The fellowship program in pulmonary medicine at The Children's Hospital of Philadelphia encompasses three years of training, with two fellowship positions available each year. Applicants must have first successfully completed three years of training in general pediatrics in an accredited residency program.
We seek to develop the academic leaders of the future by attracting, recruiting, inspiring, and training intellectually curious individuals to become innovators in the field of Pediatric Pulmonology. We will do so by providing the environment for a fellow to discover and develop his or her own strengths in the fields of research, teaching, and/or clinical care.
Our program will provide the fellow with a comprehensive experience in the diagnosis and treatment of a wide variety of pediatric breathing disorders and make the fellow familiar with the unique needs of children with chronic lung diseases. In addition, fellows are taught the scientific method of critical thought and analysis, and are trained for a career in academic pulmonary medicine.
Ignacio E. Tapia, MD, MSTR
Director, Pediatric Pulmonary Medicine Fellowship
Why choose us?
CHOP’s Pediatric Pulmonology Program is a fellow-centered program with a strong emphasis on achieving balance between clinical training, research and didactic conferences. CHOP provides exposure to a broad array of clinical conditions that ranges from common pulmonary diseases to highly specialized multidisciplinary care of rare disorders. Fellows will care for patients referred from the city of Philadelphia, surroundings suburbs as well as across the nation and internationally. Our Pulmonary Division has been ranked the number #1 program in the country by U.S. News & World Report.
Graduates of our fellowship program join an elite group of CHOP alumni whose members have included many of the current and past leaders in Pediatrics. All graduates of our fellowship program have secured positions at academic institutions, including the University of Pennsylvania, State University of New York, Yeshiva University, George Washington University, and Temple Street Children’s University Hospital in Ireland.
- How to apply
Our Pulmonary Fellowship Training Program accepts two new trainees each year. Applicants must have an MD or DO degree from an accredited institution, and must be board eligible or board certified by the American Board of Pediatrics. We accept applications through ERAS. Our interviewing season is typically early January through early April. We participate in the NRMP’s Spring Pediatric Subspecialties match.
To apply, submit the following through ERAS:
- MyERAS application
- Three letters of recommendation (one from residency director)
- Personal statement
- Medical school transcript
- Wallet-size color photograph
- USMLE transcript (transmitted by the NBME)
- COMLEX transcript (transmitted by the NBOME for DO applicants)
- ECFMG status report (for international medical graduates only)
Job applicants who apply after July 1, 2014 will be expected to sign an attestation stating they’ve been free of nicotine or tobacco products in any form for the prior thirty (30) days. They will also undergo a cotinine test as a part of the Occupational Health pre-placement drug screen administered after the offer of employment has been accepted but before the first day of hire.
Exemptions: Attending physicians (excluding CHOP physicians in the Care Network), psychologists, principal investigators and/or Penn-based faculty are exempt from this process to better align with our colleagues at the University of Pennsylvania Perelman School of Medicine.
- Specific information by years and/or rotations
Fellows evaluate and care for all patients admitted into the hospital on the pulmonary service under the direct supervision of an attending pulmonologist. Fellows also examine and treat outpatients with a variety of pulmonary disorders, also under the supervision of attending pulmonologists.
Fellows are taught the indications for and techniques to perform flexible bronchoscopy and learn how to administer and interpret standard and infant pulmonary function tests, bronchial challenges and sleep studies. Each fellow is expected to deliver several lectures in the weekly conferences designed for for the pulmonary fellows and to prepare lectures for the pediatric house staff in work rounds and noon conferences.
Each fellow is expected to complete a research project, in which he or she researches a topic and develops a hypothesis and the experimental method to test that hypothesis. The fellow is expected to conduct the appropriate experiments, present the results at a national meeting, and write a manuscript to be submitted to a peer-reviewed journal for publication.
Rotations during the fellowship consist of one month blocks divided into:
- An inpatient rotation
- An outpatient/sleep disorders rotation
- A consultation/bronchoscopy rotation
- A research rotation
As a general guideline, the first year of fellowship consists of 10 to 11 months of clinically related activities, while the second and third years are comprised of 9 to 10 months of research-related activities. Schedules may be individualized to suit the particular circumstances of the fellow. Throughout the fellowship training program, the fellow has an opportunity to serve as the primary pulmonologist to patients acquired during the inpatient and outpatient rotations by following them in the outpatient office during designated fellows' follow-up hours.
- Research expectations and opportunities
Each fellow is expected to complete a research project, in which he or she researches a topic, and develops a hypothesis and the experimental method to test that hypothesis. The research may be basic ("bench") research, or clinical, patient-oriented research. The fellow is expected to conduct the appropriate experiments, present the results at a national meeting, and write a manuscript to be submitted to a peer-reviewed journal for publication.
All full-time staff members of the Division of Pulmonary Medicine are actively engaged in basic and/or applied research. Current areas of investigation include neurohumoral, cellular and molecular mechanisms regulating airway contractility, airway smooth muscle growth and cell surface receptor expression; regulation of postnatal development and growth of the lung; developmental effects of pulmonary inflammation and oxidative lung injury on airway and pulmonary vascular reactivity; biochemical and molecular regulation of membrane ion channels in cystic fibrosis; maturational changes in chest wall and airway function; pulmonary manifestations of sickle cell disease; the physiological basis of ventilator dependence in children with chronic respiratory insufficiency; and developmental aspects of respiratory mechanics and ventilatory control.
Other areas of applied research includes studies on airway reactivity in infants, evaluation of mechanisms of airway hyper-responsiveness in asthma, assessment of mechanisms of the sleep-disordered breathing, pulmonary function abnormalities following radiation, control of ventilation in lung disease, and development of new tests of lung function in infants. Opportunities exist for involvement in research projects occurring elsewhere within the University of Pennsylvania, including the Sleep Disorders Center and the Gene Therapy Program.
- Educational curriculum with sample rotations
To a limited extent, the curriculum can be adapted to the future goals of the trainee. A typical curriculum might include:
- Inpatient service: 4
- Consults/Bronchoscopy: 4
- Outpatient/Sleep Disorders: 3
- Research: 1
- Inpatient service: 1
- Consults/Bronchoscopy: 0-1
- Outpatient/Sleep Disorders: 0-1
- Research: 10
- Inpatient service: 1
- Consults/Bronchoscopy: 0-1
- Outpatient/Sleep Disorders: 0-1
- Research: 10
- Conference schedules
The Division of Pulmonary Medicine provides a wide range of patient oriented and didactic conferences each week.
Mondays, 8-10 a.m. — Multidisciplinary pulmonary sign out rounds
Tuesdays, 7:45-8:15 a.m. — First Tuesday of every month, Radiology Rounds
Wednesday, 9:10-10:10 a.m. — Second and fourth Wednesday of month, Pulmonary Core Physiology Conference
Wednesday, 10:10-11:10 a.m. — Second and fourth Wednesday of month, Research/Clinical Case Conference
Wednesday, 12-1:00 p.m. — Lung Transplant Rounds
Wednesday, 12-1:00 p.m. — Sleep Shorts
Wednesdays, 4-5:00 p.m. —First and third Wednesday of month, Clinical Conference Series
Fridays, 7:30-8:30 a.m. — First and third Friday of the month, Pulmonary Core Physiology Conference series
- Clinical services
The Division of Pulmonary Medicine and Cystic Fibrosis Center provides for the inpatient and outpatient care of infants and children referred to The Children's Hospital of Philadelphia from the entire Delaware Valley and beyond. In addition to the Cystic Fibrosis program, specific programs have been developed in the areas of Asthma Care, Bronchopulmonary Dysplasia, Chronic Respiratory Insufficiency and Technology Dependence, and Sleep Disorders. In addition, infants and children with a wide variety of pulmonary diseases and breathing disorders are followed in the Division.
An interdisciplinary team that includes personnel from Medicine, Nursing, Nutrition, Social Work and Physical Therapy provides comprehensive patient care. Patients admitted onto the Pulmonary service or seen in consultation are reviewed and discussed during a weekly interdisciplinary team meeting. While rotating on the inpatient service, the fellow is responsible for the care of all patients admitted onto the Pulmonary service on the general wards and in the intensive care units of the hospital. Rounds are made daily with a designated inpatient Attending Pulmonologist, at which time the plan of care is reviewed.
On the outpatient rotation, the fellow sees new patients referred to the office, technology-dependent infants and children, acutely ill pulmonary patients for sick visits, and those patients followed by the Fellow in continuity. All office visits are precepted by the Attending Physicians. Other available inpatient opportunities include rotations on the lung transplant service and a chronic mechanical ventilation unit.
Diagnostic evaluation of inpatients and outpatients is supported by a well-equipped flexible bronchoscopy facility, as well as state-of-the-art pulmonary function testing and sleep disorders laboratories which comprehensively serve to assess lung function and respiratory nocturnal disorders in infants and older children. The pulmonary function laboratories include tests of routine pulmonary function, infant pulmonary function, ventilatory control, exercise-related breathing disorders, and bronchial reactivity.
- Salary and benefits
PL-4 Salary for FY 2016 is $61,090.
The Children's Hospital of Philadelphia provides a generous benefits package, including multiple options for individual health insurance coverage that becomes available upon completion of the first 30 days of postdoctoral fellowship training. At this time, fellows may choose to purchase health insurance for a spouse or dependent(s) through one of the available group plan options. We strongly recommend that fellows continue pre-existing individual health insurance coverage through the first month of the postdoctoral training program.
Fellows will accrue 25 PTO (paid time off) days in their PTO bank to be used as needed for vacation, personal time or illness. In addition, fellows will be allowed the following seven announced holidays:
- New Year’s Day
- Dr. Martin Luther King Jr. Day
- Memorial Day
- Independence Day
- Labor Day
- Thanksgiving Day
- Christmas Day
Fellows may request additional leave for participation in professional conferences, as long as coverage for clinical responsibilities is arranged. Fellows are required to have time off approved by all supervisors at least three days in advance.