There are three main outpatient experiences throughout the training period:
- Continuity Clinic– fellows have an assigned continuity clinic site at an outpatient office within Detroit- all are within 30 minutes of the hospital. Fellows work (on average) one half-day per week during non-ICU rotations. Patients are staffed on-site with attending physicians who have protected time for education in the outpatient setting.
- K17 Outpatient Rotation- Fellows work for two 2-week blocks (one block in third year) at the outpatient pulmonary clinic at the main hospital campus. In addition to seeing and staffing patients, fellows also read PFTs and have outpatient-focused didactics in a one-on-one setting with their attending. The curriculum is based off the APCCMPD Ambulatory Workgroup’s teaching scripts, of which Dr. Diaz-Mendoza is a contributor.
- Sub-subspecialty Clinic Exposure- Fellows will have exposure to dedicated sub-subspecialty clinics during their rotations on these services, including Interstitial Lung Disease, Pulmonary Hypertension, Sarcoidosis, Transplant, and Interventional Pulmonary.
Fellows generally have 60 minutes for new patients and 30 minutes for return visits. There are pulmonary function labs at every satellite clinic so patients are often able to have same-day PFTs done before seeing providers.