Think we can make ’em even worse? Let’s find out!īeholders have been in every edition of Dungeons & Dragons since 1975 when Terry Kluntz created the very first one for the Greyhawk supplement. These multi-eyed tyrants are true horrors, sure to send fear into the hearts of players everywhere. In the 4th year of training, a minimum of 9 months is spent overseas working on research to complete the master’s degree.DM Dave 6 Comments on Beholder Variants for Dungeons & Dragons 5th Edition Posted in Monstersīeholders are probably the D&Diest monster that ever D&Ded. The 3rd year is started with a 6-week rotation at the planned research location overseas and then initiation of coursework with completion of the classroom portion of the Masters in Global Health at the end of the 3rd year. In this pathway, the first two fellowship years are spent on clinical rotations and preparing an area of research for the fellows time abroad. The Division of Pulmonary and Critical Care in conjunction with the Duke Hubert-Yeargan Center for Global Health have developed a combined fellowship for those interested in a career in global health and pulmonary medicine. In addition to inpatient duties, the fellow will participate in a weekly pulmonary follow-up clinic that will be available for patients recently discharged from the hospital or seen in urgent care with a primary respiratory complaint who need close follow-up to avoid hospitalizations. Fellows will be assigned for 6-month blocks to the Durham VA to carry out these projects working closely with a faculty member. The fellow will design and implement focused projects for the inpatient setting to improve care, minimize hospitalizations, and reduce readmission rates. Areas of focus include management of COPD, pneumonia, asthma, sepsis, and ARDs.
The goal of the rotation is improving hospital wide adherence to established treatment best practices. This is an inpatient/outpatient rotation available to fellows with an interest in a clinical/academic career. Commonly encountered clinical scenarios include management of the patient with advanced, chronic respiratory failure, sepsis, and critical care of the patient with malignancy.
VA Medical ICUįellows will assume a supervisory role for this primarily resident run intensive care unit. VA Consult Serviceįellows will provide consultative services for the medical and surgical services, perform diagnostic and therapeutic procedures, and interpret pulmonary function tests and cardiopulmonary exercise tests while on this rotation.
Fellows have an opportunity to take a more supervisory role during this rotation as they gain experience through the course of their training. Fellows will work with an attending physician and mid-level providers to care for a variety of conditions in a community hospital setting. This is a 22 bed mixed medical and surgical ICU. Fellows will also be exposed to more advanced procedures such are rigid bronchoscopy, airway stenting, management of benign and malignant central airways obstruction, pleuroscopy, and percutaneous tracheostomy. Working closely with our interventional pulmonary attendings, fellows will gain experience with the core procedures in pulmonary medicine including bronchoscopy, transbronchial lung biopsy, transthoracic needle aspiration using endobronchial ultrasound, tunneled pleural catheter insertion, chest tube insertion, and thoracic ultrasound. Fellows will gain in-depth experience with management of complex immunosuppression regimens, treatment of unusual opportunistic infections, as well as the long-term, and late onset complications of lung transplantation. Lung Transplantation Serviceįellows will work with a multidisciplinary team to manage lung transplantation patients following their initial post-operative care. In addition you will perform inpatient consultation for patients with respiratory diseases for other services within the hospital. Typical patients include those with advanced lung disease, cystic fibrosis, pulmonary hypertension on parenteral therapy, and those patients undergoing evaluation for lung transplantation. General Pulmonary Service and Pulmonary Consult Serviceįellows will care for patients admitted to the pulmonary ward. In addition, fellows will have an opportunity to rotate through the Duke Cardiothoracic ICU to gain exposure to post-operative management of patients who have undergone a wide variety of cardiac and thoracic surgical procedures. Fellows will gain experience with high-frequency ventilation, extracorporeal membrane oxygenation, conventional ventilation, and invasive hemodynamic monitoring. In this extremely busy unit fellows will work closely with attending physicians and medical residents to care for these critically ill patients. Medical ICUįellows staff this 24 bed ICU 24 hours a day 7 days a week. There are 7 rotations that compose the core training curriculum for the fellowship.
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