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Allergy, Immunology & Rheumatology Fellowship


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Overview

Fellows in the University of Colorado Program in Allergy & Immunology receive most of their experience through 4 different assignments. The Fellowship program is primarily based at National Jewish Health. National Jewish Health is a tertiary care medical and research facility that specializes in allergic, immune, and respiratory diseases. Indeed, this year National Jewish Health was ranked the #1 Pulmonary Hospital in the United States by U.S. News & World Report, for the 15th year in a row. This reflects National Jewish Health’s expertise in medical care and research accomplishments in lung, allergic, and immune diseases.

Two Fellow assignments at National Jewish Health are the Pediatric Day Program and Medical Officer of the Day (MOD). Fellows also have 3rd level of experience with outpatient clinics and inpatient consults at Children’s Hospital Colorado.  Children’s Hospital Colorado is a full-spectrum academic pediatric institution, and most of the University of Colorado School of Medicine pediatric administration, faculty, residents, and academic programs are based at Children’s Hospital Colorado. National Jewish Health provides Children’s Hospital Colorado with their clinical allergy and immunology services, and Fellows rotate at Children’s Hospital Colorado under the supervision of National Jewish Health faculty based there, to further diversify and enrich their Fellowship experience. The 4th patient experience for this program’s Fellows 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. 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.

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. 


Pediatric Day Program: National Jewish Health

Fellows are assigned to this rotation for 6 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 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: 1) severe chronic refractory asthma, its detailed differential diagnosis, recognition and evaluation of the iatrogenic aspects of its management, and alternative treatments; 2) severe allergic disease including chronic rhinosinusitis, nasal polyposis, food allergy, including the use of double-blind, placebo-controlled food challenges, anaphylaxis, atopic dermatitis, urticaria, allergic bronchopulmonary aspergillosis, hypersensitivity pneumonitis, eosinophilia, and drug allergy; 3) immunodeficiency diseases with autoimmune features; and (4) pediatric pulmonary diseases, such as chronic pneumonias and pneumonitis, aspiration, 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 provides a familiarization with the psychosocial effects of chronic disease on the child, adolescent, and family. The development of specific allergy & 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 probe studies for gastroesophageal reflux, and various allergen, food and airway provocation challenges will be acquired.

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

Fellows are assigned to this rotation for 6 months of the first year. Acutely ill pediatric patients with allergic, respiratory and immune disorders are seen by the Fellow as the provider in an urgent care setting, under faculty attending supervision.

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.
  • This will be accomplished through a Pediatric allergy continuity clinic, one-half day per week and through one-to-one mentoring with an allergist during this rotation.
  • Skills in the interpretation of epicutaneous skin testing and spirometry will be developed. 
  • 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 allergic and asthmatic problems. 

This experience is obtained one-half day per week for 6 months in the first year and 12 months in the second year. 

Fellows will gain expertise in problems commonly encountered in older allergy/immunology patients, such as aspirin exacerbated respiratory disease, chronic urticaria, vocal cord dysfunction, and hymenoptera allergy.

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 the administration and complications of therapeutic modalities in treating these diseases, such as intravenous gamma globulin (IVIG).

Atopic Dermatitis, Pediatric Rheumatology, and ENT clinics: 

  • Familiarization with these related specialty disciplines that may have an allergic or immunologic etiology can be obtained on an elective basis in the second year.

Children's Hospital Colorado (CHC):

  • The emphasis during this clinic rotation will be on outpatient and inpatient Allergy & Immunology, within a large, full-service academic hospital for children.
  • Also included will be specialty clinics based at Children’s in pediatric asthma, pediatric allergy, pediatric atopic dermatitis, eosinophilic esophagitis, and pediatric sinusitis.



* Other scholarly activities include attending one national specialty meeting in the first year.​


Second-Year Training Assignments

Research and Scholarly Activity: A high-quality research experience takes the major portion of effort in the 2nd year.

Adult Allergy Consult Service: In-patient adult allergy consult experience, for 2 months in the second year. These consults are on request, and they therefore account for ~20% of the time spent during the 2-month period.

Pediatric Allergy and Immunology Continuity Clinic, and Adult Allergy Continuity Clinic: are continued throughout the second year, as previous described in Year 1.

Third-Year Training Assignments

Fellows seeking a career in academic medicine may wish to continue their training and research at National Jewish Health. Funding opportunities for further training at National Jewish Health exist. On approval of the faculty, a Fellow entering academic medicine may receive support to continue their research and also gain additional clinical and teaching experience for a third or more years in their career development plan.



Teaching conferences: as part of their training, fellows regularly attend a city-wide conference in allergy and immunology, a patient care conference in pediatrics, a board review course, a clinical research conference, and an allergy journal club.


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: 2

The timeline for the selection process will be as follows:

  •  July 1st  ERAS open to submit applications
  •  July 15th  Programs begin to receive applications
  •  August 15th  Deadline to apply
  •  August 16th - October 20th  Interviews are offered
  •  November 5th  Match Day for A-I Fellowships
  •  Beginning of July  Fellowship begin

Program Director:
Stanley J. Szefler, MD
National Jewish Health
1400 Jackson Street
Denver, CO 80206

Program Coordinator:
Nancy Hafer
National Jewish Health
1400 Jackson Street, K-731
Denver, CO 80206
email:hafern@njhealth.org

Phone: (303) 398-1245
Fax: (303) 270-2201 


1st-Year Fellows

Dr. Cullen Dutmer
Dr. Bruce Lanser

2nd-Year Fellows

Dr. Angela Sabry
Dr. Carah Santos


Faculty: Pediatrics Allergy and Immunology Fellowship Program

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

Training Program Director:

Stanley J. Szefler, MD, is the Head of the Clinical Pharmacology Division at National Jewish Health. He is a renowned authority on the pharmacologic management of pediatric asthma. Dr. Szefler is the current Training Program Director and is responsible for the day-to-day management of the Fellowship program.   He organizes meetings with the Training Program Committee and with the Fellows. 

Chairman of Pediatrics at National Jewish Health:

Erwin Gelfand, MD, is also 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 or asthma, and other aspects of basic immunology. He is committed to assure residency training in immune deficiency disease.

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

Donald 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 UCHSC and National Jewish Health, and he is the current Editor-in-Chief of the Journal of Allergy and Clinical Immunology, premier journal in the field. Dr. Leung serves on the Training Program Committee. He organizes Combined Allergy/Immunology Grand Rounds and the Quality Assurance Patient Care Conferences. He also supervised Fellows during their Day Program assignment. He also provides Fellows with lectures, rounds and conference discussions, and provides research mentorship.

Additional faculty in the Pediatrics Allergy and Immunology Fellowship Program:

Dan Atkins, MD, is the Director of Pediatric Clinical Services at National Jewish Health, and the Director of Allergy and Immunology Services at  Children’s Hospital Colorado. He organizes the services where Fellows receive their patient care experiences.  He is a reknowned expert in food allergies.

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 Pediatric Allergist at National Jewish Health and a renowned expert in Atopic Dermatitis. He provides direct patient care supervision in the Pediatric Allergy and Immunology Continuity Clinic,  Children’s Hospital Colorado Atopic Dermatitis Clinic, and in the Day Program.

Donna Bratton, MD, is an Associate Professor in the Division of Pediatric Allergy and Immunology. She is an authority on inflammatory mechanisms of airways disease. She supervises Fellows in the Pediatric Allergy and Immunology Continuity Clinic, and serves on the Training Program Committee.

Kirsten Carel, MD, is a recent graduate of our training program and a member of the Division of Allergy and Immunology. She conducts outpatient clinics at National Jewish Health and Highlands Ranch Clinic. Fellows can participate in these clinics.

Ronina Covar, MD, is an Assistant Professor in the Division of Pediatric Allergy and Immunology. She has special interests in asthma and steroid response. She supervises Fellows in the Pediatric Allergy and Immunology Day Program.

Pia Hauk, MD, is a graduate of our training program and a member of the Division of Allergy and Immunology. She conducts outpatient clinics at National Jewish Health and supervises immunology consults. Fellows can participate in these clinics.  She conducts research on the early development of asthma.

Andrew H. Liu, MD, is an Associate Professor in the Division of Pediatric Allergy and Immunology.  he has a specific interest in inner city asthma and food allergy.  He supervises Fellows in the Pediatric Allergy and Immunology Continuity Clinic, Day Program, as MOD and serves on the Training Program Committee.

Henry Milgrom, MD, is a senior faculty member in Pediatric Allergy. He provides direct supervision of pediatric patients in the pediatric clinic.

Nathan Rabinovitch, MD, is a pediatric allergist with research interests on the role of environmental exposures in the school-age asthmatic child.

Daniel Searing, MD, is a graduate of our training program and a member of the Division of Allergy and Immunology. He conducts outpatient clinics at National Jewish Health and Highlands Ranch Clinic. Fellows can participate in these clinics.

Joseph Spahn, MD, is an Associate Professor and former Director of the Pediatric Allergy/Immunology Fellowship Program.  He is also a member of the Division of Pediatric Clinical Pharmacology and provides consults in steroid pharmacology. He directly supervises Fellows in specialty outpatient clinics and the Day Treatment Program.

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 Bender, PhD

Azzeddine Dakhama, PhD

Stephen Dreskin, MD, PhD

Andrew Fontenot, MD*

Peter M. Henson, PhD

Roger Hollister, MD

Flavia Hoyte, MD*

Hua Huang, MD, PhD*

Rohit Katial, MD*

Mary D. Klinnert, PhD


Christina Leslie, PhD

Joseph Lucas, PhD

Lisa Meltzer, PhD

Harold Nelson, MD*

Tod Olin, MD

Nichole Reisdorph, PhD

David Riches, PhD

James Shira, MD

Richard Weber, MD*

* Faculty in the Department of Medicine University of Colorado Denver Allergy and Immunology - Child