Pulmonary and Critical Care Medicine Fellowship
We offer a comprehensive clinical three-year Pulmonary and Critical Care medicine (PCCM) fellowship program for physicians who are board-eligible or board certified in Internal Medicine, as well as a two-year Critical Care Medicine fellowship program for trainees graduating from Emergency Medicine residency training or have completed a separate Pulmonary Disease Fellowship.. Our program focuses on teaching the principles and management of pulmonary, critical care and sleep medicine to the next generation of physicians.
Comprehensive Sub-specialty Critical Care
Our fellows care for patients at Memorial Hermann- TMC, a tertiary referral center and the busiest Level One Trauma Center in the country. At Memorial Hermann, the fellow receives comprehensive clinical education in caring for critically ill patients across the spectrum of Intensive Care Units. Our fellows acquire specific skills insertion of thoracostomy tubes, management of difficult airways, right heart catheterization and point-of-care ultrasound (POCUS), in addition to routine ICU procedures.
The fellows spend time in the following areas:
Medical Intensive Care Unit (MICU)
Patients admitted to the MICU have respiratory or other organ failures and the fellow will gain experience in managing decompensated respiratory, liver, kidney or endocrine diseases.
Heart & Vascular Institute:
Cardiovascular Surgery Intensive Care Unit (CVICU)
Patients are admitted to CVICU for elective and emergent cardiothoracic and vascular surgeries including coronary bypass, valve repair and replacement, aortic aneurysm and dissection repair, both open and endovascular. Fellows receive education in pre and postoperative management of critically ill cardiac surgery patients.
Cardiac Care Unit (CCU)
Patients are admitted to the CCU with out of hospital cardiac arrest, ST elevation myocardial infarctions, cardiac failure and cardiogenic shock. Fellows receive education in management of critically ill cardiac patients including targeted temperature management, mechanical ventilation and mechanical circulatory support of patients that receive percutaneous cardiac procedures.
Heart Failure Intensive Care Unit (HFICU)
Patients are admitted to the HFICU with unstable medical and surgical cardiac conditions including cardiac failure and cardiogenic shock, requiring Extra-corporeal Membrane Oxygenation (ECMO), both veno-arterial for cardiac failure as well as veno-venous for respiratory failure and ARDS. Fellows receive instruction in ECMO in addition to percutaneous and implanted ventricular assist devices. Fellows care for patients with heart and lung transplantation both pre and postoperatively.
Transplant Surgical Care Unit
Patients are admitted to TSCU for liver and kidney disease or failure. Fellows care for patients with decompensated medical diseases as well as liver or kidney transplant recipients.
Shock/Trauma Intensive Care Unit (STICU)
Fellows rotate in the busy STICU that houses Trauma Surgery patients for the busiest level one trauma center in the country. Fellows gain exposure in the acute and chronic management of traumatically injured patients.
Neurosurgical Intensive Care Unit (NSICU)
Fellow rotate in the busy NSICU that houses neurologically injured patients from both traumatic and vascular causes. Fellows gain exposure in the acute and chronic management of neurologically injured patients.
Pulmonology and Interventional Pulmonology
Our fellows care for diverse patients across the spectrum of acute and chronic lung disease. Fellows care for acute and chronic lung diseases at Memorial Hermann-TMC, Lyndon B. Johnson General Hospital (a part of Harris Health), the MD Anderson Cancer Center and Kindred Hospital Houston Medical Center. Our fellows acquire specific skills in fiberoptic bronchoscopy, endobronchial ultrasound, electromagnetic navigational bronchoscopy, laser and argon plasma coagulation, insertion of tracheal and bronchial stents, endobronchial brachytherapy, cryo-biopsy and percutaneous tracheostomy.
UT Physicians Subspecialty Pulmonary Clinics
Fellows care for patients in diverse subspecialty pulmonary clinics, including:
- Asthma Clinic
- Bronchiectasis Clinic
- COPD Clinic
- General Pulmonology Clinic
- Interstitial Lung Disease Clinic
- Interventional Pulmonology Clinic
- Lymphangioleiomyomatosis (LAM) & Rare Lung Disease Clinic
- LVAD & Advanced Heart Failure Clinic
- Lung Cancer Screening Clinic
- Lung Transplant Clinic
- Post-Intensive Care Syndrome Clinic
- Pulmonary Hypertension Clinic
- Pulmonary Nodule Clinic
- Sleep Clinic
Memorial Hermann Medical Plaza Clinic
Fellows care for patients in clinic settings for Thoracic Oncology, Lung Nodule, Lung Transplant and Pulmonary clinics.
Memorial Hermann-TMC, Lyndon B. Johnson, MD Anderson Cancer Center and Kindred Hospital offer fellow education across the spectrum of Pulmonology:
Fellows obtain proficiency in pulmonary function testing, six minute walk testing, ambulatory oximetry and cardiopulmonary exercise testing.
Patients with acute and chronic lung diseases are cared for by the fellows as they obtain proficiency as a pulmonary consultant.
Fellows obtain proficiency in inpatient and outpatient elective and urgent bronchoscopic procedures, including bronchoalveolar lavage, endobronchial and transbronchial biopsies, across multiple care settings.
Advanced Bronchoscopy and Endobronchial Ultrasound
Fellows obtain proficiency in inpatient and outpatient elective and urgent advanced bronchoscopy across multiple care settings including endobronchial ultrasound (EBUS) with lymph node sampling, navigational bronchoscopy, cryo-biopsy, tumor destruction, endobronchial valve placement, airway stent placement and percutaneous tracheostomy.
All fellows participate in research and quality improvement projects under the guidance of faculty mentors. The results of these projects are presented nationally at American Thoracic Society, Society of Critical Care Medicine, and the American College of Chest Physicians meetings annually.
Sleep Medicine Experience
All Pulmonary Critical Care fellows gain invaluable sleep medicine experience during their three years. This includes exposure to polysomnographic reading (sleep staging and scoring) and interpretation at the sleep disorders center located at Memorial Hermann-TMC. They also participate in the outpatient evaluation of all sleep disorders (e.g. insomnia, REM sleep behavior disorder, narcolepsy, complex sleep apnea) and weekly sleep conferences.
The fellows assimilate a wealth of knowledge in sleep disorders to help them manage sleep disorders, often in the pulmonary and critical care setting. Fellows interested in a more in-depth training and career in sleep medicine are encouraged to pursue a dedicated one year sleep medicine fellowship in our ACGME-accredited Sleep Medicine Fellowship Program.
For further information on the Pulmonary & Critical Care Medicine Fellowship (3 year PCCM track or 2 year CCM track), please contact:
Mark T. Warner, MD CMQ
Program Director, Pulmonary and Critical Care Medicine Fellowship
6431 Fannin Street | MSB 1.434 | Houston, Texas 77030
713-500-5431 tel | 713-500-6829 fax
For further information on the Sleep Medicine Fellowship, please contact:
Ruckshanda Majid, MBBS, FCCP, D.ABSM
Program Director, Sleep Medicine Fellowship
6431 Fannin Street | MSB 1.434 | Houston, Texas 77030
713-500-6845 tel | 713-500-6829 fax