Mayo Clinic pulmonary physicians reviewing a polysomnogram

Fellowship Director Dr. Kannan Ramar reviews a polysomnogram with fellow Dr. Joseph H. Skalski

Clinical training

During your clinical training in the Pulmonary and Critical Care Medicine Fellowship, the direct supervision of a Mayo Clinic physician consultant helps you make the most of your educational experiences while ensuring the best quality of patient care delivery.

You gain experience in:

  • Clinical pulmonary medicine
  • Critical care medicine
  • Flexible fiber-optic bronchoscopy and endobronchial ultrasound
  • Pulmonary function tests
  • Procedures related to pulmonary and critical care medicine

Rotation schedule

A typical rotation will vary based on the clinical track and includes:

Rotation Length
Outpatient consultations 1-3 months
Bronchoscopy 2-3 months
Hospital inpatient services 2-4 months
Critical care medicine 9-15 months
Pulmonary function and exercise testing 1 month
Sleep disorders laboratory 1 month
Pleural service and interventional pulmonology 1 month
Electives 1-2 months
Research 12-18 months
Mayo Clinic pulmonary physician and fellow performing bronchoscopy

Bronchoscopy — Consultant Dr. James P. Utz with fellow Dr. Narat Srivali

Mayo Clinic pulmonary multidisciplinary critical care rounds

Multidisciplinary critical care rounds

Call frequency

Your call schedule is different for each track rotation. Mayo Clinic College of Medicine and Science follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).


You may moonlight with program director approval. Moonlighting should not interfere with the required learning and must not violate the duty-hour rules of the Accreditation Council for Graduate Medical Education (ACGME) or visa regulations.

Research training

Learn about the research opportunities available to you.

Didactic training

Didactic training is an integral part of the Pulmonary and Critical Care Medicine Fellowship, though fellows are also exposed to other innovative ways of delivering education such as the use of social medical platform, video blogs and flipped classroom models.

During training, you participate in:

  • A weekly combined case conference featuring pulmonary, thoracic surgery, critical care, sleep, radiology and pathology cases
  • A weekly conference presented by pulmonary and critical care medicine fellows or the staff consultants, often on materials published in peer-reviewed journals or presented at regional and national meetings, recent advances or new technologies, or research projects with clinical translational impact
  • Core lectures in pulmonary and critical care medicine
  • Monthly comprehensive conferences in sleep medicine
  • Weekly research conferences to review and discuss recently conducted or ongoing research projects
  • A biennial course in advanced pulmonary physiology
  • Frequent journal clubs to discuss and critically evaluate recent scientific publications on basic mechanisms of lung disease and clinical aspects of pulmonary and critical care medicine
  • Monthly interventional pulmonary case conference
  • Weekly sleep case conference
  • Quarterly multidisciplinary mycobacterial disease conference
  • Morbidity and mortality conference
  • Quality improvement and patient safety projects

Teaching opportunities

Opportunities are available for teaching rotating residents and medical students. Also, fellows are given the opportunity to participate in educational workshops to improve teaching skills.


To ensure that you acquire adequate knowledge and develop your technical skills, your performance is monitored carefully during the course of the Pulmonary and Critical Care Medicine Fellowship and feedback is offered regularly. Formal evaluation is conducted by a supervising faculty member after each clinical rotation and reviewed with the program director. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.

June 02, 2017