Feller-Kopman David, Yarmus Lonny
Section of Interventional Pulmonology, Division of Pulmonary and Critical Care, Johns Hopkins Hospital, Baltimore, Maryland.
Semin Respir Crit Care Med. 2014 Dec;35(6):631-5. doi: 10.1055/s-0034-1395793. Epub 2014 Dec 2.
The field of interventional pulmonology (IP) is a rapidly growing subspecialty of pulmonary and critical care medicine (PCCM), primarily focused on the evaluation and management of patients with lung nodules, masses, mediastinal and hilar adenopathy, central airway obstruction, and pleural disease. Traditionally passed on in the apprenticeship model, dedicated fellowships began in the early 2000s and there are currently approximately 24 IP fellowships throughout the United States. In addition to the evaluation and management of patients with the above diseases, the additional year provides training in advanced diagnostic and minimally invasive therapeutic procedures that are not specifically taught during a standard PCCM fellowship. This article will review the evolution of the field of IP as well as the pathways to learn advanced procedural techniques.
介入肺病学（IP）领域是肺与重症医学（PCCM）中一个快速发展的亚专业，主要专注于对肺结节、肿块、纵隔和肺门淋巴结肿大、中央气道阻塞及胸膜疾病患者的评估与管理。传统上采用师徒传承模式，21世纪初开始设立专门的 fellowship，目前美国约有24个介入肺病学 fellowship。除了对上述疾病患者进行评估和管理外，这额外的一年还提供在标准肺与重症医学 fellowship 期间未专门讲授的先进诊断和微创治疗程序的培训。本文将回顾介入肺病学领域的发展历程以及学习先进操作技术的途径。
