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.
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.
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, Mayo Clinic Health System in La Crosse, Wisconsin, and Mayo Clinic Health System in Mankato, Minnesota, 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.