Pulmonary & Critical Care Rotation at JPH

Rotation Location: JPH Hospital
Schedule:

• Monday to Friday: 9 a.m. – 3 p.m. (hospital rounds)
• 2 weekends per month (Saturday and Sunday)
• Outpatient clinics: 1–2 times per week, approximately 4 hours
• Additional Activities: Didactics, lectures, and grand rounds as required
• Schedule may vary based on the attending physician’s discretion

Students will receive the detailed schedule at the start of the rotation.

Clinical Responsibilities

Students will gain hands-on experience in managing a diverse inpatient population:

• Rounding on patients in:
• General medical floor
• Intensive Care Unit (ICU)
• Coronary Care Unit (CCU)
• Step-down areas
• Managing critically ill patients, including those on ventilators
• Exposure to acid-base and electrolyte management
• Participating in outpatient pulmonary clinics 1–2 times per week

This rotation provides a comprehensive experience in inpatient and outpatient pulmonary care.

Learning Experience

This rotation is designed for medical graduates aiming to excel as residents. Key benefits include:

• Exposure to a variety of pulmonary and critical care disorders
• Hands-on learning of evaluation, management (Mx), and prescription (Rx) strategies
• Preparation for US Clinical Skills Exam (USCSE) for international medical graduates (IMGs)
• Understanding the United States healthcare system under attending supervision

At the end of the 4-week rotation, students may request a performance-based Letter of Recommendation (LOR) on hospital letterhead.

Hands-On Training

Students actively participate as members of the care team by:

• Interacting with a diverse patient population
• Performing detailed history taking and physical examinations
• Reviewing labs and patient notes
• Formulating differential diagnoses and executing treatment plans (Rx) under attending supervision
• Participating in discharge planning and execution

This rotation provides practical, immersive training in pulmonary and critical care medicine, building clinical skills, confidence, and teamwork experience essential for residency.