We are a small community based program which allows for a significant amount of 1 on 1 time with an attending. Even as a community based hospital we also serve as a referral center, getting referrals from a large geographic area. This allows fellows to see a rather diverse patient population including less commonly seen problems. We also utilize the latest technology. Fellows will graduation being proficient in endobronchial ultrasound, navigation bronchoscopy and bedside ultrasound.