We provide a broad clinical experience (ranging from common conditions to very rare disorders) for our fellows that includes inpatient care and consultation, general pulmonology, and a variety of subspecialty pulmonary clinical experiences.

Our fellows care for patients from Baltimore and the surrounding Mid-Atlantic region as well as national and international referrals. Clinical time is distributed over all 3 years of fellowship to maximize education and mimic post-fellowship academic life.

Inpatient Care

• Inpatient Service: Primary management of hospitalized children with respiratory conditions. Fellows assist in leading in the Pediatric Pulmonary inpatient resident team in week-long blocks (14 weeks in first year, 12 weeks in second year, and 10 weeks in third year). Call is taken from home at night.
• Consultation: Consultation is provided for other inpatient services, including hospital medicine, neonatology, pediatric intensive care, and oncology services.  The inpatient fellow covers all inpatient consultation requests while on service.
• Sub-acute Care: Fellows have the opportunity to gain experience in pulmonary rehabilitation programs at Mt. Washington Pediatric Hospital and the Kennedy Krieger Institute with an emphasis on long-term respiratory care and home mechanical ventilation.
• Bronchoscopy: Fellows participate in all bronchoscopies for infants, children, and adolescents performed by the Pulmonary Division. Fellows receive training with virtual bronchoscopy in the Johns Hopkins School of Medicine Simulation Center. Interventional bronchoscopy electives are available. Fellows are expected to complete 60-75 bronchoscopies during their fellowship.

Outpatient

• Primary Clinic: Fellows follow a panel of their own patients, with faculty preceptors, in general pulmonary clinic for one half-day clinic session per week throughout the three years of fellowship when not on the inpatient service.
• Subspecialty Clinics: Fellows attend at least one half-day subspecialty clinic per week when not on the inpatient service on average. Subspecialty clinics, almost all of which are multidisciplinary include:
  • Aerodigestive
  • Asthma (Severe)
  • Bronchopulmonary dysplasia
  • Congenital diaphragmatic hernia
  • Cystic fibrosis
  • Interstitial lung disease
  • Neuromuscular
  • Primary ciliary dyskinesia
  • Pulmonary-immunology
  • Sleep disorders
• Elective time: 4-8 weeks per year to attend more subspecialty clinics or other opportunities such as interventional bronchoscopy, otolaryngology, pulmonary hypertension, etc.
• Study Interpretation: Fellows receive formal training in interpretation of pulmonary function tests (spirometry, plethysmography, and oscillometry), exercise studies, and polysomnography and are assigned on a rotating basis to review these studies with faculty. There are also opportunities to review apnea monitor downloads.