Medical Residents Training Objectives
First Day Information
The resident should contact the clinic at least 2 days prior to starting the rotation to review the resident's career goals, days off during the rotation, and other considerations.
Resident Expectations
The resident will be expected to directly participate in attending clinics through H&Ps, oral presentations and case discussion, and documentation.
Overall Educational Goal
The purpose of the elective is to introduce the resident to the field of allergy & immunology. Residents will learn to recognize and manage a broad array of allergy and immunology diseases.
Objectives
Demonstrate competence in the recognition and basic management of:
Allergic rhinitis and conjunctivitis
Anaphylaxis
Asthma
Atopic dermatitis
Drug allergies
Eosinophilic esophagitis and eosinophilic gastrointestinal disorders
Food allergies
Immune deficiency
Stinging insect allergy
Urticaria and angioedema (acute and chronic)
Describe indications for the following studies as well as the basics of interpreting them:
Skin prick testing
Intradermal skin testing
Serum IgE testing
Pulmonary function testing
Oral food challenges
Drug desensitization
Hydrogen breath testing
Patch testing
Understand the basic pharmacology and dietary therapy:
Antihistamines
Epinephrine
Intranasal steroids and antihistamine
Nasal and sinus rinse
Subcutaneous allergen immunotherapy (allergy shots)
Inhaled steroids
Anti-IgE therapy (omalizumab)
Leukotriene antagonists
Intravenous immunoglobulin
Empirical elimination diet
Low FODMAP diet
Evaluation
Resident performance is evaluated by direct faculty assessment during clinical activities, including oral presentations, written notes, evidence of outside reading, and professionalism. Punctuality is very important at BFAC. An evaluation is completed at the end of the resident rotation by Dr. Leung and will be sent back to your program. Resident will be evaluated by staff and patients at BFAC as well.
Learning activities of the rotation
The principle learning activity of residents involves the assessment of patients in outpatient allergy and immunology attending clinics. Residents will participate in attending clinics on Mondays, Tuesdays and Friday. Saturday is optional and per directives from your internal medicine program.