The rotation months are almost equally split between the UMMC and VAMC. Work hours, off days and vacation are in accordance with ACGME guidelines; rules and regulations of the UMMC and the VAMC. Trainees receive an in-depth experience in the full spectrum of pulmonary diseases, critical care & sleep medicine. They also participate in research and present their data at national meetings. We have a balanced division; in terms of experience and youth, research and clinicians, covering almost all facets of Pulmonary, Critical Care and Sleep Medicine. The division is large enough to provide good training and is yet reasonable in size to provide flexibility and camaraderie.