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 the UAMS Medical Center and the adjoining Central Arkansas Veterans Hospital.

A broad spectrum of Pulmonary and Critical Care diseases is seen at the two institutions.  Both institutions serve as referral centers for the state.  The UAMS Medical Center has an active peripheral blood stem cell transplant program and a large medical oncology service.  The HIV population is adequate for training but relatively small and does not overwhelm the pulmonary service or MICU.

The VA hospital provides a first-rate 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 faculty member and fellow staff the inpatient pulmonary consult services at both 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 and treatment plan and presents the case to the staff for fine tuning and guidance.  This service provides exposure to a broad spectrum of patients with classic respiratory and/or critical illnesses.

There is an adult cystic fibrosis program at UAMS, which is part of Arkansas Cystic Fibrosis Centers.  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.  Fellows attend the Tuberculosis Clinic at the State Health Department during the second and third years and they rotate through the Pulmonary Rehabilitation program at the Baptist Medical Center.

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, kinetics of inhaled drugs, sleep medicine, cystic fibrosis, bronchoscopy, and pulmonary hypertension.  Fellows are required, with faculty guidance and support, 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.

Manish Joshi, M.D.
Associate Professor of Medicine
Pulmonary and Critical Care Fellowship Program Director