Pulmonary & Critical Care Medicine Fellowship Program

The UCSF Fellowship in Pulmonary and Critical Care Medicine is an international leader in fellowship training. We develop future academic leaders, innovators, and educators who reflect the compassion, diversity and excellence we value. 

We support the career development of our fellows by providing an outstanding educational environment, individualized support, broad inclusion, equity, effective mentorship and sponsorship. The program is designed to achieve our goal of training academic and service-focused physicians. We offer 18 months of clinical training concentrated in the first two years of fellowship, in addition to continuity clinic and elective outpatient clinic experiences throughout the 3-year program. Nearly all of our fellows stay for a fourth year to pursue training in research, education, transplant or interventional fellowship, or other service-focused careers. 

We are proud of our record in training top researchers, academic physicians, and leaders in global health and industry. UCSF alumni include multiple American Thoracic Society Presidents, medical school deans, department chairs and division chiefs. UCSF receives more National Institutes of Health funding than any other public institution, and we leverage this support to provide greater opportunity and choice for our fellows. Since 2007, UCSF fellows have received more career development (K) awards than any other single institution. We also support our fellows through their post-ACGME training; at UCSF you can continue to pursue your academic career without worrying about whether support will be available beyond year three.

We want to help you achieve your goals. Check out our site for more details on the structure of the program and all the ways we support our fellows. Be sure to check out our fellow bios for some examples of how UCSF is working to support the future leaders in pulmonary and critical care medicine.



Career Pathways Graphic Clinical and Translational Research: Fellows on this path usually take additional coursework in clinical trial design and advanced statistics. Some will choose to obtain a Master’s degree. The program will cover tuition costs for these courses. This is most popular pathway in the program.

Global Health: Global Health research funding at UCSF has grown more than 30% per year since 2012 and in 2016 global health research funding exceeded 130 million dollars. Programs within the division include several tuberculosis and HIV programs in Africa and Southeast Asia. 

Basic Research: Fellows in this pathway pursue mentored research within the pulmonary division or with a mentor from the UCSF community. UCSF has an unsurpassed record of success in training fellows in this pathway. Applicants from groups under included in medicine who wish to pursue careers in basic science are eligible for consideration for additional research funding during their post-ACGME fellowship period (year 4-5). 

Clinician Educator: The objective of this pathway is to train fellows to do education research or obtain a faculty position with a substantial amount of teaching. Fellows in this pathway take coursework and complete projects in health professions education. Some will pursue a Master’s degree. The program will cover tuition costs for these courses. 

Implementation Science: Fellows interested in implementation science can work with a mentor in the division or the UCSF community. Some fellows may complete additional IS certificate training through the UCSF CTSI. UCSF fellows are eligible to apply for internal K12 funding in implementation science. 

Frequently Asked Questions

How do I apply?
Apply to UCSF through ERAS. Applications open around July 1.

How many fellows do you accept each year?
We accept 7 fellows.

How many applications do you receive?
We receive approximately 300 applications per year and interview 40-50 applicants. 

Do you accept fellows outside of the match?
No. We only accept Pulmonary and Critical Care fellows through the National Residency Matching Program. Some of our PCCM fellows will do additional fellowship training at UCSF in transplant or interventional pulmonology, and those programs do not use the match.

Do you sponsor J1 or other Visas?
No. We primarily use NIH T32 or F32 funding to support our fellows and these funding mechanisms are only available to U.S. citizens and permanent residents. Applicants who bring exceptional and unique qualifications may be considered in very rare cases.

How long is your fellowship program?
The American Board of Internal Medicine requires three years of training for board certification. Nearly all of our fellows stay for 4 or 5 years as they work on developing the skills they need for their future careers in research, education, health service or other leadership roles. 

What is the clinical training like at UCSF?
We offer an 18-month clinical training program with continuity and other elective clinic experiences extending throughout the 3-year program. Roughly nine months are spent in pulmonary medicine and nine months in critical care. There is a mix of in-house and at-home night call in some of the rotations. Fellows work at our three hospitals: Moffitt-Long/Parnassus UCSF Health, Zuckerberg San Francisco General, and the San Francisco VA Health Care System. Read more

Do you have a critical care only fellowship?

How are your interview days structured? 
Our interview Mondays begin with a presentation from program leadership and a brief tour of one of our three hospitals. Fellows can expect to interview with 4 faculty or fellows and then visit our main campus to attend our weekly clinical and research conferences. Interview Mondays are generally scheduled in late September through October. If you are not able to attend one of our scheduled days, we might be able to accommodate you on a different day, but we recommend attending a scheduled interview day to make the most of your visit.

What is a T32 or F32?
These are NIH grants that support fellows pursuing training in research. UCSF uses these mechanisms to support the research portion of fellowship training for most fellows. Support from a T32 while at UCSF, or any other Pulmonary and Critical Care Medicine program, requires a payback period of 1 year in research, teaching or health service that is generally completed in year 4 of fellowship training or the first year of a faculty appointment for fellows completing only 3 years of training. Read more

How are fellows supported at UCSF? What happens after year three?
We support our fellows with an unsurpassed commitment to their academic success. The keys to this success include resources, opportunity and commitment. Read more

What if I’m not sure if I want to do research or education?
Our program is designed to train people interested in research, education, or other service-focused careers. Applicants who are unsure, but willing to commit to pursuing four years of fellowship training, or three years of fellowship training and one year working in qualifying research, teaching or health service are strongly encouraged to apply. Training fellows to work in non-service-oriented private practice is not what we do; if that is your primary interest, you should choose a program specializing in that training. 

Do you have career tracks/pathways?
Yes. UCSF provides opportunities in multiple career paths. This includes training in clinical or translational research, basic research, global health, implementation sciences and a clinician-educator track. None of these programs requires a separate match, but applicants should indicate their interest in their application or on interview day. Read more


William Ho
Program Coordinator 
University of California, San Francisco
   Division of Pulmonary, Critical Care,
   Allergy, Sleep Medicine         
513 Parnassus Ave, Box 0111, HSE1314
San Francisco, CA 94143
P: 415.476.0753
F: 415.502.2605
[email protected] 

Ashley Lamsen
Assistant Program Coordinator 
University of California, San Francisco
   Division of Pulmonary, Critical Care,
   Allergy, Sleep Medicine         
513 Parnassus Ave, Box 0111, HSE1314
San Francisco, CA 94143
P: 415.514.4764
F: 415.502.2605
[email protected] 



James Frank

James Frank, MD
Fellowship Program Director
[email protected] 

Lekshmi Santhosh

Lekshmi Santhosh, MD, MA
Associate Program Director
[email protected] 

Antonio Gomez

Antonio Gomez, MD
Assistant Program Director for Critical Care & Procedures
[email protected]

Nirav Bhakta

Nirav Bhakta, MD
UCSF Site Director
Fellow Coach
[email protected]

Priya Shete

Priya Shete, MD
ZSFG Site Director 
Fellow Coach
[email protected]


Neil Trivedi, MD
VA Site Director
Fellow Coach
[email protected]

 Alyssa Perez

Alyssa Perez, MD, EdM
Assistant Program Director for Advanced Lung Disease, Interventional & Subspecialty Clinics
[email protected]