UCLA Pulmonary and Critical Care Fellowship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLINICAL TRAINING

As of 2014, we have four training sites that provide a rigorous, diverse, and rewarding clinical training experience for our fellows.

1. Ronald Reagan Medical Center (RRMC) is a 456 bed hospital with five specialized 24-bed ICUs. It is a quarternary care hospital that is currently ranked #5 in the US News and World Report rankings and has been ranked the best hospital in the Western United States for the past 21 years.

At RRMC, fellows participate in a number of clinical rotations including medical ICU, a pulmonary consult service, an advanced lung disease consult service consisting of lung transplant and pulmonary hypertension patients, a liver ICU rotation consisting of critically ill pre- and post-liver transplant patients, and an elective outpatient rotation consisting of multiple subspecialty clinics (interstitial lung disease, sleep, pulmonary hypertension, lung transplant, asthma/COPD). The fellows’ own continuity clinics are also based out of RRMC or the West L.A. VAMC.

At RRMC, our fellows routinely see cases that some pulmonary physicians only see once in a lifetime.

2. Santa Monica-UCLA Hospital (SM-UCLA) is a 279 bed hospital with an 18-bed ICU which serves as our community hospital. It is staffed by a skilled, tight knit group of full-time UCLA faculty clinician educators.

At SM-UCLA, fellows participate in a medical ICU rotation and a pulmonary consult rotation. They also have opportunities to participate in sleep medicine, interventional pulmonary, and our lung cancer/nodule program, all of which are based out of Santa Monica. At this site, our fellows get to run their own ICU as there are no residents or mid-level providers. Our fellows enjoy both the medicine and the autonomy at Santa Monica and have the opportunity to participate in a truly community intensivist experience there.

3. The West LA VA Hospital (WLA-VA) is a large tertiary care Veterans Affairs hospital with a 36-bed multidisciplinary ICU along with an 18-bed multidisciplinary step-down unit and is part of the largest VA system in the nation.

At the WLA-VA, fellows participate in a medical ICU rotation, an inpatient pulmonary consult rotation, an outpatient pulmonary consult rotation, and a PFT rotation. They also have opportunities to participate in sleep medicine at the VA. At this site, our fellows get an abundance of exposure to lung cancer and the specialized procedures used to diagnose lung cancer.

4. Olive View-UCLA Hospital (OV-UCLA) is a county hospital serving the population of the San Fernando Valley with an 18 bed mixed medical ICU/cardiac care unit. It has also recently been honored as a pulmonary tuberculosis center of excellence.

At OV-UCLA, fellows participate in a medical ICU rotation, an inpatient pulmonary consult rotation, and an outpatient pulmonary consult rotation. At this site, our fellows get to experience all the benefits of a county hospital – first time presentations, bread and butter cases, an extremely diverse patient population, and the ability to take care of underserved appreciative patients. The dedicated clinician educator faculty has made OV-UCLA an extremely popular training site for medical students and fellows alike.

Also unique to our training program is the abundance of procedural training we offer. Fellows will graduate from our program proficient in the following:

  • Bronchoscopy including specialized bronchoscopy (transbronchial biopsies, endobronchial US, transbronchial needle aspiration as well as exposure to navigational bronchoscopy)
  • Pleural procedures including chest tubes and pleurx catheters as well as exposure to pleural biopsies
  • Airway management including direct laryngoscopic intubations, glidescope intubations, and fiberoptic intubations
  • Percutaneous tracheostomy
  • Right heart catheterizations
  • Advanced ultrasound training with a formal training curriculum in ultrasound

In addition, there are a number of electives available at RRMC to include chest radiology, pulmonary pathology, and rotations through the cardiothoracic and neuro-ICUs.

In our fellowship program, the first year is a purely clinical year with some outpatient time available to allow the first years to meet mentors and pick their academic tracks.

Second and third year fellows on our clinician educator track have approximately 6 months of clinical rotations with the remainder of the year as protected time to work on their academic projects.

Second and third year fellows on our research track have approximately 3 months of clinical rotations with the reminder of the year as protected time for their research projects and/or STAR coursework.

Throughout the entire fellowship, fellows will be exposed to both informal and formal didactic lectures at every site with certain conferences available to all sites via tele-conferencing.