Services

Beth Israel Medical Center

The Beth Israel Medical Center Petrie Campus serves as the PCCM Division’s primary patient care and training site. At Petrie, the PCCM Division is responsible for the management of several patient care units; a 16 bed Medical Intensive Care Unit, a 12 bed Respiratory Care Unit, a dedicated cardiopulmonary rehabilitation center, a comprehensive sleep laboratory, and a specialized bronchoscopy suite. The Division also oversees the hospital-wide rapid response team.

The Phillips Ambulatory Care Center located at Union Square is also part of the Petrie Division and is where the Division offers outpatient consultation services in Pulmonary and Sleep medicine, pulmonary function testing, and cardiopulmonary exercise testing.

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Fellowship Training Program

The PCCM fellowship experience at BI is designed to prepare trainees for careers in academic pulmonary and critical care medicine as clinician-educators and to teach outstanding and compassionate interdisciplinary pulmonary and critical care medicine.

Completion of the three-year fellowship fulfills the requirements for certification by the American Board of Internal Medicine in both Pulmonary Diseases and Critical Care Medicine.

Faculty

The core PCCM faculty includes 7 full-time, internationally recognized faculty who possess a broad array of clinical and research interests covering the major fields of pulmonary medicine. Fellows interact with core faculty on a daily basis through bedside rounds, daily clinical conferences, journal clubs, and didactic sessions. Formal didactic sessions are built around a core lecture series given daily by BI faculty and include respiratory physiology, hemodynamic monitoring, mechanical ventilation, and respiratory infections.

The clinical training emphasizes the diagnosis and management of acute and chronic respiratory diseases, with emphasis on the practical application of pulmonary physiological and biologic principles and all aspects of critical care, consultative chest medicine, rehabilitation, pulmonary hypertension, lung cancer, and sleep medicine. An equally important aspect of our program is training in a vast array of pulmonary and critical care procedures. BI training program includes in depth preparation in:

A unique aspect of the program is training in management of the difficult airway and advanced care of the acutely unstable patient. Included in the program is training in conducting clinical research and submission of data to national meetings and peer reviewed journals. This rare combination of procedural and intellectual training has established BI as a national leader for physician-trainees interested in cutting edge patient care.

Please note that applications for fellowship training at BI are accepted exclusively through the Electronic Residency Application Service (ERAS). To apply to our fellowship program, please go to the ERAS website at www.aamc.org/audienceeras.htm. Applications and related documents submitted without the use of ERAS are not accepted. Additional information about the fellowship application process is provided below. We appreciate your interest in our training program and look forward to receiving your application.

We invite you to review the information in this web site to learn more about our program.

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Medical Intensive Care Unit (MICU)

Located on the 7th floor of the Dazian Building, this 16-bed intensive care unit specializes in the care of medical critical illness. Led by Samuel Acquah, MD, the MICU features a team comprised of an array of health professionals committed to delivery of cutting-edge critical care. Our team consists of Intensive Care trained physicians ("Intensivists"), along with a dedicated critical care nursing staff, physical therapists, respiratory therapists, nutritionists, social workers. An important part of the MICU care program is active participation by pain and palliative care specialists from the renowned Jacob Perlow Hospice. With over 1200 admissions per year, we are one of the busiest areas of the hospital and a major area of training for medical students, residents, and fellows.

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Respiratory Care Unit (RCU)

Our 12 bed respiratory care and medical step-down unit is primarily dedicated to the care of patients with respiratory diseases and slowly resolving critical illnesses who require extended periods of mechanical ventilation for acute and prolonged forms of respiratory failure. With a dedicated staff of respiratory therapists, nutritionists, physical therapists and pulmonologists, we offer high success rates in liberating patients from mechanical ventilation.

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Bronchoscopy and Interventional Pulmonary Service

The BI Bronchoscopy service gained a local and regional reputation due to its long increasing expertise in the use of endobronchial ultrasound (EBUS) a highly accurate and non-invasive technology for the diagnosis and staging of lung cancer. The EBUS program was started by Dr. Samuel Acquah who, along with Dr. Pierre Kory accept EBUS referrals from many regional hospitals. In addition, the Bronchoscopy service offers an array of other diagnostic and therapeutic procedures using ultrasound guidance for evaluation and treatment of pleural processes and other intra-thoracic medical problems.

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Pulmonary Medicine Clinic

Located in the Phillips Ambulatory Care Center (PACC), outpatient consultation and care of the entire spectrum of pulmonary disease and sleep disorders is offered by a team of board certified lung specialists. These pulmonologists work with PCCM fellows to address common and complex disorders of the respiratory system. Some of the many illnesses treated include asthma, acute and chronic cough, chronic obstructive pulmonary disease, interstitial lung diseases, sarcoidosis, and lung cancer. Specialized pulmonary function testing and cardiopulmonary exercise testing are also performed here. To make an appointment for a consultation with one of our physicians, please call 212-420-2377.

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Pulmonary Function Testing Lab

The Beth Israel Pulmonary Function Laboratory is located on the 3rd floor of PACC. This state of the art facility is directed by a world expert in lung function testing, Dr. Albert Miller. The lab offers a full-array of pulmonary function testing including airway responsiveness testing (methacholine & histamine challenges) and cardiopulmonary exercise testing.

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Sleep Center

The Beth Israel Sleep Disorders program offers comprehensive diagnostic and treatment services for all types of sleep disorders including polysomnography, daytime “nap” studies, and multiple sleep latency testing. The sleep laboratory is located on the 6th floor of the Linsky Pavilion. Dr. Vicky Seelall, MD is a sleep fellowship-trained and board certified sleep disorders specialist and Director of the BI Sleep Medicine program.

Management of the sleep disorders at BI includes the availability for evaluation of sleep disordered breathing in the BI sleep medicine clinic. This comprehensive approach allows for patient-specific treatments and use of the best possible devices for support of sleep disordered breathing. If you would like to schedule a consultation with a sleep specialist, please call 212-420-2377. To schedule a sleep study, please complete a requisition form (link to form) http://www.sleephealth.com/ or call the Sleep Health Center at Beth Israel at 877-753-3742.

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Pulmonary Hypertension Center

The BI Pulmonary hypertension program is among the largest in the US. Dr. Roxana Sulica, a national expert in the diagnosis and treatment of Pulmonary Hypertension (PH), serves as Director. Dr. Sulica is well published in the area of pulmonary hypertension and participates in many national, multi-center studies of new therapies for pulmonary hypertension. The PH center receives referrals from a wide geographical region due to its offering of the most current diagnostic and treatment modalities for this disease and its participation in clinical research trials. For referral or consultation please call: 212-844-8824.

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Cardiopulmonary Rehabilitation Center

Directed by Jonathan Raskin, MD, a national leader in both cardiac and pulmonary outpatient rehabilitation. The BI rehabilitation program is a specialized program that is geared toward improving the quality of life in patients with pulmonary disease by increasing exercise tolerance and reducing symptoms of dyspnea. For referral or consultation, please call 212-420-2357.

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Simulation Training Center

The BI Medical Simulation Training Center is directed by Pierre Kory, MPA, MD and located in newly renovated space in the Baird building. The center utilizes a life-sized, computerized patient simulator (SimMan™) to emulate a vast array of clinical scenarios to facilitate critical skills acquisition in areas such as basic and advanced airway management, resuscitation from cardiac arrest & shock, medical crisis leadership tactics and task based procedures such as insertion of central lines under ultrasound guidance.

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Critical Care Ultrasonography

The Division has become a national leader in this young field, having applied the use of ultrasonography to the care of ICU patients since the early 1990’s. The Division currently owns 5 ultrasound machines with diverse applications. Critically ill patients admitted to the ICU are routinely scanned using this safe, non-invasive imaging modality to determine the causes of shock, respiratory failure and guidance in the always-challenging assessment of intravascular volume status. Dr. Pierre Kory, MD, MPA is a key faculty member for the national courses given by the American College of Chest Physicians and is the Principal Investigator of several studies within the field. He has been an invited lecturer at several regional and national conferences from both medical and surgical intensivist societies. He is also one of only a handful of non-cardiologists in the country to have passed the National Board of Echocardiography exam.

CRITCARESONO.COM
A major effort by the Division has been its work in creating the first free, educational website devoted to teaching all the concepts and components of General Critical Care Ultrasonography as outlined in the recent Competence Statement published by the American College of Chest Physicians and the Societe de Reanimation de Langue Francaise (the major European society for Intensive Care physicians). The site is currently nearing launch with fellows from the Division responsible for and developing multiple topic areas within the site. This site will feature hundreds of ultrasound clips detailing major findings in the critically ill along with supplemental text teaching the important concepts, principles, and applications of the field. A popular feature for practicing intensivists will be the library of “unknowns” used for practicing interpretive skills.

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Multi-Disciplinary Lung Cancer Program

Lung cancer is the leading cause of cancer death in this country and presents highly challenging problems in both the diagnosis and treatment of the disease and its complications. BI as part of the Continuum Health Partners network participates in a multi-disciplinary lung cancer program that includes clinicians from the fields of Pulmonology, Thoracic Surgery, Radiology, Medical Oncology and Radiation Oncology. Participation in this program offers patients one-stop, comprehensive consultation from nationally recognized experts in their respective fields.

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