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RESIDENCY
ROTATION
Pulmonary Consult Service
CONTACT INFORMATION/ORIENTATION
-
Contact the Pulmonary Consult Fellow or the Pulmonary Administrative Office (545-0187) to find out where/when to report on the First Day of the rotation.
- Meet with the Attending Faculty on the First Day of the rotation for orientation and sign orientation attendance sheet.
- Meet with Amy Hoffman, RN (SIU Clinic Building – Room Lower Level – 545-5150) when attending your first pulmonary clinic for clinic orientation.
Supervisor:
Joseph Henkle,
MD
Memorial Medical Center D434
Administrative Office: 545-0187
Faculty:
P. James
Abraham, MD
Lanie Eagleton, MD
Joseph Henkle, MD
Kent Kapitan, MD
Peter White, MD
EDUCATIONAL PURPOSE
Residents will improve their competency in the evaluation and management of inpatients and outpatients with pulmonary diseases and related complaints.
Residents will provide consultation for inpatients and outpatients with pulmonary diseases and related complaints.
Residents will improve skills at interpreting chest x-rays, chest CT scans and other pulmonary imaging modalities.
Residents will improve their skills in interpreting ABGs and their knowledge of oxygen delivery systems.
TEACHING METHODS
| Pulmonary Conferences: | |||
| Lung Cancer Tumor Board | 1200 | every Monday | MMC D229 |
| Testing Conference | 1200 | 1st Thurs | MMC D443 |
| Vascular Conference | 1200 | 3rd Thurs – even months only | MMC D443 |
| Critical Care Conference | 1230 | 2nd Tue | MMC D219 |
| ID Conference | 1300 | 3rd Tue | MMC D229 |
| Journal Club | 1715 | 4th Tue | MMC D443b |
| Pathology Conference | 1230 | 4th Tue | MMC G157 |
Rounds:
Daily with attending on service—average two hours per day.
Clinics:
One half-day
clinics per week with attending on service or other pulmonary faculty
Notify attending/fellow when you will have your continuity clinic
MIX OF DISEASES, PATIENT CHARACTERISTCS and TYPES OF CLINICAL ENCOUNTERS
Common Conditions:
| Chronic Obstructive Pulmonary Disease | Cystic Fibrosis |
| Restrictive lung disease | Occupational lung diseases |
| Asthma | Lung abscess |
| Community-acquired pneumonia | Pneumothorax |
| Tuberculosis | Sleep apnea/sleep disorders |
| Fungal infection of the lungs | Lung cancer |
| Hypersensitivity pneumonitis | Sarcoidosis |
| Chronic cough, Dyspnea |
PROCEDURES
Thoracentesis
Chest tube insertion
Perform and interpret pulmonary function tests (observe PFT performance
in SIU clinic and/or MMC PFT lab)
SERVICES
Evaluation and management of inpatients and outpatients with pulmonary diseases and related complaints.
Provide consultation for inpatients and outpatients with pulmonary diseases and related complaints.
READING LIST
All pulmonary chapters in Cecil’s or Harrison’s Textbook of Medicine
Other pulmonary medicine texts are available to check out in the Pulmonary Library D425 located within D434.
A variety of pulmonary medicine topics are covered in power point presentations on the pulmonary website.
PATHOLOGIC MATERIAL
Reviewed on a case by case basis with attending physician and pathologist where appropriate to patient care.
OTHER EDUCATIONAL RESOURCES
Become familiar with the following respiratory medicine topics by using education resources available in the Pulmonary Library and teaching sessions with attendings/fellows:
-
Obstructive Lung Diseases
-
Interstitial Lung Disease
-
Lung Neoplasms
-
Respiratory Tract Infections
-
Sleep-Related Breathing Disorders
-
Pleural and Chest Wall Disorders
-
Chest Imaging
-
Basic Spirometry (Performance & Interpretation)
METHOD OF EVALUATION
Faculty complete resident performance evaluation forms. Residents complete faculty and rotation evaluation forms. Complete required Mini-Clinical Evaluation Exercises (Mini-CEX): Respiratory Exam in PGY 1
Meet with attending faculty for face-to-face feedback during last week of the rotation.
LEVEL OF SUPERVISION BY FACULTY
Residents
with little experience in the skills needed will observe and practice
physical exam skills under direct supervision of attending physicians,
while those with more experience will work with patients in concert
with attending physicians.
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Page Last Updated June 26, 2008