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Teaching Curriculum: Introduction

This is a clinical rotation about the most common, chronic diseases affecting both children and adults. This elective should be most helpful for medical students in their third or fourth year rotation and for residents in family practice, pediatrics, or internal medicine.

Rotators will be introduced to allergy, asthma, and clinical immunology. They will develop the skills of history taking, examination of patients, assessment and presentation (oral/written) of the clinical problems with which the patients present. The rotator will be able to communicate with the attending (oral/written) and with the patient/parent regarding findings, plan, etc. as appropriate. The rotator will be able to indicate what further diagnostic methods may be appropriate in evaluation of the patient, and will develop understanding of interpretation of the results as they relate to the specialty. There will be involvement with outpatient management of conditions such as asthma, rhinitis, atopic dermatitis, anaphylaxis, drug reactions, food reactions and urticaria. Rotators will learn how to approach and resolve problems of immunodeficiency states.

Most activities will involve out-patient visits but also could include hospital rounds, departmental conferences and informal discussions with the allergy consultant. Rotators should observe the administration of immunotherapy, skin testing and pulmonary function testing procedures, and should be given time to do detailed new and follow-up examinations of the patients.

Each page has a list of learning objectives. Recognizing that these lists contain more objectives than can be covered in a typical 4-week rotation, priorities are listed at the top. They are:

Priority 1: required
Priority 2: recommended
Priority 3: desirable
Priority 4: optional

Informal discussion sessions with the allergist/clinical immunologist should include the following subjects:

  1. Asthma-diagnosis, pathophysiology and treatment
  2. Status asthmaticus-diagnosis and treatment
  3. Rhinitis-classification, diagnosis and treatment
  4. Care of patients with asthma and/or allergic rhinitis during pregnancy
  5. Sinusitis
  6. Drug reactions-diagnosis and treatment
  7. Food reactions-diagnosis and treatment
  8. Allergic contact dermatitis-diagnosis and treatment
  9. Atopic dermatitis-diagnosis and treatment
  10. Stinging insect reactions-diagnosis and treatment
  11. Anaphylaxis-diagnosis and treatment
  12. Urticaria/Angioedemia-diagnosis and treatment
  13. Procedures
    1. Pulmonary function tests
    2. allergy skin testing immediate and delayed
    3. immunotherapy
    4. In vitro serum IgE allergen specific assays and other in vitro assays
  14. Clinical immunology-components of the immune system, immunological reactions, recurrent infections, and the more common immunodeficiency states.

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