Our Clinical Sites

We have four training sites that provide a rigorous, diverse, and rewarding clinical training experience for our fellows.

RR UCLA Exterior of building

1. Ronald Reagan Medical Center (RRMC):

A 520-bed hospital with five specialized 24-bed ICUs. It is a quarternary care hospital that is consistently ranked in the top 10 in the US News and World Report rankings. At RRMC, our fellows benefit from specialized training in pulmonary and critical care. Fellows routinely see cases that some pulmonary physicians only see once in a lifetime. Some of the subspecialized pulmonary care provided at RRMC includes: interstitial and rare lung diseases, lung transplant, pulmonary hypertension, ECMO, and interventional pulmonary.

  • Core clinical rotations
    • Medical ICU, general pulmonary consult service, advanced lung disease (e.g. lung transplant) consult service, pulmonary hypertension consult service
    • Senior fellows only: liver ICU (e.g. pre- and post-liver transplant patients), medical ICU night coverage
  • Elective clinical rotations
    • Neuro-ICU, cardiothoracic surgery ICU, surgical/trauma ICU, ECMO management, interventional pulmonary consult service
  • Outpatient clinics
    • General pulmonary, pulmonary hypertension, interstitial lung disease, lung transplant, COPD, sleep medicine, post-ICU clinic
    • *UCLA provides a continuity clinic experience for many fellows, whether in general pulmonary clinics or subspecialty clinics

SM UCLA exterior of building

2. Santa Monica-UCLA Hospital (SM-UCLA):

A 281-bed hospital with an 18-bed ICU which serves as our community hospital. It is staffed by a skilled, tight knit group of full-time UCLA faculty clinician educators. It is the home base for our interventional pulmonary group, offering advanced bronchoscopic, pleural, and airway procedures. At this site, our fellows get to run their own ICU as there are no residents or mid-level providers. Our fellows enjoy both the medicine and the autonomy at Santa Monica and have the opportunity to participate in a truly community intensivist experience there.

  • Core clinical rotations
    • Medical ICU, general pulmonary consult service
  • Elective clinical rotations
    • Interventional pulmonary consult service, Cystic fibrosis consult service
  • Outpatient elective clinics
    • Cystic fibrosis multidisciplinary clinic, nodules/malignancy/effusion clinic, interventional pulmonary, sleep medicine

WLA VAMC exterior of building

3. The West LA VA Hospital (WLA-VA):

A large tertiary care Veterans Affairs hospital with a 36-bed multidisciplinary ICU along with an 18-bed multidisciplinary step-down unit and is part of the largest VA system in the nation. Fellows have the opportunity to serve the veteran population, and get particularly in-depth exposure to COPD, lung cancer, pulmonary function testing, cardiopulmonary exercise testing, and sleep medicine.

  • Core clinical rotations
    • Medical ICU, general pulmonary consult service, outpatient clinical service, sleep/pulmonary physiology (PFTs, CPETs)
  • Elective clinical rotations
    • Surgical ICU
  • Outpatient clinics
    • General pulmonary, sleep medicine, pulmonary function testing, cardiopulmonary exercise testing
    • *VA provides a continuity clinic experience that most 1st years participate in, and many 2nd and 3rd years elect to continue there as well

OVMC building exterior

4. Olive View-UCLA Hospital (OV-UCLA):

A county hospital serving the population of the San Fernando Valley with an 18-bed mixed medical ICU/cardiac care unit. At this site, our fellows get to experience all the benefits of a county hospital – first time presentations, bread and butter cases, an extremely diverse patient population, and the opportunity to take care of underserved patients. The dedicated clinician educator faculty has made OV-UCLA an extremely popular training site for medical students and fellows alike. Additionally, Olive View has also recently been honored as a pulmonary tuberculosis center of excellence.

  • Core clinical rotations
    • Medical ICU, general pulmonary consult service, outpatient clinical service
  • Elective clinical rotations
    • Tuberculosis inpatient ward
  • Outpatient clinics
    • General pulmonary clinic
    • *Olive View offers a continuity clinic experience for interested 2nd and 3rd year fellows

Student Alex during procedural training

Procedural Training

Also unique to our training program is the abundance of procedural training we offer. Fellows will graduate from our program proficient in the following:

  • Bronchoscopy: general bronchoscopy, transbronchial biopsies, linear endobronchial ultrasound with transbronchial needle aspiration
    • Fellows will get exposure to rigid bronchoscopy, navigational bronchoscopy, and radial endobronchial ultrasound
  • Pleural procedures: thoracentesis, chest tubes, pleurx catheters
    • Fellows will get exposure to medical pleuroscopy
  • Airway management: direct laryngoscopic intubations, glidescope intubations, fiberoptic intubations
  • Percutaneous tracheostomy
  • Right heart catheterizations
  • Central venous catheterization including subclavian catheters and hemodialysis catheters
  • Arterial lines
  • Advanced ultrasound training with a formal training curriculum in ultrasound

Student Rich during clinical rotation

Clinical Rotation Structure

  • 1st year: 48 weeks of clinical rotations + 4 weeks of vacation
    • Clinical rotations are a mix of ICU + inpatient consults + outpatient procedure/clinic coverage
  • 2nd and 3rd year:
    • Clinician educator track: ~26 weeks of clinical rotations + 22 weeks elective mixed with academic/research time + 4 weeks of vacation
    • Research/STAR track: ~14 weeks of clinical rotations + 34 weeks of research + 4 weeks of vacation
  • Continuity clinic: every fellow is assigned to a continuity clinic, which they attend one half-day per week. This experience allows fellows to provide longitudinal care to patients, forming relationships that last throughout fellowship.
    • Available clinical sites for continuity clinics: UCLA, VA, Olive View (2nd and 3rd year only), Santa Monica (2nd and 3rd year only)
    • Additional outpatient clinic experience is provided during the VA and Olive View outpatient rotations, which includes clinic coverage and participation in outpatient pulmonary procedures
  • Available clinical “tracks”: during the 2nd and 3rd year, we have the flexibility and resources to allow interested fellows to gain additional sub-specialty training in a number of fields, preparing fellows to exit fellowship after 3 years with an area of subspecialized expertise that often otherwise takes an additional year of fellowship training. These areas include:
    • Interstitial lung disease
    • Pulmonary vascular disease
    • Sleep medicine (through the pilot AIRE program)

A group of clinical training students in the classroom

Didactics and Education

Throughout the entire fellowship, fellows will be exposed to both informal and formal didactic lectures at every site with certain conferences available to all sites via tele-conferencing. Fellows participate both as a learner and also as an educator, prepare teaching conferences to be delivered to residents and the fellowship program.

Multiple formal simulation courses for the fellows are also held annually including a fellows’ bootcamp, US course, EBUS course, and difficult airway course. The courses are run by faculty that regularly teach these skills at national conferences run by the American Thoracic Society, American College of Chest Physicians, and Society of Critical Care Medicine.