Fellows attend allergy/immunology clinics at two different locations:
These clinics are supervised by well-trained, board certified allergists/immunologists who have major interests and expertise in allergy and immunology. This gives the Fellows a wide variety of experience during their training.
In these clinics, the Fellows will diagnose and manage a variety of allergic disorders including allergic rhinitis, asthma, atopic dermatitis, urticaria, eosinophilic and mast cell disorders, and allergies to foods, drugs and insects. Various diagnostic procedures are performed routinely including skin tests, spirometry, rhinoscopy, patch testing for contact hypersensitivity and food challenge testing. Experience with specific treatments including desensitization, immunotherapy and biologics under direct supervision are provided.
Patients are seen at JHACH, which is a Jeffrey Modell Diagnostic Center of Excellence for Primary Immunodeficiency Diseases. We are also a Children's Medical Services designated referral center for Severe Combined Immunodeficiency Diseases detection by newborn screenings. Both children and adults with immunodeficiency and autoimmune diseases are routinely referred to our service from St. Petersburg, Tampa, Pinellas and Hillsborough Counties as well as North and Central Florida. Further, our reputation also attracts many patients nationally and occasionally, some patients from foreign countries. Rare diseases are frequently seen in the immunology clinics because of this wide referral base. The breadth and depth of the clinical experience in clinical immunology complements our relationship with the Johns Hopkins All Children's Hospital Bone Marrow Transplantation Service, including a joint monthly clinic and daily rounds.
Pediatric Rheumatology (Elective)
JHACH is the only regional tertiary care center for pediatric rheumatology with both inpatient and outpatient settings. Patients followed include those with a variety of rheumatologic conditions including JRA, SLE, scleroderma, dermatomyositis and MCTD. The rheumatology team includes 2 board certified pediatric rheumatologists, a clinical nurse specialist, OT/PT, nutrition and social service. This gives Fellows an opportunity for exposure to patients with various rheumatologic and autoimmune conditions and provides trainees with the understanding of basic immunology.
Second year Fellows have the opportunity to rotate in a private practice dermatology office. This allows the Fellows to have exposure to a variety of dermatological disorders and management strategies, as well as procedures, such as skin biopsies. Frequently seen conditions include atopic dermatitis, contact dermatitis, vasculitis, and urticarial disease.
The Inpatient Consult Service at JHACH provides the Fellow with a deeper understanding of diagnosis and treatment of allergic and immunological diseases in hospitalized patients. As part of our consultation service, fellows will have an opportunity to teach Pediatric residents and present at morning report. Congenital, genetically determined and acquired immunodeficiency syndromes, drug allergies, angioedema, severe eczema, anaphylaxis, autoimmune diseases and status asthmaticus are among the more frequent diseases admitted for evaluation and treatment. Primary care physicians and specialists from other departments request inpatient consultations). The allergy/immunology team works closely with the bone marrow transplant department to provide treatment for primary immunodeficiency diseases.