MU Department of Medicine 2011-2013 Annual Report Feb. 2014 | Page 47

2011-2013

Department of Medicine

47

OverView of clinical programs + Services
The division offers a comprehensive program of quality patient

having a total of eleven clinical fellows. The fellows are trained

care, research and education. The clinical expertise of the nine

to be skilled clinician scientists through intense clinical exposure

full-time faculty members in the division covers a broad range

and several months devoted to research. The fellowship’s

of pulmonary and critical care medicine, including asthma,

strength in pulmonary and critical care medicine lies in state-of-

obstructive and restrictive lung disease, pulmonary physiology,

the-art facilities for treatment of patients, active patient care and

sleep apnea, and all aspects of ICU medicine.

research by faculty members and close teaching affiliation with

In 2013, University Healthcare was ranked among the top
hospitals in Central Missouri by U.S. News & World Report as

other specialties. Our Division is recognized for its excellence in
teaching medical students and medicine residents.

having the most specialties recognized, including Pulmonary,

The convenient School of Medicine location affords the division

Critical Care & Environmental Medicine.

interaction with other local medical facilities and university

The division has an active clinical and basic science research
program with projects related to asthma, COPS, aerosol therapy,
lung cancer, mechanical ventilation, sepsis, shock, respiratory
failure and sleep medicine.
The division has a fully accredited and highly competitive three-

departments in a variety of collaborative research efforts. In
short, the members of the Division are committed to the highest
quality of patient care, teaching and clinical and basic research
to further understand acute and chronic pulmonary disease; our
goals are to improve the quality of life for our patients and their
families.

year combined Pulmonary and Critical Care Fellowship Program

Overview of Education
Dr. Hunter Hofmann began as Fellowship Program Director in

extensive training in interpretation of pulmonary function tests,

September 2012, enhanced the fellowship program in several

thoracentesis, interpretation of pleural fluid findings, pulmonary

ways. Among these was the development of an elective rotation

rehabilitation , and pre-operative evaluation.

in long-term acute care at Landmark Hospital in Columbia, MO,
development of a sleep rotation within the division, and initiation
of a rotation in Interventional Pulmonary Medicine.

Primary rotations in critical care medicine include a minimum
of 12 months of responsibility for critically ill patients. Elective
rotations include the coronary care unit, surgical critical care

Our fellows serve on various hospital and national committees

unit, burn unit, pediatric ICU and thoracic ICU. Fellows obtain

including the ICU quality improvement, respiratory therapy, house

extensive experience in all technical aspects of critical care,

staff, and percutaneous tracheostomy committees, as well as the

to include: hemodynamic and arterial pressure monitoring,

Panel for Ethnic Diversity and the American Thoracic Society. In

endotracheal intubation, central line placement, respiratory

addition, fellows participate in regional and national conferences

monitoring, mechanical ventilation, chest tube placement and

where they present posters that could result in publications.

maintenance, and pacemaker insertion and resuscitation. Fellows

Our fellows continue to receive 100% pass rates in the American
Board of Internal Medicine examinations. With the revised

also gain experience in the use of bedside ultrasonography in the
ICU.

curriculum, emphasizing lectures of a didactic nature, more basic

All fellows participate in research blocks in which the duration

science instruction and lectures by visiting scholars and many

and intensity depends on individual career plans. There are

other upgrades. We received full accreditation of our three-year

ample opportunities in the division for clinical, translational

fellowship program by the ACGME after a successfully site visit in

and basic science research. The division has ongoing research

February 2007.

collaborations with the Department of Medical Pharmacology

Our faculty and fellows are active in the first-and second-year
medical curriculum. Their lectures to the medicine residents

and Physiology, the School of Veterinary Medicine, and with
investigators in the Life Sciences Center (nanoparticle studies).

include core didactic, intern survival series, as well as Department

All first year fellows participate in the Midwest Bronchoscopy

of Medicine Grand Rounds.

and Pleural Procedures Course. In 2013, Dr. Arul Chandran was

Training is obtained in all aspects of pulmonary and critical care
medicine. Pulmonary training is performed in primary outpatient,
as well as referral and consultation outpatient and inpatient
settings. Fellows receive exposure in all of the basic techniques
of pulmonary medicine to include: fiber optic bronchoscopy,
chest tube placement, sleep medicine, exercise physiology,

identified as the most outstanding fellow and will return as an
instructor next year.