Fellowships

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Pediatric Pulmonary Training Program

Kenan Haver, M.D., Program Director
(617) 726 7613
Fax (617) 726 1036
e-mail: khaver@partners.org

General Description and Accreditation

The training program aims to provide extensive education in clinical pulmonology as well as clinical and basic research techniques and large and small group teaching methods.

A second program combines the resources of the Pulmonary Unit and the Intensive Care Unit, under the Direction of Natan Noviski, to offer dual accreditation during 4 years of clinical and research training.

We accept one trainee per year for three years of training to become academic physician scientists. The program is accredited by the Residency Review Committee of the American College of General Medical Education.

Requirements

Applicants must, at a minimum, qualify for examination by the American Board of Pediatrics. Foreign medical school graduates must, in addition, have passed the FLEX examination. Foreign medical graduates who do not hold US citizenship must arrange their own funding.

Clinical Responsibility

The fellow will attend a general pulmonary and a cystic fibrosis clinic weekly, participating in the evaluation and management of these patients. Our staff are responsible for the management of over 200 CF patients and for approximately 1500 pulmonary consultations per year.

On the consult service, the fellow will be responsible for providing on request consultation and follow-up advice to pediatric house officers and attending physicians on all infants and children admitted to the floors, Intensive Care Units and Spaulding Rehabilitation Hospital. Physicians in the Pediatric Ear, Nose, Throat Service at the Massachusetts Eye and Ear Infirmary (connected by corridor to the MGH) call regularly for consultation and welcome the fellows' active involvement in endoscopy of their patients.

Senior staff members of the Pediatric Pulmonary Unit are assigned on rotation to support the fellow in carrying out these responsibilities. One senior staff member is responsible for supervising the bronchoscopy service, another supervises the PFT laboratory.

Teaching

The fellow oversees and interprets pulmonary function and polygraph studies and gains experience in endoscopy. The latter is performed on an ambulatory basis, in the ICU, in the endoscopy suite and in collaboration with ENT colleagues.

One senior staff member provides support and teaching daily for each in-patient consultation.

One senior staff member meets weekly with the fellow to discuss assigned readings in pulmonary physiology and molecular biology.

The fellow has a major role in preparing cases for the weekly meeting of the New England Pediatric Pulmonary Consortium on Wednesday mornings. These conferences include senior staff and fellows from the Pulmonary Services at the Children's Hospital (Harvard), Boston Medical Center (Boston University), New England Medical Center (Tufts University), University Medical Center (University of Massachusetts at Worcester), Hasbrow Children’s Hospital Hospital (Brown University), Bay State Medical Center, Springfield, Massachusetts as well as ENT, Radiology and pulmonary staff from the Massachusetts General Hospital (Harvard). In addition, fellows supervise residents and students on elective in Pediatric Pulmonary Medicine usually one per month and assist in the teaching of physical diagnosis to medical students. The fellow will also attend the weekly Cystic Fibrosis patient conference at which time patient management problems are reviewed and clinical and basic science literature is discussed.

Research Opportunities Current projects available to fellows within the unit

T. Bernard Kinane, MD Molecular and Cell Biology Projects

  • The regulation of regeneration
  • The regulation of alveolus formation
  • Lung innate immunity

T. Bernard Kinane, MD and Daniel C. Shannon, MD

  • Congenital Central Hypoventilation Syndrome (CCHS)-Physiological and Molecular Basis

Joshua Boyce, MD

  • cytokine regulation in eosinophils
  • Understanding the pathways that regulate chemotaxis

Lynda Stuart MD, PhD

  • innate immunity
  • Phagocytosis

Collaboration is available with the Adult Pulmonary Unit, MGH and with laboratories at other Harvard teaching hospitals.

Faculty Major Responsibilities and Interests

Joshua M. Boyce, MD
Partners Asthma Center
Research into biology of eosinophil

Henry L. Dorkin, MD, FAAP
Director of Joey O’Donnell Cystic Fibrosis
Clinical Director, Pediatric Pulmonary Unit
Clinical research into Asthma and CF

Kenan E. Haver, MD
Director of Fellowship Training
Clinical research into Asthma and CF

Eliot Katz MD
Director of Sleep Medicine

T. Bernard Kinane, MD
Chief of Pediatric Pulmonary
Director of Laboratory of Developmental Immunology
Research into the molecular mechanisms of developmental lung diseases

Allen Lapey, MD
CF Center Director,
Coordinator of the Boston Pulmonary Conference
Asthma and cystic fibrosis

Ngoc Ly MD
Molecular epidemiology of Asthma

Daniel C. Shannon, MD
Program Director Emeritus
Senior Educator in Physiology and Technology

Elizabeth C. TePas, MD
Allergy and Immunology