The Ilene R. Joseph Interventional Pulmonology (IP) Fellowship training program aims to produce expert specialists with strong academic credentials, preparing them for a successful career in Interventional Pulmonology.
Train the next generation of academic Interventional Pulmonology physicians (physician scientists, academic clinicians, and medical educators).
Produce future leaders in the field of Interventional Pulmonology.
Educate fellows to deliver outstanding, patient-centered care in the field of Interventional Pulmonology.
Train individuals who will incorporate professionalism, empathy, wellness and diversity into practice throughout their career.
Train individuals committed to serving the local and regional communities who entrust us with their care and enable our academic mission.
Train individuals who are able to function within complex multidisciplinary health care teams.
Train individuals who will incorporate continuous improvement throughout their careers.
The University of Michigan Irene R. Joseph Interventional Pulmonology (IP) Fellowship offers an exceptional, well-rounded, educational experience with individualized didactics and robust clinical experiences.
Most inpatient consultations will be managed by the IP Advanced Practitioner Provider (APP). IP fellows will support the APP and participate in daily rounds led by on-call IP faculty and APP. Under direct supervision of IP faculty, IP fellows will perform critical portions of advanced airway and pleural procedures in the IP endoscopy suite and participate in training rotating general pulmonary and critical care fellows and other learners in the procedure suite. IP fellows will not be required to take night call or perform pulmonary and critical care duties.
| Example IP Fellowship Weekly Clinical Schedule | ||||||
|---|---|---|---|---|---|---|
| Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
Morning | IP endoscopy suite | IP endoscopy suite | IP endoscopy suite | OR | OR | IP inpatient round |
Afternoon | IP outpatient clinic | IP endoscopy suite | IP endoscopy suite | OR
| OR | Back up for OR emergency |
Rotations
During the one-year training program, IP fellows will have 10 months of IP service time, 4 weeks of vacation, and 1 month of service rotations, including 2 weeks in thoracic surgery, 1 week in laryngology, and 1 week in thoracic anesthesia.
| Interventional Pulmonology Fellow Block Schedule with Meetings and Rotations | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
Jul. | Aug. | Sept. | Oct. | Nov. | Dec. | Jan. | Feb. | Mar. | Apr. | May | Jun. |
IP service | IP service (2 weeks) | IP service | IP service (3 weeks) | IP service | IP service (3 weeks) | ||||||
IP Bootcamp* | AABIP meeting* |
| CHEST meeting* |
|
|
| Thoracic Surgery Service (2 weeks) |
| Laryngology Service (1 week) | ATS meeting* | Thoracic Anesthesia (1 week) |
*Attendance at national meetings is permitted only for IP fellows who are presenting.
Dynamic Bronchoscopy
Endobronchial Ultrasound (EBUS), Curvilinear and Radial Probe
Esophageal Ultrasound-Guided Transbronchial Needle Aspiration (EUS-B)
Narrow Band Imaging (NBI)
Robotic Bronchoscopy
Transbronchial Biopsy
Transbronchial Cryobiopsy
Transmediastinal EBUS Lymph Node Cryobiopsy
Transbronchial Needle Aspiration (TBNA) and Core Needle Biopsy
Ultrathin bronchoscopy
Airway Stents — Metallic, Silicone, 3-D Printed, and Hybrid; Placement and Removal
Argon Plasma Coagulation (APC)
Balloon and Mechanical Airway Dilation
Cryotherapy
Dual Endosonographic Contrast Airway Recanalization
Dye Pulmonary Marking
Electrocautery
Endoscopic Abscess Drainage
Fibrin Glue Closure
Fiducial Marker Placement
Foreign Body Removal
Laser Bronchoscopy: Holmium and KTP
Laser Tracheobronchoplasty
Montgomery Tracheal Tubes
Microdebrider and Mechanical Debulking
One-Way Endobronchial Valve Placement
Chemical Pleurodesis
Pleuroscopy with Biopsies
Thoracic Ultrasound
Thoracentesis
Thoracostomy (Chest Tubes)
Tunneled Pleural Catheters Placement and Management
ECMO-Supported Therapeutic Bronchoscopy
More than 30 joint Cases Per Year with Thoracic, Head and Neck Surgery, and Interventional Radiology
Percutaneous Tracheostomy
Whole Lung Lavage – Including Bilateral Single-Session Whole Lung Lavage
Fellows will be exposed to an active research program with numerous ongoing projects including clinical trials, health services research, and translational research.
Within the limitations of a one-year clinical training program, fellows are expected to actively participate in ongoing projects and initiate new research within our program. Scholarly work and academic production are expected and should consist at a minimum of one presentation at an international conference and one manuscript submission to a peer-reviewed journal.
The Interventional Pulmonology Program has participated in the following research initiatives including:
- SOURCE Study
- SPIROMICS Study
- RHESOLVE Study
- AIRFLOW – 3 Study
- BREATHE Study
IP fellows will have a weekly Interventional Pulmonology Core Curriculum lecture series. Every other month, IP fellows are expected to participate in a research conference, which alternates with the IP Journal Club. The fellows will attend the weekly Multidisciplinary IP Clinical Rounds on Mondays from 1200-1300 hours, where the IP team will review recent procedures, upcoming cases, and results.
IP fellows will also attend and present their patients at several multidisciplinary conferences, including the thoracic tumor board, lung volume reduction meeting, and complex airway conference. The multidisciplinary thoracic tumor board is held at Rogel Cancer Center every Friday from 1200–1300 hours, the lung volume reduction conference is held bi-monthly on Tuesdays at 0700 hours, and the multidisciplinary complex airway conference is held the first Tuesday of each month at 1700 hours.
Finally, IP fellows will participate as faculty in the Bronchoscopy and Pleural Boot Camp educational course for new Pulmonary and Critical Care Medicine first-year fellows which occurs annually in July.
| Interventional Pulmonology Fellow Didactic Schedule | |||||
|---|---|---|---|---|---|
| Monday | Tuesday | Wednesday | Thursday | Friday |
Morning | 1200-1300 Weekly Multidisciplinary IP Clinical Rounds | 0700-0730 Bi-monthly Multidisciplinary LVR Conference | 0700-0800 Monthly Research Conference/IP Journal Club (First Wednesday of Every Month) | 0700-0800 Weekly IP Core Curriculum lecture |
|
Afternoon |
| 1700-1800 Monthly Multidisciplinary Airway Conference (First Tuesday of Every Month) |
|
| 1200-1300 Weekly Tumor Board |
| Title | Speaker | Format |
| Airway Anatomy and Normal Variations | IP Fellow | Lecture |
| Pleural Anatomy and Physiology | Rotating PCCM Fellow | Lecture |
| Approach to the Patient with Pleural Effusion | IP Faculty | Lecture |
| Laryngoscopy, Laryngeal Anatomy and Physiology | Laryngology Faculty | Lecture |
| Basic Bronchoscopic Procedures and Tools | IP Fellow | Case Base |
| Basic Lung Pathology and Cytology for Interventional Pulmonologists | Guest Faculty - Pathology | Lecture |
| Approach to Central Airway Obstruction | IP Fellow | Case Base |
| Approach to Hemoptysis and Massive Hemoptysis | IP Faculty | Case Base |
| Tracheal and Pleural Tumors | IP Fellow | Lecture |
| Lung Cancer Staging | IP Faculty | Lecture |
| Rigid Bronchoscopy, Mechanical Debridement, Dilation, Ablation Therapies: Different Lasers, APC, Electrocautery | IP Fellow | Case Base |
| Ablation Therapies II: Cryotherapy, PDT, Brachytherapy | IP Fellow | Case Base |
| Airway Stents | IP Faculty | Debate |
| EBUS: Radial and Linear | IP Faculty | Debate |
| Early Lung Cancer and Premalignant Lesions: NBI/AF/OCT/Confocal Microendoscopy | IP Faculty | Lecture |
| Navigational Bronchoscopy; Lung Nodule Biopsy Basics and Ultrathin Bronchoscopy | IP Faculty | Case Base |
| Navigational Robotic Bronchoscopy | IP Faculty | Case Base |
| Creation of an IP Service: $250K Budget | IP Fellow | Lecture |
| Thoracentesis, Pleural Manometry and Chest Tubes (Small Bore and Large Bore) | Rotating PCCM Fellow | Lecture |
| Medical Thoracoscopy | IP Faculty | Case Base |
| Pleurodesis Techniques: TPC vs. Pleurodesis | IP Fellow | Case Base |
| Management of Tracheoesophageal Fistulas | IP Faculty | Debate |
| Management of Bronchopleural and Alveolo-Pleural Fistulas | IP Fellow | Case Base |
| Management of Pneumothorax | IP Faculty | Case Base |
| Management of Traumatic Airway Injuries | IP Faculty | Debate |
| Surgical vs. Percutaneous Tracheostomy | IP Faculty | Debate |
| Chemotherapy for Lung Cancer | Guest Faculty - Medical Oncology | Lecture |
| Endoscopic Advanced Procedures for Severe COPD | IP Fellow | Case Base |
| Endoscopic Ablatives Peripheral Techniques | IP Faculty | Case Base |
| Techniques for Surgical Airway Reconstruction | Guest Faculty - Thoracic Surgery | Lecture |
| Tracheobronchomalacia and Tracheal Stenosis | IP Faculty | Case Base |
| Whole Lung Lavage | IP Faculty | Case Base |
| Airway Complications of Lung Transplantation | IP Fellow | Case Base |
| Basic Concepts on Radiation for Primary and Metastatic Thoracic Malignancies | Guest Faculty - Radiation Oncology | Lecture |
| Anesthesia for IP Procedures, Including Pregnancy | Guest Faculty - Thoracic Anesthesia | Lecture |
| Foreign Body Removal | IP Fellow | Case Base |
| Coding and Billing | IP Faculty | Lecture |
Expand your career trajectory in a high-volume academic medical center that also supports and excels in a wide range of basic science, translational and clinical research programs.
