Interventional Pulmonary Fellowship Program
The interventional pulmonary fellowship at Yale offers a unique training for the individual aspiring to acquire the necessary skills for a career in IP. We strive to offer the appropriate balance of clinical training, research and education and have designed a one-year fellowship around these goals. We participate in the IP match (http://aabronchology.org).
Click on link below for application form.IP Fellowship Application Form
Please include in your application materials the following:
- An updated CV
- 3 letters of recommendation
- A personal statement
- USMLE test scores
- Any other test scores you have (pulmonary boards, internal medicine boards).
Interested applicants should mail applications to:
Luci Gilkes, Program Coordinator
Yale University School of Medicine
P.O. Box 208057
3000 Cedar Street, TAC S-425
New Haven, CT 06520-8057
We fully prepare the fellow to pass the IP board exam with training in the following:
- Rigid bronchoscopy
- Airway stent placement
- Airway ablation procedures (laser, APC, electrocautery)
- Percutaneous tracheostomy
- Convex probe EBUS
- Peripheral EBUS
- Electromagnetic navigational bronchoscopy
- Thoracic ultrasound and ultrasound-guided thoracentesis
- Chest tube placement
- Tunneled pleural catheter placement
- Pleuroscopy and pleurodesis
- Bronchial thermoplasty
- Whole lung lavage
- And other procedures within the realm of Interventional Pulmonology
Yale University is the sponsoring institution and assumes ultimate responsibility for the Interventional Pulmonary program. Dr. Naftali Kaminskiis the Chief of Pulmonary and Critical Care Medicine and Dr. Jonathan Puchalski is the Director of the Interventional Pulmonary Fellowship Program.
The fellow participates in the routine clinical management of the interventional pulmonary service (Thoracic Interventional Program [TIP]), including procedures and inpatient and outpatient clinical care. This will be predominately based at Yale New Haven Hospital and will focus on adult procedures but occasionally include pediatric procedures as well. The fellow will also be actively enrolled in education. He / she will be taught with educational strategies based on optimizing adult learning, and will be expected to participate in the education of other attendings, fellows, physician extenders and students. The fellow will also participate in research and will be expected to actively present at national meetings during and after his / her IP fellowship at Yale.
The Lippard Laboratory for Clinical Investigation Building (LLCI) 100 houses the offices of Jonathan Puchalski, M.D., MEd and Gaetane Michaud, M.D., MSc, FRCP(C). Our offices are grouped with other critical members of our team, including Kelsey Johnson, PA-C, Christina Carbone (research assistant), and Rebecca Rode (administrate assistant for TIP).
We have an active research program and expect the fellow to present at national meetings. A list of recent presentations and posters can be found “here.”
- Convex Probe EBUS for Diagnosing Parenchymal Lung Lesions (Poster Discussion ATS 2010)
- Bilateral Simultaneous Thorcenteses are Safe and Provide Rapid Benefit in Patients with Bilateral Pleural Effusions (Poster Presentation ATS 2010)
- Life-Altering Distal Stenting for Malignant Airway Obstruction - (Poster Presentation ATS 2010)
- Tension Hydrothorax Secondary to Pleuroperitoneal Leak Related to Peritoneal Dialysis - (Poster Presentation ATS 2010)
- A Case Report of Acute Pleuropericardial Effusions in a Patient with Ankylosing Spondylitis. (Poster Discussion Session ATS 2010)
- An Iatrogenic Diagnosis (Oral Presentation ATS 2010)
- Thoracenteses are Safe in Patients with Bleeding Tendencies (Poster Presentation ATS 2011)
- The Complementary Role of CD68 Immunostaining in Diagnosing Sarcoidosis by Endobronchial Ultrasound (Oral Presentation ACCP 2011)
- Convex Probe Endobronchial Ultrasound for Placement of Intraparenchymal Fiducial Markers to Guide Stereotactic Radiosurgery (Oral Presentation ACCP 2011)
- The Safety, Tolerability and Outcomes of Performing EBUS in Obese Patients- (Poster Presentation ATS 2012) Paper in progress.
- Expanding the Role for Endobronchial Valves – Bronchocutaneous Fistula (Poster Presentation ATS 2012)
- Safety and tolerability of advanced bronchoscopic procedures under moderate conscious sedation (World Bronchology Conference June 2012) Paper submitted.
- Impact of thoracentesis on dyspnea and quality of life (Oral Presentation ACCP 2012)
- Advanced lung adenocarcinoma masquerading as pulmonary alveolar proteinosis (Oral Presentation ACCP 2012)
- Iatrogenic Tracheoesophageal Fistula: A Unique Cause and Treatment. (ATS poster, 2013)
- Intrathoracic and circulating fibrocytes are elevated in patients with malignant pleural effusions (ATS presentation, 2013)
- Puchalski JT, Argento AC, Murphy TE, Araujo KLB, Olivia I, Rubinowtiz A, Pisani MA. Etiologies of bilateral pleural effusions. Resp Med. 2013.
- Puchalski JT, Argento AC, Murphy TE, Araujo KLB, Pisani MA. The safety of thoracentesis in patients with uncorrected bleeding risk. Anns Am Thoracic Soc. 2013.
- Puchalski, J.T. Thoracic Neoplasms. ABIM Internal Medicine Board Review Book. In press.
- Puchalski, J.T. and Musani, A. Tracheobronchial Stenosis. Clinics in Chest Medicine. 2013. In press.
- Cai, G, Wong, R., Chhieng, D., Levy, Gl, Gettinger, S., Herbst, R. Puchalski, JT, Homer, R., and Hui, R. Identification of Epidermal Growth Factor Receptor Mutation, k-Ras Mutation, and EML4-ALK Translocation in the Cytological Specimens of Primary and Metastatic Lung Adenocarcinomas. Cancer Cytopathology. 2013. doi: 10.1002/cncy.21288et al. Cancer Cytopathology. 2013
- Harris, K. Puchalski, J.T., and Sterman, D.S. Bronchoscopic Treatment of Peripheral Lung Nodules. Lancet Respiratory Reviews. In press.
- Puchalski, J.T. Editor: Pleural Diseases. Clinics in Chest Medicine Volume, March 2013.
- Bramley, K. and J.T. Puchalski. Subdiaphragmatic Etiologies of Pleural Effusions. Clinics in Chest Medicine, 2013; 34(1): 39-46.
- Lee, H.J., Feller-Kopman, D, Shepherd, R. W., Almeida, F., Bechara, R., Berkowitz, D, Chawla, M., Folch, E., Gillespie, C., Haas, A., Lee, R., Majid, A, Malhotra, R., Musani, A., Puchalski, J., Sterman, D, Yarmus, L. Validation of an Interventional Pulmonary Examination. Chest, 2013; 143(6): 1667-70.
- Schweikert, W and J.T. Puchalski. Thoracentesis, Pleural Biopsy and Thoracic Ultrasound. Decision Support in Medicine (interactive electronic book). 2012.
- Lee, H.J and Puchalski, J.¸Sterman, D.S. et al. Secondary Carina Y-Stent Placement for Post-Lung-Transplant Bronchial Stenosis. Journal of Bronchology and Interventional Pulmonology. 2012. 109-14.
- Puchalski, J. Tracheal and Bronchial Stenosis: Etiologies, Bronchoscopic Interventions and Outcomes. Pakistan Journal of Chest Medicine. 2012.
- Puchalski, J.T. and D. Feller-Kopman. The pulmonologist’s diagnostic and therapeutic interventions in lung cancer. Clinics in Chest Medicine, 2011. 763-71.
- Puchalski, J.T. Minimally-Invasive Techniques for Diagnosing and Staging Lung Cancer. Pulmonary, Critical Care and Sleep Update (PCCSU). September, 2011.
- Puchalski, J., Lee, H.J., and D.H. Sterman. Airway Complications Following Lung Transplantation. Clinics in Chest Medicine. 2011; 32(2): 357-66.
- Detterbeck, F., Puchalski, J., Rubinowitz, A., and Cheng, D. Classification of the Thouroughness of Mediastinal Staging of Lung Cancer. Chest, 2010; 137: 436-42.
- Lee, H. J., Haas, A.R., Musani, A. and J.T. Puchalski. The Role of Endobronchial Ultrasound for the Diagnosis and Staging of Gastrointestinal Malignancies. Techniques in Gastrointestinal Endoscopy, 2009; 11, 140-45.
Jonathan Puchalski, M.D. is the program director responsible for the IP Fellowship. Dr. Puchalski is trained in medicine and pediatrics (The Ohio State University), adult and pediatric pulmonary and critical care (University of Cincinnati) and interventional pulmonary (Hospital of the University of Pennsylvania). He also received a Masters in Medical Education (M.Ed) from the University of Cincinnati.
Interventional Pulmonary Fellowship Faculty
Our multidisciplinary faculty includes experts in the field of interventional pulmonary. Both Drs. Puchalski and Michaud have a wealth of clinical experience and a national presence in IP education. We work closely with the thoracic surgeons at Yale (http://medicine.yale.edu/surgery/thoracic/index.aspx) and all members of the renowned Thoracic Oncology Program (http://www.yalecancercenter.org/top/index.aspx).
- Physician Assistant: Kelsey Johnson, PA-C
- Pulmonary, Critical Care and Sleep Fellowship Director: Margaret Pisani, MD, MPH
- Administrative Assistant for Fellowship: Luci Gilkes (203) 785-3207 Fax (203) 785-3826
- Administrative Assistant for IP: Rebecca Rode (203) 737-5699 Fax (203) 737-1666