

The Section of Pulmonary,
Critical Care, and Sleep Medicine (PCCSM)
at the University of Illinois at Chicago has a full array of services
for patients, referring physicians, and fellows. Situated in the heart
of Chicago, the Sectionprovides excellent patient care, quality education,
and an environment of inquiry with innovative basic and clinical research.
Twenty-four clinical and research faculty members are responsible for
a broad range of activities.
The Section
directs the Medical Intensive Care Unit service at the Universityof
Illinois Medical Center (UIH+C) and the Jesse Brown VA Medical Center
(JB-VAMC) and staffs the Intensive Care Unit (ICU) at Michael Reese
MedicalCenter. The ICU services have members of a multidisciplinary
team that include an attending intensivist physician, a pulmonary and
critical care fellow, critical
care (CCRN) nurses, a doctor of pharmacy (PharmD), respiratory therapists
(RRT), and social and chaplain services. The critical care team has
primary responsibility for all aspects of patient care and conducts
daily bedside rounds and extensive didactic teaching. Fellows, residents,
and students
working on these MICU rotations carry out technical procedures including
ventilator management, cardiopulmonary monitoring, and placement of
centrallines under the supervision of the attending physician. The section
also staffs the Surgical Intensive Care Unit and consults on the Neuro
and Cardiothoracic ICUs at UIH+C.
Both the UIH+C and JB-VAMC hospitals support busy pulmonary inpatient
consultation services and a robust outpatient practice in pulmonary
and sleep medicine. Patients with a variety of respiratory and sleep
related illnesses come to UIC for an expert opinion and care in a variety
of both common and unusual illnesses. The PCCSM section conducts several
clinical studies in which patients can be involved. Areas of expertise
and academic interest include alpha1-antitrypsin deficiency, asthma,
bronchiectasis, chronic obstructive pulmonary disease (COPD), interstitial
lung disease, scleroderma-
related lung disease, sleep apnea, tuberculosis and other mycobacterial
diseases.
In addition
to the experience and exposure to all forms of pulmonary disease, fellows
and residents learn the performance and interpretation of physiologic
pulmonary function tests including spirometry, static lung volumes,
pulmonary exercise testing, and bronchial challenge testing. Under supervision
of attending physicians, fellows see patients on the pulmonary consultation
service and in the Ambulatory Care Clinic at UIH+C and JB-VAMC. A well
equipped and busy sleep lab provides service for patients and referring
physicians and learning opportunities for fellows. Pulmonary fellows
have an opportunity for extensive public health experience in the treatment
of patients with latent and active tuberculosis in the City of Chicago
tuberculosis clinics and at the
ambulatory, inpatient pulmonary, critical care and sleep rotations.
Clinical electives are available to fellows in a variety of fields and
at other hospitals.
In addition to the clinic activity, fellows develop a supervised research
program with one of the Section's scientists in either basic science
or clinical research. Research interests of the faculty includes animal
and cellular models of acute lung inflammation (e.g. ARDS and severe
sepsis), molecular mechanisms of alveolar and airway inflammation, macrophage
and neutrophil
cellular biology, epidemiology of asthma and occupational lung disease,
use of nanoparticles for delivery of anti-neoplastic drugs, basic and
clinical aspects of sleep disordered breathing and sleep apnea, clinical
trials in interstitial lung disease, ARDS and severe sepsis, pulmonary
vascular disease, and asthma.
For fellows
committed to pursuing an academic career, we encourage a fourth or fifth
year of fellowship devoted exclusively to research. Fellows can obtain
a master of public health (MPH) degree during their fellowship. The
section has a variety of teaching methods that are primarily
centered on one-on-one patient-centered activities and Conferences.