The overall goal of our fellowship is to train our fellows to be superb academic clinicians and physician scientists in Pulmonary and Critical Care Medicine (PCCM) over a 36-month period of time and to prepare them to be the next generation of leaders in academic PCCM. The fellows develop and hone their clinical skills in PCCM over a 24-month period of time and pursue research projects for 12 months towards the latter half of their fellowship. During all 36 months they participate in outpatient pulmonary continuity clinic and attend all divisional conferences. The goals, objectives and competencies vary with each year of training with graduated increased responsibility over the three years of fellowship.