- To Learn the Evaluation Process of Potential Lung Transplant Candidates
- Evaluation of Potential Lung Transplant Candidates
- Types of advanced lung diseases for which transplantation is an option
- Indications for bilateral vs. single vs. heart-lung transplant
- Indications for transplantation
- Contraindications to transplantation
- Evaluation of the Potential Lung Donor and Observation of Organ Recovery at a Donor Hospital
- Observation of Lung Transplant Surgery
- Bronchoscopy of Lung Transplant Recipients and Management of Post Transplant Airway Complications
- In-House Management of Lung Transplant Recipients in the Peri-Operative Period
- Ventilator management of lung recipients
- ECMO management
- Hemodynamic management of lung recipients
- Infectious disease prophylaxis
- Diagnosis and management of acute allograft rejection
- Immunosuppression
- Outpatient Management of Lung Transplant Recipients
- Outpatient monitoring of the lung allograft, inlcluding evaluation for acute cellular and antibody-mediated rejection
- Diagnosis and management of acute allograft rejection including histopathological evaluation and grading
- PFT interpretation in lung recipients
- Outpatient immunosuppression management
- Recognition and management of long-term complications including chronic rejection
- To Gain Enough Experience in Above to Earn UNOS Certification
- Primary and follow up care of at least 15 newly transplanted lung recipients (documented in a log with the date of transplant and patient’s UNOS number/EPIC MRN; the log must be signed off by the director of the training program)
- Participate in the evaluation, the donation process and management of 3 multiple organ donors (who are donating a lung or heart/lung) (documented in a log)
- Observe at least 3 lung or heart/lung procurements (documented in a log with a date that includes the date of procurement, location of the donor and UNOS donor ID)
- Observe at least 3 lung transplants
- Management of Patients with Pulmonary Hypertension
- Assessment and work-up of patients with pulmonary hypertension
- Indications for the various available therapies and appropriate indications and use of the available oral therapies
- Initiation and ongoing management of patients with continuous intravenous epoprostenol, treprostinil, SQ treprostinil and inhaled therapies
- Observe/participate in performance of RHCs (maintain precedures in a log)
- Experience in reading PH ECHOs
- Participation in the monthly PH conference
- Diagnosis and Management of Patients with Interstitial Lung Disease
- Participation in the multidisciplinary pathology conference
- Assessment and work up of various ILD diseases
- Initiation and ongoing management of patients on immunosuppresive and anti-fibrotic therapy
- Diagnosis and Management of Patients with Cystic Fibrosis and Non-CF Bronchiectasis
- Indication for genetic therapy
- Treatment of chronic disease (both pulmonary and extra-pulmonary manifestations)
- Management of acute exacerbation in the inpatient and outpatient setting