Core Clinical Training

Our three-year fellowship program provides excellent exposure to the broad range of clinical activities within PCCM, and does so with clinical rotations provided in the three hospitals in our program, including Stanford University Medical Center (SUMC)The VA Palo Alto Health Care System (VAPAHCS), and The Santa Clara Valley Medical Center (SCVMC). The core clinical training blocks are typically front-loaded in the fellowship, providing appropriate core clinical training to precede additional advanced training. Clinical elective rotations are also available covering a broad scope of areas relevant to PCCM.  

Sample PCCM three-year fellowship schedule (13 four-week blocks per year)

Note that the schedule allows options for the pursuit of either a Clinical Track or Research Track, with Track decision-making and divergence of training trajectory to be determined in the first year of training.

  1st year
Example
2nd year
Example
3rd year
Research Focused Example
3rd year
Clinical Focus Example
Rotation 1 SUMC Consult Clinic Research Research
Rotation 2 VA ICU SUMC ICU Research Elective (ILD)
Rotation 3 SCVMC Consult Elective (CVICU) Research SUMC ICU
Rotation 4 Clinic Research Research Research/Elective (Pall Care)
Rotation 5 VA Sleep SCVMC Consult Research Elective (NCC)
Rotation 6 VA Consult SUMC ICU Research Elective (CVICU)
Rotation 7 SUMC Consult Elective (PH) Research Elective (IP)
Rotation 8 VA ICU SUMC ICU Elective (IP) VA ICU #2
Rotation 9 Lung Transplant Elective (IP) Research SUMC ICU
Rotation 10 VA Sleep SUMC Consult Elective (PH) Research
Rotation 11 SCVMC ICU Research Research Elective (SICU)
Rotation 12 VA Consult VA ICU #2 Research Elective (ILD / PH)
Rotation 13 Lung Transplant SCVMC ICU Research Research

Abbreviation Key

SUMC: Stanford University Medical Center

VA: Veterans Affairs Palo Alto Health Care System (VAPAHCS)

SCVMC: Santa Clara Valley Medical Center

Consult: Pulmonary Consult Service

ICU: Intensive Care Unit

CVICU: Cardiovascular ICU

ILD: Interstitial Lung Disease

IP: Interventional Pulmonary

 

NCC: Neuro Critical Care

Pall Care: Palliative Care

PH: Pulmonary Hypertension

SICU: Surgical ICU


Core Clinical Rotations

Our core clinical rotations cover the necessary inpatient and outpatient components to develop the necessary tools to  become an outstanding Pulmonary & Critical Care physician after training completion, ideally, in an academic environment. These core clinical blocks include the following:

Stanford University Medical Center blocks

  • Stanford Pulmonary Consult Service:  This inpatient and urgent outpatient rotation covers the typical range of lung pathology encountered in a major regional referral academic center, with an emphasis on procedures. It provides consultative services to general medical wards, hematology/oncology wards, including bone marrow transplant patients, coronary care unit patients, and a variety of immunocompromised patients undergoing solid organ transplants.
  • Stanford ICU Service:  The Stanford Critical Care Program is a vital multidisciplinary component of PCCM that includes Anesthesia and General Surgery. The Stanford ICU service cares for medical, surgical (including Orthopedics, ENT, Plastic Surgery, OB/GYN, Neurosurgery), and Neuro-Critical Care service patients. Fellows rotating on the ICU service include dedicated Critical Care fellows from Anesthesiology, Emergency Medicine, and Internal Medicine Residency Training Programs as well as Neuro-Critical Care fellows.
  • Center for Advanced Lung Disease Service (CALD):  The CALD at Stanford cares for patients with interstitial lung disease, cystic fibrosis and lung transplants. Our fellows are exposed to the entire transplantation process, from a candidate's initial outpatient evaluation and transplant listing activity to managing him/her postoperatively in-house and as an outpatient after the recovery. This is a hands-on immersion into critically ill patients with end-stage lung disease with an emphasis on procedures.  Fellows will be able to evaluate a candidate's transplantation eligibility and manage his/her postoperative complications upon completion of this rotation. There is also added sub-specialty training in Lung Transplantation for third year fellows desiring more extensive education.