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All fellows rotate as consultants during the clinical training year. This experience consists of allergy and immunology consultations in both the pediatric (Cincinnati Children’s) and internal medicine institutions (University of Cincinnati [UC] Medical Center and Cincinnati Veterans Affairs [VA] Medical Center). The three hospitals are within a comfortable walking distance, 1-2 blocks from each other. The Allergy / Immunology fellows are responsible for the direct supervision of the residents caring for the allergy and immunology patients. The diagnoses seen in consultations include immunodeficiencies (mostly congenital), acute asthma exacerbations and status asthmaticus, food allergy and anaphylaxis, multiple antibiotic allergies (particularly in patients with cystic fibrosis, requiring drug testing and desensitization), other medication allergy, eosinophilic disorders and vasculitis syndromes.
The pediatric Allergy / Immunology clinic meets five times a week at Cincinnati Children’s, in addition to a weekly, whole-day immunodeficiency clinic. The patients seen in the outpatient clinics are seen in consultation requested by the primary care physicians in pediatrics, internal medicine or family practice on the Cincinnati Children's and UC Medical Center staff, from community allergists and from national and international referrals. Consultations are also requested by other sub-specialists, e.g. pulmonology, infectious disease, dermatology and surgical colleagues.
There are three major outpatient clinics on the Internal Medicine track. These are located at the UC Medical Center, Cincinnati VA Medical Center and in an off-campus private practice site (Bernstein Allergy Group) staffed by one of the faculty-attending physicians (David I. Bernstein, MD, Jonathan Bernstein, MD, Christopher McKnight, MD).
All Allergy / Immunology fellows rotate through the immunodeficiency clinic and receive cross-training in adult and pediatric allergy. Several centers of excellence constitute our clinical programs:
In the allergy clinics, the fellows evaluate ample numbers of patients of all ages and who have a spectrum of allergic disorders including mild to severe asthma, allergic rhinitis, occupational asthma, urticaria, drug and venom hypersensitivity, food allergy, eczema and eosinophilic disorders. The allergy medical history and clinical exam are recorded on standardized forms that capture all familial and environmental predisposing factors.
Eczema Clinic in collaboration with the Eczema Center
The Allergy / Immunology fellows acquire unique exposure to IgE- and non-IgE-mediated adverse reactions to foods. Patients are referred to the Food Allergy Program from the regions surrounding the hospital and from around the country. The multidisciplinary team includes allergy / immunology, nutrition, nursing and education. Patients are accurately phenotyped using a standardized medical history and physical examination form. The clinic conducts a large number of oral food challenges, averaging 2-3 per week and thereby providing a unique experience for the fellows.
Primary immune deficiency clinical training is conducted with the Immune Deficiency and Histiocytosis Program.
Faculty of the Allergy / Immunology Fellowship Program provide mentorship in clinical care and research.
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