You are using an outdated browser. Please upgrade your browser to improve your experience.
Become a Fellow
ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
Exam with an ACP review course.
Board Certification Review Courses
MOC Exam Prep Courses
Treating a patient? Researching a topic? Get answers now.
Visit AnnalsLearn More
Visit MKSAP 17 Learn More
Visit DynaMed Plus
Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
Pulmonary medicine is the subspecialty of internal medicine that focuses on the diagnosis and management of disorders of the respiratory system, including the lungs, upper airways, thoracic cavity, and chest wall. Although most common respiratory problems are treated by general internists and other specialty physicians, internists practicing pulmonary medicine (often referred to as “pulmonologists”) are frequently called upon to help diagnose unknown disorders and assist in managing difficult, unusual, or complicated diseases of the respiratory system.
Pulmonologists have expertise in structural, inflammatory, infectious, and neoplastic disorders of the lung parenchyma, pleura and airways, pulmonary vascular disease and its effect on the cardiovascular system, and detection and prevention of occupational and environmental causes of lung disease. Diseases commonly evaluated and treated by pulmonologists include asthma, chronic obstructive lung disease (COPD), emphysema, lung cancer, interstitial and occupational lung diseases, complex lung and pleural infections including tuberculosis, pulmonary hypertension, and cystic fibrosis. Some pulmonologists focus on sleep-disordered breathing (such as sleep apnea) and may provide diagnostic and therapeutic services in sleep laboratories.
Some pulmonologists practice in dedicated pulmonary medicine practices or as part of a multidisciplinary group practice and provide consultative services for other physicians and follow patients with respiratory disease longitudinally. Others may work within hospitals to provide patient care and consultative services. Because pulmonologists have expertise in respiratory failure and complex interventions such as mechanical ventilation, they frequently oversee medical intensive care units in hospitals. As this role involves care of critically ill patients, training in pulmonary medicine is often coupled with training in critical care medicine. This dual training uniquely qualifies critical care pulmonologists (sometimes called “intensivists”) for work in intensive care units.
For pulmonary disease training alone, a two year fellowship is required following completion of a three year basic internal medicine residency, after which trainees are eligible for certification in pulmonary disease through the American Board of Internal Medicine.
For combined pulmonary and critical care programs, fellowship training requires three years of training following completion of a three year basic internal medicine residency. The American Board of Internal Medicine offers separate certificates in pulmonary disease medicine and in critical care following completion of the fellowship.