Duke Hyperbaric Center Fellowship
[Upcoming Courses]

The clinical Hyperbaric fellow works in the Hyperbaric Center and F.G. Hall Environmental Laboratory, both of which are an integral part of Duke University Medical Center. Fellowships are available for 12 months although they may be extended for additional time.

During the period of training the Hyperbaric fellow will be trained in the clinical use of hyperbaric oxygen. This includes the emergency treatment of clostridial myonecrosis, necrotizing fasciitis, arterial gas embolism, decompression sickness, carbon monoxide poisoning and certain other less common conditions such as acute vasculitis with ischemia. The fellow will receive training in the appropriate critical care interventions necessary for the treatment of these patients. This will include hemodynamic monitoring, ventilatory support, fluid resuscitation and the interpretation of arterial blood gases during hyperbaric therapy.

The fellow will also receive training in the use of hyperbaric oxygen therapy for non-emergency conditions. The fellow will be responsible for all inpatient and outpatient consults, under the direction of the clinical Hyperbaric faculty.

During the training period the fellow will also be required to complete a research project. This will be completed under the guidance of one of the faculty members in the Hyperbaric Center. Projects which have been completed in previous years by fellows include:

• Duke Hospital clinical experience with hyperbaric oxygen therapy in the treatment of anaerobic infections
• Doppler bubble detection during repetitive deep air dives
• Complement activation during experimental air dives
• Use of surface oxygen in the development of new decompression tables
• Mechanisms for ameliorative effect of hyperbaric oxygen treatment on Brown Recluse Spider bite

Part of the didactic program includes regular hyperbaric conferences. The fellow will participate in these and normally be required to present at least one topic during his year of training. Recent topics presented at Hyperbaric meetings have included:

• Immediate and Long Term Neurological Sequelae of Carbon Monoxide Intoxication
• Warehouse Worker's Headache: Carbon Monoxide Poisoning from Propane Fueled Trucks
• Stability of COHb Levels in a Blood Sample
• Risk Assessment for Divers with Asthma
• Decompression Sickness and Patent Foramen Ovale (PFO)
• Neurological Abnormalities with CNS Bends
• Hyperbaric Oxygen Therapy for Diabetic Macular Edema
• Review of Radionecrosis and Hyperbaric Oxygen
• Clostridium Septicum as a Necrotizing Infection
• Presentation of Five Decompression Sickness Cases Treated at Duke
• Mechanisms of Carbon Monoxide Poisoning
• Brown Recluse Spider Bites and Hyperbaric Oxygen Treatment
• Contemporary Leg Ulcer Management

The fellow will also have the opportunity to attend the annual two-week course in Hyperbaric and Diving Medicine given by the National Oceanic and Atmospheric Administration in Seattle, Washington. In addition to these activities the applicant may participate in numerous other teaching activities within Duke Medical Center, for example those sponsored by the Departments of Anesthesiology, Medicine, Surgery and Emergency Medicine. Clinical participation under the aegis of those departments can be arranged in some cases, depending upon the training of the individual concerned. Applicants must be eligible for licensure as a trainee in the state of North Carolina.

If you are interested in a Duke Hyperbaric Center Fellowship you can download an application below (pdf format). Please complete and sign the application form and return it with a copy of your c.v. to:

John J. Freiberger M.D.
c/o Ms. Tonya Manning
Duke Center for Hyperbaric Medicine and Environmental Physiology
P.O. Box 3823 - Duke University Medical Center
Durham, North Carolina 27710

If you have any questions, please email Dr. Freiberger at: freib002@mc.duke.edu
or call Ms. Tonya Manning at 919-681-1685 or 919-684-6726

Duke Hyperbaric Center Fellowship Application

Upcoming Courses

CBI 206/ANE 245 - Physiology and Medicine of Extreme Environments - January, 2008