Department of Internal Medicine
Pulmonary, Critial Care, and Occupational Medicine Fellowship Program

Core Conference Series

Faculty Organizer: Jeff Wilson, M.D.

Target Audience: All fellows in Pulmonary and Critical Care Medicine

Goals:

Provide a didactic series of seminars covering clinical topics in pulmonary, critical care, and occupational medicine. The 51 topics are covered on a rotating basis over three years.

Design of the Conference to meet the Goals:

This is a seminar format. A faculty moderator is assigned to each seminar. They are responsible for assembling a bibliography covering the "state-of-the-art" in the field and organizing the discussion on focused questions. Each fellow participant is assigned questions and the appropriate literature for answering the questions. This conference is held twice monthly for 90 minutes from September through June. A complete list of topics is appended.

Evaluation:

The fellows each receive a questionnaire which they complete after each symposium. The questionnaire asked about both the topic and the presentation. These evaluations are kept on file. In addition, the fellows are interviewed at least annually about their evaluation of the conference.

Topics for Core Conferences

1. Occupational Disease
   1. Asbestos-related lung disease
   2. Silicosis/Coal worker's pneumoconiosis
   3. Hypersensitivity pneumonitis
   4. Occupational Asthma-chemical agents
   5. Occupational Asthma-organic dusts and respiratory protection
   6. Toxic fume exposures and metal-induced lung disease
   7. Study design and statistical analysis
2. Critical Care Topics
   1. Mechanical ventilation including complications
   2. ARDS
   3. Poisoning and acute intoxications
   4. Endocrine emergencies
   5. GI emergencies
   6. Neurologic emergencies
   7. Pulmonary trauma
   8. Cardiac arrhythmias
   9. Cardiac-acute myocardial infarction
   10. Septic shock
   11. Nutrition and nutritional assessment
   12. Respiratory muscle function and fatigue, and neuromuscular disorders
   13. Clotting, hemotologic problems and blood product replacement
   14. Infectious disease
       1. Line sepsis, nosocomial pneumonia
       2. Meningitis, endocarditis
   15. Ethical issues-DNR, brain death, withholding therapy
   16. Burn management including airway burns
   17. Fluid and electrolyte and acid-base management, acute renal failure
3. Pulmonary
   1. Malignant disease
      1. Bronchogenic carcinoma
      2. Benign tumors, metastatic disease, and mediastinal tumors
   2. Infectious disease (including normal host defense)
      1. Bacterial pneumonias
      2. Mycobacterial disease-typical
      3. Mycobacterial disease-atypical
      4. Fungal disease
      5. Atypical pneumonias and parasitic disease
      6. Immunocompromised lung disease excluding AIDS
      7. Lung disease associated with AIDS
   3. Airways disease C
      1. ystic fibrosis/bronchiectasis/ciliary dysfunction
      2. Asthma
      3. COPD-pathophysiology, diagnosis and treatment
   4. Interstitial lung disease
      1. Sarcoidosis
      2. Interstitial fibrosis including associated with CVD
      3. Drug-induced lung disease
      4. Lung manifestations of collagen vascular disease other than IPF
      5. Radiation, oxygen, diving and high altitude lung disease, alveolar hemorrhage, proteinosis, and hemosiderosis
      6. Eosinophilic lung disease, Histiocytosis X, LAM, and microlithiasis
   5. Physiology
      1. Airflow measurements, lung volumes and diffusing capacity
      2. Obstructive sleep apnea
      3. Exercise testing, impairment rating and rehabilitation
      4. Blood gases and gas exchange
   6. Pulmonary Vascular Disease
      1. Pulmonary embolism
      2. Pulmonary hypertension and cor pulmonale
      3. Pulmonary vasculitides
   7. Pleural
      1. Malignant and infectious
      2. Pneumothorax, nonmalignant and noninfectious disease
   8. Miscellaneous
      1. Lung transplantation
      2. Developmental anomalies/congenital lung disease
      3. Pulmonary changes and problems in pregnancy
      4. Anatomy and imaging of the lung
      5. Lung manifestations of systemic disease
      6. Unusual lung disease: bronchiolitis obliterans with organizing pneumonia, pulmonary manifestations of sickle cell disease, tracheobronchomegaly, and pulmonary amyloidosis
4. General
   1. Evidence Based Medicine

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