Message from the Program Director

Thank you for your interest in the Pulmonary/Critical Care Medicine Fellowship at the University of Arkansas for Medical Sciences.

The fellowship is a combined three-year Pulmonary/Critical Care Medicine Program and is fully accredited by the ACGME.  The goal of the program is to provide first-rate clinical and research training and make it possible for fellows to enter academic medicine or clinical practice.  Two to three fellows per year are accepted for a total of seven fellows.  Fellowship training consists of approximately 23 months of clinical rotations and 13 months of research.  The inpatient clinical rotations are divided between UAMS Medical Center and the adjoining Central Arkansas Veterans Health System.

Our patient population is diverse in terms of Pulmonary and Critical Care diseases as both institutions are referral centers of choice for the state of Arkansas.  We have three medical ICUs on our campus staffed with different PCCM teams. We have an active stem cell transplant program with a large medical oncology service, level 1 trauma center, a liver transplant center and a stroke center. Critical care training exposes our fellows to advanced mechanical ventilator management, bedside critical care procedures, point of care ultrasound (POCUS) education and interventional pulmonology along with airway management techniques.

The VA hospital provides excellent clinical experience in lung cancer, bronchoscopy, and COPD.  The VA hospital and UAMS Medical Center have multidisciplinary lung cancer conferences which are attended by Medical Oncology, Radiation Oncology, Thoracic Surgery, Pulmonary Medicine, and Radiology.

A Pulmonary/CCM fellow and a faculty member staff the inpatient pulmonary consult services at both the hospitals.  An internal medicine resident is generally assigned to the service.  The fellow functions with the staff’s assistance as the team leader.  The fellow evaluates the consults, formulates a differential diagnosis, treatment plan and presents the case to the staff for further guidance.  This service provides an exposure to a broad spectrum of patients with classic and rare respiratory pathologies.

UAMS offers the state’s only accredited Adult Cystic Fibrosis Center.  UAMS pulmonary consult team participate in the care of these patients when they are admitted to the floor. The division runs a full service sleep laboratory, which provides the fellows with experience in sleep medicine.  There are continuity clinics for the fellows at both institutions throughout the three years of training.

The division holds a weekly Chest Medicine Conference that is oriented around chest X-ray and chest CT interpretation.  Attendees include the Pulmonary/CCM faculty and fellows, chest radiologist, and other experts. Current research interests in the division include mechanical ventilation, particle deposition in the respiratory tract, and kinetics of inhaled drugs, sleep medicine, cystic fibrosis, bronchoscopy, and pulmonary hypertension.  Fellows are required, with faculty guidance, to identify a research project, write a formal research proposal, obtain original data, and present a poster or paper at a National Meeting.

The Department of Internal Medicine has a strong internal medicine residency-training program, and subspecialty support is excellent.

Little Rock is a medium-sized community.  It is a pleasant place to live and work, and the state offers many outdoor opportunities including: fishing, hunting, hiking, backpacking and camping, canoeing, bird watching, rock climbing, and biking.  All are available in quantity and quality in Arkansas. Cultural opportunities include the Little Rock Symphony Orchestra, Repertory Theater, Arts Center and more.

The Division of Pulmonary/Critical Care Medicine participates in ERAS Fellowships.  ERAS Fellowships is a part of the Electronic Residency Application Service and is specifically aimed at fellowship positions.  It is used by residents to apply for specialization training beyond completion of the initial residency training.

Rajani Jagana, M.D., FCCP
Program Director
Pulmonary and Critical Care Fellowship