Division of pulmonary & Critical care

Fellowship Program Goals & Objectives

Cognitive Knowledge
The goal of the three-year combined training program in Pulmonary and Critical Care Medicine is to educate the trainee in the diagnosis and management of patients with acute and chronic respiratory diseases and to diagnose and manage patients with critical illness. These goals are to be achieved by instructing the trainee in the pathophysiology of these diseases in the following settings:

Procedural Skills
The goal for the Fellowship Program in Pulmonary and Critical Care Medicine at MUSC is to ensure that each fellow completing the program has acquired the expertise and requisite number of procedures associated with pulmonary and critical care medicine. The procedures include fiberoptic bronchoscopy, endobronchial ultrasonography, pleural ultrasound, pleural manometry, chest tube insertion, including indwelling catheters, endotracheal intubation, central line placement, and others.

  • Classroom:  didactic lectures, clinical conferences, journal club, pulmonary grand rounds, medical grand rounds, research conferences, visiting professorships, and test question review
  • Bedside teaching:
    • in the intensive care units
    • in the non-intensive inpatient care setting (ward and consult service)
  • Ambulatory Care 
    • Continuity clinic
    • Specialty clinics
    • Private attending clinics
  • Syllabus Reading 
    • Pulmonary medicine
    • Critical Care medicine
    • Allergy and clinical Immunology

Interpersonal Skills
All trainees are taught and counseled regarding personal interaction with other physicians, paramedical personnel, patients, and their families.  The attending physicians in the division serve as role models for the trainee.  This experience is fostered in the intensive care units, the hospital inpatient services, and the ambulatory care setting. If areas of deficiency are noted in the trainees' interpersonal skills, they are counseled by the attending physician and the Program director.

Professional Attitudes:
Professionalism is expected of all trainees at all times.  This includes proper appearance, treating all patients and their families with respect and dignity, treating all other physicians and medical personnel as colleagues, and performing medical duties at the highest level.

Humanistic Qualities
The trainee is expected to treat all patients and families respectfully and be emphathetic with their situation despite the demands placed on their time by patients and their families. The role of the attending physicians is to provide exemplary behavior and serve as role models for the trainee.

Practical Experience:
The trainees have extensive patient contact in all aspects of pulmonary and critical care medicine as described above.  Their demanding clinical experience provides a well-rounded exposure to diseases affecting the respiratory system.


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