The Fellowship in Pulmonary Disease and Critical Care Medicine offers remarkable exposure to a variety of patients and array of technologies, all in a supportive, patient- and trainee-centered environment. We accept 3 trainees each year and commit to developing them as physicians and as teachers.
Pulmonary and Critical Care Medicine Fellowship
Robert Walter, MD
As trainees will be sequentially sitting first for the Pulmonary Disease board exam and later for the exam Critical Care Medicine, the first half of the clinical training is weighted towards Pulmonary Medicine, with a shift in the second half towards Critical Care. Throughout the fellowship, trainees are participating in our Critical Care and Pulmonary/Critical Care conferences and journal clubs.
The pulmonary experience includes outpatient time with continuity and disease specifics clinics, inpatient pulmonary consultation, and procedural time in the bronchoscopy lab with the Interventional Pulmonology service. Our academic medical center, situated in northwest Louisiana 200 miles from the nearest medical school, serves a large area with a diverse population; as a result, fellows see a wide spectrum of diseases at various stages. Trainees graduate with a broad-based education in the diagnosis and management of pulmonary diseases, including procedural skills that greatly exceed ABIM minimum requirements.
Critical Care education is spread across a range of ICUs at both the VAMC and at Ochsner LSU Health Shreveport. Each trainee will have experience in Medical ICUs, Surgical ICU, BurnICU, NeuroICU, eICU, with electives available in the Trauma ICU and Pediatric ICU. As part of their training, fellows will have exposure to advanced procedures, including percutaneous procedures such as tracheostomy and gastrostomy tube placement, continuous renal replacement therapy prescription and administration, and ECMO.
In addition, we offer a wide range of electives that will help fellows position themselves for their future careers. Standard options, such as Anesthesia, Sleep Medicine, CT Surgery, Ultrasound/ Echocardiography, and Chest Imaging, are complemented by spending time with Allergy/ Immunology, ENT, or other specialties.
Ochsner LSU Health Shreveport
The main campus/ academic medical center in Shreveport is a Level 1 Trauma Center, Regional Burn Center, and houses a full range of ICU’s. In this setting, trainees are exposed to a wide range of critical illness, including neurologic, obstetrical and gynecologic emergencies. The Intensivists provide a full range of therapies, including ECMO and CVVH. The center also serves as a regional referral center for a variety of pulmonary diseases, as it is the home of Interventional Pulmonology program, Pulmonary Hypertension Clinic, and evolving Advanced Lung Diseases Clinic.
Overton Brooks VA Medical Center
Originally opened in 1951, the VAMC offers inpatient and outpatient services to the more than 131,000 veterans in its service area of 15 northeast Texas counties, five southwestern Arkansas counties and 12 northwest Louisiana parishes. Fellows may spend time there on electives, such as in the ICU helping manage the medical and surgical patients, rotating with other specialties such as Anesthesia and ENT, learning echocardiography, or in the growing Pulmonary clinics/inpatient service. The OBVAMC also has a range of technologies available, including both EBUS and navigational bronchoscopy.
Intensive Specialty Hospital
Located near the main campus, this Long-Term Acute Care (LTAC) hospital serves many of our post-short term acute care patients. The Shreveport hospital specializes in rehabilitation of adult and geriatric patients with severe cardiopulmonary illnesses, including lung fibrosis and pneumonia. Rotations in the LTAC setting gives trainees additional experience in the post-ICU experience, including strategies for chronic ventilator weaning and addressing the complications of ICU stays.