The Children’s Hospital of Richmond at VCU, Pediatric Pulmonary Medicine’s fellowship program is actively recruiting for a Fellow to start July 2018.  The fellowship is a 3 year ACGME-accredited program designed to provide outstanding candidates with the clinical, research, and teaching skills needed to become a leader in academic pediatric pulmonology. Fellows completing the program will be eligible for certification. We accept applications until September 2017 through ERAS system. (All documents below must be submitted through ERAS.) 

Mission

The mission of the fellowship program is to prepare specialists with medical knowledge; clinical skills and judgement; self-assessment; proficiency in communication, professional attitudes and behavior; competence performing medical procedures; research skills; teaching proficiency; humanistic qualities; and a commitment to scholarship. 

During the first year, comprehensive patient care is established through intensive hands-on patient-focused training, In addition, fellows supervise and teach pediatric resident and medical students in the care of hospitalized pediatric pulmonary patients. The fellows are assigned as the primary physician of a number of newly diagnosed patients whom they continue to follow throughout the three years of fellowship. The second and third years of the fellowship are dedicated to providing the fellow with a meaningful research experience with the perspective of publication, independent grant support and recognition. Continuity clinics and on call schedule continue throughout the fellowship. 

Clinical training

Under the supervision of faculty, fellows will become competent in the physiology, pathophysiology, diagnosis, evaluation, and treatments, including but not limited to: 

  • Asthma
  • Chronic cough
  • Wheeze
  • Dyspnea
  • Hypoxia
  • Respiratory manifestations of systemic diseases
  • Cystic fibrosis
  • Bronchopulmonary dysplasia (chronic lung disease of infancy)
  • Lower respiratory tract infections of the airways, airspaces and pleural space
  • Newborn respiratory distress
  • Respiratory infections in immunocompromised hosts
  • Sleep disordered breathing
  • Chronic ventilatory assistance, including home mechanical ventilation such as, bi-level positive airway pressure ventilation (BiPAP), and tracheostomy management.
  • Aspiration syndromes
  • Hemoptysis
  • Congenital anomalies of the respiratory system (TEF, Vascular ring, CPAM, Sequestration, Lung agenesis/hypoplasia, Diaphragmatic hernia, bronchogenic cyst, tracheomalacia, laryngomalacia)
  • Acquired upper airway obstruction (vocal cord dysfunction, Subglottic stenosis
  • Chronic suppurative lung disease (bronchiectasis {exclude CF}, chronic bronchitis)
  • Other diseases such as pulmonary hypertension, interstitial lung disease, hemosiderosis and acute lung injuries
  • Pre-operative and post-operative management of children with respiratory disorders (scoliosis, muscular weakness, upper airway obstruction)

First year

In addition to defining a research mentor and project during the first year, a minimum of seven months are spent on Pulmonary Service. One or two months are devoted to critical care experience and the remainder of the year is spent in pertinent clinical electives. During this year, the fellows’ clinical skills, acumen and judgement are refined. Targeted skills include: 

  • Pulmonary Function Testing
  • Intubation
  • Bronchoscopy
  • Thoracentesis
  • Blood Gas Analysis
  • Radiographic Interpretation
  • Invasive Techniques of Critical Care
  • Respiratory Care
  • Other (for qualified candidates):
    • Interventional bronchoscopy
    • Infant lung function
    • Dual critical care and pulmonary training 

A clinical basic science curriculum that includes the developmental biology and physiology, pharmacology and pathology of the lung will be addressed primarily by tutorial. Critical review of the literature will be addressed throughout training. In clinical training, an interdisciplinary team approach will be emphasized. 

Second and third year

During the second year, the fellow will become progressively independent in clinical management. During the third year, the fellow will assume the role of a junior attending physician with special responsibility for coordinating the interdisciplinary team. Throughout training the fellow will follow specific patients with chronic illnesses. 

Research

Fellows will receive training in cutting edge basic or clinical/translational pulmonary research with internationally recognized mentors.  Intensive training is provided in scientific evaluation, research design, current methodologies, data generation, manuscript and grant preparation and critical features of research career development. Grantsmanship skills will be developed by introductory lectures followed by practical application. Presentation of research at major national meetings will be expected of all medical fellows. 

Curriculum 

Conferences

Didactic conference are held on a regular scheduled basis with attendance required of all fellows and divisional faculty. 

Weekly Conferences

  • Pulmonary Science/Journal Club- Wednesday
  • Pulmonary Medical Grand Rounds- Friday
  • Pediatric Grand Rounds- Tuesday

 Annual Conference

  • North American Cystic Fibrosis Conference or American Thoracic Society Conference
  • Pediatric Flexible Bronchoscopy Postgraduate Course- Cincinnati Children’s Hospital
  • Research Graduate Course- Research 4 Residents & Fellows 

Other Lectures and Courses 

Teaching Opportunities

Throughout all 3 years of training, the fellow will be intimately involved in the teaching endeavors of the division, including teaching medical students, nursing and allied health professions students, residents, and other fellows.

Evaluations

Evaluations are performed for each rotation and on a semi-annual basis by the program director, with input from supervising faculty and various fellowship committees.

How to Apply

If you would like to join this dynamic training program as a fellow in pediatric pulmonary medicine, we encourage you to apply! This fellowship program participates in the National Residency Match Program (NRMP) and the Electronic Residency Application Service (ERAS). 

Important Dates

  • July 1, 2017- Applications available to review through ERAS
  • 2017- Interview Invitations begin to go out to select applicants
  • September 2017- Program deadline for downloading completed applications
  • August- October, 2017- Interview cycle
  • November 30,2017- NRMP rank order list closes
  • December 14,2017- Match Day 

Application to the fellowship program is highly competitive. Persons who wish to apply should be board-eligible or board-certified in pediatrics. 

VCU Health System provides equal opportunity, services and access to all persons, including but not limited to team members, patients, visitors, vendors, etc. without regard to race, sex, color, national origin, citizenship status, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in accordance with the state and federal laws.

Virginia Commonwealth University is an equal opportunity / affirmative action employer. Women, minorities and persons with disabilities are encouraged to apply. 

The Division of Pediatric Pulmonary Medicine is dedicated to improving the lives of children with respiratory disorders and their families by advancing outstanding and compassionate care, thoughtful research, comprehensive education and effective advocacy.  

Fellowship Program Contacts 

Fellowship Program Director
Judith A. Voynow, M.D.
Edwin L. Kendig Jr. Professor
Division of Pediatric Pulmonary Medicine
Children’s Hospital of Richmond at VCU
P.O Box 980315
Richmond, VA 23298
Email: judith.voynow@vcuhealth.org 

Fellowship Associate Program Director
Ronald Williams, M.D.
Assistant Professor
Division of Pediatric Pulmonary Medicine
Children’s Hospital of Richmond at VCU
P.O Box 980315
Richmond, VA 23298
Email: ronald.williams@vcuhealth.org

Fellowship Program Coordinator
Katie Hendrickson
Administrative Assistant
Division of Pediatric Pulmonary Medicine
Children’s Hospital of Richmond at VCU
P.O Box 980315
Richmond, VA 23298
Phone: (804)828-9436
Email: kathryn.lawrence@vcuhealth.org