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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.
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From the word pulmo, Latin for "lung." Pulmonary
medicine is the diagnosis and management of disorders of the lungs,
upper airways, thoracic cavity, and chest wall. The pulmonary
specialist has expertise in neoplastic, inflammatory, and
infectious 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. Other specialized areas
include respiratory failure and sleep-disordered breathing.
Important procedural skills include arterial blood gas sampling
and interpretation, flexible bronchoscopy and related bronchoscopic
procedures, endotracheal intubation, spirometry and peak flow
assessment, pulmonary artery catheterization and interpretation,
thoracentesis, pleural biopsy, placement and management of chest
tubes, ventilator management, progressive exercise testing, and
complete pulmonary function testing.
Pulmonary Disease fellowship training can be obtained either
through a combined Pulmonary and Critical Care fellowship (the most
common path) or through a Pulmonary fellowship alone. Combined
programs require three years of accredited training beyond internal
medicine residency. The three years must include a minimum of 18
months of clinical training (at least nine months of Pulmonary
training and nine months of Critical Care training).
Pulmonary Disease fellowship training without Critical Care
requires two years of accredited training beyond internal medicine
residency. Of the two years, a minimum of 12 months must include
clinical training in the diagnosis and management of a broad
spectrum of pulmonary diseases.
The American Board of Internal
Medicine offers separate certificates in Pulmonary Disease and
in Critical Care.
For the 2013-2014 academic year, there were 137 ACGME-accredited
combined training programs with 1,446 active positions in Pulmonary
Disease and Critical Care Medicine, and there were 20
ACGME-accredited training programs with 80 active positions in
Pulmonary Disease alone.
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