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.