Pulmonary Consultation Service at University Hospital
One second or third year resident oversees an intern on this rotation. The team also includes the pulmonary staff and a dedicated pulmonary fellow who provides assistance with difficult management issues and procedures. The average daily census is 6 – 10 patients on this ward service. Common medical problems include pneumonia, cystic fibrosis, interstitial lung diseases, lung cancer, and COPD. The housestaff’s primary responsibility is the ward service; however, the resident may assist with consultations when they are of educational value. Although the faculty and fellow primarily manage the consultation part of the pulmonary service, the fellow frequently is available to help with the workload on the ward service. In addition to patient-directed teaching, housestaff are encouraged to attend weekly pulmonary and ICU conferences. Housestaff will become proficient in interpreting pulmonary function tests and chest radiographs. Depending on their level of interest, residents may wish to spend time in the PFT or sleep laboratory learning the basics of physiology and polysomnography. Call is every fifth night, cross-covering the ICU patients. Please note that housestaff interested in pulmonary can do the IU consultation service as an elective. There is no call during the elective.

Pulmonary Consult Service at Wishard
Residents on this service provide pulmonary and critical care consultative service to all Wishard services: on the medicine wards, non-medicine (surgery, neurology) wards, and any non-medicine ICU patient service who desires pulmonary input. In addition to patient care-directed teaching, housestaff will learn to read pulmonary function tests and chest radiographs. This team often performs the majority of inpatient bronchoscopies. Housestaff are encouraged to attend the weekly divisional teaching conferences with the pulmonary fellows. There is no call for this rotation.

Pulmonary Wards at Methodist Hospital
Residents rotating on the Methodist Pulmonary Service will provide primary and consultative care for patients with a wide range of pulmonary disorders under the direct supervision of a pulmonologist. There will be exposure to ICU care, critical care procedures, and general hospital pulmonary consultations and procedures. Emphasis on critical care, general inpatient pulmonary care, or outpatient pulmonary care can be arranged according to preceptor assignment. This rotation has no overnight call obligations.