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Pulmonary and Critical Care Medicine Fellowship

The Pulmonary and Critical Care Medicine Fellowship at Baylor University Medical Center (BUMC), part of Baylor Scott & White Health, is an Accreditation Council of Graduate Medical Education (ACGME)-accredited three-year program.

BUMC excels at high-acuity care --medical and surgical ICUs in our institution accept transfer from across the region for higher level of care, including extracorporeal membrane oxygenation (ECMO). BUMC is a leader in thoracic surgical care and and lung transplant, which allows our program to accept patients with complex conditions that other centers may deny. Additionally, as a center of excellence and investigation for advanced lung diseases such as interstitial lung disease (ILD) and pulmonary hypertension, our trainees are exposed to the breadth and depth of pulmonary diseases and learn from experts in the field engaged in cutting-edge clinical research.

We accept two fellows per year.

Curriculum

Our program prepares physicians to practice the pulmonary and critical care medicine in complex environments with competency, professionalism and the highest ethical standards. Graduating fellows are expected to achieve dual board certification in pulmonary and critical care medicine.We have a 100% board pass rate.

Training is designed to teach fellows how to increase knowledge and comprehension across a broad array of pulmonary medicine topics, apply accumulated knowledge to the bedside care of patients, evaluate subsequent clinical outcomes in a manner that provides for effective pulmonary consultation services, and demonstrate competency in technical and procedural skills for procedures routinely provided by pulmonary and critical care consultants.

Fellows have access to advanced technology and services, including:

  • Bronchoscopy suite, including appropriate space and staffing for pulmonary procedures
  • Computed tomography (CT) imaging, including CT angiography
  • Coronary care unit
  • Radiology services (bedside imaging services available to all patients in the critical care units)
  • Pulmonary function testing laboratory
  • Cardiopulmonary exercise testing (CPET)
  • Respiratory care services
  • Dedicated fellows' pulmonary outpatient clinic
  • Exposure to the Advanced Lung Disease and Lung Transplant clinic
  • Clinical work on the Lung Transplant inpatient service
  • Inpatient work in the cardiothoracic intensive care unit, including ECMO care
  • Dedicated COPD/asthma clinic

We also utilize the Seeger Surgical Simulation Center, which is equipped with SimMan 3G technology as well as bronchoscopy and EBUS simulators.

Fellows receive new admissions/consults, triage patients, evaluate patients, present to the attending physician and provide documentation of consult, typically between 7 a.m. and 6 p.m. daily during inpatient rotations (ICU and pulmonary consults). They also are responsible for seeing established patients prior to the daily bedside rounds. Fellows work with specially trained nurses and technicians skilled in critical care instrumentation, respiratory function and laboratory medicine. There is no overnight call.

A typical breakdown of rotations per PGY year is as follows:

PGY-4

  • Medical ICU (4 weeks)
  • Pulmonary consult service (12)
  • Advanced lung disease outpatient clinic (four weeks)
  • Lung Transplant inpatient rotation (four weeks)
  • Respiratory therapy and pulmonary function Lab (four weeks)
  • Chest radiology/pulmonary pathology (four weeks)
  • Sleep medicine (four weeks)

PGY-5

  • Medical critical care ICU (12 weeks)
  • Neuro ICU (four weeks)
  • Surgical ICU (four weeks)
  • Cardiothoracic ICU (four weeks)
  • Bronchoscopy (4 weeks) 
  • Pulmonary consults (eight weeks)
  • Advanced lung disease outpatient clinic (four weeks)
  • Sleep medicine (four weeks)
  • Elective (eight weeks)

PGY-6

  • Research or elective time (28 weeks)
  • Pulmonary consults (eight weeks)
  • Advanced lung disease outpatient clinic (four weeks)
  • Medical critical care ICU (four weeks)
  • Neuro ICU (four weeks)
  • Lung Transplant inpatient rotation (four weeks)

Fellows develop teaching skills necessary to educate patients, families, medical students and residents by attending conferences and faculty development seminars, completing online lessons and observing experienced attending physicians in a teaching environment.

Conferences include:

  • Critical Conference
  • Pulmonary Radiology Case Conference
  • Interstitial Lung Disease Conference
  • Internal Medicine Grand Rounds
  • Pulmonary Core Curriculum Conference,including M&M and Journal Clubs
  • Critical Care Conference
  • Airway management Conference
  • Pulmonary thromboembolism Conference
  • Chest Tumor Board Conference

We provide fully funded Advanced Trauma Life Support (ATLS) training and Emergency Neurological Life Support (ENLS) training.

 

Our fellows are required to participate in at least one research project during their time as fellows, with the goal of presenting and publishing their findings.

BUMC is a major center for clinical research. Clinical research opportunities are available in both the outpatient and inpatient settings, as well as the Seeger Surgical Simulation Center. Clinical research requires the successful completion of educational prerequisites from Baylor University Medical Center's institutional review board (IRB), as well as approval process of the IRB. Fellows are mentored by experienced clinicians during their time in fellowship, and present every year at conferences such as CHEST, Society of Critical Care Medicine, and American Thoracic Society (ATS), as well as at transplant-related conferences such as the American Transplant Congress (ATC) and the International Society for Heart and Lung Transplantation (ISHLT).

  • Our Commitment to Diversity, Equity and Inclusion

    Baylor University Medical Center, Graduate Medical Education (GME) is committed to advancing and passionately promoting a training environment where all feel welcomed and valued.
    A culture of inclusion encourages innovation, and is a catalyst for building dynamic teams that serve our communities.

    Learn more

How to Apply

To apply, file an application through the Electronic Residency Application Service (ERAS) and register through the National Residency Matching Program (NRMP). It is important to include the NMRP registration number on the application with all other required documentation.

Applications are due by the first week of November.

Visit ERAS to apply

Application Requirements

Eligible applicants must have successfully completed at least three years of an internal medicine residency.

A complete application includes:

  • Three letters of recommendation (including one from the chief of internal medicine at the current program)
  • Personal statement
  • CV
  • USMLE transcripts. Steps I and II are required, and Step III is desirable; however, interviews and rankings will be conducted if Step III scores are not available at deadline.
  • ECFMG certificate, if applicable
Learn more about Baylor Scott & White's housestaff appointment eligibility, including guidelines for international medical graduates.

Contact Us

Alejandro C. Lopez
Alejandro.CalderonLopez@BSWHealth.org

Verification Requests: BUMCGMEVerifications@BSWHealth.org

Pulmonary and Critical Care Fellowship
Baylor University Medical Center
6th Floor Roberts Hospital
3500 Gaston Ave.
Dallas, TX 75246

Working at Baylor Scott & White Health

Compensation and Benefits

In addition to competitive stipends, we offer our fellows a full menu of employee benefits. We help offset the cost of many of these benefits; others are options you can choose to pay for yourself.

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Life in Dallas

Dallas provides access to metropolitan entertainment and culture while maintaining the lowest cost of living among the top 10 largest U.S. cities.

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Why Baylor Scott & White

As the largest not-for-profit health care system in Texas and one of the largest in the United States, Baylor Scott & White Health includes 48 hospitals, more than 900 patient care sites, more than 6,000 active physicians and more than 40,000 employees.

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