First
Year of Fellowship Overview
Much of the first year of fellowship
will be devoted to direct clinical care. First Year Fellows will spend
most of their time in several outpatient clinic settings, including:
In addition, fellows will attend a
number of elective clinics including:
The outpatient
experience is balanced with participation in the inpatient-based Allergy and
Immunology Consult service. During their first year, the fellows will
alternate providing the primary coverage for the consult service with attending
supervision.
Lastly, each
First Year Fellow will have a 3-month research block in the second half of
their first year (see Research & Scholarly Activity tab).
First
Year Outpatient Clinics
Pediatric Continuity
Clinic: This half-day per week clinic is scheduled weekly for the
two years of fellowship. Fellows will have the opportunity to follow
a cohort of patients for up to 2 years. The major goal is to gain
experience and expertise in the diagnosis and management of common
pediatric allergic diseases, as mentioned in the Fellowship Program Aims
(see Program Overview). Fellows will also develop the procedural
skills required of an Allergist/Immunologist which includes:
- Performance of and interpretation of
epicutaneous skin testing,
- Lung function testing
- Allergen immunotherapy
- Food and drug challenge testing
Adult Continuity Clinic: For this half-day
clinic/per week over the two years of the fellowship, our fellows will
develop expertise in caring for adults with allergic and immunologic
diseases. Each Fellow will be precepted by all three of the adult attendings
in 4-month blocks over two years. This will provide an opportunity
for each fellow to gain knowledge from each of the attendings as they all
have different clinical and research interests. This clinic is based
at UCH, which is adjacent to CHCO. They
will become familiar with the diagnosis and management of adults with:
Aspirin exacerbated respiratory disease, including aspirin challenges/desensitization
Allergic bronchopulmonary aspergillosis
Fixed obstructive lung disease
Chronic rhinosinusitis
Drug allergy
Insect sting allergy
Hereditary angioedema
Primary and acquired immunodeficiencies.
Immunodeficiency Clinic: This one half-day clinic
will be attended by every fellow for each year of fellowship.
Fellows will develop expertise in the diagnosis and management of a number
of immunodeficiency disorders including:
- B-cell
and T-cell immunodeficiencies
- Severe
combined immunodeficiency
- Complement
component deficiencies
- Abnormalities
of neutrophil number and/or function.
Procedural skills unique to this rotation include performing
and interpreting delayed type hypersensitivity testing and the administration
of intravenous gammaglobulin and other biologics.
General Allergy Clinics: The number of General
Allergy Clinics will range from none during the 3-month research block to
5 one-half day clinics/week. It is designed to have the Fellows work
directly with all of the attendings in their clinics. This will
provide the fellows a chance to see how each faculty member approaches
allergic and immunologic diseases and also to gain from their unique and
extensive knowledge of their specific interests.
Specialty Clinics:
- Pulmonary
- Rheumatology
- ENT
- Eosinophilic
Gastrointestinal Disorders Clinic
- Bone marrow transplant clinic
First
Year Inpatient Allergy/Immunology Consult Service
This is an
approximate 6-month clinical rotation during the first year, with coverage
alternating weekly between the two First Year fellows. The Second Year fellows will also provide
limited coverage of the consult service as well. The emphasis during this
rotation will be on specialty consultation within a large, full-service
academic Children's Hospital. During this rotation, the fellow will be
responsible for:
An attending
will always be available to supervise all consults and will be available to
provide guidance with any telephone calls the fellow may receive.