Clinical Training

Physicians reviewing a polysomnogram

Fellowship director Kannan Ramar, MBBS, M.D., reviews a polysomnogram with fellow Joseph H. Skalski, M.D.

During your clinical training in the Pulmonary and Critical Care Medicine Fellowship, you are under the direct supervision of a Mayo Clinic physician consultant. This 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
  • Sleep disorders

Rotation schedule

A typical rotation schedule includes:

Rotation Length
Outpatient consultations 3 months
Bronchoscopy 3 months
Hospital inpatient services 4 months
Critical care medicine 9 months
Pulmonary function and exercise testing 1 month
Sleep Disorders Laboratory 1 month
Thoracic surgery and lung pathology 1 month
Electives 2 months
Research 12 months


Critical care rounds

Critical care rounds

Didactic training

Didactic training is an integral part of the Pulmonary and Critical Care Medicine Fellowship, though other innovative ways to deliver education are being evaluated and delivered to the fellows.

During your 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 and/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 conferences
  • Weekly sleep case conferences
  • Quarterly multidisciplinary mycobacterial disease conference
  • Morbidity and mortality conferences
  • Quality improvement projects

Call frequency

The fellowship call rotation is different for each rotation. Mayo Clinic College of Medicine and Science follows the recommendations of the Accreditation Council for Graduate Medical Education.

Teaching opportunities

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


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. You are evaluated formally by your supervising faculty member after each clinical rotation and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure that your educational needs are being met.

March 07, 2016