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Pediatric Pulmonology The Pediatric Pulmonology Division is one of only 39 accredited Pediatric Pulmonary training programs. There are 4 full time Pediatric Pulmonologists, a pediatric pulmonary function technician, a pulmonary physiologist, 2 physician assistants, a nurse educator along with 2 Pediatric Pulmonology Subspecialty Residents in a fully accredited fellowship program. The division has a well equipped pediatric pulmonary function laboratory, which includes comprehensive lung function assessment, an infant lung function laboratory, an exercise physiology laboratory and a sleep study laboratory. The clinical responsibilities of the Pediatric Pulmonary Division encompass all children with tuberculosis, chronic asthma, sleep apnea, respiratory insufficiency and complicated pulmonary and respiratory control diseases seen at the Children’s Hospital of Downstate and Kings County Hospital. The division is recognized as a center of excellence for the treatment of children with tuberculosis, by the New York City Bureau of Tuberculosis. A Pediatric Asthma Center of Excellence and a Mobile Asthma Center bus are under the direction of the division and have thousands of patient visits annually. The Pediatric Pulmonology Division has a very active endoscopic program and performs many bronchoscopies, laryngoscopies and diagnostic and therapeutic bronchoalveolar lavages each year. The division maintains a state of the art digital videobronchoscope cart and several fiberoptic and videobronchoscopes. Procedures are performed on patients ranging from preterm neonates to intubated or tracheostomized children to adolescents with acute and chronic lung or airway diseases. The Pediatric Pulmonary Division conducts several weekly clinics: the KCH Pediatric Chest Clinic/Sleep Apnea Clinic, where children with all types of pulmonary disease as well as children with sleep apnea.are seen, KCH Pediatric Asthma Clinic where difficult asthmatic children are managed, and three sessions of Pediatric Lung and Asthma Center of Excellence at UHB for asthmatics and a wide variety of other respiratory conditions. During rotations in this division, residents serve as consultants with first contact for inpatient and acute care services and are supervised by teaching faculty along with subspecialty fellows. Residents see and follow all patients known to the service who are hospitalized at UHB or KCHC. Residents attend 3-4 chest/asthma/OSA clinics per week were they provide direct patient care under attending supervision. Residents also observe, assist and learn interpretation of studies performed by the pulmonary physiology laboratory including exercise challenge, body plethysmography, spirometry, metabolic assessments and sleep studies as well as invasive procedures such as bronchoscopy, bronchoscopic lavage and blood gas determination. Didactics consist of weekly Chest Rounds, core conferences, PFT tutorial, pulmonary physiology conference, and monthly journal club and research conference. Residents are expected to attend all pediatric department conferences. Residents have the opportunity to participate in a variety of clinical research opportunities if they so choose. Research interest by the members of the division include, tuberculosis, asthma, sleep apnea, pulmonary complications of obesity, pulmonary function testing (e.g. impulse oscillometry), pulmonary manifestations of sickle cell disease, cytokines and mucosal inflammation, and pulmonary inflammation and nitric oxide.
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