Pulmonary medicine fellowship program

Under the supervision of faculty, fellows will become competent in the physiology, pathophysiology, diagnosis, evaluation and treatments of a full range of pulmonary conditions, including:

• Asthma 
• Chronic cough 
• Wheeze 
• Dyspnea 
• Hypoxia 
• Respiratory manifestations of systemic diseases 
• Cystic fibrosis 
• Bronchopulmonary dysplasia (chronic lung disease of infancy) 
• Lower respiratory tract infections of the airways, airspaces and pleural space 
• Newborn respiratory distress 
• Respiratory infections in immunocompromised hosts 
• Sleep disordered breathing 
• Chronic ventilatory assistance, including home mechanical ventilation such as bi-level positive airway pressure ventilation (BiPAP), and tracheostomy management. 
• Aspiration syndromes 
• Hemoptysis 
• Congenital anomalies of the respiratory system (TEF, vascular ring, CPAM, sequestration, lung agenesis/hypoplasia, diaphragmatic hernia, bronchogenic cyst, tracheomalacia, laryngomalacia) 
• Acquired upper airway obstruction (vocal cord dysfunction, Subglottic stenosis 
• Chronic suppurative lung disease (bronchiectasis {exclude CF}, chronic bronchitis) 
• Other diseases such as pulmonary hypertension, interstitial lung disease, hemosiderosis, neuromuscular disease and acute lung injuries 
• Pre-operative and post-operative management of children with respiratory disorders (scoliosis, muscular weakness, upper airway obstruction) 

First-year

In addition to defining a research mentor and project during the first year, a minimum of seven months are spent on pulmonary service. One or two months are devoted to critical care experience and the remainder of the year is spent in pertinent clinical electives. During this year, you'll refine your clinical skills and judgment. Targeted skills include:

• Pulmonary function testing 
• Bronchoscopy 
• Blood gas analysis 
• Introduction to sleep medicine 
• Radiographic interpretation 
• Respiratory care 
• Other (for qualified candidates): 
• Interventional bronchoscopy 
• Infant lung function 

A clinical basic science curriculum that includes the developmental biology and physiology, pharmacology and pathology of the lung, will be addressed by tutorials and lectures. Critical review of the literature will be addressed throughout training and formally through journal club. In clinical training, an interdisciplinary team approach will be emphasized. 

Second and third year 

During the second year, the fellow will become progressively independent in clinical management. During the third year, the fellow will assume the role of a junior attending physician with special responsibility for coordinating the interdisciplinary team. Throughout training the fellow will follow specific patients with chronic illnesses.

Fellows will receive training in cutting-edge basic or clinical/translational pulmonary research with internationally recognized mentors. Intensive training is provided in scientific evaluation, research design, current methodologies, data generation, manuscript and grant preparation and critical features of research career development. Grantsmanship skills will be developed by introductory lectures followed by practical application. Presentation of research at major national meetings will be expected of all medical fellows.

Didactic conference are held on a regular scheduled basis with attendance required of all fellows and divisional faculty.

• Weekly Conferences 
  • Pulmonary Science/Journal Club- Friday 
  • Pulmonary Medical Grand Rounds- Friday 
  • Pediatric Grand Rounds- Tuesday 
• Monthly Conferences 
  • Pediatric Research Conference- Wednesday
• Annual Conference
  • North American Cystic Fibrosis Conference or American Thoracic Society Conference 
  • Pediatric Flexible Bronchoscopy Postgraduate Course- Cincinnati Children’s Hospital 
  • Research Graduate Course- Research 4 Residents & Fellows

Throughout all 3 years of training, the fellow will be intimately involved in the teaching endeavors of the division, including teaching medical students, nursing and allied health professions students, residents, and other fellows.