1. 2. Medical Knowledge  about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.

To understand the following:

• Obstructive lung diseases
• Pathophysiology, natural history, treatment, and management of obstructive lung disease

1. 1. Asthma-diagnosis and management
2. 2. Chronic bronchitis-diagnosis and management
3. 3. Emphysema-diagnosis and management

• Bronchiectasis
• Bronchoscopy, diagnostic-indications, contraindications, techniques, management of complications
• Cystic fibrosis-diagnosis, management, genetics, family counseling
• Chronic cough
• Dyspnea
• Cardiopulmonary exercise testing
• Methacholine challenge testing and exercise bronchoprovocation testing
• Disability evaluation
• Eosinophilic lung disease
• HIV: infectious and non-infectious pulmonary complications
• Inherited lung disease including alpha-1 antitrypsin deficiency-diagnosis and management
• Lung Transplantation-indications for lung transplantation, evaluation for transplant, pharmacology of transplantation, and post-transplant management
• Preoperative assessment of the surgical patient with lung disease.
• Pregnancy-effect on pulmonary conditions such as asthma, management of pulmonary problems during pregnancy
• Pulmonary malignancy, primary

1. 1. Diagnosis, staging, and management of lung cancer, including multimodality therapy
2. 2. Screening methods for lung cancer
3. 3. Basic understanding of histopathology

• Pulmonary malignancy, metastatic
• Pulmonary infections, bacterial, fungal and viral
• Pulmonary infections, Mycobacterium tuberculosis
• Pulmonary infections, atypical mycobacterial
• Pulmonary infections, atypical
• Pulmonary infections in the immunocompromised host
• Diffuse interstitial lung disease
• Pulmonary vasculitis/pulmonary hemorrhage syndromes
• Pulmonary hypertension, idiopathic: diagnosis and management
• Pulmonary hypertension, secondary: diagnosis and management
• Occupational and environmental lung disease
• Drug-induced lung disease
• Acute lung injury due to radiation, inhalation, or trauma
• Pulmonary manifestations of systemic disease, including the collagen vascular diseases
• Sarcoidosis
• Solid organ transplantation: pulmonary and non-pulmonary complications
• Thromboembolic disease, including pulmonary embolus
• Interpretation of diagnostic studies including CT angiography
• Disorders of pleura
• Disorders of mediastinum
• Genetic and developmental disorders
• Sleep disorders, including diagnosis and management of obstructive and central sleep apnea

1. 3.  Practice-Based Learning and Improvement  that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care

To recognize the following:

• The effective utilization of educational and evidence-based resources to seek answers to scientific and clinical questions.
• Identification of perceived deficiencies in knowledge or experience and actively seek opportunities for correction.
• Appropriate response to faculty direction and criticism and demonstrate learning from faculty/fellow interactions
• Proficiency at using the electronic medical record and the use of electronic resources to look up medical information
• Commitment to self-education by attending Divisional educational activities including conferences and journal clubs
• Facilitate the learning of students, residents, and other healthcare professionals as well as colleagues

1. 4. Interpersonal and Communication Skills  that result in effective information exchange and teaming with patients, their families, and other health professionals.

To recognize the following:

• The role of a consultant in assisting a referring physician with the care of a patient.
• The skills needed to interact with patients and their families in a manner that demonstrates compassion, competence and professionalism.
• Education to the residents and students working with their patients.
• Appropriate relationships and communication skills with staff including nurses, respiratory therapists, cardiopulmonary technologists, and all other support personnel

1. 5. Professionalism   as manifested through a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population.

To recognize the following:

• The skills needed to interact with patients and their families in a manner that demonstrates compassion, competence and professionalism.
• The role of consultant always keeping the patient’s best interest as the primary goal and performing these duties in a professional and courteous manner.
• Communication skills with patients and their families with attention not just to the medical aspects of patient care, but also to the psychological, social and spiritual dimensions as well.
• High standards of ethical / moral behavior
• Need for Reliability / Responsibility
• Commitment to on-going professional development and lifelong learning
• Attention to documentation in the medical record and communication with other treating physicians

1. 6. Systems-Based Practice  as manifested by actions that demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value.

To recognize the following:

• The skills needed to interact with patients and their families in a manner that demonstrates compassion, competence and professionalism.
• The role of consultant always keeping the patient’s best interest as the primary goal and performing these duties in a professional and courteous manner.
• Communication skills with patients and their families with attention not just to the medical aspects of patient care, but also to the psychological, social and spiritual dimensions as well.
• Coordination the care of patients in the outpatient setting and thus learn the complexities of our health-care delivery system.
• Importance of leadership within a healthcare team.
• Practice of cost-effective health care that does not compromise patient care
• Appropriate utilization of consultants and diagnostic testing information to provide effective patient care
• Awareness of community resources available for patient care
• Knowledge about home care nursing services, home care respiratory services, and patient support services and how to refer patients to these programs
• Awareness of hospice and end-of-life resources available for patients and families
• Adequate recordkeeping skills that:

1. 1. Provides appropriate documentation of effort for reimbursement
2. 2. Demonstrates knowledge of and behavior consistent with strict Medicare compliance