Fellowship Programs in Critical Care and Pulmonary/Critical Care at Swedish Covenant Hospital

Welcome fellowship candidates.

Thank you for your interest in the fellowship programs at Swedish Covenant Hospital! Each program is fully accredited by the AOA and the ACOI and leads to board eligibility in the category of critical care medicine and pulmonary/critical medicine by the AOBIM upon successful completion of the program.  

Fellows will train at Swedish Covenant Hospital. Additional elective rotations may be arranged at other affiliate institutions with the approval of the program director. Swedish Covenant Hospital’s intensive care unit cares for an average of 700 admissions a year and the average length of stay for patients is four days. The hospital has 18 critical care beds and 16 step-down beds. Swedish Covenant Hospital is a Level 2 Trauma Center, an accredited Chest Pain Center and a Primary Stroke Center. We have daily multidisciplinary rounds with faculty, residents, medical students, pharmacy and nutritional services. Fellows have the opportunity to examine and discuss slides and images personally with respective staff and faculty for any difficult cases due to our close working relationship with our Pathology, Radiology and Laboratory Departments.

The critical care unit has state-of-the-art monitoring equipment for patients with cardiopulmonary diseases, including fluoroscopic room for catheter placement, ventilators for patient respiratory care, equipment for rapid analysis of blood gases, equipment for performance of bedside right heart catheterization, intravascular pressure measurement, thermodilution cardiac output determination, bedside metabolic cart and bedside POC ultrasound.

Pulmonary outpatient services has two active clinics with over 5,000 visits per year. There is also a pulmonary function lab, a sleep lab with a board-certified sleep specialist and a cardiopulmonary exercise testing lab. In addition, there is a large Respiratory Therapy Department overseen by both a clinical director and a medical director. Swedish Covenant Hospital has a high-resolution cardiac and pulmonary scanner, a PET scanner and an on-campus pulmonary rehabilitation program.
Fellows that have completed our program have a 100% board pass rate. Fellows also will experience unique courses in evidence-based medicine, critical thinking, statistical analysis and daily lectures/conferences.

Mission and Philosophy

The sections of pulmonary medicine and critical care medicine, along with the Department of Internal Medicine, educate osteopathic critical care medicine fellows on how to provide the highest quality of compassionate care, promote the practice of osteopathic critical care medicine and encourage lifelong learning, research and service.
 
The critical care fellowship is a two-year program allowing for one fellow each year (three AOA approved fellowship positions).

Program director: Claude Zanetti, M.D.
Core curriculum: 2 years (24 months)

• ICU - 13 months
• IMCU - 6 months
• Elective - 3 months
• Research - 1 month
• Cardiothoracic surgery - 1 month

Procedures performed:
• Airway intubation
• Ventilator management
• Oxygen delivery hardware management
• Needle insertion pneumothorax management
• Arterial line insertion
• Central venous line insertion
• Pulmonary artery catheter insertion
• Cardiopulmonary resuscitation
• Cardioversion
• Thoracentesis and paracentesis
• Lumbar punctures
• Dialysis catheter insertion
• Transducer use and calibration
• Cardiac output determinations
• Metabolic cart interpretation
• Temporary transvenous pacemaker insertion and management
• Critical care POC ultrasound and echocardiography

Additional resources:
Fellows attend a procedure simulation at Midwestern University with Emergency Department residents once a year which includes chest tube insertion and emergency cricothyrotomy.  

Lectures/conferences:
Lecture Scheduling\Pulmonary Critical Care Didactics>>

Fellows are provided 5 CME days and are encouraged to attend any conferences and board review courses that interest them. In the past, our fellows have attended CHEST and ATS as well as multiple local conferences.  Additionally, fellows are provided with a yearly $1,000 stipend for educational materials.

Research:
The hospital has a medical library staffed on a full-time basis by Lizabeth Giese, MLS. Library services include mediated librarian and intersearches, medical and nonmedical reference information, specialized information gathering and bibliographic instruction. Reprints of journal and/or books that are not part of the library collection are obtainable through the library’s network and consortium memberships. The library currently has 7 computers with internet access. The library data bases include OVID, MEDLINE and CINAHL, as well as internet and intranet access to EBSCOHOST. The library at Midwestern University located in Downers Grove is also available for personal on-site use and via internet connection.

Fellows are expected to complete one research project and submit one research paper to the ACOI Council on Education and Evaluation prior to the completion of their training

Faculty and the program directors are available as mentors for research projects. Throughout fellowship, an evidence-based medicine lecture series will be provided by Dr. Eric Gluck.





 
The pulmonary/critical care fellowship is a three-year program allowing for one fellow each year (three AOA approved fellowship positions). 

Program director: Eric Gluck, M.D.
Core curriculum: 3 years (36 months)

• ICU - 10 months 
• IMCU - 5 months
• Pulmonary consult - 12 months
• Elective - 3 months
• Cardiothoracic surgery - 1 month
• Pulmonary rehabilitation - 1 month
• Sleep medicine - 1 month
• Pulmonary function testing - 2 months
• Research - 1 month

Procedures performed:
• Pulmonary function testing and inhalation challenge testing
• Cardiopulmonary exercise testing
• Fiber optic bronchoscopy with bronchoalveolar lavage and transbronchial and endobronchial biopsies
• Endobronchial ultrasound with transbronchial needle aspiration
• Ultrasound-guided thoracentesis
• Arterial puncture with cannulation
• Central venous catheter placement
• Pulmonary artery catheterization
• Ventilator management
• Pneumothorax management with needle insertion and small bore chest tube insertion
• Exam/interpretation of sputum, fluids and tissues
• Polysomnography interpretations

Ambulatory clinic:
Pulmonary/critical care fellows have access to the pulmonary rehabilitation program at Galter LifeCenter (Thursday afternoons) as well as the Erie Foster underserved clinic (Tuesday and Friday afternoons). Pulmonary fellows spend one half day per week in their respective clinic. Fellows will inherit a panel of patients from graduating fellows.  New patients are also gained through referrals, emergency room follow-ups and inpatient admission follow-ups. As the fellow continues through training, a continuity panel is created for a comprehensive ambulatory experience. 

Craig Backous>>
Erie Foster Avenue Health Center>> 

Additional resources:
Fellows will also have access to the pulmonary function laboratory (in the Heart and Lung Institute), pulmonary rehabilitation (in the Galter LifeCenter) and the sleep laboratory (in the Sleep and Neurodiagnostic Center). Additionally fellows participate in a multidisciplinary thoracic tumor board once a month.

Cardiac Heart Services>>
Pulmonary Rehabilitation>>
Sleep and Neurodiagnostic Center>>
Galter LifeCenter>>

Lectures/conferences:
Lecture Scheduling\Pulmonary Critical Care Didactics>>

Fellows are provided 5 CME days and are encouraged to attend any conferences and board review courses that interest them. In the past, our fellows have attended CHEST and ATS as well as multiple local conferences. Additionally fellows are provided with a yearly $1,000 stipend for educational materials.

Research:
The hospital has a medical library staffed on a full-time basis by Lizabeth Giese, MLS.  Library services include mediated librarian and intersearches, medical and nonmedical reference information, specialized information gathering and bibliographic instruction.  Reprints of journal and/or books that are not part of the library collection are obtainable through the library’s network and consortium memberships.  The library currently has 7 computers with internet access.  The library data bases include OVID, MEDLINE and CINAHL, as well as internet and intranet access to EBSCOHOST.  The library at Midwestern University located in Downers Grove is also available for personal on-site use and via internet connection.

Fellows are expected to complete one research project and submit one research paper to the ACOI Council on Education and Evaluation prior to the completion of their training

Faculty and the program directors are available as mentors for research projects. Throughout fellowship, an evidence-based medicine lecture series will be provided by Dr. Eric Gluck.




 
Faculty:
Eric Gluck, M.D.  - Critical Care, Internal Medicine, Pulmonology
Claude Zanetti, M.D. - Critical Care, Internal Medicine, Pulmonology, Hyperbaric Medicine
Craig Backous, D.O. - Critical Care, Internal Medicine, Pulmonology
Nelson Kanter, M.D. - Internal Medicine, Pulmonology
Maribe Bangayan, M.D. - Critical Care, Internal Medicine, Pulmonology
Edgar Chedrawy, M.D. - Cardiovascular Thoracic Surgery
Ronald Curran, M.D. - Cardiovascular Thoracic Surgery
Angelique Mizera, D.O. - Physical Medicine & Rehabilitation
Steve Attanasio, D.O. - Cardiology, Internal Medicine, Interventional Cardiology, Echocardiography

Current Fellows:
Ashley Black, D.O.
Undergrad: Taylor University (Bachelor of Arts in Science)
Medical School: LECOM- Erie
Residency: Swedish Covenant Hospital

Joel Mensing, D.O.
Undergrad: Knox College (Bachelor of Science in Biochemistry)
Medical School: Midwestern- CCOM
Residency: Swedish Covenant Hospital

Sarah Sungurlu, D.O.
Undergrad: University of Toledo (Bachelor of Science in Chemistry)
Medical School: Midwestern- CCOM
Residency: Swedish Covenant Hospital

Omar Hasan, D.O.
Undergrad: University Illinois of Chicago (Bachelor of Arts in Psychiatry and History)
Medical School: AT Still- Kirksville
Residency: Swedish Covenant Hospital

• Margaret Fairhurst, D.O.

Alumni:
Wajahat Hussain, D.O.
Class of 2015
Research: Clinical value of procalcitonin in the diagnosis of pulmonary embolism

Daniel Leonard, D.O.
Class of 2015
Research: The effect of waist to hip ratio on expiratory reserve volume in obese patients

Justin Shurts, D.O.
Class of 2015
Research: Comparison of efficacy in evaluation of bedside swallowing test and the need of fiberoptic esophageal evaluation

Tom Murphy, D.O.
Class of 2014
Research: Improving the specificity of d-dimer in pulmonary embolism

Roger Christenson, D.O.
Class of 2014
Research: Compliance with transfusion guidelines in an open ICU: a retreospective analysis of transfusions ordered by critical care versus non-critical care physicians





 
Requirements:
Must be a graduate of an AOA-Commission of Osteopathic College Accreditation accredited College of Osteopathic Medicine, have passed COMLEX-USA Level 1, Level 2 CE and 2 PE and COMLEX-USA Level 3 prior to the initiation of their OGME-3 year. Candidates should be members of the American Osteopathic Association in good standing and have thorough knowledge of and commitment to the Code of Ethics of the AOA to guide the applicant in his/her practice. Membership in the AOA must be maintained throughout the fellowship. Fellows must be listed as board-eligible or certified in internal medicine by the American Osteopathic Board of Internal Medicine to enroll in the two or three-year subspecialty training program.

All applicants must submit the following:
• Official medical school transcripts 
• Copy of Dean’s Letter 
• NBOME scores 
• Three letters of recommendation 
• Completed ERAS application 

Policy and procedure for selection of fellows:

Each applicant must apply through written residency applications. All completed applications received will be reviewed by the program director and associate program director who will then decide which candidates will appear for an interview. After the interview process the final selection will be at the discretion of the program director with advice given by the associate program director and faculty. Selected candidates will be required to respond in writing regarding their acceptance or non-acceptance. All candidates selected by the program director must meet the approval of the director of medical education. All trainees will be provided a contract in accordance with the residency training requirements of the AOA. Upon satisfactory completion of the training program, the trainee shall be awarded a certificate that indicates the fulfillment of the program requirements, start and completion dates of the program and signatures of the program director and director of medical education.

Contact Information
Soraida Roman
Program Coordinator
Graduate Medical Education
773-878-8200, ext. 5293
sroman@SwedishCovenant.org