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Electives - Asthma, Allergy and Immunology
Asthma, Allergy and Immunology
Elective Number: 1631
Rotation Supervisors: Drs. Larry Borish
Coordinator: Anna Byfield, 924-5917 firstname.lastname@example.org
Available: All Rotations
Duration: 4 weeks ONLY
Report to: Dr. Borish
Time to Report: 8:00 am
Place to Report: Northridge 3rd Floor, Ste. 311 - Allergy/Asthma/Immunology Clinic
Typical days: 8:00 am - 5:00 pm
Attendance: Attendance at elective activities is mandatory.
Required reading: American Journal of Rhinology & Allergy (Supplement 1, May-June 2013). Understanding Sinonasal Disease: A Primer for Medical Students and Residents - www.ajra.com
Number of students per rotation: 1
Course Description: The Elective offers experience and instruction in the outpatient evaluation and management of both pediatric and adult asthma, allergic and immunologic diseases.
Disease Characteristics: Students who choose this rotation will become knowledgeable in the diagnosis and management of common allergic diseases including (but not necessarily limited to): asthma, allergic rhinitis, atopic dermatitis, urticaria, drug reactions, and anaphylaxis. In addition, students will be introduced to adult immune deficiencies including common variable immune deficiency and other B and T cell immune deficiencies.
Clinical Procedures: Additionally they will be exposed to the common diagnostic and therapeutic modalities used in the practice of allergy (pulmonary function testing, peak flow monitoring, intravenous immunoglobulin administration, skin testing and immunotherapy). As well as labratory testing and evaluation of immune competence.
Time will be divided between the adult and pediatric outpatient practice, as well as inpatient consultation. Students will be taught by required reading material, example and patient encounter through the attending, the fellows, the residents and the nursing staff. Students are expected to use all resources in clinic to learn allergy practice. Time for students to participate in hospital rounds on inpatients and on consult service will be arranged. Attendance at weekly fellow's conferences is expected. The divisional journal club is required from 12:00-noon on Fridays.
Tuesdays: 8 am - 5 pm: A/A/I Clinic, Dr. Larry Borish (1st/3rd/5th Tuesday) / Dr. Anna Smith (2nd/4th Tuesday am) Northridge clinic
Tuesdays: 1 pm - 5pm (2nd/4th Tuesday).Â Combined allergy sinus clinic (CASC) Drs. Borish and Dr. Spencer Payne @ Fontaine Research Park (415 Ray C Hunt Drive) Suite 2200
8 am -12:30 pm: Primary Immune Deficiency (PID) Clinic, Dr. Monica Lawrence (1st/3rd/5th Wednesday) / Dr. Larry Borish (2nd/4th Wednesday) Northridge clinic
1 pm -5 pm: A/A/I Clinic Dr. Monica Lawrence, Northridge clinic
Thursdays: 8 am - 5 pm: A/A/I Clinic, Dr. Thomas AE Platts-Mills, Northridge clinic
As a medical student rotating with us, we would like you to get as much exposure to what we do as possible. Please see patients on your own and present to the attending you are working with that day. You are expected to write your own clinic notes in EPIC (and receive appropriate feedback).
Current Fellows: Julia Sohn/ Monica Gupta (2nd year), Rung-chi Li/Matthew Straesser (1st year)Â
Useful reading list:
1. Northwestern University Allergy-Immunology Syllabus 2012: Residents and Students. Allergy & Asthma Proceedings 33(3; Suppl 1), May-June, 2012.
2. Numerous allergy/asthma/immunology “state of the art practice parameters” available including those on chronic sinusitis, anaphylaxis, allergic rhinitis, chronic urticaria online at this Link.
3. National Asthma Education and Prevention Program. Expert Panel Report
3: Guidelines for the Diagnosis and Management of Asthma. J Allergy Clin
2007 Nov;120(5 Suppl):S93-138. Link
4. Chung CH, Mirakhur B, Chan E, et al. Cetuximab-induced anaphylaxis and IgE specific for galactose-alpha-1,3-galactose. N Engl J Med 2008;358:1109-1117.
5. Park MA, Li JT, Hagan JB, Maddox DE, Abraham RS. Common variable immunodeficiency: a new look at an old disease. Lancet 2008;372:489-502.
6. Bird, JA, G Lack, TT Perry. 2015. Clinical management of food allergy. J Allergy Clin Immunol: In Practice 2015;3(1):1-11. http://www.jaci-inpractice.org/article/S2213-2198(14)00267-0/abstract
7. Wasserman, RL. The nuts and bolts of immunoglobulin treatment for antibody deficiency. J Allergy Clin Immunology: In Practice 2016;4(6):1076-1081. http://www.jaci-inpractice.org/article/S2213-2198(16)30407-X/abstract
8. Laidlaw, TM and KN Cahill. Current knowledge and management of hypersensitivity to aspirin and NSAIDS. J Allergy Clin Immunology: In Practice 2017;5(3):537-545. http://www.jaci-inpractice.org/article/S2213-2198(16)30559-1/abstract
Welcome, and we hope you have a great month rotating with us!