Preceptor: Andrew Lehr, MD
Contact: Kathy Papassoulis, Kathy.Papassoulis@NYULangone.org
Tel: 212-263-2315

Prerequisite: Medicine Clerkship

Clinical sites

Tisch/Kimmel Hospital, Bellevue Hospital, VA Hospital

Description

This is a 4-week elective that seeks to build on pulmonary knowledge, and experiences gained in the pre-clerkship and clerkship years. It may be used to build upon experience from the 2-week Pulmonary Elective. Students will gain a deeper understanding of the core principles, foundational knowledge, and essential skills relevant to the specialty through taking part in daily pulmonary consultation rounds. Students will, along with senior pulmonary fellows, be able to evaluate and examine patients with a wide spectrum of pulmonary diseases. Students will also be encouraged to participate in multidisciplinary conferences (oncologic, thoracic surgery, chest radiology, and pathology) and observe pulmonary procedures including bronchoscopy, thoracentesis, and transthoracic lung biopsy. Students will also rotate through the pulmonary physiology laboratory.

Objectives of the elective

By the end of this elective, through daily contact with patients and didactics, you will:

1. Gain a deeper understanding of the field of pulmonary medicine, building on your pre-clerkship and clerkship experiences, through a broad exposure to pulmonary diseases
2. Expand your skills in inpatient and outpatient workup and management of patients with pulmonary diseases
3. Learn about specialty-specific history and physical exams as well as the indications for, and complications of specialty-specific procedures
4. Gain knowledge regarding treatment modalities used to treat pulmonary diseases
5. Gain insight into the interdisciplinary nature of this specialty and how our clinicians interact with other medical disciplines to provide comprehensive patient care
6. Explore pulmonary medicine as a medicine subspecialty

Key Responsibilities of the students while on Elective

By enrolling in this elective, you have agreed to:

1. Participate in at least 35 contact hours of education each week
2. Provide communication of any excused absences to the Office of Student Affairs (excused absence form) and to the elective coordinator, in a timely fashion
3. Arrive in a timely fashion to all locations to which you are assigned 
4. Participate in rounds and patient care with residents and attendings
5. Be an active participant in the care of patients being followed by the team, as dictated by the resident/attending
6. Attend all didactics provided for trainees, as outlined below

Key Responsibilities of the preceptor/residents/faculty while you are on Elective

By accepting your enrollment in this elective, the department has agreed to:

1. Clearly communicate their expectations of you
2. Maintain a supportive clinical learning environment
3. Ensure that you have access to a broad case mix and clinical experience 
4. Provide the education necessary for you to gain an understanding of the patients and pathology reflective of this specialty
5. Provide feedback on your clinical skills

Weekly Schedule

Week 1

Monday	Tuesday	Wednesday	Thursday	Friday
AM: Pulmonary consults Noon: No conference PM: Pulmonary consults	AM: Pulmonary consults Noon: Physiology conference PM: Pulmonary consults	AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	7:45AM: ILD Conference (Webex) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	8AM: Pulmonary radiology conference (Webex/Tisch) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults

Week 2

Monday	Tuesday	Wednesday	Thursday	Friday
AM: Pulmonary consults Noon: Radiology conference, VA 11N conference room PM: Pulmonary clinic, VA 12N	AM: Pulmonary Consults Noon: Physiology conference PM: Pulmonary consults	AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	7:45AM: ILD Conference (Webex) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	8AM: Pulmonary radiology conference (Webex/Tisch) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults

Week 3

Monday	Tuesday	Wednesday	Thursday	Friday
AM: Pulmonary consults Noon: No conference PM: Pulmonary consults	AM: Pulmonary consults Noon: Physiology conference PM: Pulmonary consults	AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	7:45AM: ILD Conference (Webex) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	8AM: Pulmonary radiology conference (Webex/Tisch) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults

Week 4

Monday	Tuesday	Wednesday	Thursday	Friday
AM: Pulmonary consults Noon: Radiology conference, VA 11N conference room PM: Pulmonary clinic, VA 12N	AM: Pulmonary Consults Noon: Physiology conference PM: Pulmonary consults	AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	7:45AM: ILD Conference (Webex) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults	8AM: Pulmonary radiology conference (Webex/Tisch) AM: Pulmonary consults Noon: Noon conference PM: Pulmonary consults

Method of Evaluation

Students are evaluated by the attending assigned to work with them who then present their findings to the preceptor who is responsible for final evaluation.

Scheduling Information

Duration: 4 Weeks

Months Offered: All year

Student point of contact before start of elective: Andrew Lehr, MD

48 hours prior to the start of the rotation, students will receive an email from Kathy Papassoulis with contact information for their supervising pulmonary fellow and attending.  At 9AM on the morning of the start of the rotation, students should reach out to the fellow via cell (text or call) in order to coordinate a meeting space to join the pulmonary consult service and receive an orientation to the rotation.

One afternoon every two weeks, students will join for pulmonary clinic at the VA on Monday afternoon.  Students will reach out directly to Dr. Andrew Lehr, 718-986-9479, at around 11:00AM to coordinate meeting for pulmonary clinic and VA radiology conference. VA Radiology conference occurs on 11 North conference room.  Pulmonary clinic occurs on 12 North. 

One afternoon every two weeks, students will also join the fellow in the pulmonary function lab. Contact information for the appropriate fellow will be provided in the introductory email by Kathy Papassoulis. Students should reach out at the beginning of each week to coordinate what afternoon is best to go the pulmonary function test lab and participate in teaching and perform their own pulmonary function test.

Students per elective block: 4

Note: For this specific elective, visiting student applications will be processed through AAMC’s Visiting Student Learning Opportunities (VSLO) program. The VSLO Application Service (aka VSAS) enables students to browse and apply for this elective.