The fellows will participate in a minimum of one half day per week Pulmonary clinic for a minimum of 24 months. Fellows on MICU rotations are excused from outpatient clinical duties.

First and Second year fellow's clinic include one half day per week general pulmonary continuity clinic under the supervision of a single faculty member.

Third year fellows will rotate through the general pulmonary clinics in the University Faculty practice building. They will also have the opportunity to rotate in sub-specialty clinics of their choice in CF, PHTN, and IPF.

Second and third year fellows on Research and Elective rotations will have an additional one half day clinic in the subspecialty clinics (CF, ILD, PHTN, and Sleep).

General pulmonary outpatient clinic experiences will be available at the UofL Physicians Outpatient Center (faculty practice building), the VA Outpatient Clinic.

Sub-specialty clinic opportunities include Sleep Disorders, COPD, Adult Cystic Fibrosis, Asthma, Sarcoidosis, Interstitial Lung Disease, and Pulmonary Hypertension.

► EDUCATIONAL GOALS

The goals of the Outpatient Clinic experience are for the fellows to gain experience in the outpatient evaluation, diagnosis, and treatment of the disease processes listed on pages 2-3. In addition, the fellows will learn how to work as part of a multidisciplinary pulmonary care team in the outpatient setting. This team will include advance practice nurses, respiratory therapists, and social workers.

► TEACHING METHODS

The continuity clinic assignment will continue for a minimum of 24 months and during this time, the fellow will see his/her own group of patients for both initial evaluation and follow-up. The fellow will work with one faculty member during this time, and he/she will be responsible for supervising the care provided by the fellow.

The fellow will present each patient to the faculty member and get feedback regarding the specific diagnostic and treatment plan formulated by the fellow. The faculty will review the fellow’s care plan and offer suggestions, if necessary, to improve the care of the patient. The faculty members will also be responsible for giving short didactic sessions on the fellow in clinic on subjects pertinent to the care of the patients seen.

► CLINICAL RESPONSIBILITIES

During their outpatient continuity clinic experience, the fellow will be the primary pulmonary are provider for his/her own group of patients under the supervision of a pulmonary faculty member. The fellow will see both new and return patients and will be responsible for all aspects of their ongoing evaluation and management. This will include providing necessary communication to referring physicians in a timely manner. On average, the fellow will be responsible for 1-4 new patients and 2-4 return patients per half-day clinic sessions.

During the subspecialty clinic rotations the fellow will act as the primary provider of patient care, but will work very closely with the subspecialty attending physician to discuss any and all patient care issues.

Fellows are excused from clinic when rotating in the MICU. When absent from clinic or for vacation or conference attendance, he/she is responsible for identifying a physician to provide coverage for all patient care issues.