The Division of Pulmonary and Critical Care Medicine provides a comprehensive training program that utilizes the resources of the Division as well as other Divisions of the Department of Medicine, other Departments and Schools on the University of Maryland, Baltimore campus and other local institutions, including the National Institutes of Health and the Johns Hopkins University. All facilities in which our fellows train are located on the University of Maryland, Baltimore campus in the Camden Yards, M & T Bank (Ravens) Stadium, Inner Harbor neighborhood of downtown Baltimore.
University of Maryland Medical Center is a major tertiary and primary care facility with 689 beds. The Medical Center cares for more than 32,000 inpatients and 300,000 outpatients each year.
In each unit, doctors, nurses, students, clinical pharmacists and support staff work as a team to promote unified and comprehensive care for every patient.
There are ten medical teams at UMMC, including 5 medical services. There are many critical care units, including the Medical Intensive Care Unit (MICU), Critical Care Unit (CCU), Cardiothoracic ICU (CT-ICU), General Surgery ICU (SICU), Neurologic ICU, and the Maryland Shock Trauma Center. Most of these critical care units have step-down units (IMC) as well. Several specialty units are located within UMMC, including the Bone Marrow Transplant Unit and the Greenebaum Cancer Center. The medical residents, under the supervision of either the faculty attendings or hospitalists provide the patients' primary care. Subspecialty fellows serve as consultants and participate in specialized care.
In January 1993, the new Baltimore VA Medical Center opened adjacent to University of Maryland Medical Center (UMMC).
Both hospitals are conveniently connected by a walk-way which facilitates integration of educational and clinical activities.
The VA Medical Center is a 324 bed facility, built and equipped at a cost of more than $100 million. The hospital contains a fully digitalized radiology department, as well as a computerized medical record system, which gives physicians ready access to clinical data, discharge summaries and laboratory results in all team conference rooms and nursing units. This computerized medical record allows all progress notes and orders to be entered electronically, and physicians can easily retrieve and enter information for their patients.
The Baltimore facility is only one of two VA Medical Centers in the country that have two large federally funded programs in geriatrics -- the Geriatric Research Education Clinical Center (GRECC) and a Claude D. Pepper Older Americans Independence Center. It is ranked among the top 5% of VA Medical Centers in VA-funded research.
The Baltimore VA Medical Center serves as the central referral hospital for pulmonary and GI problems for an area serving West Virginia, central Pennsylvania, Maryland and Delaware.
University Specialty Hospital is part of the University of Maryland Medical Systems, located a few blocks from the University of Maryland Medical Center in downtown Baltimore.
It offers 180 beds, 70 of which are dedicated to the ventilator/weaning unit. The ventilator unit cares for patients with a wide spectrum of diseases, of which COPD is the most common reason for admission. At present, of the approximately 180 admissions per year, 30% will be weaned from mechanical ventilation. We expect this weaning success rate to improve further due to new revisions in our weaning and rehabilitation protocols.
Recently, University Specialty Hospital has embarked on a mission to expand the care it provides to include rehabilitation services that are specific to patients with respiratory failure and to provide pulmonary rehabilitation to patients with COPD, both in the inpatient and outpatient setting. University Specialty Hospital provides a multi-disciplinary approach to therapy, providing a team of physical, occupational and speech therapists that evaluates and cares for each patient as well as a pulmonologist dedicated addressing the specific needs of patients with respiratory failure and COPD.
Outpatient continuity clinic experience occurs at the VA Medical Center during each year of training, and upper level fellows have outpatient clinics in the Faculty Practice Office Building, located across the street from UMMC.
UMMC has a 29 bed MICU/Intermediate Care Unit located in the newly completed Weinberg building (seen at the right), and the VA Medical Center has a 10 bed MICU. These state-of-the art MICUs allows us to provide patient care of the highest quality and to expand our opportunities for translational and outcomes research.
Fellows learn the basic and advanced clinical skills required for intensive care medicine. Emphasis is placed on invasive and non-invasive diagnostic/monitoring procedures, physiology, cost containment, and medical ethics. The fellow is expected to assist the attending in supervising the team members, managing the clinical care of the patients, and educating the medical residents.
As the regional referral center for critical care and with a large, active cancer center and transplant programs, patients with a wide range of common and rare diseases are seen in our critical care units. The medical, surgical, and pediatric critical care programs share a monthly interdisciplinary critical care conference and a translational research conference, clinical and outcomes research programs, and a critical care visiting professor program. These resources provide outstanding opportunities for clinical training, exposure to other critical care disciplines, and clinical, outcomes, and translational research in diseases of the critically ill.
Email this Page
Print this Page © 2009 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System, 22 S. Greene
Street, Baltimore, MD 21201. 1.800.492.5538 TDD: 1.800.735.2258
Physician Referral: 1.800.373.4111
Print this page
Email this page
Twitter
Facebook
YouTube
iPhone
