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Fellowships >> Allergy & Immunology Fellowship >> Program >> Direct Patient Care Activities

A & I Fellowship - Program

Direct Patient Care Activities

During years 1 and 2, the fellow must spend 50% of time in clinical education as direct patient contact in both the outpatient and inpatient settings, clinical care conferences, and record reviews.  Clinical training is divided between adult and pediatric allergy/immunology and related subspecialty fields. 

The A&I fellow will be able to:

  • Define the disease state, its epidemiology and pathophysiology based on current scientific knowledge.
  • Differentiate other diagnoses.
  • Identify appropriate elements of the history and physical examination and laboratory testing in patient evaluation.
  • Formulate a program of management and revise as patients are seen in continued care. 
  • Identify complications either caused by the disease state or its management.
  • 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.
  • 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.
  • Evaluate the impact on a patient’s quality of life and the psychological effects of chronic illness.
  • Develop and refine interpersonal skills with patients, families, and professional colleagues. 
  • To develop skills in the safe practice of immunotherapy.
  • To develop skills in communication with referring physicians in written language; to learn the requirements for charting and peer review.
  • To learn presentation and communication skills in an ambulatory care setting.
  • 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.
  • To understand issues regarding vaccines and vaccine adverse reactions
  • Become familiar with basic laboratory and clinical laboratory techniques.

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