SCHOOL OF MEDICINE

Department of Medicine

Pulmonary, Critical Care, Sleep & Occupational Medicine

Welcome to Lung transplant and ECMO Fellowships

Lung Transplant Fellowship

Lung transplant surgeryThe lung transplant fellowship at IU Health Methodist Hospital is built around clinical care and research of lung transplant patients in collaborative care model. Through the course of the fellowship fellows have direct care of our lung transplant patients in all three stages of their care: initial evaluation and workup, transplant process including their ICU and hospital management, and their long term care in both the outpatient setting and any re-hospitalizations. At IU Health Methodist, our Advanced Heart and Lung team works closely across specialties. It is comprised of 5 lung transplant pulmonary critical care physicians, 5 heart failure cardiologists, and 3 transplant surgeons. Our pulmonologist provide the ICU care for all of the heart transplants, ECMO patients, LVAD patients, and pulmonary hypertension patients along side the lung transplants. This allows the fellows to obtain an in-depth experience of the complicated ICU management of transplant patients.

Clinical responsibilities, under direct supervision, are spread across both inpatient and outpatient exposure to complicated physiology, multi drug therapy immunosuppression, post transplant infections, evaluation and treatment of different types of rejection, all bronchoscopic needs of our patients, and XVIVO Lung perfusion. Additional educational aspects include developing and implanting a research project as well as monthly journal club, case conference, pathology review. At the completion of the program fellows will meet the qualifications to be a UNOS certified in lung transplant.

IU Health Cardiothoracic Transplant and Mechanical Circulatory Support Program Outcomes Report


Extracorporeal Membrane Oxygenation Fellowship

The ECMO fellowship is ICU based and open to physicians that are board certified/eligible in Critical Care Medicine after having completed tracks in internal medicine, emergency medicine, or anesthesia. Fellows, under direct supervision, will provide direct patient care to ICU patients on both venous-venous and venous arterial ECMO. Fellows will be involved with the initial evaluation to determine patient candidacy through a patients’ full ECMO course. This includes expanding their knowledge of the complicated oxygenation and ventilations strategies that are bridged between the ventilator and ECMO circuit, hemodynamics, and expanding knowledge of the altered pharmacokinetics and pharmacodynamics of ECMO patients. There is potential for expanded procedural experience with cannulation of ECMO and percutaneous tracheostomy. During the course of the year a research project, clinical or basic science, pertaining to ECMO. With the initiation of our Mobile ECMO program this year, the fellow will have the opportunity to participate in off-site cannulation and transport of ECMO patients.

IU Health Cardiothoracic Transplant and Mechanical Circulatory Support Program Outcomes Report


Welcome Application Process Transplant Team Research