AID Logo

Fellowships >> Allergy & Immunology Fellowship >> Program >> y1 & y2 Goals & Objectives

A & I Fellowship
Program Goals & Objectives

Go to: Year 1 | Year 2

Year 1 Progressive Learning Goals and Objectives

(Items in bold indicate different goals and objectives between the First Year and Second Year Fellow Levels)

Patient Care Skills

  1. Caring and respectful behavior
    1. Provide care that is sensitive to each patient's age, gender, culture, and socioeconomic circumstance
  2. Interviewing
    1. Obtain complete allergy & immunology focused history
    2. Obtain complete environmental history
    3. Obtain complete occupational history when indicated
  3. Informed decision-making
    1. Synthesize clinical history, physical examination findings and laboratory results to arrive at a correct diagnosis
      1. Intermediate diagnostic skills
  4. Develop and carry out patient management plans
    1. Provide written action plans for patients with asthma or their families
  5. Counsel and educate patients and families
    1. Provide allergic/immunologic disease specific education on pathophysiology, medication effects, adverse effects
    2. Allergen avoidance
    3. Inhaler technique
    4. Proper use of self-injectable epinephrine
  6. Perform medical procedures
    1. prick and intradermal skin testing
      1. demonstrates complete proficiency
    2. rhinolaryngoscopy
      1. demonstrates complete proficiency
    3. desensitization for drugs, venoms, inhalants
      1. demonstrates complete proficiency
    4. oral challenges for foods and drugs
      1. demonstrates complete proficiency
    5. pulmonary function testing and methacholine challenge
      1. demonstrate proficiency in interpreting simple spirometry
      2. demonstrates novice-intermediate skill level at performance of methacholine challenge
    6. immunotherapy
      1. demonstrates intermediate skill level in writing IT prescription
    7. IVIG therapy
      1. demonstrates intermediate skill level in dosing IVIG and knowledge of adverse effects
    8. Immunomodulatory therapy
      1. demonstrates intermediate skill level in dosing, potential indications, and adverse effects of immunomodulatory agents
    9. Patch testing
      1. demonstrates intermediate skill level in performance and interpretation of patch testing
  7. Preventive health services
    1. Recommend appropriate vaccinations
  8. Work within a team
    1. Make appropriate referrals for specialists including ENT and Pulmonary
    2. Appropriate use of asthma educators, social workers, pharmacists, and other health professionals

Medical Knowledge

  1. Investigatory and analytic thinking
    1. Actively participate in the design and/or implementation of a clinical or basic research project
    2. Present research project and updates at A/I Research Conferences and National Meetings
      1. Research topics identified
      2. Research proposal completed
    3. Present at teaching conferences
  2. Knowledge and application of basic sciences
    1. Understand the pathophysiology of inflammation and its relation to asthma, allergic rhinitis, chronic sinusitis, atopic dermatitis and other allergic disorders and its application in anti-inflammatory therapies
      1. Intermediate knowledge level
    2. Understand the pathogenesis for primary immunodeficiencies and its application for therapy using IVIG, BM transplant, gene therapy and other therapies about established and evolving biomedical, clinical, and cognate (epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
      1. Intermediate knowledge level

Practice-based Learning and Improvement

  1. Analyze own practice for needed improvement
    1. Use evaluations by faculty and others to improve practice
  2. Use of evidence from scientific studies
    1. Incorporate new (or novel) pharmacologic agents and treatment programs into treatment of allergic/immunologic diseases
    2. Incorporate diagnostic and management decisions based on the Allergy & Immunology Practice Parameters
  3. Application of research and statistical methods
    1. Develop statistical methods for research project(s) in conjunction with statisticians
    2. Carry out planned research projects with presentation of results and development of manuscript if able
    3. Critically review allergy & immunology literature at journal club
  4. Use of information technology
    1. Use Medline, PubMed, UpToDate or other databases for information to improve patient care, teaching, or research
  5. Facilitate learning of others
    1. Teach medical students and fellows in outpatient clinics and with in-patient consults
    2. Perform teaching conferences at core curriculum conference, teaching rounds, journal club and research conferences
      1. Presentation skills at intermediate level

Interpersonal and Communication Skills

  1. Creation of therapeutic relationship with patients
    1. Ensuring that patients understand their asthma medications and action plan
    2. Ensuring patients understand treatments for other allergic/immunologic diseases including immunotherapy
  2. Listening Skills
    1. Enabling patients to be comfortable asking about their disease or medications

Professionalism

  1. Respect and altruism
    1. Accept responsibility for continuity of patient care
    2. Respect patient's privacy and autonomy
  2. Ethically sound practice 1. Consistently demonstrate high standards of ethical behavior
  3. Sensitivity
    1. Demonstrate respect for the dignity of patients and colleagues as persons
    2. Demonstrate sensitivity to individuals regardless of age, culture, disabilities, ethnicity, gender and sexual orientation

Systems-based Practice

  1. Knowledge of practice and delivery systems
    1. Participate in quality management projects for Allergy or Immunology Clinics
    2. Possess basic economic and business knowledge to function effectively in academic and private-practice environments
  2. Practice cost-effective care
    1. Demonstrate knowledge of formulary drugs for asthma and allergic diseases
    2. Know the costs for different tier level asthma/allergy medications on formulary
    3. Ask patients how they pay for their medications
  3. Advocate for patients within the health care system
    1. Work to assure access to Allergy and Immunology clinics for patients in need of specialty care
    2. Work to provide other consultative services for allergy/immunology patients with other medical needs

to top

Year 2 Progressive Learning Goals and Objectives

(Items in bold indicate different goals and objectives between the First Year and Second Year Fellow Levels)

Patient Care Skills

  1. Caring and respectful behavior
    1. Provide care that is sensitive to each patient's age, gender, culture, and socioeconomic circumstance
  2. Interviewing
    1. Obtain complete allergy & immunology focused history
    2. Obtain complete environmental history
    3. Obtain complete occupational history when indicated
  3. Informed decision-making
    1. Synthesize clinical history, physical examination findings and laboratory results to arrive at a correct diagnosis
      1. Skills commensurate with practicing A&I specialist
  4. Develop and carry out patient management plans
    1. Provide written action plans for patients with asthma or their families
  5. Counsel and educate patients and families
    1. Provide allergic/immunologic disease specific education on pathophysiology, medication effects, adverse effects
    2. Allergen avoidance
    3. Inhaler technique
    4. Proper use of self-injectable epinephrine
  6. Perform medical procedures
    1. prick and intradermal skin testing
      1. demonstrates complete proficiency
    2. rhinolaryngoscopy
      1. demonstrates complete proficiency
    3. desensitization for drugs, venoms, inhalants
      1. able to formulate desensitization schedule and identify appropriate indications
    4. oral challenges for foods and drugs
      1. demonstrates complete proficiency for drug challenges and skills of practicing A&I specialist in regards to food challenges
    5. pulmonary function testing and methacholine challenge
      1. demonstrate proficiency in interpreting simple spirometry
      2. demonstrates intermediate skill level at performance and interpretation of methacholine challenge
    6. immunotherapy
      1. demonstrates complete proficiency in writing IT prescription
    7. IVIG therapy
      1. demonstrates skill level commensurate with the practicing allergist in dosing IVIG and knowledge of adverse effects
    8. Immunomodulatory therapy
      1. demonstrates intermediate-proficient skill level in dosing, potential indications, and adverse effects of immunomodulatory agents
    9. Patch testing
      1. demonstrates intermediate-proficient skill level in performance and interpretation of patch testing
  7. Preventive health services
    1. Recommend appropriate vaccinations
  8. Work within a team
    1. Make appropriate referrals for specialists including ENT and Pulmonary
    2. Appropriate use of asthma educators, social workers, pharmacists, and other health professionals

Medical Knowledge

  1. Investigatory and analytic thinking
    1. Actively participate in the design and/or implementation of a clinical or basic research project
    2. Present research project and updates at A/I Research Conferences and National Meetings
      1. Completes research project to satisfaction of research mentor
      2. Presents final research project report
      3. Prepares manuscript if appropriate
    3. Present at teaching conferences
  2. Knowledge and application of basic sciences
    1. Understand the pathophysiology of inflammation and its relation to asthma, allergic rhinitis, chronic sinusitis, atopic dermatitis and other allergic disorders and its application in anti-inflammatory therapies
      1. Knowledge commensurate or above the average practicing A&I specialist
    2. Understand the pathogenesis for primary immunodeficiencies and its application for therapy using IVIG, BM transplant, gene therapy and other therapies about established and evolving biomedical, clinical, and cognate (epidemiological and social-behavioral) sciences and the application of this knowledge to patient care.
      1. Knowledge commensurate or above the average practicing A&I specialist Practice-Based Learning and Improvement

Practice-based Learning and Improvement

  1. Analyze own practice for needed improvement
    1. Use evaluations by faculty and others to improve practice
  2. Use of evidence from scientific studies
    1. Incorporate new (or novel) pharmacologic agents and treatment programs into treatment of allergic/immunologic diseases
    2. Incorporate diagnostic and management decisions based on the Allergy & Immunology Practice Parameters
  3. Application of research and statistical methods
    1. Develop statistical methods for research project(s) in conjunction with statisticians
    2. Carry out planned research projects with presentation of results and development of manuscript if able
    3. Critically review allergy & immunology literature at journal club
  4. Use of information technology
    1. Use Medline, PubMed, UpToDate or other databases for information to improve patient care, teaching, or research
  5. Facilitate learning of others
    1. Teach medical students and fellows in outpatient clinics and with in-patient consults
    2. Perform teaching conferences at core curriculum conference, teaching rounds, journal club and research conferences
      1. Presentation skills at proficient level Interpersonal and Communication Skills

Interpersonal and Communication Skills

  1. Creation of therapeutic relationship with patients
    1. Ensuring that patients understand their asthma medications and action plan
    2. Ensuring patients understand treatments for other allergic/immunologic diseases including immunotherapy
  2. Listening Skills
    1. Enabling patients to be comfortable asking about their disease or medications

Professionalism

  1. Respect and altruism
    1. Accept responsibility for continuity of patient care
    2. Respect patient's privacy and autonomy
  2. Ethically sound practice 1. Consistently demonstrate high standards of ethical behavior
  3. Sensitivity
    1. Demonstrate respect for the dignity of patients and colleagues as persons
    2. Demonstrate sensitivity to individuals regardless of age, culture, disabilities, ethnicity, gender and sexual orientation

Systems-based Practice

  1. Knowledge of practice and delivery systems
    1. Participate in quality management projects for Allergy or Immunology Clinics
    2. Possess basic economic and business knowledge to function effectively in academic and private-practice environments
  2. Practice cost-effective care
    1. Demonstrate knowledge of formulary drugs for asthma and allergic diseases
    2. Know the costs for different tier level asthma/allergy medications on formulary
    3. Ask patients how they pay for their medications
  3. Advocate for patients within the health care system
    1. Work to assure access to Allergy and Immunology clinics for patients in need of specialty care
    2. Work to provide other consultative services for allergy/immunology patients with other medical needs

Go to: Year 1 | Year 2

to top