Additional Advanced Training
Stanford offers two advanced training programs. These programs are designed for individuals who have completed a fellowship in Pulmonary & Critical Care and include Pulmonary Vascular Disease and Heart-Lung & Lung Transplant. Please see below to contact the fellowship coordinator with any questions about these programs.
Heart-Lung & Lung Transplants
Program Director, Heart-Lung & Lung Transplant Fellowship
This fellowship is devoted exclusively to clinical training and research in heart-lung and lung transplantation and is designed to prepare trainees for academic careers in transplantation. The Heart-Lung and Lung Transplantation Program is a complex medical-surgical collaboration between the Department of Cardiothoracic Surgery and Division of Pulmonary and Critical Care Medicine. Direct supervision and teaching is provided by the medical and surgical faculty of the Heart-Lung & Lung Transplantation Program. The duration of the fellowship program is one to two years.
The clinical service includes evaluation, education, and selection of candidates for heart-lung or lung transplantation, and the follow-up of patients awaiting transplantation. These functions are performed principally at the weekly pre-transplant clinic and at weekly conferences attended by the medical, surgical, radiology, psychiatric, and social services staff. Patients are referred from across the nation and represent an exceptional variety of lung and heart pathophysiology. Inpatient and outpatient management and long term follow-up of transplant recipients. Key components of this include the management of multi-drug immunosuppressive regimens, and surveillance for and treatment of infection and allograft rejection.
- • Residency in internal medicine
- • Fellowship in Pulmonary and Critical Care Medicine
- • Equivalent experience in related areas may also be given consideration.
Specific Activities Include
- • Two outpatient adult and two outpatient pediatric post-transplant clinics per week, through which the transplant medical team provides both primary and transplant- related care.
- • Inpatient management, including critical care and ward management of transplant recipients. The transplant fellow plays a consultative role during the initial transplant admission, but is the primary physician for subsequent admissions, under faculty supervision.
- • Frequent bronchoscopic examinations for diagnosis of infection and allograft rejection.
- • Interpretation of frequent pulmonary function tests.
- • Interpretation of daily radiographic studies.
- • Review of all heart and lung biopsy specimens.
- • Supervision and teaching of the Pulmonary and Critical Care Medicine fellow rotating on the transplant service.
Pulmonary Vascular Disease
Medical Director, Pulmonary Hypertension
The fellowship is for physicians who have completed an ACGME accredited fellowship in either pediatric or adult cardiology or pulmonary and intensive care medicine and wish to acquire additional expertise in the area of pulmonary vascular disease. Equivalent experience in related areas may also be given consideration. It is designed to prepare trainees for academic careers in a subspecialty with a focus on pulmonary vascular disease. Direct supervision and teaching is provided by faculty from the Division of Pulmonary and Critical Care Medicine and Pediatric Cardiology. The duration of the fellowship is one to two years. Clinical fellows participate in a year-long program and are fully funded. Fellows pursuing a combined clinical and research program are expected to complete two years of training. Full funding is provided during the first year and the faculty will assist fellows in obtaining grant funding for salary and project support during the second year of training.
The pulmonary hypertension service cares for a sizeable and rapidly growing population of patients with pulmonary vascular disease. Fellow responsibilities related to the pulmonary hypertension practice include:
Participation in weekly pulmonary hypertension clinics. The clinics provide initial evaluation, education and continuing treatment of patients with pulmonary vascular disease. Patients are also frequently evaluated for inclusion in new and ongoing clinical trials.
Inpatient management of pulmonary hypertension patients. Key components of this include: right heart catheterization, initiation and maintenance of drug therapies, care of acutely ill patients on the inpatient pulmonary hypertension service and in the cardiac intensive care unit, coordination of transfer of our patients into Stanford Medical Center from outside hospitals, serving as a daily consultant to patients with some form of pulmonary vascular disease admitted to other services, and the bridging of appropriate patient candidates to transplantation.
For more information please see our full site.
Contact the fellowship coordinator with any questions about these programs.
Stanford University Medical Center
Division of Pulmonary and Critical Care Medicine
300 Pasteur Drive, Rm H3143
Stanford, CA 94305-5236