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Division of Pulmonary, Allergy & Critical Care Medicine |
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Clinical Centers |
Allergy
and Immunology Fellowship Program
Rachel L. Miller, M.D., Program
Director Columbia University, College of
Physicians & Surgeons Download Application Packet: We participate in the Electronic Residency Application Service
(ERAS). A complete application packet
includes: §
ERAS
application form §
3 letters of recommendation §
ECFMG Certification (for foreign medical
graduates) §
USMLE Scores (for foreign medical
graduates) §
Photo (optional) §
Interviews
are by invitation only. |
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Interventional
Bronchoscopy and Endobronchial Therapy Center |
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Jo-Ann F. LeBuhn Center for Chest Disease &
Respiratory Failure |
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Pulmonary Clinic |
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Stress Test |
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Tuberculosis
Clinic |
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General Description The Division offers up to one
Allergy and Immunology Fellowship position every year to board eligible
internists and pediatricians who wish to subspecialize in Allergy and
Immunology. This is a minimum two-year program designed to meet the
needs and interests of individuals preparing for a career as a member of a
medical school faculty, qualified to teach and/or conduct research, or practicing
allergist. The first year offers a wide and closely mentored experience
in the diagnosis and management of adult and pediatric patients with diverse
allergy symptoms and asthma. The second year is devoted to some aspect
of laboratory-based or clinical investigation determined by the fellow in
consultation with an advisor. Goals and Objectives The goal of our program is to
present an experience that will permit graduates to qualify as scholarly
practitioners or investigators in an academic environment. The graduate
will acquire a clinical approach based upon a knowledge of the relationship
between structural and functional abnormalities and their clinical
manifestations; a critical analysis of the literature; and expert analysis of
adult and pediatric respiratory and dermatological allergy. The
fellowship also provides experience and management of the diverse clinical
problems seen in the Allergy Clinic and Adult Allergy and
Immunology The program exposes trainees
to a wide variety of experiences and a broad spectrum of adult allergy
related issues due to the wide geographic referrals of the care center and
the interests of the Divisional and Departmental faculty. Allergy
fellows will be exposed to patients with rhinitis, sinusitis, nasal
polyposis, asthma, urticaria, angioedema, anaphylactic and anaphylactoid
reactions, atopic dermatitis, contact dermatitis, insect sensitivity, drug
reactions, adverse reactions to foods and food additives, primary and
secondary immunodeficiency diseases, hypersensitivity pneumonitis, allergic
bronchopulmonary aspergillosis, disorders of occupational exposure,
autoimmune disorders, ocular allergic diseases, mastocytosis, and
eosinophilic disorders, as well as to patients receiving immunomodulatory
therapy. They will gain knowledge of the etiology, immunopathogenesis,
differential diagnosis, therapy, and complications of these diseases.
Patients evaluated by the allergy fellow on the inpatient service who need an
allergist upon discharge will be followed in the Allergy Clinic by the
allergy fellow. Under the supervision of the attending physician,
allergy fellows will interact with rotating residents and medical students at
the clinic and learn to communicate their knowledge to their coworkers as
well as patients. Pediatric Allergy and
Immunology Fellows will also work with
pediatric patients and be supervised by attending physicians from the
Department of Pediatrics. Fellows will be exposed to patients with
rhinitis, sinusitis, asthma, urticaria, angioedema, anaphylactic and
anaphylactoid reactions, insect sensitivity, drug reactions, adverse
reactions to foods, and food additives, and primary and secondary
immunodeficiency diseases. Fellows will be supervised in developing their
skills in history and physical examinations, skin testing, for both immediate
and delayed hypersensitivity, interpretation of pediatric pulmonary function
tests, desensitization to pharmacological agents, and interpretation of in vitro methods to assess immunologic
diseases and the safe practice of immunotherapy. John Edsall – The fellow will obtain sufficient competency to
provide outstanding care for patients with asthma. This includes knowledge of etiology;
immunopathogenesis; differential diagnosis; therapy and complications related
to asthma; and knowledge of unproven therapies used in asthma. Much of these objectives are met by the
resident’s rotation through the outpatient Dermatology Fellows are required to
complete a dermatologic rotation under the direction of Dr. Vincent
Beltrani. During this rotation, they will be specifically exposed to
patients with dermatologic ailments such as atopic dermatitis, contact
dermatitis, urticaria, and angioedema. They will become versed in distinguishing
allergic from non-allergic dermatologic diseases. Fellows will learn
the techniques of patch testing for the detection of contact dermatitis and
the interpretation of laboratory tests related to dermatologic diseases. Adult and Pediatric Rheumatology Fellows will obtain sufficient
competency to care for patients with rheumatology diseases. This includes knowledge of etiology,
immunopathogenesis, differential diagnosis, therapy and complications related
to rheumatological or autoimmune disorders. The objectives mostly are met by the
resident’s rotation throught the outpatient clinics, but also through
inpatient consults. Research During the second research
year, the fellow has access to a wide range of investigative problems and
technologies in clinical investigation, cell and molecular biology, and
immunology in ongoing programs throughout the Additional Years Additional research experience
is often needed both to qualify for faculty appointment and to bring
interesting projects to fruition. When the quality of performance during the
second year suggests special aptitude for development in this direction, we
will offer further post-doctoral experience and resources while supervising
the fellow's application for independent support. |
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Allergy and Immunology
Curriculum
The curriculum for the Allergy and Immunology fellows is based
on a strong foundation of clinical and academic exposure to the following
subjects: ·
Basics of ACGME Core Competencies ·
Anatomy and Cellular Elements of the Immune
System ·
Microbiology: Bacterial and Viral Structure and
Replication ·
Ig and TCR Proteins and the Ig Supergene Family ·
Early B Cell Development ·
Thymic Differentiation and T Cell Surface
Molecules ·
MCH-1: Structure and Functional Nomenclature ·
MHC-2: Processing sAgs ·
MHC-3: Positive and Negative Selection ·
T Cell Activation and Functions 1: Help ·
Cytokines and Chemokines ·
B Cell Activation ·
Hypermutation, Class Switching, Ab Isotypes and
Functions ·
T Cell Activation and Functions 2: Killing ·
Mechanisms of Lymphocyte Signaling ·
Gamma-Delta and NK Cells ·
Mucosal and Epithelial Immunity ·
Immunoregulation ·
Complement ·
Phagocytosis ·
Anatomy and Physiology ·
Pharmacology ·
Immunodeficiency Diseases ·
Autoimmunity ·
Allergic Diseases and Related Disorders ·
Clinical Transplantation and Transfusion ·
Immune System Related Malignancies and Cellular
Disorders ·
Established and Evolving Immune-based Treatment
Modalities ·
Research Principles Allergy and Immunology Weekly Conference Schedule
* Case presentations, pathology
reviews, C.P.C.'s, monthly joint conference with Pediatric Pulmonary Group. |
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