Pulmonary/Critical Care

New York Hospital Queens
56-45 Main Street
Flushing, NY 11355

Contact the Coordinator

Jamie Vigliotti
Phone (718) 670-1405
Fax (718) 461-2943
Email jlo9002@nyp.org

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About the Program

The Pulmonary fellowship is a certified, 2-year program. The underlying approach to our pulmonary residents is that they are our junior colleagues. The faculty and the residents teach each other and develop together by the shared experiences of patient care, procedures, conferences, and the process of clinical research.

• Goals 
• Methods of Instruction 
• Skills Taught 
• Evaluations 
• Graduate Careers

Application

Since we do not participate in ERAS at this time, applicants can email their CV's to Jamie Vigliotti at jlo9002@nyp.org, or use the fax or regular mail. Applicants are encouraged to call to inquire about the program, but we ask that after they send their CVs they e-mail as to the status, rather then call because this is a very busy office.  Applicants will be contacted back via e-mail or phone.

More about the Program

• Faculty
• Rotations and Conferences 

Goals

1. To understand and utilize the principles of pulmonary anatomy, physiology and pathology in health and disease states.
2. To become knowledgeable with the various pulmonary diseases, respiratory failure, pulmonary lesions, diagnostic tests and imaging; and therapeutic interventions available in this field.
3. To formulate complete and accurate differential diagnoses for various diagnostic problems and develop care plans taking into consideration risk-benefit ratios.
4. To understand and master all aspects of management of respiratory failure and obstructive lung disease, including outpatient care and teaching, mechanical ventilation as well as non-invasive respiratory support.
5. To understand and master the uses and indications for bronchoscopy and allied procedures.
6. To understand the indications and complications of various other pulmonary procedures and gain competence in them; including but not limited to pleural biopsy, pleural drainage, Swan-Ganz catheters, endotracheal intubation and airway management.
7. To participate in a clinical research project and data analysis.
8. To understand and interpret pulmonary function testing.
9. To gain experience in interpretation of chest radiographs, chest CT, V/Q scans, MRI, PET and other imaging methods.
10. To gain experience in outpatient pulmonary medicine, especially diagnosis and management of asthma and COPD.
11. To gain experience in the diagnosis, therapeutic choices and outcomes of patients with lung cancer.
12. To understand the pathophysiology of Sleep Apnea, indications and assessment of polysomnography reports, and management of obstructive sleep apnea.
13. To understand and participate in Exercise Rehabilitation of patients with advanced physiologic impairment due to COPD and other lung disease.
14. To be able to function as a competent consultant in pulmonary disease.
15. To learn how to teach patients to understand their diseases and management that will engage the patients successfully with the doctor in providing quality care.
16. To develop a pattern of self-education that will last throughout their careers as pulmonary medicine changes in the future.

Methods of Instruction

1. Rotations in Medical ICU, pulmonary consultation service, dedicated pulmonary inpatient service, anesthesia, sleep studies, and rehabilitation service.
2. Laboratory rotation.
3. Two year weekly ambulatory rotation.
4. Elective rotation in 2nd year which in the past has included rotations in lung transplantation, sleep, and invasive pulmonology.
5. 2 weekly journal clubs.
6. Weekly clinical conference.
7. Monthly NYH network pulmonary conference.
8. Support for yearly national educational conference.
9. Semi-monthly radiology and pathology conference for pulmonary residents only.
10. Dedicated research modules.

Skills Taught

1. Fiberoptic bronchoscopy and all allied biopsies and skills
2. Thoracentesis, pleural biopsies, and chest tube drainage.
3. Endotracheal intubation and ventilator management.
4. Swan-Ganz catheterization, hemodynamic evaluation, and related critical care skills.
5. Brachytherapy
6. Exercise testing
7. Pulmonary Laboratory Evaluation

Evaluations

1. Monthly at the end of each rotation
2. Semi-annually by an Evaluation Committee

Graduate Careers

Graduates have gone on to private practice throughout the United States. Several graduates are now on faculty programs in Internal Medicine and Pulmonary Programs. Over 95% pass their pulmonary certification on their first attempt. They report being well trained and satisfied with their careers upon completion of the program.