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 Medical Park and the Battle Building at UVA Children's Hospital, and include Medicine and Pediatric clinics.
The clinic provides a major portion of the first year fellow's curriculum. Clinic is one to three days a week for the first year of the fellowship. The fellow works directly with two faculty members in clinic for a period of six months. At the end of six months, the fellow rotates to another faculty clinic, thereby participating in a minimum of four different faculty clinics by the end of the first year of the fellowship. In the second year clinic is half a day per week, and takes place in complex sub-specialty clinics focused on adult and pediatric immunodeficiency and on eosinophilic esophagitis/complex food allergy. Additional electives can be arranged on an individual basis. Both a variety of attending management styles and a mix of patient disorders are 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. Fellows are assigned to the Allergy/Immunology Consult Service on a rotating basis, 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). Consultations are provided 24 hours a day, seven 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 basic science, translational or clinical research project during the fellowship is required. Each fellow will pick a research mentor at the beginning of the first year and develop and present a research plan by the end of the first year. The second year is focused on completion of this research. Fellows are expected to present updates on their research progress periodically.
Didactic lectures are an on going part of the fellowship, and a number of conferences are available to enhance this aspect of the fellowship. Conferences, including Grand Rounds, occur several times a week. Dedicated didactic time is provided on Friday mornings, and includes review of basic immunology textbooks, clinical topic lectures by faculty in and outside of the division/university, and a journal club. Fellows are encouraged to teach residents and medical students on rotations. Over the course of the two years, the fellow prepares several journal club presentations and various posters and talks for presentation at local and national meetings.