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

肺部临床医学科（PCMS）成立于两年前，其任务是扩大和加强NHLBI校内研究部的临床肺部项目。一个主要的目标是启动一个肺病临床奖学金项目，以加强DIR内部的学术环境，并创建一个临床科学家的管道来发展肺病项目。在探索了许多选择和潜在的项目合作伙伴之后，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/重症医学（PCCM）研究跟踪研究员于2015年8月初开始临床培训，他将于2017年1月开始培训的研究部分。所有UMMC PCCM研究员计划花4周时间在NIH肺部咨询服务作为他们的临床轮转之一。美国国立卫生研究院和UMMC联合开发了一个综合研究和临床培训课程。奖学金申请者通过与UMMC PCCM奖学金申请（http://umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track）相关联的一个单独的电子居留申请服务（ERAS）号码招募。我们去年参加了ERAS比赛，从今年7月开始的第2名选手表现不错；今年有27人申请我们的1个名额。

The Pulmonary Clinical Medicine Section (PCMS) was formed two years ago 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 and he will start the research part of his training in January 2017. All of the UMMC PCCM fellows are scheduled to spend 4 weeks on the NIH pulmonary consult service as one of their clinical rotations. A combined research and clinical training curriculum is jointly developed between NIH and UMMC. Fellowship applicants are recruited through a separate Electronic Residency Application Service (ERAS) number affiliated with the UMMC PCCM fellowship application (http://umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track. We participated in the ERAS match last year and did quite well with the 2nd fellow starting this past July; there were 27 applicants for our 1 slot this year. 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. Construction is due to be completed and move planned into the newly renovated space in November 2016. 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 upgrade which went live almost a year ago 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.