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Educational Objectives
University of Washington
Allergy & Immunology (A&I) Training Program
General
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To
provide A&I residents with the educational experience that will
enable them to deliver skilled medical or consultative care to
patients with allergic and immunologic disorders.
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To
provide A&I residents with cross-training in both pediatric and
adult allergic and immunologic disorders because specialists in
allergy and immunology, whatever, their primary specialty, are
called on to diagnose and treat individuals of all ages.
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To raise
awareness of the limitations of present knowledge and to stimulate
an attitude of spirited discussion, acquisition, and sharing of new
knowledge, and to formulate questions as hypotheses subject to
scientific testing.
Specific
Knowledge and Skills:
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Teaching methods include
participation in outpatient clinics and consultations at University of
Washington Medical Center and Harborview Medical Center Asthma &
Allergy Clinics, as well as attendance at conferences, lectures, journal
clubs, local, state, and national meetings and reading. For the
following disease states:
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Asthma
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Upper
airway disorders – rhinitis, sinusitis, nasal polyps
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Anaphylaxis/anaphylactoid
reactions
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Adverse
drug reactions
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Adverse
reactions to food/food additives
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Stinging
insect reactions
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Urticaria/angioedema
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Atopic
dermatitis
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Contact
dermatitis
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Primary
& secondary immunodeficiences
- Other
hypersensitivity disorders - alergic bronchopulmonary aspergillosis,
hypersensitivity pneumonitis, disorders of occupational exposure,
autoimmune disorders, ocular allergic diseases, mastocytosis, and
eosinophilic disorders
The
A&I resident
will
be able to:
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Define the disease state,
its epidemiology and pathophysiology based on current scientific
knowledge.
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Differentiate other
diagnoses.
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Identify appropriate
elements of the history and physical examination and laboratory
testing in patient evaluation.
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Formulate a program of
management and revise as patients are seen in continued care.
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Identify complications
either caused by the disease state or its management.
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Demonstrate competency in
appropriate procedural skills including:
immediate and delayed hypersensitivity skin testing, allergen
immunotherapy, drug desensitization, pulmonary function testing, and
intravenous immunoglobulin therapy.
Additional optional procedures include:
rhinoscopy, nasal smears, patch testing, oral food challenge
and immunomodulatory therapy.
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To learn the scientific
basis of the methodology, indications, and interpretation of
laboratory tests and imaging procedures used in the diagnosis and
follow-up of patients with allergic and immunologic diseases.
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Evaluate the impact on a
patient’s quality of life and the psychological effects of chronic
illness.
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Develop and refine
interpersonal skills with patients, families, and professional
colleagues.
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To develop skills in the
safe practice of immunotherapy.
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To develop skills in
communication with referring physicians in written language; to
learn the requirements for charting and peer review.
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To learn presentation and
communication skills in an ambulatory care setting.
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To learn the preparation
and standardization of allergen extracts.
- To
describe the means to measure indoor allergens and the institution
of environmental control measures in the home and other sites
Paul
P. Van Arsdel Jr. Allergy & Immunology Journal Club/Clinical Care
Conference
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To learn
to read the medical literature critically; to gain historical
perspectives on the evolution of thinking about particular diseases
as related to allergy and immunology; to learn about the interests
and expertise of allergists in the global community.
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To learn
how peer review of journal submission is done.
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To learn
and teach different research methodologies.
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To
remain current in the medical literature of allergy and immunology
and related fields.
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To learn
critical public presentation skills.
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To learn
to synthesize information from a variety of sources, including print
and electronic.
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review A&I Clinical cases and discuss differential diagnosis,
immunopathogenesis,and current management/treatment options.
Basic
sciences
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To learn
basic sciences related to allergy and immunology including aerobiology,
cellular and molecular immunobiology, humoral and cellular immunology,
pulmonary physiology, mechanisms of inflammation, pharmacology and
pharmacokinetics, drug metabolism, drug side effects, and drug
interactions, reproductive immunology, transplantation medicine and
tumor immunology.
Research
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A&I
residents
will
be involved in clinical investigation, basic laboratory research and/or
related scholarly activity.
Ethics
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To consider and grapple with
ethical issues including research fraud, informed consent, cost of
medical care, billing and compensation issues, withholding of care,
appropriateness of treatment, conflict of interest with pharmaceutical
companies, and use of human subjects in research.
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