Hyperbaric Medicine in the United States

Abstract

This chapter discusses the practice of hyperbaric medicine in the United States, the various organizations involved in the practice, certifying agencies for practitioners, the status of certification, and the current legislative and reimbursement issues.

Resources

• Undersea and Hyperbaric Medical Society (www.uhms.org)

• American College of Hyperbaric Medicine (www.achm.org)

• American Board of Wound Healing (www.abwh.net)

• American Professional Wound Care Association (www.apwca.org)

• Baromedical Nurses Association (www.bna.org)

• National Board of Diving and Hyperbaric Medical Technology (www.NBDHMT.org)

Organizations for Subspecialty Certification

• American Board of Emergency Medicine (www.abem.org)

• American Board of Preventive Medicine (www.theabpm.org)

• American Osteopathic Board of Preventive Medicine (www.abopm.org)

Currently Offered Fellowship Training Locations in Undersea and Hyperbaric Medicine

CRESE at the University of Buffalo

• Buffalo, NY

• Contact: Dr. David R. Pendergast

• 716-829-3830

Postdoctoral Fellowship

• The Center for Research and Education in Special Environments in the School of Medicine and Biomedical Sciences at the University at Buffalo is recruiting for a Postdoctoral Fellow with interest in one or more of the following fields: undersea and hyperbaric medicine, environmental physiology, gravity, or exercise physiology. This is a 3-year Office of Naval Research-funded fellowship. The successful candidate must have a Medical Degree or Ph.D. or equivalent. CRESE is a grant-supported multidisciplinary, officially recognized University Organized Research Center. The major facilities include a human-rated hyperbaric/hypobaric chamber, animal/cell hyperbaric chambers, human centrifuge, climatic chamber, and annular swimming pool. Additionally, there are exercise, biochemistry, animal surgery, and open laboratories and offices. Applications will be considered until the position is filled.

Duke University Medical Center

• Durham, NC

• Contact: Jake Freiberger, MD, MPH

• Email: john.freiberger@duke.edu

• (919) 684-6726Home Page: dukedivemedicine.org

  Hyperbaric fellows work in the Center for Hyperbaric Medicine and Environmental Physiology, an integral part of Duke University Medical Center. Four slots are available each year, 2 of which are associated thru Intermountain Healthcare. Applicants must be eligible for licensure as a trainee in the state of North Carolina and they must have completed an ACGME certified residency program and be board eligible in their specialty. The fellowship is highly competitive and the training is designed to prepare the fellow to become a leader in the field of Undersea and Hyperbaric Medicine through the development of clinical competence and research expertise.

Hennepin County Medical Center

• Minneapolis, MN

• Contact: Stephen Hendriksen, MD

• Email: Stephen.Hendriksen@hcmed.org 612-873-7420Home Page: http://www.hcmc.org/education/fellowships/hyperbaric-fellowship/index.htm

Undersea and Hyperbaric Medicine Fellowship

• Since opening our first hyperbaric chamber in 1964, Hennepin County Medical Center has pioneered the field of undersea and hyperbaric medicine. Our fellowship is an ACGME accredited one year program whose graduates fulfill the requirements to sit for the American Board of Medical Specialists’ certification examination for special competency in Undersea and Hyperbaric Medicine. The Primary Hospital: Hennepin County Medical Center, Minneapolis, MN is a Level I Trauma Center and referral center for all hyperbaric emergencies for western Wisconsin, the eastern Dakotas, Iowa and all of Minnesota. Fellows practice in our new state-of-the art Center for Hyperbaric Medicine, which opened in 2012. More information can be found at our website:

• Please contact us if interested in applying and for more details:

• Stephen Hendriksen, MD

• Center for Hyperbaric Medicine

• Division of Undersea and Hyperbaric Medicine

• Department of Emergency Medicine

• Hennepin County Medical Center

• 612-873-7420

Kent Hospital

• 15 Health Lane, Bldg. 2D

• Warwick, RI 02886

• Contact: Mary Beth Hanley, DO

• Email: mhanley@KentRI.org

• Tel (401)-736-4646

• *Currently approved for DO’s only

• Home Page: http://www.kentri.org/graduateeducation/hyperbaric/

Louisiana State University

• New Orleans, LA

• Contact: Tracy LeGros, MD

• Email: tlegros1@cox.net(504) 366-7638Home Page: www.medschool.lsuhsc.edu/emergency_medicine/fellowship_hyperbarics.aspx

Fellowship in Diving and Hyperbaric Medicine

• Louisiana, LSU Health Sciences Center/Charity Hospital, New Orleans. One year fellowship includes extensive opportunities in clinical and animal research, publishing, and teaching experiences. Divers Alert Network and Gulf Coast Commercial Diving Referral Center. Clinical teaching locations includemultiplace and monoplace units. Program directors: Dr. Tracy L LeGros.

• Accredited Program: effective July 1, 2008

SUNY Upstate Medical University

• Syracuse, NY

• Contact: Marvin Heyboer III, MD, FACEP, FUHM and William Santiago, MD

• E-Mails: Heyboerm@upstate.edu; santiagw@upstate.eduPhone: (315) 464-4363Home Page: http://www.upstate.edu/emergency/education/fellowships/hyperbaric.php

Fellowship in Undersea and Hyperbaric Medicine

• This ACGME accredited fellowship program at SUNY Upstate Medical University offers comprehensive training for a physician who is board-eligible in any ABMS or Osteopathic specialty. The program provides intensive training in clinical hyperbaric medicine while including all aspects of wound care and diving medicine. There are didactic lectures based on core curriculum and participation in research within hyperbaric medicine. Opportunities also exist for clinical activity to maintain skills in trainees’ primary specialty. Program Director: Marvin Heyboer III, MD, FACEP, CWS, FACCWS.

United States Air Force School Of Aerospace Medicine

• Lackland, TX Contact: Devin Beckstrand, MD

  E-Mails: devin.beckstrand@us.af.mil

  Phone: (210) 292-3483

  Home Page: https://kx.afms.mil/kj/kx2/HyperbaricMedicine/Pages/fellowship_requirements-31may12[1].aspx

University of California San Diego

• Contact: Peter Witucki, MD, FACEP

  E-Mail: pwitucki@ucsd.edu

  Phone: (619) 543-6463 or (619) 543-6218

  Home Page: http://emergencymed.ucsd.edu/education/fellowships/hyperbaric

  University of Pennsylvania

  Philadelphia, PA

  Contact: Kevin Hardy, MD and Wendy Kelly

  E-Mail: whermann@mail.med.upenn.eduPhone: (215) 898-9095

  Home Page: http://www.uphs.upenn.edu/ifem/hbofellowshipoutline.pdf

Fellowship in Undersea and Hyperbaric Medicine

• The ACGME accredited fellowship program at The University of Pennsylvania offers comprehensive training for two physicians who are board-eligible in any ABMS specialty. Our program provides intensive training in diving and hyperbaric medicine, including all aspects of wound care and elective opportunities in critical care. A series of didactic lectures occurs weekly, and there are opportunities for research and clinical activity to maintain skills in trainees’ primary specialty.

  On-line information is found at http://www.uphs.upenn.edu/emergency-medicine/education/fellowships/hyperbaric-medicine/

  Interested candidates should contact:

  Wendy Kelly at 215-898-9095

  or

  e-mail: wherrman@mail.med.upenn.edu

Two Postdoctoral Positions:

• Two Postdoctoral Positions are offered to study fundamental mechanisms of oxygen in angiogenesis, cell-to-cell adhesion or free radical production/pathogenesis as well as the clinical effects of hyperbaric oxygen. Individuals with clinical experience who are interested in obtaining research training will receive special consideration. An exceptional opportunity exists for collaborative basic and clinical research as part of a NIH-funded Specialized Center of Research in Hyperbaric Oxygen Therapy.

Clinical Hyperbaric Medicine Fellowship:

• One position is offered to a board-eligible, licensed physician for intensive training in undersea and hyperbaric medicine. Fellows are actively involved with the clinical program of Penn’s Institute for Environmental Medicine, and are provided opportunities for involvement in basic and clinical research as a part of the training.