Residency
Gregory C. Kane, M.D.
Division Director
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The Division of Pulmonary Medicine and Critical Care offers opportunities
for clinical and research training to students, house staff, and postdoctoral
trainees. Patient care, as well as clinical and research training activities,
are supervised by a faculty composed of 12 full-time and three volunteer staff
members. The Pulmonary Medicine Service includes the inpatient ward and consultation
service, the Pulmonary Outpatient Clinic, the Pulmonary Function Laboratory
and the Endoscopy Laboratory. The division oversees approximately 450 pulmonary
admissions, 1,000 inpatient pulmonary consultations and 400 bronchoscopies
each year; moreover, there are approximately 3,000 pulmonary outpatient visits
annually. The Pulmonary Medicine Service offers one month elective rotations
to residents. This elective focuses primarily on inpatient consultation with
a one half day per week commitment to outpatient pulmonary medicine. The major
objective is for the resident to acquire the skills necessary to perform proper
consultative evaluations and to formulate appropriate management plans in patients
with pulmonary diseases. Educational emphasis is placed on proper interpretation
of x-rays and pulmonary function tests. Proper techniques of thoracentesis
and pleural biopsy also are taught during the rotation.
The Critical Care Medicine Service is responsible for patient
care and house staff training in the multidisciplinary aspects of critical
care medicine. The focus of training is the medical/respiratory intensive-care
unit (MRICU), which consists of an eight-bed unit with full monitoring capability
and a five bed unit specially tailored to the problems of the patient with
acute respiratory disorders. Full-time attendings in the division make rounds
seven days a week and assume administrative responsibility for the unit.
Research opportunities are available in any one of a number of
laboratories that engage in ongoing investigations at both the clinical and
basic science level. The division is involved in multidisciplinary research
in numerous areas, including asthma, airway hyperactivity, airway inflammation,
acute lung injury, adult respiratory distress syndrome, lung defense mechanisms,
mediators of pulmonary inflammation, pulmonary hypersensitivity diseases and
sarcoidosis.
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