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Department of Pediatrics

Pediatric Pulmonary Fellowship

Program Overview

Jason Debley with a patient

Pediatric Pulmonary Fellowship Mission Statement: Train pediatric pulmonologists to be skilled clinicians with a foundation in physiology, critical thinkers, avid teachers, and who improve care via scholarship and programmatic development.

Thank you for inquiring about the Pediatric Pulmonary Fellowship at the University of Washington School of Medicine and Seattle Children’s. This is a 3–year program that trains individuals to become board-certified pediatric pulmonologists with emphasis on clinical expertise and research experience. The fellowship is accredited by both the American Council on Graduate Medical Education and the American Board of Pediatrics. The Fellowship is offered by the Division of Pediatric Pulmonary Medicine at Seattle Children’s as part of the Department of Pediatrics at the University of Washington School of Medicine. Our division includes 13 pediatric pulmonologists, all of whom participate in clinical activities, teaching, and research. The clinical program includes activities at Seattle Children’s, a 354-bed pediatric hospital, with a four state referral system and outreach opportunities, including clinics in Alaska. Division members are nationally and internationally recognized for their expertise, and we enjoy working together and making fellows an integral part of the team. We are located in the magnificent Pacific Northwest surrounded by beautiful mountains and the Puget Sound. The activities during each year of fellowship training are described below:

In accordance with the American Board of Pediatrics, fellows receive approximately 14 months of combined inpatient/outpatient clinical training during the 3–year program. The first year emphasizes clinical training and an introduction to research. There are approximately six months of inpatient duties, during which the fellow is responsible for an average of 8–12 inpatients per day on the pulmonary service and 5-10 patients on the consult service at Seattle Children's. The outpatient experience includes participating in Chest, Sleep, Asthma and/or Cystic Fibrosis Clinics, one-two ½-days per week, throughout the year. There is a fully equipped clinical pulmonary function lab with body plethysmography, spirometry, formal exercise testing, and infant pulmonary function testing. There is also a state-of the-art Sleep Center, which performs approximately 18 polysomnographic studies each week. Fellows learn to interpretation of pulmonary function tests and sleep studies and are also instructed on flexible bronchoscopy. During the first year, fellows will spend 1 month in the Pediatric ICU and have opportunities for electives. Fellows also are active participants in a respiratory physiology review each year. We have a weekly Journal Club, monthly Radiology/Chest conferences, and monthly clinical case conferences and/or research “works in progress” discussions.

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Curriculum

In accordance with the American Board of Pediatrics, fellows receive approximately 14 months of combined inpatient/outpatient pediatric pulmonary clinical training during the 3–year program.  We currently have 26 faculty members. The first year emphasizes clinical training and an introduction to research.  The clinical training is divided between the pulmonary inpatient and pulmonary consult services (separate services on weekdays and combined on the weekends.  There is an at home night call system (M-F 7pm-7am) to cover inpatient and consult attendings and fellows.  The fellow is responsible for an average census of 20 inpatients (range 8-26) per day while on the pulmonary service, and evaluation of 10-15 patients per day (3-7 new consults per day) while on the pulmonary consult service at Seattle Children's Hospital (SCH).  Inpatient experience in Year 1 has also includes a 2-week block in the ICU and 2-week ventilator training block.  The outpatient experience includes participating in continuity clinic (half day/week) and rotating in several sub-sub specialty clinics (1-2 half-days/week throughout the year when not on inpatient rotation) that include Chest, Sleep, Cystic Fibrosis, Aero-Digestive, Spine, Surgical Pulmonary Follow-up, Ventilator and/or Neuromuscular clinics.  There is a fully equipped clinical pulmonary function lab with body plethysmography, spirometry, and formal exercise testing.  There is also a state-of the-art Sleep Center, which performs approximately ~50 polysomnographic studies each week.  Fellows learn and perform interpretation of pulmonary function tests throughout the 3 years of training.  Fellows have a 1-month Sleep Medicine rotation in Year 1 and learn the basics of a rigorous sleep history, non-invasive ventilation for sleep disordered breathing, participate in sleep-medicine related clinics (Sleep, Aerodigestive, Craniofacial) and the basics of polysomnogram interpretation.  Trainees are instructed in flexible bronchoscopy and perform cases in the ICU and operating room.  Fellows are active participants in a respiratory physiology review each year.  Trainees are also mentored in quality improvement (QI) and participate in group and individual QI projects.  We have a weekly Journal Club, monthly Radiology/Chest conferences, monthly Faculty didactic lecture in area of clinical expertise, monthly challenging clinical case conference, monthly participation in Western States Clinical Conference, and intermittent “works in progress” discussions.  There is ongoing career mentorship throughout the 3-year program from within (and outside) the Division, and from the Department of Pediatrics Fellows College.  The Program Evaluation Committee, consulting of faculty and senior fellows, review the curriculum each year and make modifications for improvement.

 

First Year

Year 1 is primarily devoted to clinical training with 16 weeks of inpatient activities and outpatient clinics, but exposure and direction in quality improvement and research begins.  This research guidance includes discussions of research topics/areas of interest, identifying a primary research mentor, and forming a Scholarship Oversight Committee before the end of Year 1.  There are active clinical and translation research program within the Division of Pulmonary and Sleep Medicine. The Division has an active cystic fibrosis (CF)-related research program including Cystic Fibrosis Foundation-funded Therapeutics Development Center, a CF-Research Development Program, and several investigator-initiated studies. Our Division has an active, NIH-funded asthma and airway biology research program (Drs. Debley and Reeves), and opportunities to participate in clinical and/or translational studies in sleep medicine, primary ciliary dyskinesia, complex spine, quality improvement, and bronchopulmonary dysplasia.  The first-year fellows can rotate through basic laboratories within the University of Washington (UW) system (including Center for Lung Biology, Benaroya Research Institute), Seattle Children’s Research Institute, and the basic science laboratories of the Cystic Fibrosis Research Development Program at the UW.  Specifically, the laboratories that are performing lung cellular and molecular biology at the University of Washington provide excellent basic research opportunities for trainees.  

 

Examples of current pulmonary research interests among divisional and non–divisional faculty include, asthma, implementation science, respiratory mechanics, scoliosis/thoracic insufficiency syndromes, sleep medicine, clinical investigation of novel new therapies and outcome measures in cystic fibrosis, early CF lung disease and CF epidemiology global health related to lung disease, basic research on pseudomonas-host interactions in the CF airway, genetic modifiers of cystic fibrosis outcomes, neonatal lung injury, lower respiratory tract infections in underserved populations, and airway epithelial cell biology relevant to the pathophysiology of asthma.

 

Second Year

Year 2 is devoted primarily to research efforts, which can be clinical, translational and/or basic science in nature.  Fellows who are interested in clinical research are encouraged to apply for enrollment in the University of Washington School of Public Health programs (e.g. Master of Public Health or Master of Sciences [60 credits] a 1-year Maternal Child Health Certificate program (15 credits), or individual statistic and study design courses at UW.  Fellows with prior related Master’s degrees may be able to audit graduate level courses.  The goal is for each fellow to complete one research project during the second and third years that can be presented at a national meeting and submitted for publication.  Trainees are encouraged to work with faculty to seek extramural funding (e.g. CF Foundation, Firland Foundation, American Lung Association, Thrasher Foundation) for their later years of training to gain skills in grant preparation and foster new research activities.  Clinical activities in the second year include 8 weeks on the pulmonary inpatient or pulmonary consult service at SCH and weekly participation in continuity clinic and other subspecialty clinics (see above) for a total 5-6 half-days/month when not on the inpatient service.  We emphasize continuity of care and encourage fellows to manage a core group of patients identified from the first year in a continuity clinic.

 

Third Year

Year 3 is devoted to further research and clinical training, and team leadership skills.  A goal is for the trainee to continue to work with faculty on a focused research project, and senior fellows are encouraged to work with faculty and research mentors to seek extramural research funding for transition to faculty award or potentially additional post-doctoral training.  There is ongoing longitudinal participation in continuity clinics (half day per week) additional outpatient clinics 1-2 half days/month. To foster autonomy and leadership skills, third year fellows will have the opportunity to direct inpatient rounds at least 1 day/week (indirect supervision with direct supervision immediately available), and near the end of training have the opportunity of 1 inpatient service rotation in a supervisory role for inpatient rounds  (indirect supervision with direct supervision immediately available, faculty evaluating all patients with fellow each day and faculty contributing to team education in afternoons).

 

Core Training Sites

Seattle Children's Hospital & Adolescent Medicine Clinic at Springbrook

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Seattle Children's Hospital

Seattle Children's Hospital is both a community hospital for greater Seattle and the pediatric referral center for the Northwest providing excellent pediatric care to meet the medical, surgical and developmental needs of children in the WWAMI region. Serving as the main clinical training site for pediatric residents, this 420-bed hospital is conveniently located one and one-half miles from the University of Washington campus in an attractive, residential neighborhood of Seattle. The staff consists of University faculty and Seattle Children's full-time physicians, as well as private practicing physicians from the Seattle area.

Other sites include Seattle Children’s Research Institute, Harborview Medical Center, the Fred Hutchinson Cancer Research Center, and the University of Washington Medical Center.

Division Chief

Gregory J Redding, MD

Professor Division Chief

Fellowship Director

Ronald L Gibson, MD, PhD

Professor Director, Cystic Fibrosis Center

Faculty

Matthew Farris Abts, MD

Clinical Assistant Professor

Maida L Chen, MD

Associate Professor

Jonathan Cogen, MD, MPH

Assistant Professor

Mary Crocker, MD, MPH

Acting Assistant Professor

Lourdes DelRosso, MD, M.Ed

Associate Professor

Laurie C Eldredge, MD, PhD

Assistant Professor

Ronald L Gibson, MD, PhD

Professor Director, Cystic Fibrosis Center

Lucas R. Hoffman, MD, PhD

Associate Professor

BreAnna Kinghorn, MD, MS

Acting Assistant Professor

Carey T. Lockhart, MD

Clinical Assistant Professor

Amalia Meier Magaret, PhD

Research Professor

Susan Marshall, MD

Professor Director of Medial Education

David Nichols, MD

Associate Professor

Thida Ong, MD

Assistant Professor

Bonnie Ramsey, MD

Professor and Vice Chair of Research Endowed Chair of Cystic Fibrosis Director, Center for Clinical and Translational Research Director, CF Therapeutics Development Network Coordinating Center Seattle Children's Research Institute

Gregory J Redding, MD

Professor Division Chief

Stephen R. Reeves, MD, PhD

Acting Assistant Professor

Margaret Rosenfeld, MD, MPH

Professor Associate Vice Chair for Clinical Research

Michelle Young Sobremonte-King, MD

Acting Assistant Professor

Amanda M. Striegl, MD, MS

Assistant Professor

Demet Toprak, MD

Assistant Professor

Benjamin S Wilfond, MD

Professor Division Chief; Director, Treuman Katz Center for Pediatric Bioethics

Joanna E. Wrede, MD

Assistant Professor

Fellows and Alumni

Current Fellows

Laura Ellington, MD Laura Ellington, MD
David Panek, MD David Panek, MD
Chelsea Davis, MD Chelsea Davis, MD
Sarah HofmanDeYoung Sarah HofmanDeYoung
Leah Nuss, MD Leah Nuss, MD
Holly Vo, MD Holly Vo, MD

 

 

Alumni

Jason S. Debley, MD, MPH
Associate Professor of Pediatrics
Medical Director, Pulmonary Diagnostics Lab

Ronald L. Gibson, MD, PhD
Professor of Pediatrics
Director, Cystic Fibrosis Clinical Center
Co-Director, Cystic Fibrosis Therapeutic Development Center
Director, Pediatric Pulmonary Fellowship

Lucas R. Hoffman, MD, PhD
Professor of Pediatrics

Margaret Rosenfeld, MD, MPH
Professor of Pediatrics
Co-Director, Fellows' College
Director, Clinical Research Scholars Program
Associate Director, Center for Clinical and Translational Research

Amanda Striegl, MD

Amanda Striegl, MD, MS
Clinical Associate Professor of Pediatrics
Medical Director, Respiratory Care

Laurie C. Eldredge, MD, PhD

Laurie C. Eldredge, MD, PhD
Acting Assistant Professor

Stephen R. Reeves, MD, PhD

Stephen R. Reeves, MD, PhD
Assistant Professor

Jonathan Cogen, MD, MPH

Jonathan Cogen, MD, MPH
Assistant Professor of Pediatrics

BreAnna Kinghorn, MD, MS

BeAnna Kinghorn, MD, MS
Acting Assistant Professor

 

 

How to Apply

Requirements

All required clinical education for entry into ACGME-accredited fellowship programs must be completed in an ACGME-accredited residency program, an AOA-approved residency program, a program with ACGME international (ACGME-I) Advanced Specialty Accreditation, or a Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited residency program located in Canada.

Prerequisite education for entry into a pediatric pulmonology program must include the satisfactory completion of a pediatrics or combined internal medicine-pediatrics residency program that satisfies the requirements.

The individual must also be board eligible/certified in pediatrics.

 

Timeline

National Residency Match Program (NRMP) http://www.nrmp.org/

For questions regarding ERAS, please contact myeras@aamc.org or (202) 862-6264.

Fellowship Director

Ronald L Gibson, MD, PhD

Professor Director, Cystic Fibrosis Center

Email
Fellowship Coordinator
Holly Kaopuiki - No picture available

Holly Kaopuiki

Fellowship Coordinator

206.987.2174 option 8 (phone)
206.987.2639 (fax)

Seattle Children's Hospital
Division of Pulmonary and Sleep Medicine
PO Box 5371, M/S: OC.7.720
Seattle, WA 98145-5005

Email