University of Texas Health Science Center at Houston Program

Interventional Pulmonology (IP) is a vital subspecialty of Pulmonary Medicine focused on advanced airway management through minimally invasive techniques. At the program, board-certified pulmonologists undergo additional training to proficiently manage complex airway and lung conditions, significantly improving patient outcomes without the need for surgical interventions when possible. The program prides itself on a multidisciplinary approach, collaborating extensively with thoracic surgeons, oncologists, radiologists, and anesthesiologists to optimize patient care.

The Interventional Pulmonology Program is housed within the prestigious McGovern Medical School at the University of Texas Health Science Center at Houston and operates in the Memorial Hermann-Texas Medical Center. Training is conducted using state-of-the-art technology coupled with evidence-based practices, enabling fellows to perform a variety of procedures, thereby enhancing their technical skills and clinical competence.

Curriculum and Rotations

The program's curriculum includes a comprehensive exposure to a range of interventional procedures, fostering a well-rounded exposure to clinical practice. Fellows participate in several clinical training sites, each offering unique learning experiences:

• Memorial Hermann Hospital: A primary site for hands-on training in traditional and advanced bronchoscopy.
• MDA Cancer Hospital: Focused on the management of lung malignancies.
• TIRR Memorial Hermann: Emphasizing rehabilitation and recovery for patients undergoing complex pulmonary interventions.
• Smith Clinic: Dedicated to outpatient care, providing fellows the opportunity to manage post-procedural follow-up and long-term patient management.

Fellows are also involved in a comprehensive array of outpatient clinic rotations, including the Lung Cancer Screening Clinic and the Pulmonary Nodule Clinic, which accentuate early diagnosis and preventative strategies in pulmonary care.

Research Opportunities

The program actively encourages involvement in scholarly activities and research initiatives. Fellows can engage in clinical research projects aimed at advancing knowledge and treatment options in interventional pulmonology. The faculty is deeply committed to fostering an environment of inquiry, mentorship, and innovation, providing ample opportunities for fellows to contribute to meaningful advancements in pulmonary medicine.

Unique Aspects of the Program

One of the defining factors of the IP Program is its emphasis on individualized patient-centered care. Dr. Pushan Jani, the program lead, underscored the commitment to thorough patient interaction both pre-and post-procedure to ensure comprehensive care and understanding of patient needs. The program also facilitates a dynamic learning environment through hands-on demonstrations, training workshops, and local as well as national lectures, greatly benefiting the fellows' educational trajectory.

Training and Skill Acquisition

Fellows acquire proficiency in a variety of advanced procedures such as:

• Rigid Bronchoscopy
• Flexible Fiber-optic Bronchoscopy
• Electromagnetic Navigation Bronchoscopy
• Endobronchial Ultrasound
• Bronchial Thermoplasty for Severe Asthma
• Pleural procedures including Chest Tube placements and PleurX catheter management.

This breadth of procedural training ensures a comprehensive educational experience, equipping fellows with critical skills necessary to excel in their future careers.

Visa Support

The program offers support for international medical graduates and is equipped to sponsor J-1 visas for its fellows. It aims to create an inclusive environment for diverse candidates while ensuring compliance with immigration regulations.

Competitiveness and Admission Requirements

The Interventional Pulmonology Program is considered highly competitive. It welcomes applications from both MD and DO graduates and is open to International Medical Graduates (IMGs), provided they meet specific evaluation standards. Applicants must have successfully completed their residency training in an ACGME-accredited program. Additionally, the program places emphasis on the cumulative performance metrics on examinations, requiring applicants to remain within acceptable thresholds regarding failed attempts at examinations.

Fellowship Life

Fellowship life is characterized by a demanding yet fulfilling schedule that balances clinical responsibilities, procedural training, and educational activities. Fellows are encouraged to participate in departmental conferences, case presentations, and other collaborative learning opportunities, thereby fostering a vibrant academic culture.