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

肺科(PB)于2017年重组，任务是扩大和加强NHLBI内壁研究部内的临床肺科项目。一个主要的重点是肺部临床奖学金计划，以改善DIR内的学术环境，并创建一个临床科学家的管道，以发展肺部计划。我们继续与马里兰大学医学中心合作，支持NHLBI/UMMC联合研究奖学金跟踪和肺部/危重护理医学临床和研究综合培训计划。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。NIH和UMMC联合开发了一项研究和临床培训相结合的课程。奖学金申请者通过独立的电子居留申请服务(ERAS)号码招募，该号码附属于UMMC PCCM奖学金申请(http://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，在3年的培训中每年一名，以及一名延长研究年的研究员。 NHLBI肺功能实验室有4个全职测试室，配备有认证的PFT技术人员，他们在NIH临床中心内执行生理性肺测试，以支持NHLBI和其他IC方案的临床需求。 我们的咨询服务提供支气管镜检查能力，包括超声引导和电磁导航、引导活检和治疗干预。 肺部咨询服务在2名执业护士和1名医生助理的支持下，提供以指导为基础的专家咨询。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。通过与沃尔特里德国家军事医疗中心签署的谅解备忘录，沃尔特里德的共同认证提供者提供儿科和介入肺咨询支持。

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.