Pulmonary and Critical Care Medicine
CLINICAL PROGRAMS AND FACILITIES
The Division operates pulmonary consultation services at both University and VA Hospitals. The combined clinical populations of these two institutions provide a diverse clinical experience, ranging from chronic obstructive pulmonary disease and lung cancer to interstitial lung disease, sarcoidosis, community acquired pneumonias, and the whole host of opportunistic infections in compromised hosts. On these consultation services, the resident and a senior medical student are supervised by the pulmonary fellow and the attending staff. At University Hospital, the Division also staffs a pulmonary inpatient service. Residents and interns on this service have the opportunity to learn the details of management of complex, but also common, pulmonary inpatient diseases. Consultation services are widely utilized to maximize both patient care and teaching goals.
The Division attends on ICU teams at both University and VA Hospitals. These experiences provide an in-depth experience in critical care. The Pulmonary fellows provide back-up to the residents, and the attending staff round daily.
The Division operates high quality pulmonary function laboratories in both institutions, capable of providing diagnostic services ranging from simple spirometry to sophisticated exercise testing. The Division also operates a highly experienced sleep laboratory.
Division conferences include a problems conference attended by all faculty members, fellows, and house officers and students on the service. The Division also operates a regular journal club, research conference, a combined medical/surgical chest conference, and critical care grand rounds. A lung cancer conference and a sleep conference are also held weekly to discuss case presentations.
RESEARCH PROGRAMS AND FACILITIES
Current research in our Division is multifaceted and is funded by the Veterans Administration, the National Institutes of Health, National Science Foundation, and by the pharmaceutical industry. At the molecular level, we have developed gene probe techniques for mycobacterial epidemiology. We are now developing techniques for the rapid diagnosis of tuberculosis using specific anti- DNA antibodies. A second area of research is in aerosol particle distribution in the lungs, particularly as a tool to study lung physiology. A related area of research is in fluid dynamics. That program collaborates closely with work in the aerosol distribution laboratory.
Third, members of our Division are studying adrenergic receptors, and particularly the gene expression of these receptors. Lastly, our Division carries out clinical research, especially in two areas: the epidemiology of tuberculosis; and the management of patients with the adult respiratory distress syndrome (ARDS).
These various research programs are funded by NSF, NIH, VA merit review grants and other nationally competitive awards.