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: 9357331
• 负责人: Kenneth Olivier
• 金额: $ 52.53万
• 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/9357331
• 关键词: Bronchial Provocation Tests; Bronchoscopy; 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; Bronchial Provocation Tests; Bronchoscopy; 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 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.

肺临床医学科（PCM）是两年前成立的，其任务是扩大和增强NHLBI壁内研究分区内的临床肺部计划。 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。第一个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，他将于2017年1月开始接受培训的研究部分。计划在NIH肺部咨询服务上花费4周的时间，作为其临床转移。 NIH和UMMC之间共同开发了研究和临床培训课程。 奖学金申请人是通过与UMMC PCCM奖学金申请（http://umm.edu/programs/pulmonary/professionals/pulmonary-fellowship/nih-nhlbi-track一起参加的27年的七年前，我们在27年开始的27名;插槽今年。 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。 施工将于2016年11月完成，并计划进入新装修的空间。肺功能测试设备与临床中心电子病历（EMR）系统之间的接口得到了显着增强，随着增加和更安全的存储容量。 大约一年前进行的这种升级将确保数据传输更安全，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，包括在参加编辑/共同签名的肺同伴进行临时解释的准备。 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。