What We Do
Allergy-Immunologists are physicians who are trained either in internal medicine, pediatrics or medicine–pediatrics and have completed 2-3 years of subspecialty fellowship training in the field of allergy and immunology. This training enables the allergists to provide care for:
- Patients with asthma, allergic and non-allergic rhinitis/rhinosinusitis, allergic conjunctivitis, atopic dermatitis, food allergy and/or intolerance, hymenoptera venom sting allergy, drug allergy, anaphylaxis, urticaria and angioedema.
- Patients with various immunodeficiency problems.
- Patients who require allergen immunotherapy and immunomodulation for allergic and immunologic diseases.
- Patients in the hospital with various allergic reactions, most commonly reactions to medications.
Structure of the Selective
- The majority of the selective time will involve providing care to patients in the outpatient clinic with a team consisting of attending physicians, fellows, residents and other students rotating on the service. The nurses in clinic perform skin testing, spirometry, drug testing, and assist with skin biopsy and rhinoscopy. Patch tests are performed by the physicians.
- Every Wednesday from 8-11, there is allergy-immunology conference when all members of the training program including adult and pediatric allergists, fellows, residents and students attend (BMR C5860).
- Mondays (7:30 a.m. -8:30 a.m.) there is a textbook review that you are welcome to attend.
- Clinic starts at 8:30 except for Thursdays which starts at 8.
- Fridays are fellow's continuity clinic. An attending will precept the clinic and you will observe fellows.
Your Role and Activities During the Selective
In the outpatient clinic, you will work directly with the attending and fellows, seeing new and return patients. For the first couple of days, you will observe the attendings, fellows and residents (we strongly encourage you to observe each attending, fellow and resident) after which you are encouraged to see patients independently. You are expected to present your history, physical exam findings, laboratory tests, assessment and recommendations to the attending. You are encouraged not to recite from your notes. Following presentation and discussion of the case, you should dictate your note. Therefore we encourage you to acquire your assigned dictation code prior to the rotation.
- You may be assigned specific topics to review and to present to the team during the weekly conferences.
- It is required that you attend the following educational activities:
- Medicine Grand Rounds on Tuesday mornings(LRD)
- Wednesday conferences (8-11 AM: C5860).
Goals and Objectives for the Selective
It is expected that during the rotation you will:
- Gain an understanding of the breadth of patients cared for by allergists in different settings and with a variety of issues;
- Develop an appreciation of the care of patients with chronic illnesses (e.g. asthma, chronic urticaria) and those with acute illness (e.g. acute sinusitis), and the complexities of managing both;
- Reinforce and develop your history gathering and physical diagnostic skills;
- Develop skills necessary to dictate an outpatient letter;
- Broaden your overall base of general medical knowledge and specifically the methods of diagnosing and managing allergic diseases;
- Familiarize yourself with percutaneous skin tests, patch test, and spirometry. Observing the methods and learning the interpretations.
How You Will Be Evaluated
Those working directly with you in clinical settings will be asked to evaluate your performance during the time you spend together. It is important that you actively seek feedback from your supervising fellow(s), and attending(s), even with the limited time you may spend with them. You may request a Mini-CEX from the fellows and attendings you work with to get immediate feedback on your performance.
You may be assigned specific topics to review and to present to the team. These topics will be predominantly patient-oriented. Your presentations will be incorporated into your overall rotation performance assessment.
Your grade will be based upon attendance, effort, professionalism, patient care and enthusiasm.
Where Do You Report?
You will report to Ms. Corinne Gibilterro on the first day of your rotation (BMR 5th floor C 5860). You can also report to allergy-immunology clinic located at UPC Suite 700.
References will be provided when you begin your rotation.
Allergy Section Chief
Timothy Craig, DO
Gisoo Ghaffari, MD
Pager # 3366
Ms. Corinne Gibilterra
Section of Allergy, Division of Pulmonary, Allergy and Critical care
C5860 (BMR building)
Phone: 717-531-6525 or 717-531-6273