Pulmonary & Critical Care Fellowship Curriculum

Take some time to scroll through our challenging and diverse Pulmonary & Critical Care Medicine Fellowship Curriculum.

Our categorical fellows will study these areas over their fellowship tenure via clinical inpatient and outpatient exposure, weekly and monthly didactics including interdivisional conferences and grand rounds, symposia/national conferences, online resources, self-study, fellowship sponsored regular board review and journal clubs, and bedside rounds and teaching.

Resources are provided using Canvas Learning Management System.  Fellows have full access to the robust medical resources of the Texas Medical Center Library as well as mobile institutional access to UpToDate.


Pulmonary Disease Curriculum


  • Approach to Pulmonary Symptoms
    • Dyspnea
    • Cough
    • Chest pain
    • Hemoptysis
  • Respiratory Physiology
    • Pulmonary mechanics
    • Oxygenation
    • Ventilation
    • Blood gas transport
    • Pulmonary gas exchange
    • Hypocapnia/hypercapnia
  • Pulmonary Diagnostics
    • Pulmonary Function Testing
      • Spirometry
      • Body Plethysmography
      • DLCO
      • Bronchodilator response
      • Bronchoprovocation testing
    • Cardiopulmonary Exercise Testing (CPET)
    • Six minute walk test
    • Ambulatory pulse oximetry

  • Obstructive Lung Diseases
    • Asthma
      • Pathophysiology and diagnosis of asthma
        • Genetics
        • Epidemiology
        • Biology
        • Evaluation (bronchodilator challenge/bronchoprovocation)
      • Severity and stepped care
        • Mild-moderate
        • Severe
        • Asthma in pregnancy
        • Perioperative care
        • Complications of care
      • Special types and phenotypes of asthma
        • Aspirin-sensitive asthma
        • Exercise-induced asthma
        • Eosinophilic TH2-high asthma
        • Cough variant asthma and others
      • Asthma-mimics
        • Vocal cord dysfunction
        • Genetic
          • Cystic fibrosis
          • Alpha-1 antitrypsin disease
          • Primary ciliary dyskinesia
          • Non-genetic
        • Hypereosinophilic
          • Loffler’s syndrome
          • Parasitic infections
        • Infiltrative airway processes
          • Granulomatous
          • Amyloidosis
          • Others
        • Heart failure
        • Central airway obstruction
      • Asthma exacerbation
        • Status asthmaticus
        • Viral infections
        • Allergens
        • Other causes
      • Allergic bronchopulmonary aspergillosis and fungosis
      • Eosinophilic granulomatosis with polyangiitis

 

    • Chronic Obstructive Pulmonary Disease (COPD aka emphysema)
      • Pathophysiology and diagnosis of COPD
        • Genetics
        • Epidemiology
        • Biology
        • Evaluation (guidelines, physiology of airflow, imaging)
      • Management of chronic stable disease
        • Pharmacologic therapies
        • Nonpharmacologic therapies
          • Rehabilitation
          • Oxygen
          • Palliation
          • Other therapies
        • Operative and perioperative management
          • Lung volume reduction
          • Lung cancer
          • Others
        • Comorbidities
          • Vascular disease
          • Lung cancer
          • Other conditions
        • Exacerbation of COPD
          • Pharmacologic therapies
          • Nonpharmacologic therapies
            • NIPPV
            • Mucociliary clearance
        • Prevention of exacerbations
        • Mimics
          • Heart failure
          • Pulmonary embolism
    • Cystic Fibrosis
      • Pathophysiology
      • Airway clearance
    • Non-CF bronchiectasis and issues other than infections
    • Central Airway Obstruction

  • Diffuse Parenchymal Lung Diseases
    • Interstitial lung disease (ILD) associated with systemic inflammatory disease
      • Connective tissue disease (CTD)-associated ILD
        • Rheumatoid arthritis
        • Systemic sclerosis
        • Polymyositis and dermatomyositis
        • Sjogren’s syndrome
        • Psoriasis
        • Systemic lupus erythematosus
        • Other CTDs
      • Inflammatory bowel disease-associated ILD
      • IgG4-related disease and others
    • Idiopathic interstitial pneumonias
      • Acute interstitial pneumonia (AIP)
      • Cryptogenic organizing pneumonia (COP)
      • Desquamative interstitial pneumonia (DIP)
      • Idiopathic pulmonary fibrosis
        • Diagnostic evaluation
        • Therapeutic approach
      • Lymphocytic interstitial pneumonia (LIP)
      • Nonspecific interstitial pneumonia (NSIP)
      • Respiratory bronchiolitis-associated ILD (RB-ILD)
      • Acute and chronic eosinophilic pneumonias
      • Idiopathic pleuropulmonary fibroelastosis and other conditions
    • Granulomatous interstitial lung diseases
      • Sarcoidosis
        • Pulmonary manifestations
        • Extrapulmonary manifestations
      • Hypersensitivity pneumonitis
      • Granulomatous lymphocytic ILD and others
    • Diffuse cystic lung diseases
      • Lymphangioleiomyomatosis (LAM)
      • Langerhans cell histiocytosis (LCH)
      • Birt-Hogg-Dube syndrome
      • Follicular bronchiolitis and cystic LIP
      • Light-chain deposition disease
      • Neurofibromatosis
      • Marfan syndrome
      • Others
    • Other diffuse interstitial lung diseases
      • Familial interstitial pneumonias
        • Surfactant mutations (SP-A, SP-C, ABCA3, etc)
        • Hermansky-Pudlak
        • others
      • Erdheim-Chester disease and other histiocytoses
      • Lymphangiomatosis and generalized lymphatic anomalies
      • Amyloidosis
      • Pulmonary alveolar proteinosis
      • Radiation-induced ILD
      • Constrictive bronchiolitis (idiopathic and toxic exposure-induced)
      • Drug-induced ILD
        • Due to chemotherapeutics and cancer therapies

  • Pleural Disease
    • Structure and physiology
      • Fibrosis
      • Calcification
      • Thickening
      • Fluid dynamics
      • Trapped lung and lung entrapment
    • Pneumothorax
      • Primary spontaneous
      • Secondary
        • Parenchymal-disease related
        • Iatrogenic
        • Traumatic
        • Catamenial, familial, others
      • Outcomes
    • Effusions and pleural pathology
      • Transudative
        • Hemodynamic and oncotic
        • Hydrothorax
        • Urinothorax and other types
      • Exudative
        • Infectious
          • Parapneumonic infection
          • Complicated parapneumonic infection
          • Empyema
        • Occupational
        • Noninfectious inflammatory
        • Hemorrhagic
        • Chylous
        • Drug-induced
        • Eosinophilic
    • Diagnostic and therapeutic procedures
      • Thoracentesis
      • Pleuroscopy
      • Chest tubes
      • Tunneled pleural catheters

Critical Care Medicine Curriculum


Update coming soon.


Point of Care Ultrasound (POCUS) Curriculum


Update coming soon.


Sleep Medicine for PCCM Fellows Curriculum


Update coming soon.


Palliative Care / End of Life Curriculum


Update coming soon.