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Electives can be for an entire block or as part of another rotation. All elective activity must be approved by the attending physician in the department where the elective will be held. An example of an elective experience would be getting intubation practice with anesthesiology. Anesthesia has a policy where a fellow may request to come to the operating room in the morning and perform intubation under the supervision of the attending anesthesiologist. Fellows can also request to scrub with thoracic surgeons on a particular case or to perform ultrasound or transthoracic procedures with Radiology at the VA, while engaged in another rotation.

Other elective experiences can include the Occupational Lung Clinic and the Allergy and Pediatric Allergy and Lung Disease clinics.