肺科、重症监护和睡眠医学

我们所有的研究员都完成了三年的临床培训，主要在 小约翰 H. 斯特罗格医院 of Cook County, a public hospital serving the residents of Cook County. The following are some of the rotations we offer:

重症监护病房
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.

肺部 咨询服务
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.

生理
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.

门诊

• 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.

额外 ICU 轮转
研究员还会轮流在重症监护病房以外的重症监护病房，例如：

• Neurocritical Care Unit – 小约翰 H. 斯特罗格医院 库克郡
• 心血管重症监护室 - 基督医疗中心
• Surgical Critical Care Unit – 小约翰 H. 斯特罗格医院 库克郡

选修课包括斯特罗格医院的创伤重症监护室，以及根据研究员的临床兴趣在其他芝加哥医院进行的具体情况的选修轮换。

麻醉轮转
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.

肺部 康复
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.

超声波
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.

积极参与研究是我们研究员培训不可或缺的一部分。参与临床研究和质量改进项目的机会非常广泛。我们的教职员工在研究员的研究培训期间为他们提供指导。研究员将在第一年末开始研究，并将获得建议和帮助，帮助他们选择适合其研究经验的导师。

每周临床会议：

• Core Conference – in conjunction with the Division of Pulmonary and Critical Care at Rush University Medical Center
• 胸科会议——由肺科医生、肿瘤科医生、心胸外科医生和病理学家组成的多学科团队讨论癌症患者
• 放射学会议
• 期刊俱乐部
• Clinical Case Conference in conjunction with the Division of Pulmonary and Critical Care at Rush University Medical Center
• 医学大巡诊

月度/季度会议：

• 间质性肺病会议——由肺病学家、风湿病学家、病理学家和放射科医生组成的多学科团队讨论间质性肺病患者
• 死亡率和发病率会议
• Pulmonary Hypertension Conference in conjunction with the Division of Cardiology
• 研究讲座
• Ultrasound Image review