Pulmonary and Critical Care Medicine Fellowship

Inpatient Experience

We offer a combined three-year Pulmonary and Critical Care medicine (PCCM) fellowship program for physicians who are or will be board-eligible in Internal Medicine, as well as a 1-year Critical Care Medicine fellowship program for trainees graduating Emergency Medicine and/or Internal Medicine.  Our program focuses on teaching the principles and management of pulmonary, critical care and sleep medicine to the next generation of physicians.

The three-year PCCM fellowship is designed to develop leaders in education, research and clinical care.  These years consist of clinical rotations on the consultative pulmonary disease and critical care medicine teams.  Our healthcare system encounters a broad diversity of patients with a variety of diseases and pathology that is encountered within the hospitals and clinics in which our fellows rotate.  These teaching institutions include Memorial Hermann Hospital – Texas Medical Center, Lyndon B. Johnson General Hospital, MD Anderson Cancer Center, and Kindred Hospital. Each setting caters its own strengths to the program and complements the fellows’ educational experiences.

  • Year 1: Fellows’ education in the first year includes rotations in pulmonary function testing, cardiopulmonary exercise testing, bronchoscopy, ventilator management and outpatient pulmonary medicine, as well as consultative experience in cardiac, cardiovascular, advanced heart failure and transplant ICUs.
  • Year 2: The second year focuses heavily on medical ICU experience with incorporation of additional experience and training in sleep medicine and interventional bronchoscopy.
  • Year 3: Fellow rotations for the third year include continued pulmonary consultation experience as well as advanced bronchoscopy, medical/surgical critical care and rotations in neurologic trauma and trauma surgical intensive care units.

The one-year Critical Care track is open to physicians who are or will be board-eligible in Emergency Medicine and/or Internal Medicine or have completed a separate Pulmonary Disease Fellowship.

A thorough rotation-based curriculum guides our fellows during their time in the following units:

  • MHH Medical Intensive Care Unit
  • LBJ Medical/Surgical Intensive Care Unit
  • MHH Heart & Vascular Institute – Advanced Heart Failure Critical Care
  • MHH Heart & Vascular Institute – Cardiac Critical Care
  • MHH Heart & Vascular Institute – Cardiovascular Surgical Critical Care
  • MHH Transplant Surgical Care Unit
  • MHH Neurological Trauma Intensive Care Unit
  • MHH Surgical Trauma Intensive Care Unit

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, insertion of thoracostomy tubes, management of difficult airways, right heart catheterization and point-of-care ultrasound (POCUS), in addition to routine ICU procedures.

 

Outpatient Experience

Fellows attend the outpatient Pulmonary Continuity Clinic one afternoon per week at the University of Texas Health Science Center Professional Building with an assigned Pulmonary Medicine faculty supervisor.  The clinic experience rotates every year with the opportunity to experience general pulmonary and specialty pulmonary clinics.

  • 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

Fellows rotating at Lyndon B. Johnson General Hospital on the Pulmonary Consultation service attend Thursday afternoon LBJ Pulmonary Clinic. Fellows on Sleep Medicine rotations attend Wednesday afternoon Sleep Consultation Clinic at University of Texas Health Science Center Professional Building one half-day per week and Quentin Mease Sleep Clinic on Thursday mornings.

Fellows on rotations at M.D. Anderson Cancer Center attend outpatient clinics with monthly Pulmonary Consult attending physicians. In addition to general pulmonary medicine, our clinic receives extensive referrals for the evaluation and management of Pulmonary Hypertension, Interstitial Lung Diseases, Asthma, COPD, Lung nodules and Lung Transplant evaluation.

Scholarly Activity

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.

pccsm scholarly activities

 

Sleep Medicine Experience

sleep labAll 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 1 year CCM track), please contact:

Matthew Longoria
Fellowship Coordinator, Pulmonary and Critical Care Medicine Fellowship
6431 Fannin Street | MSB 1.434| Houston, Texas 77030
713-500-6861 tel | 713-500-6829 fax
Matthew.Longoria@uth.tmc.edu

Mark Warner, M.D.
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
Mark.T.Warner@uth.tmc.edu


For further information on the Sleep Medicine Fellowship, please contact:

Matthew Longoria
Fellowship Coordinator, Sleep Medicine Fellowship
6431 Fannin Street | MSB 1.434| Houston, Texas 77030
713-500-6861 tel | 713-500-6829 fax
Matthew.Longoria@uth.tmc.edu

Ruckshanda Majid, M.D.,  FCCP
Program Director, Sleep Medicine Fellowship
6431 Fannin Street | MSB 1.434 | Houston, Texas 77030
713-500-6845 tel | 713-500-6829 fax
Ruckshanda.Majid@uth.tmc.edu