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Pulmonary/Critical Care Fellowship Program

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Thank you for your interest in the Pulmonary and Critical Care Medicine fellowship program at Westchester Medical Center. We aspire to world-class training and mentoring of the next generation of clinicians, educators and researchers in the field of Pulmonary, Critical Care and Sleep Medicine. The program is based in Valhalla, NY, which is one of the bucolic northern suburbs of New York City located in Westchester County extending along the eastern bank of the Hudson River.

The fellowship is a three-year program fully accredited by the ACGME. Three to four fellows are accepted each year for a total of 11 Pulmonary/Critical Care fellows.  A Nephrology/Critical Care fellow joins the program for the third year of that fellowship track to make a total of 12 trainees per year.  Westchester Medical Center, the main training site for the program, is a 415-bed tertiary/quaternary referral center and flagship hospital for the 1,700-bed WMCHealth system spanning the Hudson Valley. It is also the primary teaching hospital for New York Medical College. Westchester Medical Center is known for having one of the highest case mix indices in the United States, meaning that its patients are among the most clinically complex of any hospital in the country. At this site, Pulmonary/Critical Care Medicine fellows learn to care for a population encompassing all medical and surgical subspecialties, including transplantation of the kidney, liver, heart, and bone marrow. Westchester Medical Center is the future home of a new Critical Care Tower, a $220 million project that will span 162,000 square feet and rise five stories. Learn more.

Additionally, fellows gain non-medical critical care experience through core rotations in a Neurosciences ICU and elective rotations in other intensive care units. Both primary and consultative management of patients receiving ECMO is commonplace. Westchester Medical Center provides interventional pulmonology services for a large catchment area, and the fellows rotate with the hospital’s interventional pulmonology section. In collaboration with the Maria Fareri Children’s Hospital, Westchester Medical Center is home to a large cystic fibrosis program, which affords fellows the opportunity to learn about the management of this unique and challenging population. The weekly chest clinic staffed by the fellows offers them an opportunity to exercise supervised autonomy in the care of a diverse, underserved patient population with complex needs, among them a heavy burden of sleep-disordered breathing. A large simulation center used for fellow training is located on the grounds of New York Medical College.

For a contrasting community-based experience, the fellows rotate at two affiliate sites located in New York City. Saint Barnabas Hospital is a busy inner-city facility known for its advanced asthma care and multifaceted critical care service. Metropolitan Hospital Center provides exposure to the outpatient care of the prototypical community patient with pulmonary disease. We believe that this combination of complementary training sites offers the broadest possible clinical scope, preparing fellows for practice in any environment upon graduation.

As part of a program based at an academic medical center and closely allied with New York Medical College, the fellows are granted six months of research time between second and third year to pursue scholarly projects with the encouragement and mentorship of the faculty. They also interact with New York Medical College medical students in multiple settings. There is an extensive list of conferences designed with trainees in mind, including Chest X-ray and CT conferences, Pathology conference, Thoracic tumor board, clinical case conference, M&M, and CF conference among others. There is a divisional Grand Rounds series as well as a “boot camp”-style preparatory crash course for first-year fellows in the summer months. Running weekly is a core curriculum lecture series composed of both faculty and fellow presentations.

The Westchester Medical Center Pulmonary and Critical Care Medicine fellowship program participates in ERAS and invites applications from candidates interested in its mission of providing premier clinical training in an environment conducive to scholarly output. As a reflection of the multicultural patient population we serve in the environs of New York City, we pride ourselves on attracting a similarly diverse and inclusive group of fellows.

Sincerely,

Oleg Epelbaum, MD 
Program Director

Program Overview

The Pulmonary and Critical Care Medicine Fellowship Program at Westchester Medical Center was established in 1980 and is fully accredited by the ACGME. It currently consists of 11 PCCM fellows and a Nephrology/Critical Care fellow covering three training sites: Westchester Medical Center, Saint Barnabas Hospital and Metropolitan Hospital Center.

Applications

Our program participates in ERAS, the Electronic Residency Application Service. Applications are accepted through the Electronic Residency Application System (ERAS). To be considered complete, an application must have the ERAS Common Application Form, medical school transcript, official USMLE transcript, Dean’s letter (MSPE), Step I, II, III Exam scores, letters of recommendation from Program Director of any previous medical residency training, and at least three letters of recommendation from Faculty who have worked with the candidate within the past year.

Our Clinical Locations

Westchester Medical Center

Westchester Medical Center is the primary training site for the Pulmonary and Critical Care Medicine fellowship at Westchester Medical Center and the future home of a new Critical Care Tower, a $220 million project that will span 162,000 square feet and rise five stories. Learn more. The Westchester Medical Center experience consists of the following rotations and approximate durations over three years of training:

  • Pulmonary Consultation (6 mo.)
  • Medical ICU (3 mo.)
  • Neurosciences ICU/Other non-medical ICUs (3 mo.)
  • Interventional Pulmonology (3 mo.)
  • Research/Elective (6 mo.)
  • Anesthesia/Airway (0.5 mo.)
  • Night Float (equivalent of 4.5 mo.)

Fellows assigned to all rotations other than MICU, Interventional Pulmonology, and Night Float attend weekly continuity Chest Clinic. Numerous options are available for elective rotations, including pulmonary hypertension, allergy/immunology, and thoracic radiology among others. A pulmonary rehabilitation rotation at the renowned Burke Rehabilitation Hospital is available. Scholarly initiatives are encouraged and promoted by the faculty, resulting in consistent fellow participation in international conferences and numerous fellow-authored publications in reputable journals. Reimbursement is provided for conference presentations, publication fees, and pulmonary board preparation.

The fellows rotating at Westchester Medical Center attend and take part in the following conferences:

  • Case Conference
  • MICU M&M
  • Pulmonary Pathology Conference
  • Chest X-ray Conference (led by the chief of Radiology)
  • Chest CT Conference (led by a dedicated thoracic radiologist)
  • Ultrasound Conference (led by Harald Sauthoff, MD)
  • CF Conference
  • Pulmonary Journal Club  (led by Neil Schluger, MD)
  • Critical Care Journal Club (led by Ivor Douglas, MD)
  • Pulmonary Physiology Conference
  • Faculty Lectures
  • Thoracic Tumor Board
  • Critical Care Grand Rounds
  • Pulmonary, Critical Care, Allergy, and Sleep Medicine Grand Rounds

Affiliate Sites

Saint Barnabas Health System (division chief: David H. Chong, MD) is a bustling NYC hospital located in the Bronx. The fellows at SBH rotate on the following services:

  • Pulmonary Consultation
  • Medical ICU
  • Pulmonary Clinic

The SBH rotations expose the fellows to a different spectrum of disease than the one encountered at WMC, specifically new presentations of infectious disease, challenging toxicology, and immunotherapy for refractory asthma. Fellows also play the primary role in the evaluation and management of patients with ischemic stroke and acute coronary syndromes from initial presentation through the ICU course. Every day prior to ICU rounds, they gather with the faculty for an hour-long morning report during which management decisions and Pulmonary/Critical Care topics are discussed. Fellows rotating at SBH also attend other conferences organized by the SBH faculty, among them a multidisciplinary thoracic tumor board. SBH has its own energetic internal medicine residency program, and the fellows interact extensively with SBH house staff.

Metropolitan Hospital Center (division chief: Natoushka Trenard, MD, MPH) is a municipal Manhattan hospital that, like SBH, is home to its own busy internal medicine residency program. While at MHC, the fellow rotates on the following services: 

  • Medical ICU
  • Pulmonary Consultation
  • Pulmonary Clinic

MHC is known for its “bread and butter” mix of critical care and pulmonary cases. Close interactions between faculty, fellows, and house staff are the norm in the small-scale environment of MHC.