Associate Professor of Medicine at CUMC

Job Summary: We are seeking an experienced and compassionate Pulmonary Chronic Ventilatory Failure Specialist to join our multidisciplinary team. The ideal candidate will have expertise in the diagnosis, treatment, and management of patients with neuromuscular disorders, chronic ventilatory failure, particularly those with conditions like chronic obstructive pulmonary disease (COPD), interstitial lung disease and hypoventilation syndromes. This is a unique opportunity to establish a new program of home ventilation and to work in a collaborative setting to deliver advanced care and improve the quality of life for patients with chronic respiratory failure requiring long-term ventilation support.

Key Responsibilities:

• Diagnosis & Treatment: Diagnose and manage patients with chronic ventilatory failure, including those with COPD, restrictive lung disease, neuromuscular disorders, obesity hypoventilation syndrome, and other respiratory conditions.
• Ventilation Management: Oversee the initiation, adjustment, and optimization of long-term ventilatory support (non-invasive and invasive) for patients with chronic respiratory failure, including CPAP/BiPAP, bilevel positive airway pressure (BiPAP), and home mechanical ventilation.
• Patient Care: Develop individualized treatment plans for chronic ventilatory failure patients, incorporating pharmacologic, non-pharmacologic, and ventilatory strategies to improve lung function, manage hypercapnia, and reduce symptoms.
• Clinical Responsibilities: Include up to 8 sessions per week of outpatient clinical care. It is expected that all of these sessions will be on the upper Manhattan campus (Herbert Irving Pavilion). Total inpatient service will not be expected to exceed 15 calendar weeks per year, divided between Milstein Hospital and other NYP-affiliated hospitals. The distribution of your inpatient and outpatient clinical responsibilities may be adjusted by mutual agreement to accommodate your other duties and responsibilities. The distribution of your clinical responsibilities may be amended from time to time based on clinical coverage needs from NYPH, the Department of Medicine, and the Division.
• Multidisciplinary Collaboration: Work closely with pulmonologists, respiratory therapists, critical care specialists, neurologists, cardiologists, and other healthcare professionals to manage patients' respiratory and comorbid conditions.
• Patient Education: Educate patients and their families on managing chronic ventilatory failure, proper use of ventilatory support devices, and lifestyle modifications to improve respiratory health and overall well-being.
• Follow-Up & Long-Term Care: Provide continuous follow-up care for patients on chronic ventilation therapy, monitor treatment progress, troubleshoot issues with equipment, and make necessary adjustments to ventilator settings and patient care plans.
• Clinical Procedures: Conduct and interpret necessary diagnostic procedures, such as pulmonary function tests, arterial blood gas analysis, chest imaging, and sleep studies, to evaluate respiratory function and guide treatment decisions.
• Research & Development: Participate in clinical research or quality improvement initiatives focused on chronic ventilatory failure and contribute to advancing the field through evidence-based practices and novel treatment protocols.
• Education & Mentorship: Teach medical residents, fellows, respiratory therapists, and other healthcare providers in the management of chronic ventilatory failure, as well as the use and troubleshooting of ventilation devices. Teaching will include medical student teaching/precepting and/or mentoring house staff and fellows. For Medicine, this may include medical student teaching, mentoring house staff, and attending on the Internal Medicine resident teaching service. For Pulmonary, this may include attending on the Inpatient Consult service, supervising the fellows' outpatient clinic, and attending on the Inpatient Critical Care and Critical Care-related services at the Milstein Hospital and other NYP-affiliated hospitals.

• Skills:




• Expertise in the diagnosis and management of chronic ventilatory failure and associated conditions.
• Proficiency in managing advanced ventilation techniques, including CPAP/BiPAP, non-invasive ventilation (NIV), and mechanical ventilation.
• Proficiency in performing invasive procedures such as intubation, bronchoscopy, central line placement, and thoracentesis.
• Strong communication and interpersonal skills to educate patients and collaborate with a multidisciplinary care team.
• Ability to develop, implement, and manage long-term treatment plans for complex patients with chronic respiratory failure.

Qualifications:

• Education: MD degree from an accredited medical school.
• Board Certification: Board-certified or board-eligible in Pulmonary Medicine, with additional expertise or certification in chronic respiratory failure management (e.g., Sleep Medicine, Critical Care, or Respiratory Therapy).
• Experience: A minimum of 5 years of clinical experience in pulmonary medicine with a focus on managing chronic ventilatory failure or respiratory support therapies, including non-invasive and invasive ventilation.

Preferred Qualifications:

• Experience with home mechanical ventilation programs and long-term ventilation management.
• Involvement in research, clinical trials, or publications related to chronic respiratory failure or ventilatory support.
• Knowledge of advanced technologies in respiratory care and ventilation management, including digital health tools and remote monitoring systems.
• Ability to provide expert care to critically ill patients with a wide range of pulmonary conditions, including acute respiratory failure, ARDS, COPD exacerbations, pneumonia, pulmonary embolism, and other life-threatening pulmonary diseases.
• Ability to lead and manage patients in the intensive care unit (ICU), including the initiation and management of invasive and non-invasive mechanical ventilation (e.g., intubation, BiPAP, CPAP), ECMO, and other advanced respiratory therapies.
• Collaborative mindset with the ability to work within a multidisciplinary team in a fast-paced, high-stress environment.

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