Pulmonary clinical medicine: PFT lab, bronchoscopy, consultation services, and education

肺临床医学科(PCMS)是在过去的一年中成立的，其任务是扩大和加强NHLBI内壁研究部内的临床肺科项目。主要目标是启动肺部临床奖学金计划，以改善DIR内的学术环境，并创建一条临床科学家的渠道，以发展肺部计划。在探索了许多选择和潜在的项目合作伙伴后，马里兰大学医学中心(UMMC)被选为该项目的合作机构。第一位NHLBI/UMMC肺/重症监护医学(PCCM)研究跟踪研究员于2015年8月初开始临床培训。所有UMMC PCCM研究员都计划在NIH肺咨询服务上度过4周，作为他们的临床轮换之一。第一位轮值研究员于2015年7月开始工作。NIH和UMMC正在联合开发一项联合研究和临床培训课程。奖学金申请者是通过一个独立的电子居留申请服务号码招募的，该服务号码附属于UMMC PCCM奖学金申请(http://umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track. 制定了计划和招标，计划翻修现有的肺功能实验室空间，实际上将增加第四个测试室和可能扩大的测试能力，并为多氯联苯监测系统建立行政办公室。随着存储容量的增加和更安全，肺功能测试设备与临床中心电子病历(EMR)系统之间的接口已得到显著增强。预计在2015日历年结束前上线。这一升级将确保更安全的数据传输，减少对纸质报告的需要，增强电子病历中可见的报告格式，并便于阅读研究报告，包括规定由肺病研究员在参加编辑/联合签名的情况下进行临时口译。 通过购买临床中心支气管镜检查套件中改进的视频监视器观看能力，支气管镜检查能力得到了增强。获得了ERBE冷冻探头系统，以增强支气管腔内介入能力。 肺部咨询服务继续提供专家咨询，并得到一批护士从业人员和医生助理的支持，他们也在重症监护室轮换。由于一年中的大部分时间都有临床研究员在服务，这项服务的能力得到了加强。

The Pulmonary Clinical Medicine Section (PCMS) was formed over the past year with a mandate to expand and enhance the clinical pulmonary program within the Division of Intramural Research, NHLBI. A primary goal was to start a pulmonary clinical fellowship program to enhance the academic environment within the DIR and to create a pipeline of clinician scientists to grow the pulmonary program. After exploring a number of options and potential program partners, the University of Maryland Medical Center (UMMC) was selected as a partner institution for this program. The first NHLBI/UMMC Pulmonary/Critical Care Medicine (PCCM) Research Track fellow started his clinical training in early August 2015. All of the UMMC PCCM fellows are scheduled to spend 4 weeks on the NIH pulmonary consult service as one of their clinical rotations. The first rotating fellow started in July 2015. A combined research and clinical training curriculum is being jointly developed between NIH and UMMC. Fellowship applicants are being recruited through a separate Electronic Residency Application Service number affiliated with the UMMC PCCM fellowship application (http://umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track. Plans were created and bids were requested for planned renovation of the existing pulmonary function laboratory space that will actually add a 4th testing room and potential expanded testing capacity and create administrative offices for the PCMS. The interface between the pulmonary function testing equipment and the Clinical Center electronic medical record (EMR) system has been significantly enhanced along with increased and more secure storage capacity. This is expected to go live prior to the end of the 2015 calendar year. This upgrade will ensure safer data transfer, decrease the need for paper reporting, enhance the reporting format viewable within the EMR, and facilitate reading of the studies including provision for provisional interpretation by the pulmonary fellow with attending editing/co-signature. Bronchoscopy capabilities were enhanced with the acquisition of improved video monitor viewing capacity in the Clinical Center bronchoscopy suite. An Erbe Cryoprobe system was acquired to enhance the endobronchial interventional capabilities. The pulmonary consultation service continued to provide expert consultations with support from a cadre of nurse practitioners and physician assistants who also rotate through the critical care unit. Capacity of this service has been enhanced by having clinical fellows on service for most of the year.