Patient-Specific Artificial Respiratory Unit (PARU)

PARU Interventional Pulmonology (IP) Curriculum

What trainees will learn

  1. You will learn how to diagnose and manage complex airway problems.

  2. You will learn the procedures performed in benign and malignant central airway obstructions and pleural disease.

  3. You will build an understanding of indications for procedures, contraindications, complications and interpretation of various tests and treatment strategies commonly used by Interventional Pulmonologists.

IP training comprises:

  1. Didactic lectures.

  2. Hands-on training using high-fidelity 3D printed simulators.

  3. Observation of live cases.

    (in selected cases, trainees maybe able to perform cases under strict supervision)

IP trainees are expected to gain a comprehensive knowledge of the following core topics during the course of their training:

  1. Linear EBUS (Endobronchial ultrasound)

  2. Hot and cold therapies:
     – Electrocautery
    – Endobronchial laser therapy
    – Cryotherapy

    – Argon plasma coagulation (APC)
  3. Endobronchial stents

  4. Management of endobronchial lesions:
       – Evaluation of endobronchial lesions
       – Use of rigid bronchoscopy vs. flexible bronchoscopy
       – Multimodality treatment and palliation of advanced lung cancer

  5. Hemoptysis

  6. Evaluation of pleural diseases

  7. Management of malignant pleural effusions

  8. Bronchoscopic therapy for emphysema

  9. Bronchoscopic management of benign airway strictures and obstruction

  10. Intratumoral injection for malignant central airway obstruction

In addition to expanding their clinical experience in Pulmonary Medicine, IP trainees are expected to develop, hone and exhibit an interest in publication.

Participant’s Supervisory and Patient Care Responsibilities

IP trainees are expected to attend outpatient clinics on weekdays, where they will participate in the provision of consultative services to all referred patients, both inpatient and outpatient under the direct personal supervision of a staff Interventional Pulmonologist.

Procedural Requirements

IP trainees are expected to develop competence in procedures essential to the diagnosis and management of complex airway problems, benign and malignant central airway obstruction, and pleural diseases. In addition to development of procedural skills, trainees must gain an understanding of the indications, contraindications, complications and interpretation of test results to attain mastery of Interventional Pulmonology.

Evaluation

IP trainees will be evaluated by the supervising faculty at the conclusion of each rotation. To provide feedback to trainees, faculty members will verbally review performance during and at the conclusion of each rotation