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

肺科（PB）于2017年重组，其任务是扩大和加强NHLBI校内研究部的临床肺项目。一个主要的重点是肺部临床奖学金项目，以加强DIR内部的学术环境，并创建临床科学家的管道来发展肺部项目。我们继续与马里兰大学医学中心合作，支持NHLBI/UMMC联合研究奖学金项目和肺部/重症监护医学联合临床和研究培训项目。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。我们继续参加ERAS比赛，目前有4名研究员，每三年有一名培训人员和一名延长研究年的研究员。

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.