Pulmonary/Critical Care Fellowship Training

John G. Mastronarde, M.D.Director, OSU P/CC Fellowship

Program

Why do Pulm/CC?

• Decisions• Diversity• Demand• Destiny

Decisions

P/CC FellowshipDecisions

• Pulm/CC docs make decisions• ICU requires attention to detail and ability

to decide on a plan of care• Do not have to be brightest bulb in bin• Pulm also need to make decisions but not as

intense usually as ICU

Diversity

P/CC FellowshipDiversity

• Many career options now opening via P/CC• Traditional path is do both P/CC• Intensivist path is mainly CC• Outpatient/consults do mainly Pulm• Further fellowships/training:

– Sleep– Transplant– IP– PH– CF

P/CC FellowshipDiversity

• Outpatient practice is a mixture of chronic disease management and folks needing procedures

• Consults either acute flares or procedure requests• ICU is ICU• Upshot of diversity is more readily available for

family oriented folks (see McCallister)

Demand

P/CC FellowshipDemand

• Current atmosphere is calling for an intensivist to be involved in all ICU care in the U.S.A. (Leapfrog Group)

• Not enough ICU trained docs• Demand is high• Lifestyle has changed in response• Salaries climbing

– Private Practice: $300,000 - $350,000 to start;– Academics $150,000 – $200,000 to start

Destiny

P/CC FellowshipDestiny

• If you like the ICU, you like the ICU• Issue centers on what you like in the ICU

– Just procedures?– Management of plan of care?

Discuss

P/CC FellowshipDiscuss

• I am happy to meet and discuss fellowship training

• Pulmonary Interest Group has several Happy Hour outings w faculty/fellows attending

• Email me if you are interested in meeting and coming to the Happy Hours (free beer)

A TRADITION OF EXCELLENCE