Pulmonary/Critical Care Fellowship

The Pulmonary/Critical Care Fellowship Program is a 3-year program designed to provide the fellow with the education, training, and clinical skills necessary to pursue an academic career in pulmonary and critical care medicine. Teaching facilities include the USA Health University Hospital and the Mobile Infirmary in downtown Mobile. Providence Hospital in west Mobile also performs sleep studies and is supervised by a pulmonary faculty member certified by the American Board of Sleep Medicine.

All fellows will participate in research during their 3-years of training with the intent to train academic physicians. Extensive research time is provided in order to maximize opportunities for career interests to develop. Fellows may choose mentors and projects ranging from clinical research to basic science research in the Center for Lung Biology on the main USA campus. Fellows are expected to present their research at local and international conferences and prepare manuscripts for publication. Fellows will also be expected to write grant applications whenever appropriate.

 

▼   Educational Program

Conferences and Meetings

Numerous in-house conferences and seminars are available both within the Department of Medicine and the Pulmonary/Critical Care Division as well as other clinical and basic science departments within the College of Medicine. Required conferences for the pulmonary/CC fellow include medical grand rounds, medicine noon conference and two weekly pulmonary division conferences including core curriculum conference and clinical conferences (which includes case based as well as critical care and research conferences). Other conferences for research fellows include the Center for Lung Biology Research in Progress conferences, Distinguished Scientist Seminars and other College of Medicine seminars. The fellow will actively participate and present at some of these conferences as part of the educational program.

A tuberculosis conference is held jointly with the Infectious Disease Division twice a month. At this conference are presented newly diagnosed patients with tuberculosis as well as difficult and complicated cases such as drug resistance, noncompliance, etc. Additionally, the Division actively participates in the Infectious Disease Conference held twice a month.

The Pulmonary Division participates in the Tri-State Thoracic Case Conference held annually and attended jointly by the Thoracic Societies and fellowship programs in Louisiana, Mississippi and Alabama; fellows are required to present interesting and challenging cases. Fellows are expected to present results of clinical and/or basic research studies at appropriate national meetings such as the annual American Thoracic Society Meeting and the annual American College of Chest Physicians Meeting.

Teaching Responsibilities

Fellows are responsible for presenting topics at the noon medicine conference, as well as presentations to the pulmonary division at the weekly clinical conferences. In addition, fellows actively participate in the infectious disease and tuberculosis conferences. The fellow is an active participant in the teaching of housestaff and students on the clinical rotations.

Procedural Skills

The fellow will achieve clinical competence in non-invasive and invasive procedures including, but not confined to the following:

  1. flexible bronchoscopy and accompanying procedures
  2. oral/nasal intubation
  3. ventilator management
  4. thoracentesis
  5. arterial puncture
  6. placement of arterial and pulmonary artery balloon flotation catheters
  7. calibration and operation of hemodynamic recording systems
  8. supervision of the technical aspects of pulmonary function testing
  9. progressive exercise testing
  10. insertion and management of chest tubes

Research Training

All fellows will participate in research during their 3-years of training with the intent to train academic physicians. Extensive research time is provided in order to maximize opportunities for career interests to develop. Fellows may choose mentors and projects ranging from clinical research to basic science research in the Center for Lung Biology on the main USA campus. Fellows are expected to present their research at local and international conferences and prepare manuscripts for publication. Fellows will also be expected to write grant applications whenever appropriate.

▼   Conferences

Required Conferences

  • Monthly Research Conference - every second or third Friday - assigned CLB Members (Postdoctoral Fellow)
  • Journal Club - one Friday per month at 2 p.m. - coordinated by assigned Faculty members
  • Core Conferences - every Friday at 1 p.m. - coordinated by the Program Director and 2nd year fellow

Clinical Conferences  

  • Pulmonary Case Conferences - two Fridays per month at 2 p.m. - coordinated by consult attending and 2nd year fellow
  • Medicine Grand Rounds - every Thursday at 8 a.m. - 2nd floor conference room
  • Pathology Conferences - last Monday of the month at 1 p.m. - coordinated by Pathology Chief Resident. All fellows on clinical rotations meet to review all specimens submitted to Pathology from their patients.
  • The conferences also are transmitted to Mobile Infirmary Medical Center.

Combined Conference Schedule

Download the Combined Pulmonary Division/CLB Conference Schedule [PDF]

▼   Fellow Expectations

All fellows in Pulmonary and Critical Care Medicine are expected to achieve excellence in the following core competencies at the completion of 3 years of training:

Medical Knowledge

Fagan checkupDemonstrate knowledge of the evolving pathophysiological (basic and clinical sciences), epidemiological, and behavioral sciences in pulmonary and critical illness and the application of this knowledge to patients. This includes critical assessment of the literature and scientific method applied to that literature, evidence-based decision making and life-long learning.

Practice-based Learning and Improvement

Develop skills to assess care of patients and identify areas needing improvement in their own practice of pulmonary and critical care medicine. Additionally, the fellow will identify interventions to improve care of patients and assess the outcomes of those interventions.

Patient Care

Provide comprehensive, compassionate, and appropriate care to patients with a wide variety of pulmonary and critical illness. This includes the appropriate use of diagnostic and therapeutic tools below:

  • Perform and document history & physical examination
  • Formulate differential diagnosis
  • Obtain and document informed consent
  • Perform pulmonary artery catheterization
  • Order appropriate consults
  • Understand the role of the pulmonary & critical care physician as a consultant to other physicians
  • Perform arterial catheterization
  • Interpret hemodynamic parameters in critically ill patients
  • Perform diagnostic flexible fiberoptic bronchoscopy
  • Interpret chest radiographs and CT images of the chest
  • Interpret therapeutic drug levels for antibiotics and other drugs
  • Understand the basic fundamentals of sleep polysomnography interpretation
  • Interpret pulmonary function tests including spirometry, lung volumes, diffusing capacity, and methacholine challenge testing
  • Interpret cardiopulmonary exercise testing
  • Perform orotracheal and nasotracheal intubation
  • Perform basic and advance cardiac life support
  • Manage mechanical ventilation in acute and chronic respiratory failure
  • Request continuous renal replacement therapies when appropriate
  • Perform electrical cardioversion
  • Perform transcutaneous cardiac pacing
  • Order continuous sedatives and analgesics in the critically ill
  • Perform monitored conscious sedation for invasive procedures
  • Perform intravenous anesthetic induction for intubation
  • Manage complex fluid and electrolyte disorders
  • Perform intravenous thrombolytic therapy
  • Order appropriate pharmacologic therapy for management of circulatory shock and related disorders
  • Order parenteral nutrition during critical illness
  • Perform emergency pericardiocentesis
  • Perform thoracentesis
  • Perform pleural biopsy
  • Perform tube thoracostomy
  • Perform therapeutic bronchoscopy
  • Perform bronchoscopy with transbronchial biopsy
  • Perform emergency cricothyrotomy

Interpersonal and Communication Skills

Demonstrate interpersonal and communication skills that facilitate an effective physician-patient relationship as well as exchange of information and relationships with other health professionals and the community at large.

Professionalism

Fellows will demonstrate professional and ethical behaviors in the practice of medicine including demonstrating respect of others, recognition of the diversity of others including race, age, gender, religion, etc. This also includes timely, accurate, communications with other healthcare professionals, ethical and accurate record keeping and business practices, and participation in professional development as well as participation in required conferences and other educational programs.

Systems-based Practice

Fellows will demonstrate understanding of the various patterns of healthcare delivery and the role of the physician in those systems and the utilization of resources to provide care of patients with pulmonary and critical illnesses.

▼   Current Pulmonary Fellows

Christopher Clarke, M.D.

Christopher Clarke, M.D.

PGY-6

University of Louisville School of Medicine

cclarke@health.southalabama.edu 

 

Talh Nawaz, M.D.

Talh Nawaz, M.D.

PGY-6

King Edward Medical College

tnawaz@health.southalabama.edu

 

Firas Khamis, M.D.

Firas Khamis, M.D.

PGY-5

University of Minnesota Medical School

fkhamis@health.southalabama.edu

 

Asadullah Baig Mirza, M.D.

Asadullah Baig Mirza, M.D.

PGY-5

Jinnah Sindh Medical University

amirza@health.southalabama.edu

 

Nida Ahmed, M.D.

Nida Ahmed, M.D.

PGY-4

nahmed@health.southalabama.edu

 

Robert Petrossian, M.D.

Robert Petrossian, M.D.

PGY-4

rpetrossian@health.southalabama.edu

▼   How to Apply

There are currently six fellows in our Pulmonary and Critical Care Medicine Training Program. The University of South Alabama program participates in ERAS (Electronic Residency Application Service). Two pulmonary/critical care fellowships are available each year on a competitive basis. ERAS opens to applicants July 1st. Interviews are conducted from late August through October. To apply, submit the following via ERAS:

  • Official college, graduate school and medical school transcripts
  • An official record of board scores (NMBE, FLEX, USMLE, LMCC, COMLEX)
  • A program director letter and two other letters of recommendation
  • A curriculum vitae
  • A personal statement
  • A valid ECFMG certificate (if you graduated from medical school outside of the United States or Canada)
  • Three years of postgraduate training in an accredited internal medicine program in the U.S. or Canada.

Application Deadline:  August 20

Interviews are by invitation only.

U.S. citizen, legal permanent resident or J-1 visa only.

▼   Fellowship Verification

It is the policy of the University of South Alabama College of Medicine that the following fee structure applies to requests for postgraduate training verification:

  • $25.00 - Verification of training dates and/or program completion - to be used for credentialing purposes only and is issued in response to a request by a hospital or other agency with a valid authorization for release of information
  • $50.00 - Verification of training dates, program specifics on training including procedures, commentary on performance, etc., on institution or agency's form with a valid authorization for release of information
  • $75.00 - Verification of training dates, program specifics, narratives on resident performance with a valid authorization for release of information.

Payment by check is to be submitted with the verification request mailed and made payable to:

South Alabama Medical Science Foundation (SAMSF) 
University of South Alabama 
Pulmonary and Critical Care Medicine 
Attention: Verifications 
2451 University Hospital Dr., UMC 10-G 
Mobile, Alabama 36617

Requests submitted without payment will not be processed. Requests are to be specific and an authorization for release form must be included. Please send all requests to the address above.  Note: Federal government agencies are exempt of any fees.

▼   Contact Information

Brian W. Fouty, M.D., Professor Cincinnal Services Pulmonary
Center for Lung Biology
Program Director, Division of Pulmonary and Critical Care Medicine
USA Health College of Medicine
Mobile, AL 36688
Phone: (251) 460-7218 | Fax: (251) 471-7889
bfouty@health.southalabama.edu 

Ruth L. Hart, MBA, BSHA
GME Program Coordinator
USA Health University Hospital
Department of Internal Medicine
Division of Pulmonary and Critical Care Medicine
2451 University Hospital Dr.
10th Floor; Suite G
Mobile, AL 36617
Phone: (251) 471-7847 | Fax: (251) 471-7889
rlhart@health.southalabama.edu