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The Division of Pulmonary, Allergy and Critical Care is part of the Department of Medicine at Penn State Health and Penn State College of Medicine, and proudly offers an Interventional Pulmonology Fellowship with a state-of-the-art bronchoscopy/pleural suite.
The one-year, non-ACGME position has a concomitant service commitment for 10 weeks in the MICU/Pulmonary Consultation Service.
Learn More about the Fellowship
Thank you for your interest in the Interventional Pulmonology fellowship at Penn State Health Milton S. Hershey Medical Center! We are a dedicated team of thoracic physicians proud to offer cutting-edge technology and a wealth of procedures and experience in interventional pulmonology and pleural disease. We work closely with the divisions of Thoracic Surgery, Oncology, Radiation Oncology and others to provide the best multidisciplinary care to lung cancer patients and those with benign conditions of the airway, lung and pleura.
We are proud of our pleural disease clinic and involvement in benign airway and lung disease diagnosis and management along with other experts in the field.
The fellow is expected to actively participate in the inpatient IP consultation service as well as all advanced procedures, and to help with instruction of basic bronchoscopy to the general pulmonology fellows.
Thank you for your interest! We look forward to sharing more information with you.
Jennifer W. Toth, MD
Professor of Medicine and Surgery
Director, Interventional Pulmonology Section
Director, Interventional Pulmonology Fellowship
Director, Lung Cancer Screening and Nodule Program
All applications are received through the Association of Interventional Pulmonology Program Applicants.
Application deadline is Aug. 15; however, the application review process begins July 15, so applicants are encouraged to apply early.
More information is available through the American Association for Bronchology and Interventional Pulmonology or the Association of Interventional Pulmonology Program Directors.
Qualified candidates will be:
- U.S. citizens or permanent residents (no visas are sponsored)
- Board-eligible or board-certified in internal medicine
- Pennsylvania medical training license eligible
All interviews are by invitation only.
Candidates selected to interview will be contacted by the program coordinator and/or Thalamus. Thalamus is the scheduling service that the program uses to streamline interview scheduling; all interviews must be scheduled and managed through Thalamus. Applicants who encounter problems with Thalamus should contact the program coordinator.
Penn State Health
Penn State Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. Its mission is to improve health through patient care, research, education and community outreach.
In December 2017, the system partnered with Highmark Health to facilitate creation of a value-based, community care network in the region. The shared goal of Highmark and Penn State Health is to ensure patients in the community are within:
- 10 minutes of a Penn State Health primary care provider
- 20 minutes of Penn State Health specialty care
- 30 minutes of a Penn State Health acute care facility
Penn State Health Milton S. Hershey Medical Center
500 University Dr., Hershey, Pa., 17033 (Derry Township, Dauphin County)
- The health system’s 548-bed flagship teaching and research hospital
- The only medical facility in Pennsylvania accredited as both an adult and a pediatric Level I (highest-level) trauma center
- Dedicated surgical, neuroscience, cardiovascular, trauma and medical intensive care units
- Accredited Life Lion critical-care transport providing more than 1,100 helicopter and approximately 750 ground ambulance transports per year
- More than 1,300 faculty members and more than 650 residents and fellows
- Approximately 28,500 admissions, 75,000 emergency department visits, 1.1 million outpatient visits and 32,000 surgical procedures annually
- Designated as a Magnet hospital three times
Penn State Health Children’s Hospital
600 University Dr., Hershey, Pa. 17033 (Derry Township, Dauphin County)
- A five-story, 263,000-square-foot-facility built in 2013
- Three-floor expansion opened in November 2020
- Level IV (highest-level) neonatal intensive care unit
- Level I (highest-level) pediatric trauma center designation
- Dedicated pediatric operating rooms
- More than 150,000 pediatric outpatient visits and approximately 5,000 pediatric patient discharges annually
Welcome to Hershey
More About Hershey
Interested in learning more about living and working in Hershey, Pa.? See details here:
Fellow wellness, including emotional, spiritual, social and physical health, is a crucial component to training and to becoming a professional, compassionate and resilient physician. Self-care is a skill which must be continually practiced and reinforced. Penn State College of Medicine and Penn State Health are committed to addressing wellness, with multiple resources readily available.
Penn State Health and Penn State College of Medicine celebrate, embrace and support the diversity of all patients, faculty, staff, students and trainees.
Office for Diversity, Equity and Inclusion
In keeping with this, Penn State Health has an active Office for Diversity, Equity and Inclusion with various programs, networks and resource groups, including:
- Regular talks and lectures on diversity, equity and inclusion
- Periodic town halls on topics such as eradicating racism and creating a culture of inclusiveness
- An allyship support group
- Many affinity resource network groups, including:
- Disability Affinity Resource Network Group
- Group on Women in Medicine and Science
- Interfaith Affinity Resource Network Group
- LGBTQ and Allies Affinity Resource Network Group
- Military/Veterans Affinity Resource Network Group
- Multicultural Affinity Resource Network Group
- A new organization specifically for trainees, the Network of Underrepresented Residents and Fellows
Office for Culturally Responsive Health Care Education
The vision at Penn State College of Medicine and Penn State Health is to equip learners with the knowledge, skills and attitudes they will need to provide culturally excellent health care and research for an increasingly diverse U.S. population. The Office for Culturally Responsive Health Care Education was formed to help meet that goal.
Office for a Respectful Learning Environment
In addition, the institution does not tolerate discrimination, biases, microaggression, harassment or learner mistreatment of any kind, and any concerns are immediately addressed by the Office for a Respectful Learning Environment.
The Interventional Pulmonology (IP) service at Penn State Health started in 2007 under the leadership of Dr. Jennifer Toth.
Since then, the service has been an active part of the multidisciplinary thoracic oncology program with thoracic surgery.
Currently, the service serves the central Pennsylvania area, performing more than 600 procedures per year with a state-of-the-art bronchoscopy/pleural suite with full anesthesia support. The service participates in several multicenter research studies in the field, including Valves Against Standard Therapy (VAST) and EMPROVE (bronchoscopic lung volume reduction).
Interventional Pulmonology also collaborates often with other institutions in publication of procedural data and reports on efficacy and safety of treatments and procedures.
The Interventional Pulmonology Fellowship training focuses on the diagnosis and management of central airway obstruction, lung cancer, pleural diseases and specialized procedural training in various airway and pleural procedures. At the end of the 12-month training period, the fellow will:
- Have specific knowledge for the different types of procedures (indications, contraindications, specific population)
- Have the skills to perform advanced and complex airway/pleural procedures
- Lead a multidisciplinary team in the management of complex cases
- Develop research ideas and have at least one publication in the field
- Successfully pass the IP board examination
These procedures are offered in the 12-month Interventional Pulmonology Fellowship:
- Advanced bronchoscopy procedures and airway stenting/dilatation
- Rigid bronchoscopy
- Metallic, silicone stents and Montgomery T-tubes
- Balloon tracheoplasty and bronchoplasty
- Percutaneous tracheostomy
- Tumor destruction and control of central airway bleeding
- Argon plasma coagulation
- Photodynamic therapy
- Endobronchial therapy
- Bronchial thermoplasty
- Steroid injection
- Endobronchial administration of mitomycin
- Fiducial placement
- Advanced diagnostic bronchoscopy
- Diagnostic modalities for diagnosis of early lung cancer
- Narrow band imaging
- Radial EBUS: Assessment of airway invasion
- Diagnostic modalities for diagnosis of peripheral lung lesions
- Electronavigational bronchoscopy with percutaneous needle biopsy (Veran system)
- Radial EBUS and fluoroscopy
- Diagnostic modalities for lymph node sampling
- Linear EBUS: Real-time sampling with transbronchial needle aspirate
- Diagnostic modalities for interstitial lung disease
- Chest ultrasound
- Ultrasound-guided thoracentesis
- Pleural manometry
- Ultrasound-guided small- and large-bore chest tube
- Tunneled pleural catheters (Pleur-X)
- Thoracoscopy (rigid and semi-rigid), pleural biopsy and chemical pleurodesis
The Interventional Pulmonology service at Penn State includes a complex airway program, pleural service and bronchial thermoplasty program. Additional clinical support is provided by two dedicated nurse practitioners (thoracic surgery and IP), two nursing coordinators (malignant and benign disease) and rotating general pulmonology fellows, so the IP fellow in training can focus on learning advanced bronchoscopic and pleural procedures.
The program is associated with three specialty clinics: the thoracic oncology clinic, pleural clinic and lung cancer screening clinic. It is part of both the multidisciplinary thoracic oncology and ILD programs.
In addition, all procedures are performed in the state-of-the-art bronchoscopy suite located in the operating room with 24/7 access with full support of dedicated cardiothoracic anesthesia faculty.
Clinical research is an important aspect of the program; the IP fellow is expected to be involved with IP-related research. Currently, the service is participating in clinical research trials including endobronchial valve use for air leaks (VAST), and EMPROVE (lung volume reduction via bronchoscopy).
There are current projects ongoing including bronchial thermoplasty and tracheobronchomalacia, percutaneous biopsy/Veran navigation, and opportunities for pleural studies and quality improvement.
- Weekly Interventional Pulmonology Core Curriculum Lecture Series (every Thursday, 7:30 a.m.)
- Weekly Thoracic Surgery Core Curriculum (every Thursday at 4 p.m.)
- Weekly Multidisciplinary Thoracic Oncology Conference (every Tuesday at noon)
- Every-other-week Research Conference
- Monthly Multidisciplinary Airway Conference, which alternates with Journal Club