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In this program, fellows spend half of their time on clinical training; the other half is split between research interests of choice (25 percent) and educational purposes (25 percent).
A total of 12 four-week blocks make up each year of fellowship. Block 13 is vacation. Fellows have a monthly continuity clinic at Riley Hospital for Children throughout the fellowship. Overall, 50 percent of the time is spent in clinical care, 25 percent in didactic sessions, and 25 percent in research. During the first year, fellows spend 8-9 blocks in outpatient clinics, 2 blocks for research, and 1-2 blocks for electives. During the second year, fellows spend 4-5 blocks for research, 3-4 blocks for outpatient clinics, and 3-4 blocks for electives. Fellows are encouraged to pursue electives in dermatology, otolaryngology and pulmonology.
In the first year, outpatient clinics mainly take place in Indianapolis at Riley Hospital for Children, Indiana University Methodist Hospital and Indiana University Hospital. Second-year fellows also train at Riley Hospital in Carmel. Fellows also have opportunities for training, once a month, at private practice offices in Fishers and Lafayette, Indiana. Fellows cover inpatient allergy and immunology consults at Riley Hospital and take call with attending physicians.
Electives in pulmonology, otolaryngology and dermatology are strongly encouraged. Second-year fellows have a continuity clinic twice a month. Faculty and fellows participate in weekly conferences, journal club and didactic sessions. Fellows study basic immunology and clinical allergy-immunology texts.
Patient Care and Clinical Skills Competencies
Fellows show improving skills in assimilating information, forming a differential diagnosis, and ordering needed testing. Fellows describe and document rationale for diagnosis and treatment plans, develop familiarity with expected outcomes and show ability to be a patient advocate. For the first few months of year one, the fellow observes and learns the basis of procedures discussed. The fellow then starts doing the procedures while supervised by a faculty member, documents all procedures in the ACGME case log system and attains a minimum of level 3 on the Med Hub evaluation system.
Fellows are expected to demonstrate excellence in the above steps. Fellows should function independently at the completion of training, document all procedures in the ACGME case log system and attain a level of 4 or 5 on the Med Hub evaluation system.
Medical Knowledge Competencies
Fellows are expected to demonstrate satisfactory medical knowledge of common allergic and immunologic conditions. They should also apply current concepts in basic sciences to clinical problem-solving and use information from the literature in patient care and research. Fellows study basic immunology texts and must attain a minimum of level 3 on the Med Hub evaluation system. Take In-Service Exam.
Demonstrate progression in knowledge and analytical thinking in order to develop well-differentiated diagnoses for multi-problem patients. Continue study of basic immunology texts and current literature, and prepare for the Certification Exam of the American Board of Allergy & Immunology. Attain a level of 4 or 5 on the Med Hub evaluation system.
Similar goals and competencies are expected for the other core components of the fellowship training program, including Practice Based Learning and Improvement, Systems Based Practice, Interpersonal and Communication Skills, and Professionalism.