Program Director's message
Thank you for your interest in our program. Our Pulmonary Disease Critical Care Medicine fellowship includes rotations at a single 600-bed tertiary care center. Here you’ll learn from experts who are on the cutting edge of Pulmonary and Critical Care medicine in a geographic area with an astonishing amount of pathology.
We’ll provide you with all the tools necessary to become a well-rounded specialist and to manage even the most complex Pulmonary and critically ill patients. Our program will provide significant volume to meet your clinical needs. Ample elective time will allow further training in desired areas.
As a fellow, you’ll be closely involved with resident education — an important skillset to learn for your future. You’ll also learn to hone your research skills so you can present at national meetings and get published in peer-reviewed journals.
We accept three fellows per year for a total of nine fellows. We hope you’ll come and visit us to see what we have to offer. You won’t be disappointed.
Samantha Pelletier, MD
Pulmonary Disease and Critical Care Medicine Fellowship Program Director
WellSpan York Hospital
Our Pulmonary Critical Care fellowship program provides you with all the tools to become a well-rounded specialist.
You’ll have exposure to basic Pulmonology and Critical Care procedures, including:
- acute lung injury, including radiation, inhalation, and trauma
- acute metabolic disturbances, including overdosages and intoxication syndromes
- anaphylaxis and acute allergic reactions in the critical care unit
- cardiovascular diseases in the critical care unit
- circulatory failure
- detection and prevention of iatrogenic and nosocomial problems in critical care medicine
- diffuse interstitial lung disease;
- disorders of the pleura and the mediastinum end-of-life issues and palliative care
- hypertensive emergencies
- iatrogenic respiratory diseases, including drug-induced disease
- immunosuppressed conditions in the critical care unit
- metabolic, nutritional, and endocrine effects of critical illness, and hematologic and coagulation disorders associated with critical illness
- multi-organ system failure
- obstructive lung diseases, including asthma, bronchitis, emphysema, and bronchiectasis
- occupational and environmental lung diseases
- peri-operative critically-ill patients, including hemodynamic and ventilatory support
- psychosocial and emotional effects of critical illness on patients and patients’ families
- pulmonary embolism and pulmonary embolic disease
- pulmonary infections, including tuberculous, fungal, and infections in the immunocompromised host (e.g., HIV-related infections)
- pulmonary malignancy, both primary and metastatic
- pulmonary manifestations of systemic diseases, including collagen vascular disease and diseases that are primary in other organs
- pulmonary vascular disease, including pulmonary hypertension and the vasculitis and pulmonary hemorrhage syndromes
- renal disorders in the critical care unit, including electrolyte and acid-base disturbance and acute renal failure
- respiratory failure, including the acute respiratory distress syndrome, acute and chronic respiratory failure in obstructive lung diseases, and neuromuscular respiratory drive disorders
- sepsis and septic shock
- severe organ dysfunction resulting in critical illness, to include disorders of the endocrine, gastrointestinal, hematologic, immune, musculoskeletal, and neurologic, systems, as well as infections and malignancies
- shock syndromes
- sleep-disordered breathing
Our fellows also learn to be teachers, as we’re a rotation site for medical students and we have residents who round on the various Pulmonary and ICU services. Honing research skills through mentorship is another vital part of the curriculum, preparing you to present at national meetings and publish in peer-reviewed journals.
Location
The two sites for this fellowship are WellSpan York Hospital and the WellSpan Freedom Way Pulmonary and Sleep Medicine location in York, PA. All clinical rotations take place at the hospital. All outpatient experience occurs at the WellSpan Freedom Way Pulmonary & Sleep Medicine.
WellSpan York Hospital was originally founded in 1880. Over the last 140 years, the hospital has grown to be the regional leader in advanced specialty care. It is a level 1 trauma center, has a robust ECMO program (Extracorporeal Life Support Organization (ELSO) gold level distinction and is a comprehensive stroke center.
Schedule
Year 1 rotations
- echo: 2 months
- consult service: 2 months
- catheterization lab: 1.5 months
- nuclear: 2 months
- intensive care unit: 1 month
- cardiovascular surgery: 0.5 month
- heart failure service: 1 month
- elective: 1 month
- vacation: 1 month
Year 2 rotations
- catheterization lab: 2 months
- electrophysiology lab: 1 month
- elective: 1 month
- TEE: 1 month
- electrocardiography: 1 month
- nuclear cardiology: 1 month
- consults: 1 month
- vacation: 1 month
- intensive care unit: 2 months
- CT/MRI: 1 month
Year 3 rotations
- elective: 3 months
- catheterization lab: 2 months
- nuclear cardiology: 1 month
- intensive care unit: 1 month
- TEE: 1 month
- electrophysiology lab: 1 month
- echo: 1 month
- consults: 1 month
- vacation: 1 month
Continuing medical education (CME)
The Division of Pulmonary and Critical Care Medicine at WellSpan York Hospital is dedicated to providing educational activities for all WellSpan-affiliated practices, which leads to improved patient care. By the end of these series, participants should better understand recent developments in Pulmonary medicine.
Our Cloud CME provides educational opportunities for Grand Rounds lectures, case conferences, live courses and online learning. Fellows can register for an account to access or attend any medical education event offered through WellSpan Health’s Office of Continuing Medical Education.
