Welcome | Facilities and Resources | Curriculum | Clincal Rotations |
Conference Schedule | Research Opportunities | Clinical Faculty |
Application Process
Welcome!
Thank you for your interest in the Fellowship program in Pulmonary and Critical Care Medicine at the Beth Israel Medical Center. This three-year combined subspecialty program accepts three fellows per year and provides supervised training at a level that allows the fellow to acquire the expertise and competency of a specialist in pulmonary medicine and critical care medicine. Our program provides tertiary care across the entire spectrum of pulmonary and critical illness to the diverse patient population of Lower Manhattan, as well as patients referred from neighboring boroughs and suburbs. The Division offers a full range of diagnostic and therapeutic services.
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Facilities and Resources
Beth Israel Medical Center Petrie Campus is the primary training site and is a well-equipped, modern facility with inpatient and ambulatory care facilities, laboratories for pulmonary function testing and cardiopulmonary exercise testing, an exfoliative cytology laboratory and extensive pathology services. There is a dedicated, modern bronchoscopy/procedure suite, facilities for training in microbiology procedures, a dedicated cardiopulmonary rehabilitation center, and a comprehensive sleep laboratory.
The Phillips Ambulatory Care Center is part of the Petrie division. This modern facility is well-equipped to address the needs of a diverse ambulatory population. In support of training in pulmonary and critical care medicine, this facility provides radiology, comprehensive laboratory and pulmonary function laboratory services.
The physicians in the division perform a wide range of pulmonary and critical care procedures. Prospective fellows will be able to learn to perform these procedures during their fellows. In addition, fellows will have an opportunity to develop skills in newer procedures in the specialty including endobronchial ultrasound and transbronchial needle aspiration and biopsy, thoracic, vascular and general critical care ultrasonography, pleural procedures including pigtail drainage catheter placement, thoracostomy and indwelling catheter placement for malignant effusions, percutaneous tracheostomy, and newer alternatives for management of the difficult airway in addition to endotracheal intubation.
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Curriculum
General Goals and Objectives
- Develop a comprehensive understanding of the anatomy, physiology and pathology of the respiratory system
- Acquire a detailed fund of knowledge regarding the natural history, prevention, diagnosis and treatment of the major diseases of the respiratory system
- Acquire a comprehensive understanding regarding the physiology, pathophysiology, molecular biology and diagnosis of critical illness and the management of critically ill patients admitted to an intensive care unit.
- Develop proficiency in the management of inpatients and outpatients with a wide spectrum of respiratory diseases.
- Develop competence in the procedural and diagnostic skills relative to the fields of pulmonary and critical care medicine
- Develop a thorough grounding in the principles, application and interpretation of imaging of the respiratory system.
- Develop skills necessary to design, conduct and evaluate research and participate in meaningful clinical research
- Learn how to critically interpret the literature and incorporate evidence-based medicine into daily practice.
- Integrate health promotion, and cultural, socioeconomic, ethical, occupational, environmental, and behavioral issues with medical care.
- Incorporate humanistic health care and patient values at all times.
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Clincal Rotations
| |
First Year |
Second Year |
Third Year |
| Clinical Rotation |
Number of blocks |
Number of blocks |
Number of blocks |
| Medical Intensive Care Unit |
2 |
1 |
2 |
| Respiratory Care Unit |
2 |
2 |
|
| Consulation Service |
3 |
3 |
2 |
| Pulmonary Function Laboratory |
2 |
1 |
1 |
| Cardiac Care Unit |
1 |
|
|
| Pulmonary Rehabilitation |
|
1 |
|
| Surgical Intensive Care Unit |
1 |
|
|
| Pulmonary Hypertension Service |
|
1 |
|
| Sleep Medicine |
|
|
3 |
| Teaching Service |
|
|
1 |
| Elective |
1 |
3 |
1 |
| Vacation |
1 |
1 |
1 |
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Conference Schedule
Monday
- Morning Conference 8am - 9am
Focus on over-weekend events, mortalities, morbidities and interesting case presentations.
- Noon Conference 12pm - 1pm
Core Curriculum Conferences: Basic Science, Research, Physiology, Pathology
Tuesday
- Morning Conference 8am - 8:30am
Overnight evaluations review and case management discussions.
- Department of Medicine Grand Rounds 8:30am - 9:30am (August through June)
These are didactic conferences sponsored by the Department of Medicine covering a wide variety of topics pertinent to the field of Internal Medicine.
- Noon Conference 12pm - 1pm
Core Curriculum Conferences: Basic Science, Research, Physiology, Pathology
Wednesday
- Journal Club 8am - 9am
Fellows will review and present recent evidence-based literature of relevance to pulmonary and critical care medicine. The manuscript will be scrutinized using evidence-based protocols. Once a month this conference will be replaced by the MICU QI meeting.
- Radiology Conference 9am - 10am
Radiographs of interest that are identified throughout the week will be presented and reviewed with a thoracic radiologist.
Thursday
- Division of Pulmonary and Critical Care Grand Rounds 8:00am - 9:00am (August through June) Comprehensive presentations in the fields of pulmonary and critical care medicine. During the summer hiatus this conference will be replaced by a Morning Conference.
Friday
- Morning Conference 8am - 9am
Overnight evaluations and events review
- Noon Conference 12pm - 1pm
Core Curriculum Conferences: Basic science, Research, Physiology, Pathology
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Research Opportunities
Research within the division covers pulmonary physiology, pulmonary complications of HIV infection, the diagnosis and management of respiratory failure and difficult airways, thoracic and critical care ultrasonography, quality improvement in critical care units, respiratory monitoring, computer simulation modeling, sleep medicine and related disorders and pulmonary arterial hypertension.
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Clincial Faculty
| Name |
Title |
| Steve H. Salzman, MD |
Chief, Division of Pulmonary, Critical Care & Sleep Medicine, Program Director |
| Frank L. Acerra, DO |
Associate Program Director |
| Samuel Acquah, MD |
Director, Endobronchial Ultrasound, Associate Director, Medical Intensive Care Unit |
| Paul Mayo, MD |
Director, Medical Intensive Care Unit |
| Mangala Narasimhan, DO |
Director, Sleep Medicine |
| Roxana Sulica, MD |
Director, Pulmonary Hypertension |
| Patricia Villamena, MD |
Director, Fiberoptic Bronchoscopy |
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Application Process
- Applications are accepted through the ERAS system.
- Application will be reviewed by the program director or associate program director only after they are complete. A complete application includes the common application form, at least 3 letters of recommendation, ECFMG certification (for graduates of foreign medical colleges), transcripts of USMLE or COMLEX scores and a personal statement. Applicants of high quality will be invited for interviews.
- In selecting from among qualified applicants, we participate in the National Resident Matching Program (NRMP). We will only offer positions to candidates contingent upon the candidate meeting all Institutional Requirements.
- It is expected that house staff selected for fellowship training will seek Board certification upon completion of the training program.
- For more information, please call our program coordinator at 212-420-2365, option 2 or e-mail flacerra@chpnet.org.
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