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

肺部临床医学科（PCMS）成立于去年，其任务是扩大和加强NHLBI校内研究部内的临床肺部项目。 一个主要目标是启动一个肺临床奖学金计划，以加强在肺内的学术环境，并创建一个临床科学家的管道，以发展肺计划。 在探索了一些选择和潜在的计划合作伙伴，马里兰州医学中心（UMMC）的大学被选为该计划的合作机构。第一位NHLBI/UMMC肺/重症监护医学（PCCM）研究跟踪研究员于2015年8月初开始了临床培训。 所有的UMMC PCCM研究员计划花4周的NIH肺咨询服务作为他们的临床轮换之一。 2015年7月开始第一次轮换研究员。 NIH和UMMC正在联合开发一个研究和临床培训相结合的课程。 奖学金申请人正在通过与UMMC PCCM奖学金申请相关的单独电子居留申请服务号码（http：//www.example.com）招募。umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track 制定了计划，并要求对现有肺功能实验室空间进行计划翻新，实际上将增加第四个检测室和潜在的扩展检测能力，并为PCMS创建行政办公室。 肺功能检测设备和临床中心电子病历（EMR）系统之间的接口已得到显著增强，沿着存储容量增加且更安全。 预计将在2015日历年年底前启用。 此次升级将确保更安全的数据传输，减少纸质报告的需求，增强EMR中可见的报告格式，并促进研究的阅读，包括由肺部研究员提供临时解释，并由参与编辑/共同签名。 通过在临床中心支气管镜检查套件中获得改进的视频监视器查看能力，增强了支气管镜检查能力。 获得埃尔贝冷冻探针系统以增强支气管内介入能力。 肺科咨询服务继续提供专家咨询，并得到一批执业护士和助理医生的支持，他们也在重症监护室轮流工作。 由于在一年的大部分时间里都有临床研究员提供服务，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.