The Division of Asthma, Allergy and Clinical Immunology offers a two-year combined Medicine and Pediatric Program. Trainees must complete the American Board of Internal Medicine or American Board of Pediatric requirements for specialty training in Internal Medicine or Pediatrics before they will be allowed to begin subspecialty training in Allergy. A trainee must be board certified in Internal Medicine or Pediatrics AND complete training in Allergy before they will be eligible for certification by the American Board of Allergy and Immunology.
The University of Virginia Health System is a referral center providing primary and tertiary care for large portions of Virginia and West Virginia . All outpatient services in Allergy are provided in Charlottesville. Outpatient facilities are located at Northridge and include Medicine and Pediatric clinics.
The clinic provides a major portion of a fellow's education. Clinic is 1 1/2 days a week for the entire 2 years of the fellowship. The fellow works directly with one faculty member in clinic for a period of 4 months. At the end of 4 months, the fellow rotates to another faculty clinic thereby participating in a minimum of 4 different faculty clinics by the end of the fellowship. Additional clinics may be added as electives in the. Both a variety of attending management styles and a mix of patient disorders will be encountered. While rotating through a specific clinic, the fellow evaluates new patients, reviews progress of established patients, and participates in multidisciplinary aspects of the disease-specific clinic by participating in post-clinic conferences and tumor boards.
The consultation services operate separately and independently, providing inpatient consultations. One fellow is assigned to the Allergy Consult Service and residents or medical students may also participate. The consult fellow coordinates the service's activities working closely with the consult attending, medical residents and medical students (if present). Consultation in Allergy are provided 24 hours a day, 7 days a week.
Elective time may be self-designed but requires approval of curriculum, goals and evaluation method by the program director.
Participation in a research project during the fellowship is required. Each fellow will pick a mentor at the beginning of the year, develop and present a research plan and provide updates to that plan periodically. Patient accrual into trials and intermittent study activity occur continuously and therefore fellows will frequently be participating simultaneously in research activities and other clinical rotations.
Didactic lectures are an on going part of the fellowship and there are a number of conferences available to enhance this aspect of the fellowship. Conferences including Grand Rounds, journal club, occur several times a week. Fellows are required to teach residents and medical students on rotations and over the course of the 2 years the fellow prepares several journal club presentations and various posters and talks for presentation at local and national meetings.