The Section of Interventional Pulmonology at BIDMC has offered an Advanced Diagnostic Bronchoscopy (ADB) Fellowship to senior Pulmonary and Critical Care fellows for the past five years. The Fellowship has gained significant popularity and to date we have trained eight fellows.
The ADB Fellowship is a 3-month training program designed to provide senior pulmonary and critical care medicine fellows with the skills and knowledge needed to perform advanced diagnostic bronchoscopy procedures, including navigational bronchoscopy, radial probe endobronchial ultrasound (EBUS), and linear probe EBUS. Fellows will receive exposure to a number of navigational bronchoscopy techniques, including electromagnetic navigation and Robotic Bronchoscopy. This procedural training is complemented by a rigorous curriculum covering a broad range of pulmonary topics, including evaluation of solitary pulmonary nodules and peripheral lung lesions, lung cancer screening, diagnosis and staging of lung cancer, and the role of EBUS for diagnosis of other diseases (eg. lymphoma and sarcoidosis).
Target Learner: Senior Pulmonary Medicine Fellow (3rd/4th year)
Duration: 12 weeks
Academic Opportunities
Fellows will participate in formal didactic sessions on:
Fellows will attending a weekly core-curriculum lecture series in Interventional Pulmonology, and fellows will attending a weekly multi-disciplinary Thoracic Tumor Board for case-based discussion of thoracic oncology patients. A multiple-choice exam including mediastinal anatomy, bronchoscopic anatomy and interpretation of CT of the chest will be used to determine specific needs to be addressed.
Simulation: Fellows will actively participate in simulation sessions at the Carl J. Shapiro Skills and Simulations Lab at BIDMC for 5-10 cases depending on individual skill and results of structured evaluation by the simulation software.
Clinical Training
Procedures (2 days a week): Fellows will perform the following procedures in the operating room under the direct supervision of an Interventional Pulmonologist.
Flexible bronchoscoscopy
Outpatient Consultation (1.5 days/week multidisciplinary thoracic oncology clinic)
Inpatient Consultation
Electives: The fellow will rotate thru the following electives to ensure a broad understanding of the diagnosis and management of thoracic malignancies.
Assessment and Evaluation
Application Process: Applications are reviewed on a rolling basis.
Please send the following to Mihir Parikh MD
Contact:
Mihir Parikh MD
Program Director, Advanced Diagnostic Bronchoscopy Fellowship
Division of Thoracic Surgery and Interventional Pulmonology
Beth Israel Deaconess Medical Center
Instructor in Medicine
Harvard Medical School
[email protected]
The ADB Fellowship is a 3-month training program designed to provide senior pulmonary and critical care medicine fellows with the skills and knowledge needed to perform advanced diagnostic bronchoscopy procedures, including navigational bronchoscopy, radial probe endobronchial ultrasound (EBUS), and linear probe EBUS. Fellows will receive exposure to a number of navigational bronchoscopy techniques, including electromagnetic navigation and Robotic Bronchoscopy. This procedural training is complemented by a rigorous curriculum covering a broad range of pulmonary topics, including evaluation of solitary pulmonary nodules and peripheral lung lesions, lung cancer screening, diagnosis and staging of lung cancer, and the role of EBUS for diagnosis of other diseases (eg. lymphoma and sarcoidosis).
Target Learner: Senior Pulmonary Medicine Fellow (3rd/4th year)
Duration: 12 weeks
Academic Opportunities
Fellows will participate in formal didactic sessions on:
- Anatomy of the mediastinum
- Lung cancer screening data and guidelines
- Diagnosis and staging of NSCLC (8th edition)
- Approach to the diagnosis of peripheral lung lesions
- Endobronchial ultrasound for diagnosis of lung cancer and other diseases
Fellows will attending a weekly core-curriculum lecture series in Interventional Pulmonology, and fellows will attending a weekly multi-disciplinary Thoracic Tumor Board for case-based discussion of thoracic oncology patients. A multiple-choice exam including mediastinal anatomy, bronchoscopic anatomy and interpretation of CT of the chest will be used to determine specific needs to be addressed.
Simulation: Fellows will actively participate in simulation sessions at the Carl J. Shapiro Skills and Simulations Lab at BIDMC for 5-10 cases depending on individual skill and results of structured evaluation by the simulation software.
Clinical Training
Procedures (2 days a week): Fellows will perform the following procedures in the operating room under the direct supervision of an Interventional Pulmonologist.
Flexible bronchoscoscopy
- BAL, Brushings
- Transbronchial lung biopsy
- Navigational bronchoscopy/radial EBUS guided peripheral lung sampling and fiducial marker placement (approximately 4 procedures per week)
- Linear EBUS TBNA (approximately 6-8 procedures per week)
Outpatient Consultation (1.5 days/week multidisciplinary thoracic oncology clinic)
- Fellows will participate in the multidisciplinary Thoracic Oncology clinic at BIDMC in the evaluation of patients with diagnosed or suspected thoracic malignancies.
- Fellows will attend the multidisciplinary thoracic oncology conference every week.
Inpatient Consultation
- The fellow will actively participate as a member of the IP team in the evaluation of patients in the inpatient and outpatient setting with suspected lung cancer and peripheral lung lesions.
Electives: The fellow will rotate thru the following electives to ensure a broad understanding of the diagnosis and management of thoracic malignancies.
- Thoracic Oncology (Drs Daniel Costa and Deepa Rangachari)
- Mediastinoscopy and VATS Lung Resection (Drs Jennifer Wilson and Michael Kent)
- Stereotactic Beam Radiotherapy and Radiation Oncology (Dr Stuart Berman)
- Thoracic Cytopathology (Dr Paul Vanderlaan)
- Transthoracic Needle Aspiration, Percutaneous Radiofrequency Ablation, and Interventional Radiology (Dr Salamao Faintuch)
Assessment and Evaluation
- Fellows will have monthly 360⁰ feedback sessions with faculty to review clinical and procedural progress and identify areas for additional training.
- At the end of the rotation fellows will be evaluated using a validated multiple-choice assessment and the virtual simulator.
Application Process: Applications are reviewed on a rolling basis.
Please send the following to Mihir Parikh MD
- Short personal statement of interest
- Procedure list
- Curriculum vitae
- Two letters of recommendation (one from current fellowship program director)
Contact:
Mihir Parikh MD
Program Director, Advanced Diagnostic Bronchoscopy Fellowship
Division of Thoracic Surgery and Interventional Pulmonology
Beth Israel Deaconess Medical Center
Instructor in Medicine
Harvard Medical School
[email protected]