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Is this a new specialty? Any information about it? What do they do exactly and how does it differ from Pulm/CC? What future does it have? Can we do this as a fellowship after Pulm/CC?
Is this a new specialty? Any information about it? What do they do exactly and how does it differ from Pulm/CC? What future does it have? Can we do this as a fellowship after Pulm/CC?
It is in the match now so it is a sub-sub specialty. It looks pretty cool if you are fine with becoming a procedure monkey. There is basically a need for 1-2 in most practices/hospitals and therefore you just do the challenging bronchs that no one else wants to do. At least that's how it is at Duke. They do Rigid bronchs which are pretty cool. Our IP guys also do pleuroscopy and pleurex catheters. Duke has an awesome program and the attendings are really amazing and fun to work with.
If someone was interested in doing interventional bronchs following P/CC, do most academic programs prepare you well for this without an extra year of interventional specific training, or are there a hand full of programs that would be best to attain this training during the standard 3 year P/CC fellowship.
I highly doubt you would get enough at any program to be considered an IP doc without doing an IP fellowship. You would have to do a lot of rigid bronchs, Pleuroscopy, perc trachs, cryo, stent placement, thermoplasty etc to be compete with IP trained docs and you are just not going to get that as a regular pulm fellow anywhere. I would say our procedure training at Duke is one of the best and I do not feel remotely comfortable with 90% of the things the IP docs do here. I am just a good Bronchoscopist (ie TBBX, EBBX, TBNA, Brushing etc.) who also is competent at EBUS (though I do not pretend to be able to get some of the sub centimeter nodes that my IP attendings get).
Thanks for they replies everyone. Do most of the IP docs you are familiar with do IP exclusively or nearly exclusively, or do most of them also do a mix of bronchs, clinic, inpt consult, unit...
(I think I ran into your poster at ATS - it was interesting - not a creepy stalker just put two and two together - that area has always been an interest of mine since residency and I was checking out the posters in that room waiting for things to get started with one if my cofellows in one of the mechanical vent poster discussions)
You're here at ATS too? This is my first ATS conference (didn't go to SF last year) and I am amazed at the size of this conference (and number of attendance). Plus, this conference has a very international flavor to it - never seen so many international pulmonologist (not so much CC docs, but I guess most places outside the US the cc docs are not pulmonologists)
What do you think of the new Olympus rotating bronchoscope? Should cut down on the number of carpel tunnel syndromes that IP folks get after years working the scope
The guys at the U where I am still do some more general Pulm and critical care but the bulk of their practice is seeing the IP patients as out patient consults and going procedures. At some places the (I think Mayo is like this) the IP guys just do IP. So I think under the correct practice set up in the right area it could be possible to only do IP.
Ask Atul Mehta and he'll tell you MOST of interventional is just bring a good bronchoscopist - at least that is what he had told me. Interestingly enough, he thinks if you're going to be doing EBUS you should have have the extra year of interventional training, plus you'll get the rigid training then.
You're here at ATS too? This is my first ATS conference (didn't go to SF last year) and I am amazed at the size of this conference (and number of attendance). Plus, this conference has a very international flavor to it - never seen so many international pulmonologist (not so much CC docs, but I guess most places outside the US the cc docs are not pulmonologists)
What do you think of the new Olympus rotating bronchoscope? Should cut down on the number of carpel tunnel syndromes that IP folks get after years working the scope
Yeah. That new rotating Olympus scope is the ish. The other thing that was really cool about it was that you can get instruments through it fully flexed. I also thought their portable scope with the little LCD screen was pretty sick.
As far as the conference goes its pretty damn overwhelming. I've never seen a poster hall so big and it always seems like there are three sessions you'd like to attend at any given time.
I think they're creating a board exam to be administered for the interventional pulm subspecialty. According to the AABIP the first time it's gonna be administered is Dec 6, 2013. The letter also says that people aren't gonna be grandfathered in.
http://www.aabronchology.org/about.php#presmes
Ask Atul Mehta and he'll tell you MOST of interventional is just bring a good bronchoscopist - at least that is what he had told me. Interestingly enough, he thinks if you're going to be doing EBUS you should have have the extra year of interventional training, plus you'll get the rigid training then.
(I think I ran into your poster at ATS - it was interesting - not a creepy stalker just put two and two together - that area has always been an interest of mine since residency and I was checking out the posters in that room waiting for things to get started with one if my cofellows in one of the mechanical vent poster discussions)
Anyone knows how much of an added salary does one get if they do an extra year of interventional pulmonology?.
Hi everyone,
Sorry to revive an old thread, but just wondering what the more recent atmosphere in IP has been like. Really enjoying bronchoscopy/EBUS far more than anything else I have done, and seriously considering doing an IP fellowship. I know the compensation is not great, but that is a lesser concern of mine. Are there jobs still? Are they limited to academic centers? How competitive is it to get a good fellowship? Are the work hours insane, or fairly manageable? Is it feasible to do a mix of outpatient pulmonology and IP? Are there turf wars with ENT/thoracics?
Are there are current IP fellows or recent graduates who can comment on their experience, and whether they would encourage pulmonary fellows to pursue IP?
Thanks!!