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Allergy and Immunology Fellowship
Clinical Experience
The core clinical activities of the Allergy and Immunology Fellowship take place at Massachusetts General Hospital in the dedicated Allergy and Immunology outpatient suite located on the second floor of the Cox building and on the patient floors during in-patient consultations. Some of the elective rotations are also scheduled at the adjacent Massachusetts Eye and Ear Infirmary and at Children’s Hospital, Boston located in the Longwood medical area. The fellowship does not include in-hospital call. Fellows are on call from home at nights and week-ends on a shared basis with other fellows in the program.
Ambulatory Experience
The first year fellow participates in the Adult Allergy/Immunology Clinic at the MGH and in the Pediatric Allergy/Immunology Clinics of the MGH and Children’s Hospital. In these settings, the trainee interacts with patients who have allergic or other rhinitis, sinusitis, asthma, atopic dermatitis, hypersensitivity to foods, drugs, or stinging insects, urticaria and angioedema, and other immunologic diseases, including autoimmune and immunodeficiency diseases. Fellows are assigned patients whom they treat and monitor longitudinally over the period of their fellowship always appropriately supervised by dedicated attending faculty members. Generally, fellows see an average of 3-6 patients per half-day session. The experience provides an opportunity to develop an understanding for the natural history of these conditions over an extended period of time. The outpatient experience continues in a limited way in year 2 to ensure that our MD trainees meet the training requirements of the ABAI and is not required in subsequent research years.
Inpatient Experience (Consultation Service)
Fellows rotate on the inpatient Allergy/Immunology Consultation Service at MGH and Massachusetts Eye and Ear Infirmary (MEEI). The Consultation Service includes the supervised evaluation of inpatient consultations on patients admitted to the MGH and the MEEI who present with or develop allergic or immunologic problems, as well as the continued daily longitudinal follow-up of these patients during their hospitalization. A fellow performs literature research on topics appropriate to the case, and will participate actively in the teaching activities to the consulting team, especially as it pertains to house-staff. In all cases a written report of consultation is completed. At all times immediate faculty supervision is available. MGH and MEEI serve frequently as tertiary (and occasionally quaternary) referral centers and carry a high census of extremely complex medical and surgical patients.
Elective Rotations
As part of the training in the management of allergic and immunologic diseases, the trainee receives in-depth outpatient teaching in pulmonary, dermatologic, otolaryngologic, ophthalmologic and radiologic aspects of allergic and immunologic disorders, as well as clinical immunology laboratory techniques. The acquired skills include the development of an appropriate differential diagnosis, diagnostic evaluation strategies, and treatment plans. Communicating with the referring physicians and ensuring support for continuing care of the patients’ allergic condition is central to the consultative service.
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