Yearly Goals for Pulmonary Residents
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First Year:
During the first year, residents learn the basic principles of pulmonary consultation and intensive care medicine with direct faculty supervision. During the year residents are encouraged to become increasingly independent; the rate at which a given individual's responsibility increases depends upon his/her aptitude. Similarly, most residents become adept in evaluating and forming a diagnostic/treatment plan for patients seen in the outpatient setting. First year residents are expected to be developing a comprehensive knowledge base in Pulmonary Medicine and Critical Care Medicine through regular reading and participation in conferences. Most residents become proficient in interpretation of pulmonary function studies and learn the basics of exercise physiology. By the end of the first year of the training program most individuals are independent, or nearly so, in arterial puncture and blood sampling, insertion of arterial, venous, and pulmonary artery catheters, and thoracentesis. In addition, most residents have gained significant experience with fiberoptic bronchoscopy, chest tube insertion, pleural biopsy, intubation, mechanical ventilation and other ICU procedures.
Second Year
During the second year, residents expand their knowledge base in Pulmonary Medicine and Critical Care Medicine. Most residents become independent in interpreting pulmonary function tests and learn the basics of polysomnography. Residents also gain independence in fiberoptic bronchoscopy and related procedures, pleural biopsy, and chest tube insertion; further experience in ICU related activities is also achieved. Residents in the second year are expected to participate in all aspects of the education of first year residents.
Third Year
Residents should have an expansive knowledge base enabling them to perform successfully on the American Board of Internal Medicine's subspecialty examinations in both Pulmonary Medicine and Critical Care Medicine. The goal for the Program is a 100% pass rate with performance in the top quartile of first-time test takers. Third year residents should be capable of serving as 'junior faculty" conducting rounds independently with residents and medical students. In addition, independence in the performance of all procedures listed above is expected. Finally, third year residents shall gain experience in scientific or clinical research.
Evaluation
Each resident in the Pulmonary/Critical Care Training Program will be evaluated in writing at the end of each rotation by the assigned faculty member. The faculty will personally review their evaluation with the resident. The evaluation, a copy of which is included in the appendix, assesses:
- Patient Care
- Medical Knowledge
- Practice-Based Learning Improvement
- Interpersonal and Communication Skills
- Professionalism
- System-Based Learning.
An Evaluation Committee, comprised of the Chief, Division of Pulmonary/Critical Care Medicine, Program Director, and resident’s mentor will meet regularly. The committee's objectives are to:
- review each resident’s performance;
- identify trainees whose clinical competence is deficient;
- counsel, with the Program Director, deficient trainees and establish a plan for remediation and management.
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