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Pulmonary Disease Fellowship

Murray R. Rogers, M.D.
Director, Division of Pulmonary Medicine

Lawrence DiFabrizio, M.D.
Program Director

David H. Posner, M.D.
Associate Program Director

Total positions offered: 2

This two-year fellowship represents an intensive and academically oriented exposure to all areas of Pulmonary Medicine. The faculty consists of 16 pulmonologists of whom four are fulltime, including the chief. Six are parttime supervising the Pulmonary Function Laboratory, the Exercise Testing Laboratory, the Pulmonary Rehabilitation Program, Interventional Pulmonology, and serving as coordinator with Respiratory Therapy.

Fellowship rotations include patient consultations, endoscopy, one month of respiratory therapy, two months in the medical I.C.U., two months in the Pulmonary Function Laboratory and a one-month rotation in lung transplantation at the Columbia-Presbyterian Medical Center.

Pediatrics patients with lung disease are also seen on a regular, ongoing basis through the fellowship. The pulmonary service offers a vast experience in the treatment of pulmonary tuberculosis and there is an ongoing rotation with the oncologic service.

Weekly teaching conferences include: pulmonary grand rounds, pulmonary physiology, pediatric pulmonary medicine, pulmonary pathology (which includes a one-hour session on microscopic pathology), and an additional hour of gross pathology of the inflated postmortem lung.

In addition, there are one-hour conferences on pulmonary exercise testing, sleep, special pulmonary radiology including imaging and lung nuclear medicine, critical care medicine and weekly director’s rounds. Attending rounds are held daily. A pulmonary clinic is held weekly and is followed by a clinical teaching conference. Patients are followed on a regular basis in the pulmonary clinic by each fellow during the two years of fellowship training. Four times weekly, the director-of-service discusses cases seen in his private consultation practice, emphasizing ambulatory management. The fellows are furthermore assigned and follow every patient admitted to the hospital by the Director and Associate Directors.

Endoscopy is carried out in a state-of-the-art suite, with the fellow first assisting and then performing bronchoscopies under supervision. Each fellow does approximately 500 bronchoscopies during the fellowship. Pleural biopsies, ultrasound localization of pleural fluid, use of the Wang Needle for T.B.N.A., techniques of pulmonary rehabilitation, insertion of chest tubes, and sleep medicine are included in the fellowship curriculum.

Techniques for endobronchial cancer treatment with laser and endobronchial brachytherapy are demonstrated to the fellows. The teaching service has a case load of approximately 15 inpatients at all times plus private cases. Medical residents rotate through the service throughout the year.

Each fellow participates in ongoing clinical research studies during the two-year program. Clinical research is performed in three laboratories at Lenox Hill Hospital. The Hospital has a full-time director of research, and a course in research techniques and statistics is afforded for the pulmonary fellows.