Curriculum

The MWH PCCM Fellowship is a three-year, 39-block program. The curriculum is weighted toward critical care in Years 1 and 2, with progressive pulmonary subspecialty depth in Year 3. Continuity clinic runs every week across all three years — one half-day per session — ensuring longitudinal patient relationships and outpatient pulmonary competency alongside intensive care training.

12 blocks MICU (Medical ICU)
Closed unit · fellow-led teams · 10-patient average census

7 blocks Pulmonary Consults
Full spectrum inpatient pulmonary consultation

3 blocks Advanced Bronch / IP
EBUS · robotic navigational bronchoscopy · medical thoracoscopy

3 blocks SICU
Non-medical critical care · post-surgical · thoracic surgery

2 blocks Pulmonary HTN Service
RHC · PAH therapies · CTEPH · transplant evaluation

4 blocks Scholarly / QI / Sim
Protected research · QI projects · simulation · Inquiring Minds

1 block Sleep Medicine
PSG interpretation · PAP titration · overlap syndromes

3 blocks Elective
IP · thoracic surgery · radiology · pulmonary HTN · neurocritical care

Year by Year

PGY-4 Foundations in Critical Care

Five MICU blocks establish procedural competency and clinical judgment. Pulmonary consults with early supervised bronchoscopy from Block 2. First IP block, PFT/Clinic, protected scholarly time.

PGY-5 Senior Coverage & Subspecialty Depth

Senior MICU and SICU blocks. Second IP block — fellows transition to primary operator. Pulmonary HTN service, Sleep Medicine, M&M Conference presentations required.

PGY-6 Practice Readiness & Mastery

Near-attending MICU and SICU. CCU/CICU, Pulmonary HTN, third IP block as primary operator on all advanced procedures. Mock oral boards ×2. Scholarly milestone deadlines.

Graduation Requirements

• One peer-reviewed manuscript submitted
• One QI project presented to Quality Committee
• Grand rounds lecture as primary presenter
• Inquiring Minds Conference presentation (PGY-4, PGY-5)
• Journal Club leadership (PGY-4, PGY-5)
• Mock oral board examinations ×2 in PGY-6
• Conference attendance ≥ 80% annually

Procedural Training

Volumes That Prepare You for Independent Practice

Three dedicated IP blocks give fellows progressive primary operator experience in advanced bronchoscopy. All procedures are logged in MedHub with faculty attestation.

• 50+ Endotracheal Intubation

  MICU · all years

• 100+ Flexible Bronchoscopy

  IP blocks · MICU · Pulm Consults

• 50+ EBUS-TBNA

  IP blocks · all years

• 30+ Central Venous Catheter

  MICU · CCU/CICU

• 20+ Thoracentesis (US-guided)

  Pulm Consults · all years

• 20+ Navigational Bronchoscopy

  Ion/Monarch · IP blocks PGY-5 & 6

• 10+ Medical Thoracoscopy

  IP block PGY-6

• 200+ POCUS — Lung / Cardiac

  MICU · all years

PGY-4 (Year 1)

Rotation	Weeks
Medical ICU (MICU) — Closed unit, fellow as primary team leader	16
Pulmonary Consultation Service — includes supervised diagnostic bronchoscopy from Block 2	12
MICU Night Float	4
THOR/PULM Tumor Board (Thoracic Oncology Conference)**	Weekly — every Thursday
Scholarly / QI / Simulation	4
Advanced Bronchoscopy / Interventional Pulmonology (IP Block 1)	4
Elective	4
PFT Laboratory / Outpatient Pulmonary Clinic	4
Vacation	4

** Multidisciplinary lung cancer conference. Fellows review EBUS-TBNA pathology, molecular testing, staging, and treatment planning with thoracic surgery, oncology, radiology, and pathology. Required on Pulm Consults and IP blocks. Also known as Thoracic Oncology Conference or Lung Cancer Conference.

PGY-5 (Year 2)

Rotation	Weeks
Pulmonary Consultation Service	8
Advanced Bronchoscopy / Interventional Pulmonology (IP Block 2 — primary operator on selected cases)	4
Medical ICU (MICU)	12
MICU Night Float	4
Surgical ICU (SICU) — Direct patient care	4
Scholarly / QI / Simulation	4
Pulmonary Hypertension Service	4
Elective	4
Sleep Medicine	4
Vacation	4

PGY-6 (Year 3)

Rotation	Weeks
Pulmonary Consultation Service	8
Medical ICU (MICU)	4
Surgical ICU (SICU) — Two blocks (direct care + consultative)	8
MICU Night Float	4
CCU / Cardiac ICU	4
Scholarly / QI / Simulation	4
Pulmonary Hypertension Service	4
Scholarly + Advanced Procedures	4
Elective	4
Advanced Bronchoscopy / Interventional Pulmonology (IP Block 3 — primary operator all advanced procedures)	4
Vacation	4

Elective Options

Fellows select one elective per year from the following approved options, in consultation with the Program Director:

• Interventional Pulmonology (additional IP volume — EBUS, robotic navigational bronchoscopy, endobronchial valves)
• Sleep Medicine
• Advanced Bronchoscopy
• Thoracic Surgery
• Radiology — Chest Imaging (CT/HRCT pattern recognition, PET/CT)
• Pulmonary Hypertension (advanced RHC and PAH management)
• Neurocritical Care
• ILD / Lung Transplant Evaluation
• Research / Quality Improvement (full-time scholarly protected time)
• Medical Education