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Training / Didactics / Research / Curriculum & Education / Recent Graduates


Clinical and Procedural Training

Clinical training will involve patient assessment and evaluation of presenting complaints, assessment and formulation of treatment plan and patient follow-up. The fellow will also be afforded the opportunity to care for patients seen in our Interventional Pulmonary Clinic two half-days per week.

We treat a high volume of patients with benign and malignant airway, lung and pleural diseases. The fellow will be trained in the use of several interventional pulmonary procedures used for diagnostic, therapeutic and palliative purposes.

At the start of each academic year, there will be an opportunity for hands-on simulation training for some of the complex procedures used.

Fellow evaluation will encompass the above.

Didactics: Formal Lectures, Journal Club and Conferences

Formal and informal didactic learning will occur throughout the fellowship training year. Formal didactics will occur at least once per month.

Other learning opportunities include Case Conferences (including literature review), Interventional Pulmonary Journal Club and a joint Journal Club with the Pulmonary-Critical Care Medicine Fellowship training program.

The fellow is expected to participate and attend in weekly Multidisciplinary Tumor Board Conference. This conference is well attended by the following disciplines: thoracic surgery, interventional radiology, oncology, radiation oncology, pathology and interventional pulmonary.

The fellow is also expected to participate in the monthly multidisciplinary airway conference. This conference is well attended by the following disciplines: thoracic surgery, ENT and interventional pulmonary.

Scholarly activity

The fellow will be given one day per week to formulate and work on scholarly pursuits. The fellow is expected to participate in a scholarly activity project and to present an abstract, case/case series or original work at a national conference meeting. The fellow will receive a monetary allowance to help offset some expenditures (i.e. registration, travel, room, etc.) associated with this presentation. The fellow is expected to submit at least one manuscript to a peer-reviewed journal prior to completing fellowship training.

Curriculum

We believe that knowledge is an important pre-requisite for achieving procedural competence. The following is a sample of topics and procedures that the fellow is expected to comprehend and display competencey in performing prior to the completion of fellowship training.

  1. Advanced diagnostic & Therapeutic Flexible Bronchoscopy
  2. Complex Airway Management
  3. Management of Benign and Malignant Airway Obstructions
  4. Management of Chronic Tracheostomy
  5. Management of Benign and Malignant Pleural Diseases
  6. Medical Thoracoscopy
  7. Electromagnetic Navigational Bronchoscopy
  8. Endobronchial Ultrasound (EBUS) – TBNA
  9. Microendoscopy (Cellvizio)
  10. Narrow Band Imaging
  11. Auto Fluorescence Bronchoscopy
  12. Nd-Yag Laser
  13. Spray Cryotherapy (TruFreeze)
  14. Argon Plasma Coagulation
  15. Electrocautery
  16. Contract Cryotherapy
  17. Endobronchial Brachytherapy
  18. Rigid Bronchoscopy
  19. Balloon Bronchoplasty
  20. Metallic and Silicone airway stent placement (Flexible and Rigid)
  21. Bronchial Thermoplasty
  22. Endobronchial Valve Placement
  23. Pleuroscopy (Pleural Biopsy and Pleurodesis)
  24. Pleural Catheter Placement (Pleurx)
  25. Use of Pleural Manometry
  26. Thoracic Ultrasound in Managing Pleural Disease
  27. Ultrasound guided Critical Care Procedures
  28. Percutaneous Tracheostomy
  29. Transtracheal Oxygen Catheter Placement
  30. Foreign Body Retrieval (with Rigid or Flexible Bronchoscopes)
  31. Interpretative Skills and Use of 3-D CT images in Airway Management

Recent Interventional Pulmonary Fellowship Graduates

Name Year Pulmonary Critical Care Fellowship After Graduation
Umair Gauhar 2011-2012

University of Alabama at Birmingham

University of Alabama at Birmingham

Abdulgadir Adam 2012-2013 Wayne State University Group Practice, Berkley Michigan
Muralidhar Kondapaneni 2013-2014 University of Louisville  
Larry Ladi 2014-2015 Drexel University