The cardiology fellowship is a three-year training program. The cardiology fellow is trained in the diagnosis and treatment of cardiovascular diseases and works closely with the staff cardiologists. Invasive training provides experience in cardiac catheterization, insertion of temporary and permanent pacemakers, electrophysiology, percutaneous coronary intervention, and insertion of the intraaortic balloon pump. Noninvasive training includes transthoracic echocardiography, stress testing, transesophageal echocardiography, and exposure to nuclear cardiography.
Fellows will spend a part of each year dedicated to clinical or basic science research activities and are expected to submit their results for publication. Fellows also teach residents and medical students at the bedside.
Interventional Cardiology Fellowship
The interventional cardiology fellowship is a one year training program. The interventional fellow is trained in the diagnosis and treatment of endovascular intervention and works closely with the staff interventional cardiologists. Invasive training provides experience in left heart catheterization as a primary operator, uses of the different types of catheters when cannulation of a coronary artery is difficult and appropriate medical management or percutaneous intervention or surgical revascularization for patients with Coronary Artery Disease (CAD). Also, procedures include successfully cannulate bypass grafts and recognize anomalous origins of coronary artery when present.
Fellows will spend part of each year dedicated to clinical or basic science research activities and are expected to submit their results for publication. Fellows also teach residents and medical students at the bedside.
Infectious Disease Fellowship
The infectious diseases fellowship at Texas Tech is designed to foster a lifelong interest in infectious diseases. The curriculum emphasizes the clinical aspects of infectious disease problems encountered in the outpatient and inpatient arena. Texas Tech has a strong program in medical oncology and also has transplant services. As a result there are infections seen which are unique to the immune-compromised host. The faculty are all ABIM certified. West Texas is also in the endemic area for Coccidioidomycosis. The ID division partners with the Center for Tropical Medicine and Infectious Diseases which is administered by Dr. Afzal Siddiqui, PhD, who is a member of the Microbiology and Immunology Department. Dr. Siddiqui has been involved with the development of a vaccine against schistosomiasis. Matthew Grisham heads the Microbiology and Immunology Department; his interests revolve around GI inflammation; there is a close interaction among staff in clinical ID and the basic sciences Department. The usual pathogenic infections are seen and there is a multidisciplinary clinic for HIV/AIDS involving the input of the city CHAMPS office with the assistance of the Ryan White Foundation. Sexually transmitted infections are diagnosed and treated at the City Health Department with a liaison with the TTUHSC infectious diseases staff. Infectious diseases trainees may take advantage of the course in tuberculosis administered by the National Jewish hospital in Denver and additional training exposures in tropical medicine. Infectious diseases fellows are expected to pursue a research project with the ultimate goal of presenting and publishing their findings. The ultimate goal is to achieve subspecialty certification and recognition by the ABIM in Infectious Diseases.
Hematology Oncology Fellowship
Hematology Oncology is a division in the Department of Internal Medicine at TTUHSC, School of Medicine. This division has an ACGME-accredited fellowship program.
The overall goal of the Hematology Oncology fellowship is to provide broad training in the disciplines of Hematology and Medical Oncology, focusing on the general competencies put forth by the American Council for Graduate Medical Education (ACGME).
The patient-oriented training program encompasses didactic and bedside instructions, analysis of current literature and both clinical and laboratory research.
The fellowship is a minimum duration of 36 months. The assignment of course work is designed to accomplish the goals of the program in compliance with the requirements of the ACGME, the Residency Review Committee (RRC) and the American Board of Internal Medicine (ABIM).
18 months must be devoted to clinical rotations (focused on neoplastic diseases and benign hematology disorders). The remaining 18 months may be spent on additional clinical rotations, approved elective rotations, and research to allow each fellow to achieve his or her personal goals for career development. The fellows will have a continuity clinic; 2 half day clinics per week at Southwest Cancer Center throughout their fellowship. Senior fellows have the option to do three half day clinics on second and third years if they decide. Each fellow must demonstrate competency in bone marrow aspiration and biopsy; and lumbar puncture with intrathecal administration of chemotherapy through LP and Ommaya reservoir. Second and third year fellows will also spend some time at the Joe Arrington Cancer Center.
Graduate Fellows are conversant with the scientific methods and are also familiar with a wide variety of laboratory procedures. After completion of training, they are prepared for either academic. community practice.and industry oriented careers.
Third year fellows will have the option of choosing one of three pathways: 1.) Clinical Practice 2.) Clinical Research or 3.) Basic Science Research. Fellows are expected to do clinical or basic science research activities and are expected to submit their results for publication. Fellows also teach residents and medical students at the bedside.
The division of nephrology offers positions for first and second year renal fellows and occasional additional research opportunities. The patient-oriented training program encompasses didactic and bedside instruction, analysis of current literature and both clinical and laboratory research.
The first year of training is devoted to clinical nephrology. Both inpatients and outpatients with a wide variety of nephrologic problems are referred locally and from West Texas, Eastern New Mexico, and elsewhere. Trainees become proficient in renal biopsy, hemodialysis, peritoneal dialysis, arteriovenous hemofiltration, hemoperfusion, and in the care of kidney transplant recipients.
During the clinical year, the renal fellow pursues a clinical research project which is published and/or presented at a scientific meeting (e.g., the annual scientific meeting of American Society of Nephrology). The second year of training is to research in basic renal physiology and clinical research within the framework of ongoing laboratory research. Graduates are conversant with the scientific method and are familiar with a wide variety of laboratory procedures. After completion of training, they are prepared for either academic or practice-oriented careers.
Pulmonary and Critical Care Fellowship
The Pulmonary and Critical Care Fellowship is a three-year training program and qualifies the trainee for certification in both pulmonary medicine and critical care medicine. significant time is spent in the medical intensive care unit and on the pulmonary consultation service. In addition, the fellow rotates through the coronary intensive care unit, the surgical intensive care unit, other inpatient and outpatient services and the intensive care unit at Covenant Medical Center. The fellows are expected to develop a research project and a quality improvement project. Fellows work closely with faculty members in the Department of Internal Medicine, residents in the School of Medicine, and students in the School of Medicine.