The elective in Pulmonary Medicine is intended to provide the student with a solid knowledge base and understanding in the fields of pulmonary physiology, chest X-ray interpretation and pulmonary and critical care consultation. Pulmonary physiological topics covered in this elective include pulmonary function test interpretations with emphasis on the flow volume loop, lung volumes and diffusion capacity, cardiopulmonary interactions that include the effects of mechanical ventilators on cardiovascular hemodynamics, the physiology of the pleural space and the understanding and assessment of gas exchange abnormalities.
In addition, the physiology of the respiratory muscular pump is reviewed especially as it pertains to patients in respiratory failure. The basic review of the chest X-ray oriented to the medical student and a house officer is also taught, and the Division has a collection of 100 excellent teaching cases to be reviewed in didactic setting. Patients on the pulmonary service provide the back bone for teaching the art of consultation with focus upon physical examination and differential diagnosis. The Pulmonary Division also has a conference schedule in which the fellows participate regularly at presenting recent clinical and scientific studies. In addition, there are regularly scheduled chest X-ray conferences, pulmonary pathology conferences and a joint conference with the faculty of the other health system hospitals that serve as a clinical case review forum. The respiratory care unit serves as a resource for teaching ventilation management, weaning and palliative care. At all times, the student is regarded as an integral part of the pulmonary consultative service and is encouraged to participate in formal presentations as well.
Supervisor, Residency Program
Department of Medicine
Office of Graduate Training, 4DSU
North Shore University Hospital
300 Community Drive
Manhasset, NY 11030
Phone: (516) 562-4764