Department of Internal Medicine
Department of Internal Medicine

Fellowship Training

Critical Care / Pulmonary / Sleep Medicine

Pulmonary/Critical Care Fellowship

Inpatient Experience

We offer a combined 3-year Pulmonary and Critical Care medicine (PCCM) fellowship program for physicians who are or will be board-eligible in Internal Medicine. Our PCCM program focuses on teaching the principles and management of pulmonary, critical care and sleep medicine to the next generation of physicians. The 3-year fellowship is designed to develop academicians, consultant caliber physicians and leaders in the health care industry.  The majority of the first two years consist of clinical rotations on the consultative pulmonary disease and critical care medicine teams. We offer a broad diversity of patients with a variety of diseases encountered within the hospitals where our fellows rotate. These teaching institutions include Memorial Hermann Hospital – Texas Medical Center, Memorial Hermann Heart and Vascular Institute, Lyndon B. Johnson General Hospital, MD Anderson Cancer Center, and Select Specialty Hospital. Each setting brings its own strengths to the program and complements the fellows’ educational experiences. Fellows’ education in the first year includes rotations in pulmonary function testing, cardiopulmonary exercise testing, ventilator management and outpatient pulmonary medicine as well as consultative experience in Burn, Cardiac Care, Cardiovascular and Transplant ICUs. The second year focuses heavily on Medical ICU experience and incorporates additional experience and training in Sleep medicine and Interventional Bronchoscopy. Our fellows acquire specific skills in fiberoptic bronchoscopy, endobronchial ultrasound, electromagnetic navigational bronchoscopy, endotracheal intubation, laser and argon plasma coagulation, insertion of tracheal and bronchial stents, endobronchial brachytherapy, insertion of chest tubes, thoracostomy tubes, management of difficult airways and right heart catheterization.

Outpatient Experience

Fellows attend the outpatient Pulmonary Continuity Clinic one afternoon/week at University of Texas Health Science Center Professional Building with an assigned Pulmonary Medicine faculty supervisor for 4 hours/week. Fellows rotating at Lyndon B Johnson General Hospital on the Pulmonary consult service attend Thursday afternoon LBJ Pulmonary Consultative Clinic under the direction of Dr. Rosa Estrada-Y-Martin for 4-5 hours/week and LBJ Sleep Clinic on Monday afternoon. Fellows on Sleep Medicine rotations attend Wednesday afternoon Sleep Consultation Clinic at University of Texas Health Science Center Professional Building with Dr. Richard Castriotta for 4 hours/week and LBJ Sleep Clinic on Monday afternoon with Dr. Majid. Fellows on rotations at M.D. Anderson Cancer Center attend outpatient clinics with monthly Pulmonary consult attendings for 3-5 hours/week.

In addition to general pulmonary medicine, our clinic receives extensive referrals for the evaluation and management of Pulmonary Hypertension and Interstitial Lung Diseases.

Sleep Medicine experience

All fellows will receive core education in sleep medicine through lecture series, participation in sleep clinics, and regular polysomnogram conferences. Fellows interested in a career in sleep medicine have the opportunity to pursue additional in-depth clinical training, focusing on both respiratory and non-respiratory disorders of sleep disorders. This will require an additional year of clinical work focusing in sleep medicine in our ACGME accredited sleep fellowship.

Sleep Medicine Fellowship

The fellowship in Sleep Medicine is accredited by the Accreditation Council for Graduate Medical Education and the American Academy of Sleep Medicine as a comprehensive training program in all aspects of Sleep Medicine. This is a one year program which leads to proficiency in Clinical Sleep Medicine in all age groups with board eligibility. Training takes place in the AASM accredited Memorial Hermann Hospital – Texas Medical Center Sleep Disorders Center with its 6-bed sleep laboratory, the University of Texas-Houston Sleep Clinic, and the LBJ Sleep Disorders Center with its 4-bed sleep laboratory and Sleep Clinic. Sleep Fellows will evaluate patients of all ages from premature neonates to the elderly and become experts in the interpretation of polysomnography, maintenance of wakefulness test and sleep latency test. Faculty include Board-certified sleep specialist, pulmonologist, neurologist and pediatric subspecialists.

Contact Information

For further information on the fellowship, please contact our fellowship administrator below: