Greetings and Welcome to the Pulmonary And Critical Care Medicine Fellowship Program

Thank you for your interest in our Pulmonary and Critical Care fellowship program at the University of Wisconsin-Madison. Our program emphasizes the development of the skills and attributes necessary to becoming a highly competent clinician, while providing an atmosphere that strongly encourages exploration of the science underlying our field. We hope you will take the time to explore our website.

If you have any questions, please do not hesitate to contact us.

Thank you,

Mark S Regan, MD
Assistant Professor
Fellowship Director, Pulmonary & Critical Care Medicine

Mission/Goals of Program

The overall goal of the program is to provide the environment, patient population, and resources for training and experience at a level sufficiently advanced for the fellows to obtain the competency of a sub-specialist in both Pulmonary Disease and Critical Care Medicine. The objective is to provide all of the educational experiences and program content explicitly required to develop expertise in both of these areas. The specific program content and direction follow guidelines provided by the 'Program Requirements for Residency Education in the Subspecialties of Internal Medicine', and the 'Program Requirements for Residency Education in Pulmonary Disease and Critical Care Medicine', developed by the ACGME (ACGME: July, 2005) and published on their website.

The goal of the Pulmonary Disease program is to provide a broad spectrum of clinical experience with a wide variety of pulmonary diseases, which include opportunities to observe and manage patients in the inpatient and outpatient settings and to assume continuing responsibility for both acute and chronically ill patients. Emphasis is placed on the correlation of pulmonary physiology with clinical disease and on the elucidation of the effectiveness of therapy in altering the natural history of pulmonary disorders.

The goal of the Critical Care program is to provide a minimum of 9 months of meaningful patient care in critical care units, with at least 6 months devoted to the care of critically-ill medical patients with a wide variety of disorders, with opportunities to assume responsibility for patient care throughout their stay in critical care units, and to monitor medical progress during the remainder of the hospital stay. A further objective is to provide opportunities for fellows to acquire skills required to organize, administer, and direct a critical care unit composed of a multidisciplinary team of providers.

The goal of the training is to provide the Pulmonary & Critical Care fellow with the basic formal teaching and supervised experience necessary to acquire expertise as an Intensivist and as a consultant in Pulmonary & Critical Care Medicine.

Fellows are involved in the diagnosis and care of patients with a wide variety of pulmonary diseases. The two hospitals are large and serve clinically diverse patient populations. Through a combination of didactic lectures, clinical conferences, journal clubs, and clinical experience (closely supervised by Faculty Attendings), fellows gain extensive experience with obstructive lung disease, pulmonary infections, malignancies, interstitial lung disease, disorders of the pleura and mediastinum, complications of immunosuppression and transplantation, acute lung injury, respiratory failure, genetic and developmental disorders, and sleep disorders. Incorporated into this exposure to a multitude of pulmonary diseases, is training and experience in specific procedures such as interpretation of radiographs, performance of bronchoscopy, thoracentesis, thorocastomy tube placement, interpretation of pulmonary function tests, exercise and bronchoprovocation tests, and sleep studies. Other goals, as spelled out in the ACGME's “Program Requirements for Residency Education in Pulmonary Disease and Critical Care Medicine” are addressed.