Clinical Training

Northern Westchester Hospital is a 245-bed hospital located in Mount Kisco, New York. It is ranked by U.S. News and World Report as #16 in Best Regional Hospitals in New York.

We have a 10 bed ICU and have been designated as an ICU Center of Excellence by the Society of Critical Care Medicine (SCCM). We are also proud to be rated among the nation’s best hospitals for performance in Pulmonology and Lung surgery in U.S. News and World Report.

  • During this rotation the ICU fellow runs our 10-12 bed mixed ICU with supervision from their attending. The ICU fellow is responsible for leading medical students, residents, nursing, pharmacy, respiratory and nutrition through multidisciplinary morning rounds. They perform any procedures that are needed including POCUS, central lines, intubations, and bedside bronchoscopy.

  • The pulmonary consult fellow will be responsible for all pulmonary consults in the hospital. Fellows will have the opportunity to care for many complex pathology such as ILD exacerbations, high-risk pulmonary emboli, COPD exacerbations. Fellows will also be a part of the PERT and COPD response team.

  • The physiology fellow is responsible for all scheduled procedures that are required from both the inpatient and outpatient services. Procedures include flexible bronchoscopy, endobronchial ultrasound (EBUS), thoracentesis, chest tube placement, indwelling pleural catheter placement, and right heart catheterizations under the supervision of our Pulmonary Hypertension attending.

    Part of the rotation will also be spent in the PFT lab to learn PFT physiology, perform CPETs and methacholine challenge testing with the respiratory therapists. They will also have exposure to our pulmonary rehabilitation program.

  • The ICU consult fellow will be responsible for seeing all new ICU consults and follow ups for any patient not initially accepted for ICU admission. The consult fellow will also be attending all Rapid Response and Code Blues.

  • ICU Night Float fellows will be responsible for managing the ICU overnight and triaging all incoming ICU and potential Pulmonary consults. The NF fellow is to remain in-house overnight and be supervised by an attending intensivist.

  • Fellows will be rotating with Dr. Caroline Motschwiller, our Pulmonary Hypertension specialist. Their rotation with PH will include outpatient clinic time as well as inpatient consults and scrubbing in to right heart catheterization procedures.

  • Fellows will have the opportunity to work with our Lung Transplant Pulmonologist in the Chappaqua offices as well as round with them during outside ICU rotations in the Transplant ICU at Northwell’s Northshore University Hospital.

  • Fellows will have dedicated elective time during their 2nd and 3rd years. Electives can be with local service at Northern Westchester Hospital or arranged at a Northwell-affiliated outside hospital. Options included, but not limited to, cystic fibrosis, ILD, Interventional Pulmonology, ECMO, and Transplant medicine.

  • Fellows will be rotating at Northwell-affiliated outside hospitals for exposure to non-medical ICU rotations in their 3rd year. Fellows are able to chose between cardiothoracic ICU, surgical ICU, trauma ICU, among others.

  • Research time is allotted for senior fellows to take part or generate their own research project. Fellows will receive mentorship and guidance from attendings throughout their training in order to support scholarly activity. All fellows will be given a stipend for one conference per year. For all first year fellows, conference attendance will be granted without requirement of an accepted work.

    Currently we are participating in 6 active clinical trials.

Our clinical training program aims to be well-balanced between pulmonary and critical care. We give ample elective and research time to give fellows the opportunity to create an individualized training plan that matches their career goals. All inpatient core rotations will take place at Northern Westchester Hospital. Much of the inpatient pulmonary time will be in the first year with the option for additional procedure time in later years via elective time. Each fellow will spend one month outside at a Northwell-affiliated ICU in their 3rd year for additional specialty ICU experience.

Each fellow will spend a half day of each week in continuity clinic with exceptions for ICU and night float rotations. Fellow continuity clinic will take place at one of four offices: Chappaqua Crossing, White Plains, Valhalla or Yorktown.

Below is a mock block schedule. Each of the different rotations and fellow responsibility is outlined below.