Pulmonary & Critical Care Fellowship

Pulmonary & Critical Care Fellowship
Application Opens | July 2, 2025
Next Start Date | July 1, 2026
The pulmonary and critical care fellowship training program emphasizes clinical experiences in the medical intensive care unit, on the pulmonary consultation service, and on the pulmonary procedure service at University Medical Center. Fellows also rotate through the neurocritical care unit at University Medical Center and through the medical intensive care unit at Covenant Medical Center in Lubbock. Fellows can take electives in the Department of Internal Medicine and in other departments in the School of Medicine. Each fellow has a continuity of care clinic.
Fellows develop expertise in fiberoptic bronchoscopy, endobronchial ultrasound bronchoscopy, navigational bronchoscopy, pleural procedures, and ICU based procedures, such as intubation, central venous catheter insertion, and arterial catheter insertion.
Fellows work closely with faculty members in the Department of Internal Medicine, residents in the clinical departments in the School of Medicine, and students in the School of Medicine. All fellows are expected to develop a research project and a quality improvement project. The program encourages attendance and presentation at national and regional conferences. First-year fellow participate in a Texas wide Boot Camp to introduce them into pulmonary and critical care medicine training.
The pulmonary and critical care medicine division also offers 1 year of training in critical care medicine for internal medicine trainees who have also completed 2 years of subspecialty training in nephrology, GI medicine, or infectious disease.
Information for Applicants
Program Goals
Fellows rotate through the coronary intensive care unit, the surgical intensive care unit, other inpatient and outpatient services and the intensive care unit at Covenant Medical Center. They are expected to develop a research project and a quality improvement project. Additionally, fellows work closely with faculty members in the Department of Internal Medicine, residents in the School of Medicine, and students in the School of Medicine.
Thank you for your interest in Texas Tech University Health Sciences Center Pulmonary & Critical Care fellowship training program.
Applications are accepted through ERAS (Electronic Residency Application Service). We will be participating in the NRMP Match and will accept applications for the fellowship through ERAS until August 15th. Applications will be reviewed and then selected applicants will be contacted to schedule interviews. Inquires concerning the Pulmonary and Critical Care Fellowship can be directed to the fellowship Program Coordinator.
Application Check List:
- ERAS Application
- ERAS Addendum Form (only needed upon invitation for an interview)
- Curriculum Vitae (in chronological order with no gaps)
- MSPE
- Medical School Transcript
- USMLE/Complex Scores
- A minimum of (3) Letters of Recommendation
- Personal Statement
- Notarized copy of Diploma (only needed upon invitation for an interview)
- Copy of State License (only needed upon invitation for an interview)
Fellows' Schedule Rotations
| Number of Rotations | MICU/NF | Consults | Covenant | Neuro/CVICU | Procedures | Covenant Neuro | Electives | Total |
| PGY4 | 4 | 2 | 1 | 1 | 1 | 0 | 3 | 12 |
| PGY5 | 2 | 2 | 2 | 1 | 1 | 0 | 4 | 12 |
| PGY6 | 2 | 2 | 1 | 0 | 1 | 1 | 5 | 12 |
| PGY6 - Critical Care | 6 | 0 | 0 | 2 | 0 | 0 | 4 | 12 |
*These amounts are for the Lubbock Campus only. Please contact TTUHSC Amarillo and TTUHSC Permian Basin for their salary information.
| Year | PGY1 | PGY2 | PGY3 | PGY4 | PGY5 | PGY6 | PGY7 |
|---|---|---|---|---|---|---|---|
| 2025-2026 | $65,764.23 | $67,250.96 | $69,374.62 | $72,532.94 | $74,685.79 | $76,841.81 | $78,997.84 |
| 2024-2025 | $63,725.03 | $65,165.66 | $67,223.47 | $70,283.84 | $72,369.95 | $74,459.12 | $76,548.30 |
| 2023-2024 | $61,570.07 | $61,570.07 | $64,950.21 | $66,936.99 | $68,923.76 | $70,913.45 | $72,903.14 |
| 2022-2023 | $58,918.73 | $60,250.71 | $62,153.31 | $64,054.53 | $65,955.76 | $67,859.76 | $69,763.77 |
| 2021-2022 | $57,202.65 | $58,495.83 | $60,343.02 | $62,188.87 | $64,034.71 | $65,883.26 | $67,731.82 |
| 2020-2021 | $55,536.56 | $56,792.07 | $58,585.46 | $60,377.54 | $62,169.63 | $63,964.33 | $65,759.05 |
Additional Benefits Include:
- Malpractice Insurance
- Aggregates are $100,000 per incident and $300,000 annual aggregate. Professional Liability Division website or call 806.743.9921
- Health Insurance
- Group Health/Dental/Vision insurance for residents and eligible dependents.
- Workers' Compensation
- Vacation
- Vacation is approved for not more than 15 working days for PGY 1 and 2 and not more than 20 working days for PGY-3 and above.
- Leave
- Sick leave for up to 12 working days per year
- Family and parental leaves of absence (see also US Department of Labor Employment Standards Administrative - FMLA)
- Educational leave
- Military leave not to exceed 15 work days per year.
- Retirement & Savings
- Residents and fellows are not eligible for TTU System's 401K plan but can participate in the Optional Retirement Program (ORP) the Tax-Deferred Account Program (TDA). More information will be provided upon starting your program.
Specific information pertaining to benefits is found in the House Staff Policies and Procedures.
Procedure Volume Summary
| Bronchoscopy Balloon Dilation | 49 |
| Bronchoscopy Cryotherapy | 30 |
| Bronchoscopy Electro Navigational | 182 |
| Bronchoscopy Endobronchial Ultrasound with Biopsy | 318 |
| Bronchoscopy Flexible Fiber-Optic Procedures | 826 |
| Bronchoscopy Stents | 24 |
| Bronchoscopy Transbronchial Biopsy | 38 |
| Chest Tubes and Drainage Systems | 120 |
| Endotracheal Intubation | 409 |
| Insertion of Arterial Catheters | 287 |
| Insertion of Central Venous Catheters | 432 |
| Percutaneous Tracheostomy | 24 |
| Pleurx Catheter Placement | 42 |
| Thoracentesis | 106 |
Abstracts and Presentations
- J. Makram, A. Karim, A. Yepes-Hurtado, K. Nugent. “The Safety and Efficacy of Dexmedetomidine in Alcohol Withdrawal: A Meta-Analysis and Systematic review.” Am J Respir Crit Care Med 2020; 201: A6322.
- X. Solis, A. Yepes-Hurtado. “IgG4-Related Disease Presenting as a Lung Mass.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- X. Solis, E. Islam. “A Puzzling Case of Interstitial Lung Disease.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- X. Solis, E. Islam. “A Rare Presentation of Granulomatosis with Polyangiitis.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- B. Mantilla, M. Vinan-Vega, X. Solis, J. Makram, H. Mallah, V. Test. “A Dangerous Drug and Herbal Mixture.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- M. Elmassry, S. El-Nawaa, S. Ball, X. Solis, V. Test. “COVID-19 Infection Complicated by Guillain-Barre Syndrome: A Case Report,” CHEST Annual Meeting, Chicago, Illinois, 2020. \
- A. Motes, H, Mallah, X. Solis, L. Brandi, E. Islam, “Pulmonary Amyloidosis: An Uncommon Etiology of a Pulmonary Nodule.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- A. Motes, J. Makram, X. Solis, S. Turnbow. “Bilateral Multifocal Loculated Empyema in an Immunocompetent Patient.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- H. Mallah, D. Vangipuram, X. Solis, A. Motes, E. Islam. “Acquired Hemophagocytic Lymphohistiocytosis Secondary to Multiple Myeloma: A Case Report.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- J. Sekhon, X. Solis, A. Yepes-Hurtado, “Primary Malignant Myelomatous Effusion in a Multiple Myeloma Patient.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- N. Vinan-Vega, B. Mantilla, X. Solis, A. Yepes-Hurtado. “Lower Airway Obstruction: A Unique Case of Tracheal Stenosis in a Lupus Patient.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- N. Vinan-Vega, B. Mantilla, X. Solis, H. Mallah. “Diffuse Pulmonary Nodules in a Young Adult Male.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- D. Vangipuram, X. Solis, A. Yepes-Hurtado. “Incidental finding in chest pain workup: a case of solitary pulmonary nodular amyloidosis.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- J. Makram, H. Mallah, M. Elmassry, A. Ismail, X. Solis, V. Test. “Atrial Fibrillation with Cardiac Tamponade as a First Sign of Underlying Malignancy.” CHEST Annual Meeting, Chicago, Illinois, 2020.
- B. Mantilla, M. Vinan-Vega, X. Solis, H. Mallah, E. Islam. “The Spectral Colors of Interstitial Lung Disease,” CHEST Annual Meeting, Chicago, Illinois, 2020.
- B. Mantilla, M. Vinan-Vega, X. Solis, E. Islam, A. Ismail, V. Test. “Lady Windermere in Disguise.” CHEST Annual Meeting, Chicago, Illinois, 2020.
IRB Approved Human Subject Studies
- Fecal occult blood testing for the prediction of lesions in the gastrointestinal tract detected by EGD/colonoscopy that need intervention - Ebtesam Islam, MD, PhD
- The effect of pulmonary rehabilitation on physical performance and mental health in patients with chronic lung disease - Kenneth Nugent, MD
- Acute hyperglycemia: biochemical effects (glycation) and possible association with endothelial cell injury - Kenneth Nugent, MD
- The association between BMI and mortality in intubated patients with severe sepsis and septic shock admitted into the Medical Intensive Care Unit - Kenneth Nugent, MD
- A retrospective review of the utility of simple clinical information in the prediction of poor outcomes in hospitalized patients - Kenneth Nugent, MD
- COVID-19 vaccination among health care workers: A Research Survey - Kenneth Nugent, MD
- Fecal occult blood testing for the prediction of severity of Clostridium difficile infection - Ebtesam Islam, MD, PhD
- Comparing concurrent blood pressure using cuffs to arterial lines in MICU patients with septic shock - Ebtesam Islam, MD, PhD
Thank you for your interest in the Texas Tech University Health Sciences Center Pulmonary and Critical Care Fellowship. Our program offers a comprehensive training experience that combines high-acuity critical care, advanced pulmonary procedures, and a strong emphasis on scholarship and mentorship. Fellows train in diverse clinical settings across West Texas, gaining expertise in bronchoscopy, mechanical ventilation, and ICU management while working with experienced faculty.

Kenneth Nugent, MD
Professor
Program Director
TTUHSC Pulmonary/Critical Care Fellowship
Teaching Sites
Texas Tech University Health Sciences Center (TTUHSC)
TTUHSC educates students, provides patient care and conducts biomedical and clinical research. We graduate the most health care professionals in the state of Texas. Nationally recognized for innovative programs, academic achievement, and our cutting-edge research, we are training the next generation of highly qualified health professionals. To date we have trained more than 42,000 health care professionals who are serving patients and driving medical discovery in tangible, life-changing ways – both for the 10 million people in our immediate service area and around the world.
University Medical Center (UMC)
University Medical Center (UMC) is a 500-bed hospital. It is a public, non- profit facility that serves as the primary
teaching hospital for the Texas Tech University Health Sciences Center. UMC also includes
a children's hospital
with Level IV NICU, a family-centered birth center, a regional burn center, and the
region's only Level 1 Trauma Center. Wile at UMC, TTUHSC Family Medicine residents
take care of hospitalized adults & children, work in the
critical care units, and provide family-centered maternity care in labor & delivery.
Monday-GME
House Staff Meeting
Monthly meeting of all TTUHSC fellows sponsored by the office of GME. This meeting
serves to update house staff on important institutional issues. Elected officers of
the house staff serve as liaisons on many institutional committees.
Tuesday
Pulmonary Principles
Emphasis on In-Training-Exam objectives and basic principles of clinical pulmonary
practice.
Board Review Strategies
Emphasis is on board testing techniques and review of multiple choice questions.
Wednesday
Didactic Conferences with focus on radiology, physiology, and pathology.
Thursday
Grand Rounds
Are conducted by the Department of Medicine and other institutional faculty as well
as visiting professors. Topics include advances in clinical knowledge in many fields
on Internal Medicine.
Friday
Journal Club
Fellows discuss selected articles. Emphasis is on commentary and critical appraisal
of the literature.
Lung Tumor Board (monthly)
See what Lubbock has to offer!
Lubbock, home to over 252,500 residents and Texas Tech University’s 36,550 students, blends the energy of a thriving city with the charm of a cozy college town. Known worldwide as the birthplace of rock pioneer Buddy Holly, the city offers world-class arts, museums, entertainment, and a vibrant cultural scene. Outdoor enthusiasts enjoy abundant sunshine, recreational lakes, top-ranked golf courses, and easy access to hiking, fishing, and camping in nearby New Mexico. With a strong economy, low housing costs, excellent schools, and the High Plains wine region nearby, Lubbock is a dynamic hub for culture, education, and adventure.
Explore life in Lubbock and see why it’s a great place to live, work, and play here.
Faculty
Meet our accomplished, ABIM-certified faculty, whose diverse specialties and talents advance education and serve the Lubbock community and beyond.
View the faculty and fellows publications.
Fellows
View our current fellows and alumni of the Texas Tech Pulmonary & Critical Care Fellowship here.
Staff
Learn more about the Internal Medicine Education staff.
Got Questions?
We're here to help. Contact us if you have questions.

Kenneth Nugent, MD
Professor
Program Director Pulmonary Critical Care Fellowship

Ebtesam Islam, MD, PhD, FCCP
Associate Program Director of Pulm/CC Fellowship
Associate Dean of Clinical Medicine

Robert W. Alexander
Fellowship Education Manager
Phone: 806.743.3641
Fax: 806.743.3143
3601 4th Street, MS 9410 Lubbock, TX 79430