Cystic Fibrosis/Pulmonary Consult Service
This is a consult service for patients with cystic fibrosis and patients with pulmonary disease. Fellows will gain experience in the management of patients with cystic fibrosis exacerbations or complications of CF, including hemoptysis. Fellows will also see general pulmonary consultations for a wide spectrum of diseases, including interstitial lung disease, asthma and COPD.
Lung Transplant Service
The BSLMC Lung Transplant Program currently performs 35-40 lung and heart-lung transplants per year. Fellows will be involved in evaluation of patients with end-stage lung disease prior to transplantation, immediate post-transplant management, inpatient management of transplant-related complications, and long-term outpatient care of transplant recipients. Fellows will have the opportunity to observe organ procurement and the transplant operation.
Medical Intensive Care Unit (MICU)
The BSMLC MICU service includes a multidisciplinary team led by a pulmonary/critical care or critical care faculty member. All patients housed in the MICU are managed by the MICU team. Fellows gain experience in the management of critically ill patients and also have the opportunity to gain procedural skills, including ultrasound skills and intubations.
Mobile Medical Intensive Care Unit (Mobile MICU)
The mobile MICU service assists with the management of unstable patients not located in the ICU (i.e. on the general floor or emergency room). Two fellows work on this service in a staggered shift model. Fellows will have the opportunity to gain procedural skills as well as have exposure to rapid response systems.
Coronary Care Unit (CCU)
Fellows will manage medical patients with cardiac disease, such as cardiogenic shock, myocardial ischemia, and other cardiac complications. Fellows will also spend time with echocardiography technicians to gain skills in cardiac ultrasound image acquisition and will also have formal training in echo interpretation.
Cardiovascular Intensive Care Unit (CVICU)
Fellows will work with a multidisciplinary team led by a pulmonary/critical care or anesthesia critical care attending. The main focus will be care of the post-operative cardiovascular patient, particularly those who have undergone coronary artery bypass graft surgery and valve replacements. Fellows will also have exposure to patients undergoing minimally invasive surgery and endovascular interventional procedures and patients on ECMO. Fellows will also gain broader experience in ventilator management and liberation strategies.
LVAD and Transplant ICU
Fellows rotating on this service will gain experience caring for patients that have left ventricular assist devices (LVAD). They will become familiar with how the devices work and complications that may arise. Fellows will also care for patients that are immediately post heart, lung or heart-lung transplant. They will become familiar with early post-operative care of thoracic transplant recipients. Additionally, fellows will gain significant experience caring for patients on ECMO.