Fellows rotate through a procedure service. During this time, fellows work closely with an interventional bronchoscopist and have the opportunity to observe and to participate in advanced bronchoscopic procedures such as endoscopic ultrasound guided needle aspirations and biopsies, electrocautery and laser treatment of endobronchial lesions, endoluminal stent placement, insertion and management of chest thoracostomy and pleural catheters.
Moreover, fellows are trained in the technical aspects and interpretation of pulmonary function testing and other specialized tests including exercise stress tests. One objective of this training is to provide a firm understanding of the physiologic basis of pulmonary function testing as well as experience in the operational management of a pulmonary laboratory. A 5,000 sq. ft. laboratory with facilities for routine clinical testing, exercise testing, pulmonary mechanics measurements, and bronchial provocation testing is the focus of this training.
We enjoy a close working and academic relationship with the thoracic surgeons, thoracic radiologists, and thoracic oncologists. Fellows are expected to complete rotations in the cardiothoracic surgical unit. Fellows also spend devoted time to a sleep rotation where they evaluate sleep disorders in the office, perform polysomnography in the sleep lab, and interpret sleep studies.
As part of their clinical training in pulmonary diseases, fellows assume a one-half day per week commitment to outpatient pulmonary medicine where they have a one-on-one interaction with an attending during a continuity clinic. As a tertiary care center, Thomas Jefferson University Hospital has a broad base of patient referrals with a wide variety of usual and unusual pulmonary disorders.