Graduate Medical Education - Residencies and Fellowships

 

 Overview

 
  • ​NMCSD is the third largest DoD training hospital in the United States. It serves as the tertiary care referral center for military members and their families form the Southwestern United States, and the entire Pacific Rim as far as Southeast Asia. Many medical staff hold faculty appointments at University of California San Diego and the Uniformed Service University of Health Sciences, and are nationally recognized for their clinical research and teaching expertise.

 

 Program History

 
  • Program Vision Statement

    Our training program has a rich and deep history in Navy Medicine and at Naval Medical Center San Diego. We train world class clinicians and leaders who are widely respected both inside and outside the Navy. We continue this proud tradition by providing our trainees with the venue to obtain superlative knowledge, skill, experience and mentorship. We train our providers to practice the world over anytime, anywhere and in any circumstance. As your Program Director, I endeavor to continue this proud tradition in keeping with the Navy Surgeon General’s priorities of Readiness, Jointness and Value. We teach our fellows to be superior pulmonary critical care practitioners as well as Naval Officers and operational medical providers.

    Program History

    Our Program graduates top quality pulmonary critical care physicians with a notable 100% board pass rate. All fellows have gone on to make valuable contributions to Navy medicine in clinical and administrative realms. Additionally, many fellows have made significant national and international contributions in the fields of pulmonary and critical care including a recent graduate who currently serves as faculty ultrasound instructor for the American College of Chest Physicians. Some of our fellows go on to pursue additional training in Sleep Medicine and Interventional Pulmonary. All of our graduates leave the program with a certificate from one of the top recognized clinical training program’s in the nation.

    Program Description

    The Naval Medical Center San Diego Pulmonary Disease/Critical Care Medicine Fellowship Program is designed to provide clinical training in all aspects of the medical management of pulmonary disease and critical care medicine for physicians who have previously qualified in the field of general Internal Medicine. This three-year program has been structured to conform to current guidelines established by the American Thoracic Society/American Lung Association, American Board of Internal Medicine and the Accreditation Council of Graduate Medical Education (ACGME). The program is uniquely designed to provide pulmonary disease subspecialty consultation, comprehensive critical care, and primary care in support of peacetime, combat and humanitarian operations of the U.S. Armed Forces. Graduates are eligible to sit for the pulmonary disease and critical care medicine subspecialty examinations administered by the American Board of Internal Medicine, provided basic internal medicine certification has been achieved.
    The pulmonary critical care fellowship is committed to robust process and quality improvement. All fellows participate in patient safety and quality improvement programs and projects. Notable examples include: Lung cancer and lung nodule surveillance program, asthma education, pharmacy and therapeutic committee involvement, and formal efforts to enhance and improve the electronic medical record system.

    Institutional Highlights

    NMCSD is a tertiary referral center providing care for more than 250,000 active duty, retired military, and family members in San Diego County, as well as patient referred from the entire Pacific Rim. Our patients are multiethnic, ranging in age from young adults to centurions. We are one of the most technologically advance Military Treatment Facilities (MTFs) offering state-of-the-art imaging, surgical suites, robotic surgery and cardiac catheterization labs. NMCSD sponsors 25 GME programs ranging from anesthesiology to urology. There are multiple research opportunities available throughout the Department of Pulmonary Critical Care Medicine.
 

 Academics

 
  • ​Pulmonary Case Conference (M, Th 0730)

    Pulmonary Tumor Board (T 0700)

    Pulmonary faculty to fellow lectures (W 0700)

    Research Conference- 3rd Friday (0700)

    Pulmonary Radiology Conference (Friday 1300)

    Cyto-Path Conference- 4th Friday of each rotation block at 1300

    Pulmonary Journal Club (Friday 0700, 2nd and 4th Friday))

    Internal Medicine Daily Conference (Daily, 0800)

    ICU Core Lecture Series (Following ICU rounds M-TH)

    ICU Morbidity/Mortality Conferences (4th Thursday at 0700)

    Research Training Methods (CID)

    Annual Update Training (SETD)

    BLS, ACLS,ATLS,PALS,FCCS as required to maintain certification

 

 Curriculum

 
  • PGY-4 (total of 13 4-week rotations):

    • Scripps Green Anesthesiology – 1 4-week rotation
    • NMCSD Radiology – 1 rotation
    • NMCSD Intensive Care Unit: 2-3 rotations
    • National Jewish Mycobacteriology - 1 month or one 4-week block
    • NMCSD Consult – 3-4 rotations
    • NMCSD Pulmonary Function: 1 rotation
    • Research: – 2 rotations NMCSD Sleep- 1 4-week rotation
    • Continuity Clinic: ½ day 1-2 weekly X 48 weeks

    PGY-5 (total of 13 4-week rotations):

    • NMCSD ICU – 2-3 rotations
    • NMCSD Consult – 2-3 rotations
    • UCSD Bronch Service 1 2-week block
    • UCSD Burn Unit – 4-week rotation
    • Research/Elective – 2-3 rotations
    • Scripps Green ICU – 1 (2nd or 3rd year) 4-week rotation
    • NMCSD Sleep- 4-weeks
    • Continuity Clinic: ½ day weekly X 48 weeks

    PGY-6 (total of 13 4-week rotations):

    • NMCSD ICU – 3 4-week rotations
    • NMCSD Consult – 1-2 rotations
    • Intermountain Shock /Trauma – 1 4-week rotation
    • UCSD PTE – 1 4-week block (2nd or 3rd year)
    • Research/Elective – 2-5 rotation
    • Continuity Clinic: ½ day weekly x 48 weeks

    Research Education:

    • Year 1: 8 weeks to identify research focus and mentor
    • Year 2: 8 weeks of research time, clinical or basic scientific
    • Year 3: 8 weeks of research time, clinical or basic scientific
    Note: Available electives include: Sleep Medicine, Research, UCSD Transplant Medicine, UCSD Bronchoscopy (Interventional Pulmonary), UCSD ICU, UCSD Pulmonary Vascular Disease, UCSD Pulmonary Rehabilitation, NMCSD Cardiology/Echo.
 

 Faculty

 
  • Pulmonary/Critical Care
 

 scholarly activity

 
  • Pulmonary/Critical Care