Pulmonary Disease and Critical Care Fellowship Program at MedStar Georgetown

Pulmonary Disease and Critical Care Fellowship Program at MedStar Georgetown

The MedStar Health - Georgetown University Hospital Fellowship Program in Pulmonary Disease and Critical Care Medicine

Greetings!

Welcome to the Pulmonary and Critical Care Fellowship Program at Georgetown University Medical Center. We are located on the Georgetown University campus, adjacent to the Medical School.

Our mission is to provide the foundation and environment that will allow fellows to develop into superb, academic clinicians with the highest professional ethos, in the spirit of Georgetown’s Cura Personalis, or care for the whole person.
Our faculty are dedicated to producing well trained academically oriented consultants in pulmonary and critical care medicine. The fellowship is designed to provide outstanding clinical and procedural expertise in the pulmonary, critical care and interventional pulmonary realms. Research and scholarly activity is expected throughout the fellowship, with a focus on developing several areas of expertise to further hone research acumen and potentially lead to a career in independent academic investigation.
Georgetown University and our fellowship program remains focused on faculty and trainee well-being through the promotion of a healthy work environment.
Please review our website, and do not hesitate to reach out with any questions. I thank you for your interest!

Daniel Jamieson, MD

 

Why train here

Our History

Since the beginning, the Pulmonary and Critical Care Fellowship at Georgetown University has maintained a steadfast focus on innovation and education. Dr. Richard Waldhorn (Fellow, 81′) and his lab were instrumental in evaluating and implementing positive pressure ventilation in patients with obstructive sleep apnea in the 1980s, and Georgetown maintains a busy sleep lab to this day currently headed by Dr. Dina KiaNoury (Fellow ’00). Dr. Charles Read (Fellow, ’91) was tasked with bringing Interventional Pulmonary Medicine to Georgetown in 1995, after studying interventional techniques in Marseille, France under Dumont. Drs. Eric Anderson (Fellow ‘99) and Rebecca Krochmal continue to practice interventional pulmonary using the most cutting edge techniques, recently adding robot assisted peripheral lung nodule biopsy to their diagnostic armamentarium. Dr. Anne O’Donnell currently runs a world-renowned bronchiectasis program at Georgetown, with robust research and clinical volume. Since 2004, the division has held the clinical responsibility of running all critical care services at Georgetown, including the medical, surgical and neurosciences ICUs.
Education, both of our fellows and by our fellows, remains at the forefront of our program. Our faculty have also always served an integral role in the Georgetown Medical School, both in the pre-clinical and clinical realm. Dr. Ed Tsou was the long-standing director of Physical Diagnosis, and Dr. Read continues to lead the Pulmonary Physiology module. Pulmonary and Critical Care faculty educate throughout the medical school, residency and fellowship. Our fellows continue to participate in the education of medical students and residents. The Housestaff award for Excellence in Teaching by a fellow has been won by one of our fellows 12 times in the last 15 years!

The modern 3-year Pulmonary and Critical Care Fellowship at Georgetown University Hospital was started in 1988 under the direction of Richard Waldhorn, MD (fellow ‘81) as Program Director and Hall Canter, MD as Division Chief. Prior to this time, a two year Pulmonary Fellowship was in place. Charles Read, MD and Connie Jennings, MD were the first fellows to graduate the three-year program in 1991. Dr. Read succeeded Dr. Waldhorn to become program director in 1995, when Dr. Waldhorn became Chief of the Division. Dr. Anne O’Donnell, MD became Chief of the Division in 2001 after Dr. Waldhorn became Chair of the Department of Medicine. Cristina Reichner, MD (Fellow ’05) succeeded Dr. Read as Program Director in 2014, after he served 18 years. Recently Daniel Jamieson, MD has taken the reins of the program as only the 4th program director since the Fellowship’s founding.

Curriculum

Clinical Curriculum

One of the highlights of our program is the robust curriculum participated in by fellows and faculty. Multiple weekly lectures, seminars, journal clubs and case conferences are held throughout our clinical rotations and together within our division. Below is a short synopsis of each:

  • Pulmonary Pathology Conference: In this monthly conference, a pulmonary pathologist reviews biopsy, surgical and post-mortem specimens and pulmonary faculty lead the discussion on clinicoradiological pathological correlations.
  • Radiology Conference: The principles of chest radiology and the extensive teaching files of the Department of Radiology are the basis for this bi-monthly conference for pulmonary fellows.
  • Pulmonary Physiology/PFT/Exercise Conference: The goal of this conference is to review the physiology and pathophysiology of lung disease as well as interpretations of pulmonary function testing and exercise testing.
  • Journal Club: A luncheon conference where all major chest journals and articles of pulmonary interest in investigative and general medical-surgical journals are reviewed.
  • Research Conference: A monthly conference where new protocols are reviewed and critiqued and where investigators have the opportunity to present work in progress and prepare for presentations at national meetings.
  • Critical Care Lecture Series: Topics in critical care medicine are presented by faculty, fellows and outside speakers to cover both pulmonary and non-pulmonary critical care.
  • Pulmonary Lecture Series: Topics in pulmonary medicine are presented by faculty, fellows and outside speakers
  • Multi-disciplinary Thoracic Oncology Conference: This is both a working clinical conference and a didactic one. Every Wednesday, new thoracic oncology cases are presented and discussed by a team of pulmonologists, oncologists, radiation oncologists and thoracic surgeons. Didactic lectures are presented by various team members and invited speakers.
  • Pulmonary-Infectious Diseases conference: This is also a working clinical conference and a didactic one. Interesting and/or challenging thoracic infectious diseases are presented and discussed by Pulmonary and ID faculty.
  • Pulmonary- Rheumatology conference: A similar working/didactic conference, this conference focuses on rheumatologic diseases with both pulmonary and critical care implications. Didactic lectures are also incorporated.
  • Case Conference: Diagnostic and therapeutic dilemmas of interesting pulmonary and critical care cases are reviewed including CXRs, CTs and ultrasounds.
  • Sleep Conference: This is a monthly multi-disciplinary conference where the basics of sleep medicine are covered by faculty in sleep, neurology, ENT and dentistry.
  • Pulmonary and Critical Care Morbidity and Mortality: Monthly conference to present morbidities and mortalities and review teaching points.
  • Pulmonary/ Critical Care textbook review: The goal is to review textbook chapters to prepare for the shelf and board exam.

 

Didactic Curriculum

The fellowship is structured to provide clinical and research experience in Pulmonary and Critical Care Medicine over three years for all trainees. The clinical experience is increased during the first year with increasing protected research time throughout the second and third year. Rotations covering the full exposure of clinical pulmonary, critical care and procedural expertise are required. Additionally, required rotations in cardiac critical care, surgical critical care, lung transplant, interventional pulmonary and anesthesia round out the clinical experience. Finally, a continuity pulmonary clinic occurs spanning all three years. We believe that successful Pulmonary and Critical Care physicians should graduate fellowship with expertise in research, clinical care and procedures.

 

  • Inpatient Consultation Rotation

    Rounds are led by a full-time faculty member on a weekly rotation basis. Pulmonary physiology, pathophysiology and clinical correlation are stressed. The fellows are trained in and develop expertise in the interpretation of chest roentgenograms, thoracic CT studies, lung scans and pulmonary arteriography. Fellows are trained in and perform all pulmonary diagnostic techniques including thoracentesis, bronchoscopy, transbronchial biopsy, EBUS, closed thoracostomy, chest tube management and out-patient right heart catheterization. All procedures are performed with attending physician instruction and back up. Fellows are also trained in the appropriate use of ultrasonography and fluoroscopy. All difficult diagnostic or management problems are discussed at our weekly Case Conference.
  • MGUH MICU Rotation

    The twelve months of critical care training required for board eligibility are integrated into the three-year Pulmonary and Critical Care Medicine Program. A total of 6 months of the experience are in the medical ICU at MGUH. This is our home intensive care unit, staffed by Georgetown University internal medicine and emergency medicine residents. A significant variety of complex pathology awaits in this tertiary care ICU. Two teams are present in the MICU, covering up to 38 beds. The ICU attending and fellows direct the care of these patients. Daily morning rounds and evening sign-out rounds are led by the ICU fellow and attending. On-site radiology is incorporated into rounds. Fellows are trained by PCCM faculty on ICU procedures including endotracheal intubation, bronchoscopy, right heart catheterization, chest tube placement and percutaneous tracheostomies.
  • Interventional Pulmonary Rotation

    Completed at MGUH, this required rotation includes outpatient and inpatient management of patients requiring advanced pulmonary procedures, under the supervision of members of our interventional pulmonary faculty. These procedures include (but are not limited to), advanced bronchoscopic techniques including EM navigation and EBUS, tumor debulking and stent placement, rigid bronchoscopy, medical thoracoscopy, pleurx placement, tracheostomy placement, chest tube placement and thoracentesis. MedStar Georgetown University Hospital recently acquired the Ion robotic assisted endoluminal platform for endoluminal biopsy of peripheral lung lesions, and we are one of the few centers to have this device.
  • Outpatient Pulmonary Clinic

    The faculty within the Division of Pulmonary, Critical Care and Sleep Medicine at Georgetown maintain a robust outpatient clinic. We see the full range of pulmonary pathology including pulmonary hypertension, lung cancer, ILD and bronchiectasis. Fellows are expected to maintain their own outpatient practice under the supervision of our faculty, and to maintain a continuity clinic over the three years of fellowship.
  • MedStar Washington Hospital Center Rotations

    Fellows will rotate to MWHC 4 times during their fellowship for clinical rotations in the SICU, CCU, MHVI and anesthesia. Exposure to advanced cardiac critical care including LVADS, IABP, ECMO and post-operative cardiac care is extensive. The SICU provides exposure to level I trauma critical care, general surgical critical care and neurocritical care. The anesthesia rotation is designed to obtain further exposure to OR based intubations including awake fiberoptic intubation, direct laryngoscopy and video laryngoscopy. The anesthesia rotation complements the robust training received in the MICU where fellows are expected to endotracheally intubate all patients in respiratory failure under the direct supervision of Pulmonary and Critical Care Faculty.
  • The Advanced Lung Disease Rotation

    During this rotation, fellows will spend time working with the multidisciplinary lung transplant team at INOVA Fairfax. In addition to exposure to advanced lung disease, the fellow will gain an understanding of the pre-transplantation work up as well as the management of post-transplant patients.

Our people

Current Fellows:

Mariam Abdelkader, MD, PGY6
Residency: York Hospital

Lindsey Orr, MD, PGY6
Residency: University of Connecticut

Jigna Solanki, MD, PGY6
Residency: University of Virginia

Jacob Bell, MD, PGY5
Residency: Mt Sinai Beth Israel Hospital, New York

Cristian Dumitrescu, MD, PGY5
Residency: York Hospital

Bhavik Gupta, DO, PGY4
Residency: MedStar Georgetown University

Erin Haber, MD, PGY4
Residency: MedStar Georgetown University

To see what our fellows are up to, check out our fellow-run Instagram page!

Locations

MedStar Georgetown University Hospital is a not-for-profit, acute-care teaching and research hospital with 609 beds located in Northwest Washington, D.C., MedStar Georgetown is committed to offering a variety of innovative diagnostic and treatment options within a trusting and compassionate environment.

3800 Reservoir Road, NW
Washington, D.C., 20007
P: 202-444-2000

The busiest and largest hospital in Washington, D.C., and the surrounding area—and serve as referral center and the central hub for the region’s most advanced acute medical care.

110 Irving Street, NW
Washington, D.C., 20010
P: 202-877-7000

INOVA Fairfax Hospital

 

Located in Falls Church VA, INOVA Fairfax is a 923-bed hospital campus serving the Northern Virginia area. A level I trauma center, it also performs Heart, Lung, Kidney and Pancreas Transplants. The Lung Transplant Program is a multidisciplinary group and cares for patients pre- and post-op. The center has performed over 500 lung transplants. Our fellows rotate onto this team and participate in all aspects of advanced lung disease therapy including preoperative evaluation and treatment and postoperative follow-up care.

Application Information

Application for the July 2022 Fellowship Program begins August 2021 and continues through November 2021.

“In alignment with the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD), our national professional society, and to ensure a uniform interview process that is equitable to all applicants, our fellowship interviews for applicants in 2021-2022 will be held exclusively virtually. We will not offer in-person site visits. The full recommendation is available here.”

How to Apply through ERAS

You should apply for the Pulmonary and Critical Care Fellowship Program through ERAS (Electronic Residency Application Service). For information about the process or to register for ERAS on the web, please go to www.aamc.org/eras.

Upon receiving the applications through ERAS, the Georgetown Pulmonary and Critical Care Fellowship program will contact candidates about the possibility of an interview.

The “MATCH”

Once you have applied to the Pulmonary and Critical Care Fellowship Program and accepted our invitation to interview with our faculty, fellows and staff, we hope you will choose to rank Georgetown at the top of your list of desirable training programs in Pulmonary and Critical Care Medicine.

Georgetown participates in the National Resident Matching Program’s Medical Specialties Matching Program (MSMP) in Pulmonary and Critical Care Medicine. For information about NRMP or to register on the web to participate in NRMP, please go to www.nrmp.org.

Important Dates

  1. ERAS Application Process opens July 21, 2021.
  2. Match Registration Opens: August 25, 2021.
  3. Ranking for NRMP Match List opens September 29, 2021.
  4. The NRMP Rank Order List deadline: November 17, 2021.
  5. NRMP Match Day: December 1, 2021.
  6. Fellows begin their program: July 1, 2022.

 

Contact us

For additional information on our Fellowship Program, please contact:

Riza Peralta, Administrator
Georgetown University
Division of Pulmonary, Critical Care and Sleep Medicine
3800 Reservoir Road, NW
4 North Main Hospital, Rm. M4215
Washington, DC 20007

Phone: (202) 444-8830
Fax: (202) 444-0032
e-mail: peraltar@gunet.georgetown.edu