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Original Research: Pulmonary Procedures |

Procedural Volume and Structure of Interventional Pulmonary FellowshipsInterventional Pulmonary Fellowships: A Survey of Fellows and Fellowship Program Directors

Lonny Yarmus, DO, FCCP; David Feller-Kopman, MD, FCCP; Melhem Imad, MD; Stephanie Kim, BS; Hans J. Lee, MD, FCCP
Author and Funding Information

From the Section of Interventional Pulmonology (Drs Yarmus, Feller-Kopman, and Imad and Ms Kim), Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; and the Section of Interventional Pulmonology (Dr Lee), Division of Pulmonary and Critical Care, Virginia Commonwealth University, Richmond, VA.

Correspondence to: Lonny Yarmus, DO, FCCP, Section of Interventional Pulmonology, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, 1800 Orleans St, Ste 7125M, Baltimore MD 21287; e-mail: lyarmus@jhmi.edu


Funding/Support: This study was funded by the American Association of Bronchology and Interventional Pulmonology.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(3):935-939. doi:10.1378/chest.12-3028
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Published online

Background:  Current interventional pulmonary (IP) procedural guidelines for competency are based on expert opinion. There are few objective data to support competency metrics for IP procedures. This survey reports procedural volume during IP fellowships to help define new standards in training and curriculum development.

Methods:  A web-based survey was developed to evaluate IP training procedural volume. The survey was administered to all US and Canadian IP fellowship directors and graduates in training from 2006 to 2011. The survey inquired about all diagnostic and therapeutic procedures performed during the specialized year of IP training. Questions regarding the training program structure were collected and analyzed.

Results:  There was a 92.5% fellow response rate (37 of 40) and 77% fellowship director response rate (10 of 13) from programs in existence at the time of the survey. Procedural volume was consistent between fellowship directors and graduates (P = .64). Although there was a wide range of procedural volume and types of procedures between different programs, the procedural mean volumes were all significantly higher than the American College of Chest Physicians (ACCP) and American Thoracic Society/European Respiratory Society (ATS/ERS) guideline recommendations (P < .005).

Conclusions:  US and Canadian IP fellowships produce fellows with variable procedural volumes; however, these are significantly higher than ACCP and ATS/ERS guidelines for most programs and procedures. With a uniform training curriculum being adopted by the majority of IP fellowship programs in the United States and Canada, as well as data showing improved core knowledge in IP fellows undergoing a dedicated year of additional training, further metrics examining the impact of advanced IP training on patient outcomes are needed.


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