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Pulmonary and Critical Care Medicine Fellowship (Minnesota)

A Mayo Clinic pulmonary and critical care medicine fellow working in the lab

Overview

The three-year Pulmonary and Critical Care Medicine Fellowship at Mayo Clinic's campus in Rochester, Minnesota, emphasizes clinical training and research, and customizes training depending on your individual career goals. The fellowship program now offers different clinical tracks to meet the needs of the fellows.

Mayo Clinic's staff of 56 pulmonologists and intensivists serves as teachers and mentors. These world-class specialists with various backgrounds offer a rich diversity of clinical expertise and research opportunities. Thousands of diagnostic and therapeutic pulmonary and critical care procedures are performed annually at Mayo Clinic using the most advanced diagnostic and therapeutic tools to ensure the best outcomes for patients.

As a fellow in the three-year Pulmonary and Critical Care Medicine Fellowship, you have access to a training experience that offers:

  • In-depth clinical exposure to patients with a diversity of pulmonary disorders and critical illnesses
  • Expert, world-renowned faculty who is committed to pulmonary and critical care medicine education
  • Extensive education and practice in bronchoscopy and other procedures essential to the practice of pulmonary and critical care medicine
  • The opportunity to acquire skills in patient diagnosis and management in Pulmonary and Critical Care Medicine (PCCM)
  • The opportunity to acquire skills in clinical, bench, translational and outcomes research
  • An academic skills lecture series, including instruction on issues such as how to write a paper, review a talk, give a presentation, prepare a research protocol and write a grant proposal, as well as practical instruction in and application of procedural techniques, teaching and research
  • A curriculum thoughtfully designed to balance clinical, didactic and investigative experiences
  • The opportunity to take master's level classes through the Center for Clinical and Translational Science (CCaTS)
  • Education in quality improvement tools and methods, as well as opportunities to engage in and lead quality improvement projects
  • Four tracks:
    • Community Track — Six months of rotation in community medicine at one of our Mayo Clinic Health System sites and 12 months of research in public health with the option to obtain a master's degree in public health
    • Critical Care Track — 12 to 15 months in critical care medicine and 12 months doing research
    • Physician-Scientist Track — 18 months of research in basic, translational or clinical research
    • Pulmonary Track — A minimum of nine months in critical care medicine rotations, three months of bronchoscopy and 12 months of research

Mayo Clinic also offers a two-year Pulmonary Medicine Fellowship in Rochester, Minnesota, to become board eligible in pulmonary medicine. This fellowship offers the opportunity to pursue a Sleep Medicine Fellowship (pulmonary-sleep medicine pathway), Interstitial Lung Disease and Pulmonary Vasculitis Fellowship or pulmonary academics. Please contact our program coordinator for further information.

Mayo Clinic's favorable faculty ratio (56 faculty to 18 fellows), large patient population, and state-of-the-art diagnostic, therapeutic and research facilities combine to create a truly integrated educational, clinical and research experience — the three shields of Mayo. The Mayo Clinic way of graduate medical education ensures that you have the finest teaching and the broadest patient-care experience possible during an enriching, hands-on fellowship.

Accreditation

The Pulmonary and Critical Care Medicine Fellowship fulfills the requirements for training as stated by the American Board of Internal Medicine and is accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Certification

You will be eligible to take the American Board of Internal Medicine subspecialty examination in pulmonary and critical care medicine upon completion of the fellowship.

Program history

The Pulmonary and Critical Care Medicine Fellowship began in 1965. Since then, more than 210 physicians have completed training. Fellows are recruited annually through the National Resident Matching Program Specialties Matching Service process.

Frequently asked questions (and answers)

What is the procedural training like?

Our procedural training is among the best in the country.

Each fellow has three months of dedicated bronchoscopy time. Over the course of the fellowship, a typical fellow performs hundreds of bronchoscopies, including numerous transbronchial biopsies, and generally 50 or more endobronchial ultrasound (EBUS)-guided biopsies. Mayo's newly created pleural service rotation provides dedicated time for management of pleural disease and features placement and management of multiple types of chest tubes, including pigtail, large bore, and tunneled indwelling pleural catheters.

At Mayo Clinic, Pulmonary and Critical Care Medicine fellows perform their own intubations and airway management for all their intensive care unit (ICU) patients, including difficult intubations. This contrasts with many other pulmonary and critical care programs in the country, where anesthesia fellows, rather than pulmonary fellows, perform intubations.

What's the critical care training like?

Mayo has a large critical care practice, where physicians manage the sickest patients across various ICUs. As a major referral center, we have patients flown in from other tertiary care centers in South Dakota and North Dakota, Minnesota, Iowa, and Wisconsin. The ICU population also includes complex patients in outpatient care who come here for second opinions and subsequently get ill and require ICU-level care.

The numbers and acuity for fellowship training are more than adequate to sustain a separate Critical Care Medicine Fellowship in addition to the Pulmonary and Critical Care Medicine Fellowship.

While Mayo Clinic's campus in Rochester, Minnesota, does not have a burn unit, the fellowship has an approved elective rotation at Maricopa Medical Center in Arizona, which is close to Mayo's campus in Phoenix/Scottsdale, Arizona.

Mayo Clinic manages many patients on extracorporeal membrane oxygenation (ECMO) for various indications, and a dedicated one-month ECMO rotation is available for Pulmonary and Critical Care Medicine fellows.

What are the fellows like?

The esprit de corps is rich within Mayo Clinic's residency and fellowship programs, and is one of the most cited positives at the end of the year.

Many fellows move to Rochester, Minnesota, from elsewhere, and all are looking for friends and people with whom they want to spend time. All have been selected because of the richness they add to the community and their ability to bring out the best in those around them, and it is no surprise that fellows develop some of their closest friendships with one another.

In addition to the Pulmonary and Critical Care Medicine fellows, Mayo has more than 1,900 residents, fellows, and medical and postgraduate students in Rochester. This is a diverse group, as the size and reputation of the institution attract a wide variety of people to Rochester from around the country and the world. Numerous social activities are organized for residents and fellows throughout the year.

Are there opportunities for elective rotations at other Mayo sites?

Yes. There are opportunities for elective rotations at other Mayo campuses including Arizona and Florida. We also have new opportunities for elective experiences at Mayo Clinic Health System in Eau Claire, Wisconsin, and Mayo Clinic Health System in La Crosse, Wisconsin, to experience a community pulmonary and critical care practice.

Elective rotations at other locations are also available, such as a global health experience in an ICU with limited resources through the Mayo International Health Program.

Yosuf Subat, M.D.

Meet our trainees

At Mayo Clinic, the patient is the center of the universe! It feels great to practice in an environment that is so consistent with the values that made me choose to become a doctor in the first place. I am able to offer my patients more of my time, leading to a better connection with my patients, which leads to better decisions, and ultimately better care.

Yosuf Subat, M.D.
Pulmonary and critical care fellow

Mayo Clinic resident checking heartbeat of teen patient

Choosing Mayo Clinic

Mayo Clinic campus in Rochester, Minnesota.
Campus and community

Rochester, MN

Anesthesiologists performing a procedure on a mannequin

Stipend and benefits