The Pulmonary and Critical Care Medicine Fellowship at Penn State Health Milton S. Hershey Medical Center is a three-year, ACGME-accredited program that admits three fellows per year.
Division Chief’s Welcome
We certainly appreciate your interest in our Pulmonary and Critical Care Medicine Fellowship. Our dedicated faculty and staff are strongly committed to providing an outstanding training experience in all phases of academic life – clinical care, research and teaching – while at the same time creating a learning environment in which each of us can thrive both professionally and personally.
We encourage you to contact us by phone or email to learn more about our training programs. We think you’ll like what you see!
Randy Young, MD
Professor of Medicine
Director, Division of Pulmonary, Allergy and Critical Care Medicine
The goal of the Pulmonary and Critical Care Medicine Fellowship is to prepare pulmonary and critical care specialists for medicine in the 21st century with a three-year training program focusing on clinical knowledge, procedural expertise and formal teaching skills.
The first year is devoted to core clinical training with a few blocks set aside to initiate a research plan; the second and third years involve a more personalized scheduled of developing on that research plan as well as electives based on fellowship requirements and each individual fellow’s learning goals.
Besides clinical rotations, the program has a number of educational opportunities for the fellows. A robust and wide range of conferences is provided. These conferences provide a foundation in the pathophysiology, diagnosis, and clinical management of lung diseases and of the critically ill.
The core of the conferences are scheduled from 3 to 5 p.m. each Tuesday afternoon, with a monthly rotating topic based on ABIM examination content. The first hour of this conference is designated for interesting or difficult cases presented in a way to update and inform the audience of current issues around the cases. The latter hour includes more formal didactic utilizing a variety of teaching methods from lecture to group work to hands-on training based on the monthly topic. Journal club and research conferences are also included monthly.
Other multidisciplinary conferences are held weekly, including interventional/thoracic case conference, tumor board and interstitial lung disease conference, among others.
The fellows maintain a Friday morning conference run by the chief fellow. An interdisciplinary pathology, radiology and pulmonary conference occur on the second Friday of every month. A pulmonary radiology conference is provided on the third Friday of every month. The other Fridays are fellow driven and have been used to focus on board review prep.
Pulmonary physiology conference is held weekly with interactive sessions between our fellows and key faculty members. This gives the fellows time to explore and discuss the complexity of many principles of cardiac and respiratory physiology.
The Department of Medicine also hosts a weekly Grand Rounds as well as many other subspecialty conferences. A quarterly Critical Care Grand Rounds is hosted by all the ICUs to present new and trending practices in critical care medicine.
Initial clinical training is based around the three core services of the section of Pulmonary and Critical Care Medicine: Medical Intensive Care (MICU), Pulmonary Consults, and Bronchoscopy/Interventional Pulmonary Services. In addition, training in Sleep Medicine, Adult Cystic Fibrosis, Cancer Center, Pulmonary Rehabilitation, and Interstitial Lung Diseases round out our generally outpatient services along with outpatient general pulmonary medicine.
The MICU, a 16+8 bed service, provides the foundation for critical care training. Fellows lead rounds under the guidance of the faculty, supervise procedures, and provide didactic instruction to residents and students on service. Proficiency with critical care ultrasound and mechanical ventilation are also emphasized. Additional critical care training occurs in the Surgical Anesthesia ICU, the Heart and Vascular ICU where ECMO is performed, Neurology ICU, and the Trauma Service during the second and third years of training.
Pulmonary inpatient consultation service provides the fellow with opportunities to learn about the diagnosis and management of a range of pulmonary diseases including obstructive, vascular, and interstitial lung diseases. Pulmonary issues of the immunocompromised patient are regularly encountered. The service also provides care of all patients with cystic fibrosis patients admitted to the medical center.
The Interventional Bronchoscopy team is a combined inpatient and outpatient core rotation where fellows receive extensive training in basic and advanced bronchoscopy. Pleural procedures are an evolving part of this rotation. Also part of this rotation is a multidisciplinary thoracic clinic where fellows learn and co-manage various aspects of both primary and non-pulmonary thoracic malignancies.
Pulmonary/Critical Care Medicine fellows each have their own weekly general pulmonary continuity clinic where they care for patients with a broad scope of pulmonary pathology. With an outstanding outpatient referral base from Central Pennsylvania, a fellow will typically see patients with both common and rare diseases including asthma, COPD, interstitial lung diseases, neuromuscular diseases, sarcoidosis, rheumatologic diseases and pulmonary hypertension, to name a few. Throughout their training fellows will understand and become proficient at interpreting PFTs and cardiopulmonary exercise tests.
In addition to the above, second- and third-year fellows spend time on various electives including: Pulmonary Radiology, Anesthesiology, Thoracic Surgery, Critical Ultrasound, Allergy and Immunology, Cardiology, Nutrition, Simulation training, with options for others.
The first year of training is mostly concentrated on inpatient and outpatient services. However, it is expected that a first-year fellow find and recognize and eventually write up a case study identified from their clinical exposures. The goal is to learn and build on the structure of a case presentation that is worthy of publication. This is expected to be identified and submitted to a national meeting for presentation.
The second and third year bring a more longitudinal exposure to investigation in pulmonary and critical care medicine. Research time is spread throughout the year to allow the fellow to initiate and complete a meaningful project. Depending on the interests and goals of the fellow, projects are possible in both basic and clinical science.
A goal of this activity is a peer-reviewed manuscript, or other scholarly output at that level. Our fellows have had poster and oral presentations at national meetings; submitted peer-reviewed publications; written successful IRB protocols; and obtained extramural grant funding.
While not all of our fellows plan to pursue clinical research after fellowship, motivated and skilled trainees will find challenging research work which can form the basis for further exploration.
All Pulmonary and Critical Care Medicine Fellowship applications must be processed through ERAS.
Please refer to the official AAMC ERAS Fellowship website for more details.
Penn State Health Milton S. Hershey Medical Center
P.O. Box 850, Mail Code H039
500 University Dr.
Hershey PA 17033-0850
Penn State Health also offers
- Gastroenterology and Hepatology Fellowship
- General Internal Medicine Fellowship
- Rheumatology Fellowship
- Cardiovascular Disease Fellowship
- Allergy, Asthma and Immunology Fellowship
- Endocrinology, Diabetes and Metabolism Fellowship
- Interventional Pulmonology Fellowship
- Interventional Cardiology Fellowship
- Hospice and Palliative Medicine Fellowship
- Clinical Cardiac Electrophysiology Fellowship
- Infectious Disease Fellowship
- Internal Medicine Residency
- Nephrology Fellowship