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

肺部分支（PB）于2017年重新组建，其任务是扩大和加强NHLBI校内研究部内的临床肺部项目。 一个主要的重点是肺临床奖学金计划，以提高学术环境内的肺，并创建一个管道的临床科学家成长的肺计划。 我们继续与马里兰州医学中心大学的合作伙伴关系，以支持联合NHLBI/UMMC研究奖学金轨道和合并肺/重症监护医学临床和研究培训计划。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。 NIH和UMMC联合开发了一个研究和临床培训相结合的课程。 奖学金申请人通过与UMMC PCCM奖学金申请相关的单独电子居留申请服务（ERAS）号码招募（http：//www.example.com）。umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track我们继续参加ERAS比赛，目前有4名研究员，3年培训和延长研究年研究员中的每一个。 NHLBI肺功能实验室有4个全职测试室，由经过认证的PFT技术人员组成，他们在NIH临床中心内执行生理肺测试，以支持NHLBI和其他IC方案的临床需求。 支气管镜检查功能包括超声引导和电磁导航引导活检和治疗干预通过我们的咨询服务提供。 肺科咨询服务提供专家、基于指南的咨询，由2名执业护士和1名医生助理组成的骨干提供支持。 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。通过与沃尔特里德国家军事医疗中心的谅解备忘录，儿科和介入肺咨询支持由沃尔特里德的联合认证提供者提供。

The Pulmonary Branch (PB) was re-formed in 2017 with a mandate to expand and enhance the clinical pulmonary program within the Division of Intramural Research, NHLBI. A primary focus is the 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. We have continued our partnership with the University of Maryland Medical Center to support a joint NHLBI/UMMC research fellowship track and a combined pulmonary/critical care medicine clinical and research training program. 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 continue to participate in the ERAS match and currently have a full complement of 4 fellows, one in each of the 3 years of training and an extended research year fellow. The NHLBI Pulmonary Function Lab has 4 full-time testing rooms staffed by certified PFT technicians who perform physiologic pulmonary testing in support of NHLBI and other IC protocol clinical needs within the NIH Clinical Center. Bronchoscopy capabilities including ultrasound guided and electromagnetic navigation directed biopsies and therapeutic interventions are provided through our consultation services. The pulmonary consultation service provides expert, guidelines-based consultations with support from a cadre of 2 nurse practitioners and 1 physician assistant. Capacity of this service has been enhanced by having clinical fellows on service for most of the year. Through a Memorandum of Understanding with Walter Reed National Military Medical Center, pediatric and interventional pulmonary consultative support are provided by co-credentialed providers from Walter Reed.