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

肺部临床医学：PFT实验室、支气管镜检查、咨询服务和教育

• 批准号: 9157603
• 负责人: Kenneth Olivier
• 金额: $ 164.4万
• 依托单位: NATIONAL HEART, LUNG, AND BLOOD INSTITUTE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9157603
• 关键词: Bronchial Provocation Tests; Bronchoscopy; Calendar; Cardiopulmonary; Clinical; Clinical Medicine; Clinical Research; Clinical Services; Computerized Medical Record; Consult; Consultations; Critical Care; Data; Education; Educational Curriculum; Electromagnetics; Electronics; Ensure; Environment; Equipment; Exercise stress test; Exhalation; Fellowship; Fellowship Program; Goals; Institutes; Institution; Intramural Research; Laboratories; Life; Link; Lung; Maryland; Measurement; Medical center; Medicine; Military Personnel; Modality; Monitor; National Heart, Lung, and Blood Institute; Nitric Oxide; Nurse Practitioners; Paper; Physician Assistants; Physiological; Physiology; Protocols documentation; Pulmonary function tests; Reading; Recruitment Activity; Reporting; Research; Research Personnel; Research Training; Residencies; Rotation; Schedule; Scientist; Secure; Services; Shunt Device; System; Testing; Therapeutic; Training; Training Programs; Ultrasonography; United States National Institutes of Health; Universities; Walking; base; improved; new technology; programs; pulmonary function

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.

肺临床医学科（PCM）是在过去一年中成立的，其任务是扩大和增强NHLBI壁内研究部门内的临床肺部计划。 一个主要目标是启动肺临床奖学金计划，以增强DIR内的学术环境，并创建临床医生的管道以发展肺部计划。 在探索了许多选择和潜在的计划合作伙伴之后，马里兰大学医学中心（UMMC）被选为该计划的合作伙伴机构。第一届NHLBI/UMMC肺/重症监护医学（PCCM）研究轨道研究员于2015年8月初开始了他的临床培训。所有UMMC PCCM研究员均计划在NIH肺部咨询服务上度过4周，作为他们的临床轮换之一。 第一个轮换研究员始于2015年7月。NIH和UMMC之间共同开发了一项联合研究和临床培训课程。 奖学金申请人正在通过与UMMC PCCM奖学金申请（http://umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track）相关的单独的电子居住申请服务编号招募。 制定了计划，并要求投标对现有的肺功能实验室空间进行计划进行翻新，这实际上将增加第四个测试室和潜在的扩展测试能力，并为PCMS创建行政办公室。 肺功能测试设备与临床中心电子病历（EMR）系统之间的界面随着增加和更安全的存储容量的显着增强。 预计将在2015日历年结束之前上线。 此升级将确保更安全的数据传输，减少对纸张报告的需求，增强EMR中可查看的报告格式，并促进阅读研究，包括肺研究员进行临时解释的准备，并参加了编辑/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测率观看能力，增强了支气管镜检查能力。 获得了ERBE冷冻探针系统，以增强支撑式介入能力。 肺部咨询服务继续在护士从业者和医师助理干部的支持下提供专家咨询，他们也旋转了重症监护室。 一年中的大部分时间都可以通过临床研究员服务来增强这项服务的能力。