Interventional Pulmonology Fellowship

Program Overview

The Interventional Pulmonary Fellowship at Penn State Health Milton S. Hershey Medical Center is a one-year, non-ACGME-accredited program that admits one fellow per year.

Program Details

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.

Our Team

Program Director’s Welcome

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.

Sincerely,

Jennifer W. Toth, MD
Associate Professor of Medicine and Surgery
Director, Interventional Pulmonology Section
Director, Interventional Pulmonology Fellowship
Director, Lung Cancer Screening and Nodule Program

About Interventional Pulmonology at Penn State

The Interventional Pulmonology (IP) Service at Penn State 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, we serve the central Pennsylvania area, performing more than 600 procedures per year with a state-of-the-art bronchoscopy/pleural suite with full anesthesia support. We are participating in several multicenter research studies in our field, including Valves Against Standard Therapy (VAST) and EMPROVE (bronchoscopic lung volume reduction).

We collaborate often with other institutions in publication of procedural data and reports on efficacy and safety of treatments and procedures.

Goals of Training

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 IP 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

Curriculum

A variety of clinical, research and didactic educational experiences are part of the Interventional Pulmonology Fellowship.

Clinical Resources

The Interventional Pulmonology Service Program 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.

We are associated with three specialty clinics: Thoracic Oncology Clinic, Pleural Clinic and Lung Cancer Screening Clinic.

We are part of both Multidisciplinary Thoracic Oncology and ILD programs.

In addition, all procedures are performed in the state-of-the-art bronchoscopy suite located in OR with 24/7 access with full support of dedicated cardiothoracic anesthesia faculty.

Research Resources

Clinical research is an important aspect of the program; the IP fellow is expected to be involved with IP-related research. Currently we are 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.

Didactic Components

  • 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

Training

The following procedures are offered in the 12-month Interventional Pulmonology Fellowship:

Airway Procedures

  • 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
    • Microdebrider
    • Electrocautery
    • Argon Plasma Coagulation
    • Cryotherapy
    • 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
    • Cryobiopsies

Pleural Procedures

  • 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

To Apply

All applications are received through the Association of Interventional Pulmonology Program Applicants.

Application deadline is Aug. 15; however, our 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.

Eligibility

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

Interview Process

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 our program uses to streamline interview scheduling; all interviews must be scheduled and managed through Thalamus. If you encounter problems with Thalamus, please contact the program coordinator.

Faculty

Current Fellows

Contact Us

Mailing Address

Shalana Saxton
Interventional Pulmonary Service
500 University Drive
C5800, H041
Hershey, PA 1033

General Contact Information

Phone: 717-531-6985
Fax: 717-531-5785