WRAMC/NCC Pulmonary Rotation

 

Welcome! You have made an excellent choice.  The staff and fellows here are committed to your education and value your contributions.  We look forward to working with you on your Pulmonary Medicine Rotation.

Our goal is to help you learn how to evaluate and manage common pulmonary problems though clinical experiences, presentations and readings.  With this structure and through your hard work, you will be empowered to take great care of your patients, know when to refer, and perform well in the pulmonary portion of your board exam. 
Topics to be covered include the following direct links:

You will learn the most by seeing patients, and unless patient volume warrants otherwise, you will spend half of your time seeing inpatient consults and the other half seeing clinic.  If there is more than one resident rotator  you will alternate. 
Other expectations include:

  1. Take a pretest within the first few days of the rotation (this can be done on your own and does NOT count towards your evaluation)
  2. Attend Morning Report unless you have a pulmonary patient or procedure
  3. Attend pulmonary academic conference which consists of our journal club, radiology conference and a lecture.  These occur on Tuesdays from 0700 (or 0800) to 1230 and alternate between WRAMC and NNMC, so check with your Fellow or Staff.
  4. Attend Monday afternoon CT surgery /tumor board conference
  5. Attend Georgetown Pulmonary Grand Rounds (one Wednesday evening per month--to be announced)
  6. Have screening spirometry done on YOURSELF and interpret these findings
  7. Interpret 25 other pulmonary function tests including at least one of each of the following: bronchodilator testing, methacholine challenge, lung volumes, DLCO
  8. IF your patient is being presented at our conference, then YOU should present them.  You should do this AT LEAST ONCE during the month, borrowing a patient form the fellow if needed, and provide supporting literature/references.
  9. Participate in (not necessarily do) at least one bronchoscopy and be familiar with the indications, contraindications, risks
  10. Participate in (not necessarily do) at least one ultrasound guided thoracentesis and be familiar with the indications, contraindications, risks
  11. Read MKSAP 14 – pulmonary/critical care medicine and do the questions
  12. Read the articles on core topics provided to you (see separate files within this folder)
  13. Take a POST-TEST during the last couple days of your rotation.  This consists of 10 questions randomly selected from the MKSAP—the ones that you have already read!!!

We may also take a trip to the Simulation Center to practice with the virtual bronchoscope or US/thoracentesis if you are interested.  SEEK question books (containing tougher pulmonary questions) are available for you to borrow for the month as well as textbooks, but focus on the articles provided and the MKSAP.  Additional didactic lectures may be provided by your fellow and staff.

 If you have any questions, problems or concerns, please discuss them early with your fellow or staff or with me.

Remember, residency training is short—get your money’s worth out of this experience and have a great time.   

This site is continually updated with relevant information. Please let us know if you have ideas on improving the information we provide. 

Contacts:
William F. Kelly, MAJ, MC, USA
Pulmonary and Critical Care Clinic and
Ambulatory Clerkship Director
      for Third Year Students, WRAMC
Tel: 202-782-5740
email:Wkelly@usuhs.mil  or William.kelly@amedd.army.mil
Pager: 356-1111/pin 1031289

 

 

DOM webmaster: Sol Levy

 

 


 


 

This page last revised 03/28/2008

Department of Medicine (MED)
Office of the Chair
Tel: 301-295-2010
Fax:301-295-5792

Uniformed Services University of the Health Sciences
4301 Jones Bridge Road
Bethesda, Maryland 20814

 

Helpful Links

Articles of Interest (under construction)

Powerpoint Talks

Handouts & Forms

Links to Helpful Pulmonary Websites