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Allergy, Immunology & Rheumatology Fellowship


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Goals of the Fellowship Program

The primary goals are to:

  • Provide state-of-the-art clinical training in allergy and immunology as it pertains to the evaluation and management of associated medical disorders. Emphasis will be placed on atopic disorders, such as asthma, atopic dermatitis, food allergy, eosinophilic esophagitis, rhinitis, and sinusitis. Training in the management of primary immune deficiency and autoimmune disease is included.
  • Develop a solid foundation in the principles of basic immunology fundamental to understanding and managing clinical disorders.
  • Initiate a solid experience in the fundamentals of research, either basic or clinical. This is intended to provide the base for career development in academic medicine and subspecialty clinical practice.

Overview

Fellows in the University of Colorado Program A in Allergy & Immunology receive most of their experience through 4 different assignments. The fellowship program is primarily based at National Jewish Health (NJH). NJH is a tertiary care medical and research facility that specializes in allergic, immune, and respiratory diseases. For more than 115 years, NJH has been recognized as the leading respiratory hospital in the nation. This reflects our expertise in medical care and research accomplishments in lung, allergic, and immune diseases.

Two fellow assignments at NJH are the Pediatric Day Program and Medical Officer of the Day (MOD). The 3rd patient experience is an Adult Allergy Consult Service, primarily based at the University of Colorado Hospital (UCH).  UCH is a full-spectrum academic medical institution, primarily oriented to clinical services for adults.  This assignment provides fellows with consultative experience with adult inpatients, drug allergy, and drug desensitization procedures. Finally, fellows will spend time performing inpatient pediatric consultations, as well as outpatient clinics at Rocky Mountain Hospital for Children (RMHC). RMHC is a full-spectrum, family-focused children’s hospital serving the community of Denver. Under the supervision of NJH allergists and immunologists, the fellows will provide care for patients in this community setting. All assignments are designed to provide pediatric and adult experience in diagnosis and management of allergic and immunologic disorders including the use of pharmacotherapy, allergen immunotherapy, and immune regulation.

Pediatric Day Program: National Jewish Health

Fellows are assigned to this rotation for 4 months of the first year. Pediatric patients, both local and out-of-state, with severe allergic, pulmonary, and immune disorders are admitted to this service for in-depth multi-disciplinary outpatient team evaluations. Fellows are primary providers for these patients, under faculty attending supervision. The disease severity and complexity of the patients admitted to this program are similar to patients seen in an inpatient setting.

 

This rotation provides a primary patient base for the understanding of the diagnosis, treatment, and pathophysiology of, but not limited to:

  • Severe chronic refractory asthma, its detailed differential diagnosis, recognition and evaluation of the iatrogenic aspects of its management, and alternative treatments 

  • Severe allergic disease including chronic rhinosinusitis, nasalpolyposis, food allergy, including the use of double-blind, placebo-controlled food challenges, anaphylaxis, atopic dermatitis, urticaria, allergic bronchopulmonary aspergillosis, eosinophilia, and drug allergy; evere allergic disease including chronic rhinosinusitis, nasalpolyposis, food allergy, including the use of double-blind, placebo-controlled food challenges, anaphylaxis, atopic dermatitis, urticaria, allergic bronchopulmonary aspergillosis, eosinophilia, and drug allerg evere allergic disease including chronic rhinosinusitis, nasalpolyposis, food allergy, including the use of double-blind, placebo-controlled food challenges, anaphylaxis, atopic dermatitis, urticaria, allergic bronchopulmonary aspergillosis, eosinophilia, and drug allergy; evere allergic disease including chronic rhinosinusitis, nasalpolyposis, food allergy, including the use of double-blind, placebo-controlled food challenges, anaphylaxis, atopic dermatitis, urticaria, allergic bronchopulmonary aspergillosis, eosinophilia, and drug allerg  

  • Immunodeficiency diseases and mmunodeficiency diseases and pediatric pulmonary diseases, such as chronic pneumonias and pneumonitis, aspiration, hypersensitivity pneumonitis, bronchiolitis, bronchitis, congenital pulmonary anomalies, obstructive pulmonary disease, interstitial lung disease, bronchopulmonary dysplasia, cystic fibrosis, vocal cord dysfunction, bronchiectasis, and immotile cilia syndrome. This rotation also has a strong focus on understanding and helping to manage the psychosocial aspects of chronic disease together with behavioral therapists that are seen by every patient and their families. The development of specific allergy and immunology specialist clinical skills, such as complex disease management, patient education, home management strategies, and interacting with the referring physicians and tertiary consultants, will be a focus of these months.  Expertise in methods and interpretation of pulmonary function testing, pH and impedance probe studies for gastroesophageal reflux, and various allergen, food and airway provocation challenges will be acquired. The basic application of rhinolaryngoscopy and bronchoscopy will also be addressed during this rotation.

 
 

MOD (Medical Officer of the Day): National Jewish Health

Fellows are assigned to this rotation for 4 months of the first year. Acutely ill pediatric patients with allergic, respiratory, and immune disorders are seen by the fellow in an urgent care setting, under faculty attending supervision. Most of the pediatric patients seen in this rotation have exacerbations of their asthmatic, respiratory, allergic, and/or immune disorder(s) that benefit from specialty care. Some of the patients evaluated in urgent care require hospitalization at NJH, and continue to be followed by the admitting fellow and attending. During these 4 months, the fellow will also continue to care for patients in the Pediatric Day Program, but will not attend the adult allergy continuity clinic.

 

Rocky Mountain Hospital for Children

Fellows are assigned to this rotation for 4 months of the first year. The emphasis during this rotation will be on outpatient and inpatient Allergy & Immunology, within a dedicated children’s hospital. The fellow will participate in pediatric allergy clinics at RMHC and staff inpatient consultations at RMHC with supervision by NJH attending physicians.  During this rotation, fellows will continue to participate in their adult and pediatric continuity clinics and the immunology clinic at NJH. Time will also be reserved during this rotation to begin preparing a research project to be undertaken in the second year.

 

Outpatient Clinics

     
  • Pediatric Allergy and Immunology Continuity Clinic: The objective for this rotation is to focus on the outpatient diagnosis and management of asthma and allergic disease similar to the profile described for the Day Hospital rotation. This will be accomplished through a Pediatric allergy continuity clinic, one-half day per week, for the first 2 years of the fellowship, and through one-to-one mentoring with an allergist during this rotation. These clinics will facilitate development of a number of required skills for allergists including the interpretation of epicutaneous skin testing and spirometry.  Patient continuity allows for the development of expertise in the management of chronic disease processes over time, including implementation of step-up and step-down asthma guideline-based care, allergen immunotherapy, and application of evidence-based management of atopic dermatitis, and food allergy.

  • Adult Allergy Continuity Clinic: The major objective of this clinic is to provide experience with the diagnosis and management of adult allergy and asthma.  This experience is obtained one-half day per week for 8 months in the first year and 12 months in the second year, thus providing a thorough cross-training experience in adult allergic and asthmatic diseases.  Fellows will gain expertise in managing conditions more commonly encountered in adult patients, such as aspirin exacerbated respiratory disease fixed airway obstruction, mixed COPD/asthma phenotypes. 

  • Immunodeficiency Clinic: Exposure and familiarization with all aspects of primary and secondary immunodeficiency as well as the use and interpretation of clinical immunologic laboratory testing are the major objectives of this clinic.  During this clinic, Fellows develop expertise in the long-term management of patients with immunodeficiency and immune-mediated diseases.  Fellows also acquire experience with therapeutic modalities, such as administration of intravenous gamma globulin (IVIG) and pulse steroids. Fellows participate in this clinic one-half day per week during both years of their fellowship.

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*Fellows generally attend one national specialty meeting during the first year and the ACAAI Board Review Course, which is offered every other year.

Second-Year Training Assignments

  • Research and Scholarly Activity: A high quality research experience takes the major portion of effort in the 2nd year. Fellows routinely present at several national meetings each year
  • Adult Allergy Consult Service: In-patient adult allergy consult experience at UCH, for 1 month in the second year.
  • Pediatric Allergy and Immunology Continuity Clinic, and Adult Allergy Continuity Clinic: Are continued throughout the 2nd year, as previously described in Year 1.
  • Dermatology, Rheumatology, GI, Pulmonology, and ENT Clinics: Familiarization with these related specialty disciplines can be obtained on an elective basis during the second year of fellowship.
 

Third-Year Training Assignments

For fellows seeking a career in academic medicine, funding opportunities for continued training are available subject to approval by the faculty.

 

Teaching Conferences

As part of their training, fellows regularly attend the following conferences held at NJH (most conferences run from September to May):

  • Denver Allergy Rounds, a weekly, city-wide conference in allergy and immunology
  • A weekly board review course that is shared with the adult fellows
  • A weekly Pediatric Department Noon Conference consisting of case presentations, formal clinical and research presentations, and a pediatric journal club
  • A weekly Pediatric Allergy and Immunology lecture series focusing on skills needed to conduct and understand clinical research methods, including a biostatistics course
  • A monthly allergy journal club that is shared with the adult faculty and fellows
  • An optional, weekly Adult Allergy Case Conference
  • There is also an introductory “boot camp” lecture series held in July and August to provide a broad overview of basic adult and pediatric allergy and immunology topics

Application Process: Pediatrics Allergy and Immunology Fellowship Program

 

The ACGME-accredited University of Colorado Denver Program in Allergy & Immunology is based at National Jewish Health.  Applications are accepted through the Electronic Residency Application Service (ERAS).

 

Application Checklist

  • ERAS application
  • Personal Statement
  • Curriculum Vitae
  • USMLE Part 1, 2, and 3 scores if taken
  • Medical school transcripts
  • Three letters of recommendation
  • Next Positions Available: 3

Salaries, Vacations, Leave

 

Salaries are set at the fiftieth percentile of the Western Region according to ACGME guidelines with stipends as set by the Dean of the University of Colorado Denver. Stipends are increased each year according to the consumer price point index. Currently, house staff are given 21 calendar days of vacation annually.  Additional days are given for academic leave.  Other benefits are provided directly by the University of Colorado GME including medical plans available at no cost to trainees.  For more information visit: http://www.ucdenver.edu/academics/colleges/medicalschool/education/graduatemedicaleducation/ResidentsFellows/Pages/Benefits.aspx

 

The timeline for the selection process will be as follows:​

 
                    July-15       ERAS open to submit applications
                    July-15   Programs begin to receive applications
                    August-15                  Deadline to apply
                    August-October                Interviews are offered
                    November-15                 Rank list deadline
                    December-15         Match day for A-I fellowships
                    July-16                 Fellowship begins
 

Program Coordinator

Diana Nabighian

National Jewish Health

1400 Jackson Street, K-731

Denver, CO 80206 

Phone: (303) 398-1196

Fax: (303) 270-2205 

E-mail: nabighiand@njhealth.org

1st-Year Fellows

 

2015-2017 Medical School Pediatric Residency
Divya Jayaraman, MD University of Utah Children’s Hospital of Pittsburgh, UPMC
Heather Minto, MD SUNY Upstate Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters’
Peter Uong, MD Texas Tech Phoenix Children’s Hospital/Maricopa Medical Center
2014-2016    
Andrea Jones, MD Medical   College of Wisconsin Phoenix Children’s Hospital/Maricopa Medical Center
Monica Reddy, MD Case Western Reserve University University of Colorado/Children’s Hospital Colorado

 

2nd-Year Fellows 

 

 
 2013-2015

Medical School

Pediatric Residency

Where Are They Now? 

Cullen Dutmer, MD
Rush University
Johns Hopkins University
Faculty, University of Colorado/Children’s Hospital Colorado
Bruce J. (BJ) Lanser, MD
Medical College of Wisconsin
University of Texas Southwestern Medical Center/Children’s Medical Center Dallas
Faculty, University of Colorado/National Jewish Health

2012-2014

 
 
 
Angela Sabry, MD
American University of the Caribbean School of Medicine
University of San Francisco – Fresno/Children’s Hospital Central California
Baz Allergy, Asthma & Sinus Center, Fresno, CA
Carah Santos, MD
Penn State College of Medicine
Stanford University/Lucille Packard Children’s Hospital
Allergy & Asthma Associates of Maine, Portland, ME
2011-2013
 
 
 
Chris Cleveland, MD
University of North Dakota
Keesler Air Force Base
Sanford Southpointe Clinic, Fargo, ND
Maaz Mohiuddin, MD
Medical College of Wisconsin
Medical College of Wisconsin/Children’s Hospital of Wisconsin
Allergy, Asthma & Sinus Centers, Aurora, IL

2010-2012

 
 
 
Jordan Abbott, MD, MA
Cornell University
Children’s Hospital of Los Angeles/University of Southern California
Faculty, University of Colorado/National Jewish Health
Summer Monforte, MD
University of Arizona
University of Colorado/Children’s Hospital Colorado
St. Peter’s Medical Group, Helena, MT

 

Faculty: Pediatrics Allergy and Immunology Fellowship Program

 

The ACGME-accredited University of Colorado Denver Program A in Allergy and Immunology based at National Jewish Health

 

Chairman of Pediatrics at National Jewish Health:

Erwin W. Gelfand, MD is Head of the Division of Allergy, Immunology and Rheumatology for the Department of Pediatrics at the University of Colorado Denver. He is also the Director of the Immunodeficiency Clinic at National Jewish Health. He is a renowned authority in immunodeficiency, mechanisms of asthma, and other aspects of basic immunology. He is committed to assure residency training in immune deficiency disease. He provides a weekly conference in the Immunodeficiency Clinic. He also provides fellows with lectures, rounds and conference discussions, and provides research mentorship.

 

Head of the Allergy/Immunology Division in the Department of Pediatrics at National Jewish Health:

Donald Y.M. Leung, MD, PhD is the Head of the Allergy/Immunology Division in the Department of Pediatrics. Dr. Leung is a renowned authority in mechanisms of allergic disease. He has numerous NIH R01 grants, serves as the Co-Director of the NIH-funded General Clinical Research Center at the University of Colorado Denver and National Jewish Health, and he is the former Editor-in-Chief of the Journal of Allergy and Clinical Immunology, the premier journal in the field. Dr. Leung supervises fellows during their Day Program assignment. He also provides fellows with lectures, rounds and conference discussions, and provides research mentorship.

 

Program Leadership

  • Program Director: Nathan Rabinovitch, MD, MPH is a Professor in the Department of Pediatrics, Division of Pediatric Allergy and Clinical Immunology. His research interests are on the role of environmental exposures in the school-age asthmatic child. He supervises fellows in the Day Program and Pediatric Continuity Clinic. He also serves on the Training Program Committee.
  • Assistant Program Director: Bruce J. (BJ) Lanser, MD is an Assistant Professor in the Department of Pediatrics, Division of Pediatric Allergy and Clinical Immunology. Dr. Lanser brings his experience as Pediatric Chief Resident to the program leadership. His special interests are in food allergy, FPIES and eosinophilic esophagitis. He provides direct patient care supervision at RMHC, and in the Pediatric Day Program. Dr. Lanser has a strong interest in the education of trainees and oversees the Denver Allergy Rounds curriculum and the weekly Pediatric Lecture series, while serving on the Training Program Committee.

 

Additional faculty in the Pediatrics Allergy and Immunology Fellowship Program:

  • Jordan K. Abbott, MD is an Assistant Professor in the Department of Pediatrics, Division of Pediatric Allergy and Clinical Immunology. His special interests are primary immunodeficiency diseases, immune dysregulation, genetics, and allergic disease. He provides direct patient care supervision on the RMHC rotation and in the Pediatric Allergy and Immunology Continuity Clinic and Day Program at National Jewish. Dr. Abbott has served as a fellow research mentor.
  • S. Allan Bock, MD is a renowned expert in food allergies, who provides fellows with lectures, rounds and conference discussions, and also provides research mentorship.
  • Mark Boguniewicz, MD is a Professor of Pediatrics in the division of Pediatric Allergy and Clinical Immunology. He is a renowned expert in atopic dermatitis. He provides direct patient care supervision on the RMHC rotation and in the Pediatric Allergy and Immunology Continuity Clinic and Day Program at National Jewish.  Dr. Boguniewicz has served as a fellow research mentor.
  • Donna L. Bratton, MD is a Professor in the Division of Pediatric Allergy and Immunology. She is an authority on inflammatory mechanisms of airways disease. She provides fellows with lectures, rounds and conference discussions, and provides research mentorship.
  • Sanny K. Chan, MD, PhD is an Assistant Professor in the Department of Pediatrics, Division of Pediatric Allergy and Clinical Immunology. He has an interest in children with immune deficiency and is conducting research on immunotherapy. He provides direct patient care supervision on the RMHC rotation and on the Day Program at National Jewish.
  • Christine B. Cho, MD is an Assistant Professor in the Department of Pediatrics, Division of Pediatric Allergy and Clinical Immunology. She provides direct patient care supervision in the Pediatric Allergy Continuity Clinic. Dr. Cho also serves on the training program committee. 
  • Ronina Covar, MD is an Associate Professor in the Division of Pediatric Allergy and Immunology. She has special interests in asthma and steroid response, and serves as the Director of the Severe Asthma Clinic Program. She supervises fellows in the Pediatric Allergy Continuity Clinic and the Day Program.  Dr. Covar has served as a fellow research mentor.
  • Pia J. Hauk, MD is an Associate Professor of Pediatrics in the Division of Allergy and Immunology. She conducts research on the early development of asthma, and also has a special interest in immune deficiency. Dr. Hauk is a member of the training program committee. She also supervises fellows in the Pediatric Allergy Continuity Clinic and the Day Program, and has served as a fellow research mentor.
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Other Faculty for the Fellowship Program

Other faculty members at National Jewish Health, while not necessarily key faculty for the program, provide significant contributions to the education of our fellows, typically as lecturer, consultants, discussants in conferences and seminars, and research resources. They include the following faculty members:

  • Rafeul Alam, MD, PhD*
  • Bruce G. Bender, PhD
  • Stephen Dreskin, MD, PhD*
  • Lindsay Finkas, MD*
  • Andrew Fontenot, MD*
  • Ronald Harbeck, PhD
  • Flavia Hoyte, MD*
  • Rohit Katial, MD*
  • Mary D. Klinnert, PhD
  • Vijaya Knight, MD, PhD*
  • Lisa J. Meltzer, PhD
  • Harold S. Nelson, MD*
  • David P. Nichols, MD
  • J. Tod Olin, MD
  • Jenny Stitt, MD
  • Tho Q. Truong, MD*
  • Richard Weber, MD*
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*Faculty in Department of Medicine University of Colorado Denver Allergy and Immunology Program B