Electives - Asthma, Allergy and Immunology
Asthma, Allergy and Immunology
Elective Number: 1631
Rotation Supervisors: Drs. Larry Borish
Coordinator: Linda Davis, MR4 room 5086; (434) 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
Typical days: 8:00 am - 5:00 pm
Attendance: Attendance at elective activities is mandatory.
- Anyone who is ill or has a personal or family emergency must
contact Student Affairs and the Attending on Service.
- Students are allowed to take off up to 1 day per week to
interview between November 1 and February 1.
- Specific days missed must be approved by the Attending on
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 dermititis,
urticaia, drug reactions, immunodeficiency and anaphylaxis.
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).
- Patient care that is compassionate, appropriate, and effective for the
treatment of health problems and the promotion of health
- Medical knowledge about established and evolving biomedical, clinical and
cognate sciences, as well as the application of this knowledge to patient
- Practice-based learning and improvement that involves the investigation
and evaluation of care for their patients, the appraisal and assimilation
of scientific evidence and improvements in patient care
- Interpersonal and communication skills that result in the effective exchange
of information and collaboration with patients, their families and other
health professionals; students may provide, under supervision, consultation
in other specialties
- Professionalism, as manifested through a commitment, carrying out professional
responsibilities, adherence to ethical principles and sensitivity to patients
of diverse backgrounds
- Systems-based practice, as manifested by actions that demonstrate an awareness
of and responsiveness to the larger context and system of health care, as
well as the ability to call effectively on other resources in the system
to provide optimal health care.
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.
Mondays: 8 am – 5 pm – A/A/I Clinic, Dr. Timothy Kyin – Northridge
clinic (2955 Ivy Road), 3rd floor, Suite 311
Tuesdays: 8 am – 5 pm – A/A/I Clinic, Dr. Larry Borish (1st/3rd/5th
Tuesday) / Dr. Anna Smith (2nd/4th Tuesday) – Northridge clinic
Wednesdays 8 am – 12:30 pm – Primary Immune Deficiency (PID) Clinic,
Dr. Monica Lawrence (1st/3rd/5th Wednesday) / Dr. Larry Borish (2nd/4th Wednesday) – Northridge
1 pm – 5 pm – A/A/I Clinic – Dr. Monica Lawrence – Northridge
Thursdays: 8 am – 5 pm – A/A/I Clinic, Dr. Thomas AE Platts-Mills – Northridge
Fridays: 1 pm – 5 pm – Combined allergy sinus clinic (CASC) Drs.
Borish and Dr. Spencer Payne – 1-2 Fridays/month (please ask Dr. Borish)) – Fontaine
Research Park (415 Ray C Hunt Drive) Suite 2200
Report to MR4 Building, 4th floor conference room (409 Lane Road – the
building across the street and towards the left if you are coming out of the
UVA Hospital loading dock; locked building, you will need to be buzzed in).
Lectures and Journal Club are usually from 10 AM-noon, but please ask someone
each week as it might change week to week.
**On the first day of your rotation, please provide in writing (email is fine)
a list of dates you will not be in clinic (e.g., for interviews). If you
have an unexpected absence due to illness, contingency, or anything else
it is your responsibility to notify the attending that day and Dr. Borish
of your absence.
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).
Attendings that see adults mostly: Drs. Platts-Mills, Borish, Kyin, and Smith
Attendings that see pediatrics mostly: Dr. Heymann (it may be possible to arrange
to rotate through Battle Building Pediatrics clinic on Wednesday)
DeVon Preston / Bob Sullivan (2nd year), Julia Sohn/ Monica Gupta (1st year)
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
This is the “gold standard” for the diagnosis and management of
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. Link
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.
Welcome, and we hope you have a great month rotating with us!