Pulmonary & Critical Care Medicine Fellowship

Clinician-Educator Training Pathway

The Clinician-Educator (C-E) pathway within the Pulmonary and Critical Care (PCCM) fellowship training program is designed for graduates of Internal Medicine residency programs who desire a career in academic medicine with a focus on medical education and patient care. The pathway focuses on the development of teaching skills, clinical excellence and a scholarly focus that will prepare graduates for a faculty position at a University-based academic medical center.

Program Structure:
The C-E pathway occurs within the 3-year, ACGME-accredited PCCM training program.

Year 1:
The first year of fellowship is clinical and is identical to that of the traditional research-focused pathway. All fellows will complete 12 inpatient months on various pulmonary and critical care services.

Year 2:
The second year of fellowship is based at the Puget Sound Veteran’s Administration (VA) Medical Center. Clinical responsibilities include two months on the VA inpatient service and one-half day per week of general pulmonary clinic.

During the second year, fellows either participate in the Teaching Scholars Program offered by the Department of Medical Education or pursue education-related coursework at the University of Washington. The Teaching Scholars Program is a one-year professional development program designed to enhance teaching skills, promote scholarly innovation and develop academic leaders. As part of the program, fellows will complete an education-related project within the discipline of PCCM. This project will be continued through Year 3.

Year 3:
The third year of fellowship will consist of 7-8 months of clinical training. The training will be tailored to each fellow’s interest, allowing the fellow to develop additional expertise in a particular area of pulmonary or critical care medicine. Fellows may continue a half-day of general pulmonary clinic per week or may substitute one of the many subspecialty ambulatory clinic experiences available, depending upon career interests. 

Teaching Expectations:
In addition to teaching house staff and medical students when on clinical rotations, fellows in the C-E pathway will be expected to provide additional teaching in the second and third years of fellowship in order to hone their teaching skills. Specific opportunities include being a small group co-leader for the 2nd year medical school course on pulmonary physiology, leading student clerkship seminars, and presenting at the core fellowship conference.
Fellows will receive focused feedback regarding their teaching from select members of the C-E Work Group.

Scholarly Activities:
Fellows will be expected to develop a primary education project within PCCM during their second year in the program. The project should serve both to help develop the fellow’s teaching skills and improve some aspect of training for fellows, house staff and/or medical students.

In addition, fellows will be expected to demonstrate the ability to produce scholarly output that will be necessary for appointment and promotion as faculty members. Scholarly activity can include scholarship relate to teaching (e.g. development of curricula or evaluation tools), integration (e.g. review articles, book chapters), or investigation (e.g. research in education) and discovery.

Fellows will also be members of the PCCM Clinician-Educator Work Group, responsible for developing and implementing Division-wide educational initiatives.

Early in the first year of fellowship the Fellowship Program Director (Mark Tonelli) meets with each fellow to determine their general research interests and directs them to faculty whose research complements their interests. Fellows will then independently arrange to meet with these potential mentors. By the beginning of Year 2, the fellow will choose a primary mentor. In addition to the primary mentor, core faculty from the pathway, including Richard Goodman, Mark Tonelli, Andrew Luks and Patricia Kritek will form the fellow’s Mentoring Committee. This group will meet with the fellow at least every six months to facilitate projects and to aid in the transition to a junior faculty position.

Application and Selection:
Applications can be submitted via the Electronic Residency Application Service (ERAS).


While application to both the C-E pathway and the research pathway is allowed, the two programs have very distinct goals and applicants are encouraged to identify their ultimate career goals prior to choosing to which pathway to apply.
The program participates in the National Residency Match Program, with a separate match number from the research track.



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