In addition to basic bronchoscopies, our graduates are expected to be proficient in EBUS-TBNA. Fellows also have the opportunity to perform advanced bronchoscopy and to participate in multidisciplinary cases in conjunction with Interventional Pulmonary and Cardiothoracic Surgery. Our fellows get ample exposure in managing pleural disease, and placing small and large bore chest tubes, along with tunneled pleural catheters and ultrasound-directed pleural biopsies.

Fisiología
Our pulmonary physiology laboratory is outstanding and offers the full range of resting, exercise and Broncho provocation studies, as well as a superb pulmonary rehabilitation program. The fellows will learn how to interpret spirometry, lung volumes, arterial blood gases, Broncho provocation challenge tests, and cardiopulmonary exercise tests.

Clínica Ambulatoria

• The outpatient clinical exposure in our program is vast. All fellows attend a half-day general pulmonary clinic for three years. In the second year, the fellows attend an additional half-day asthma clinic and sleep clinic. In the third year, they attend the interstitial lung disease clinic, pulmonary hypertension clinic and tuberculosis clinic.
• Sleep Medicine: The fellows learn how to evaluate patients with sleep disordered breathing, as well as patients with other sleep disorders like narcolepsy, parasomnias, and insomnia. They also learn the basics of interpreting polysomnograms.

Rotaciones adicionales en la UCI
Los becarios también rotan por unidades de cuidados críticos distintas de la unidad de cuidados intensivos médicos, como:

• Neurocritical Care Unit – Hospital John H. Stroger, Jr. del condado de Cook
• Unidad de cuidados intensivos cardiovasculares – Advocate Christ Medical Center
• Surgical Critical Care Unit – Hospital John H. Stroger, Jr. del condado de Cook

Las optativas incluyen la UCI de trauma en el Hospital Stroger y rotaciones electivas en otros hospitales de Chicago según el caso, dependiendo de los intereses clínicos del becario.

Rotación de anestesia
We share a close relationship with our anesthesia colleagues. Elective anesthesia rotations provide airway experience in the operating room setting, in addition to a robust experience in the ICU.

Pulmonar Rehabilitación
The division runs a complete phase II outpatient pulmonary rehab program and offers phase III outpatient maintenance pulmonary rehabilitation. Our fellows learn how to screen the candidates for the program, how to write rehab prescriptions and how to evaluate program outcomes.

Ultrasonido
The ultrasound curriculum is aimed at developing proficiency in acquiring and interpreting point-of-care ultrasound in critical care. There are dedicated ultrasound faculty that led image review and didactics.

La participación activa en la investigación es una parte integral de nuestra formación como becarios. Existe una amplia gama de oportunidades para participar en proyectos de investigación clínica y de mejora de la calidad. Nuestro personal docente participa en la tutoría de los becarios durante su formación en investigación. Los becarios se familiarizan con la investigación hacia el final del primer año y reciben información y ayuda para elegir al mentor adecuado para su experiencia de investigación.

Conferencias clínicas semanales:

• Core Conference – in conjunction with the Division of Pulmonary and Critical Care at Rush University Medical Center
• Conferencia sobre el tórax: equipo multidisciplinario de discusión sobre pacientes con cáncer a cargo de neumólogos, oncólogos, cirujanos cardiotorácicos y patólogos
• Conferencia de radiología
• Club de revistas
• Clinical Case Conference in conjunction with the Division of Pulmonary and Critical Care at Rush University Medical Center
• Grandes rondas de medicina

Conferencias mensuales/trimestrales:

• Conferencia sobre enfermedad pulmonar intersticial: equipo multidisciplinario de discusión sobre pacientes con enfermedad pulmonar intersticial a cargo de neumólogos, reumatólogos, patólogos y radiólogos
• Conferencia sobre Mortalidad y Morbilidad
• Pulmonary Hypertension Conference in conjunction with the Division of Cardiology
• Conferencias de investigación
• Ultrasound Image review